Austrian Patient Summary (R4)
0.1.0 - STU1
Austrian Patient Summary (R4) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2025-05-23 |
Mappings for the at-aps-composition resource profile.
| AtApsComposition | ||
| Composition | Event | |
| identifier | Event.identifier | |
| status | Event.status | |
| type | Event.code | |
| category | Event.subject | |
| encounter | Event.context | |
| date | Event.occurrence[x] | |
| author | Event.performer | |
| AtApsComposition | ||
| Composition | Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN" and isNormalAct()] | |
| text | Act.text? | |
| contained | n/a | |
| modifierExtension | n/a | |
| identifier | Document.id / Document.setId | |
| status | interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" | |
| type | ./code | |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code | |
| subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] | |
| encounter | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct]) | |
| date | .effectiveTime[type="TS"] | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| title | ./title | |
| confidentiality | .confidentialityCode | |
| attester | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| mode | unique(./modeCode) | |
| time | ./time[type="TS" and isNormalDatatype()] | |
| party | ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()] | |
| custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] | |
| relatesTo | .outboundRelationship | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| code | .outboundRelationship.typeCode | |
| target[x] | .target[classCode="DOC", moodCode="EVN"].id | |
| event | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| code | .code | |
| period | .effectiveTime | |
| detail | .outboundRelationship[typeCode="SUBJ"].target | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionMedications) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (medicationStatement) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (medicationRequest) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (medicationAdministration) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (medicationDispense) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionAllergies) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (allergyOrIntolerance) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionProblems) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (problem) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionProceduresHx) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (procedure) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionMedicalDevices) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (deviceStatement) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionImmunizations) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (immunization) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionResults) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (resultsObservationLaboratoryPathology) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (resultsObservationRadiology) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (resultsDiagnosticReport) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionVitalSigns) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (vitalSign) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionPastIllnessHx) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (pastProblem) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionFunctionalStatus) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (disability) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (functionalAssessment) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionPlanOfCare) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (carePlan) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionSocialHistory) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (smokingTobaccoUse) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (alcoholUse) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionPregnancyHx) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (pregnancyStatus) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (pregnancyOutcomeSummary) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionAdvanceDirectives) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (advanceDirectivesConsent) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionAlerts) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (alertsFlag) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| entry (document) | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| section (sectionPatientStory) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | n/a | |
| title | ./title | |
| code | ./code | |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | |
| text | .text | |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value | |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 | |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] | |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] | |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] | |
| AtApsComposition | ||
| Composition | ClinicalDocument | |
| identifier | .setId | |
| status | n/a | |
| type | .code | |
| category | n/a | |
| subject | .recordTarget | |
| encounter | .componentOf.encompassingEncounter | |
| date | .effectiveTime | |
| author | .author.assignedAuthor | |
| title | .title | |
| confidentiality | .confidentialityCode | |
| attester | .authenticator/.legalAuthenticator | |
| mode | implied by .authenticator/.legalAuthenticator | |
| time | .authenticator.time | |
| party | .authenticator.assignedEnttty | |
| custodian | .custodian.assignedCustodian | |
| relatesTo | .relatedDocument | |
| code | .relatedDocument.typeCode | |
| target[x] | .relatedDocument.id | |
| event | .documentationOf.serviceEvent | |
| code | .code | |
| period | .effectiveTime | |
| detail | n/a | |
| section | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionMedications) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (medicationStatement) | .entry | |
| entry (medicationRequest) | .entry | |
| entry (medicationAdministration) | .entry | |
| entry (medicationDispense) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionAllergies) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (allergyOrIntolerance) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionProblems) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (problem) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionProceduresHx) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (procedure) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionMedicalDevices) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (deviceStatement) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionImmunizations) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (immunization) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionResults) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (resultsObservationLaboratoryPathology) | .entry | |
| entry (resultsObservationRadiology) | .entry | |
| entry (resultsDiagnosticReport) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionVitalSigns) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (vitalSign) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionPastIllnessHx) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (pastProblem) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionFunctionalStatus) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (disability) | .entry | |
| entry (functionalAssessment) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionPlanOfCare) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (carePlan) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionSocialHistory) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (smokingTobaccoUse) | .entry | |
| entry (alcoholUse) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionPregnancyHx) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (pregnancyStatus) | .entry | |
| entry (pregnancyOutcomeSummary) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionAdvanceDirectives) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (advanceDirectivesConsent) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionAlerts) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| entry (alertsFlag) | .entry | |
| entry (document) | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| section (sectionPatientStory) | .component.structuredBody.component.section | |
| title | .title | |
| code | .code | |
| author | .author.assignedAuthor | |
| focus | .subject? (CDA did not differentiate between subject and focus) | |
| text | .text | |
| mode | n/a | |
| orderedBy | n/a | |
| entry | .entry | |
| emptyReason | n/a | |
| section | .component.section | |
| AtApsComposition | ||
| Composition | when described by DocumentReference | |
| identifier | DocumentReference.masterIdentifier | |
| status | DocumentReference.status | |
| type | DocumentReference.type | |
| category | DocumenttReference.category | |
| subject | DocumentReference.subject | |
| encounter | DocumentReference.context.encounter | |
| date | DocumentReference.content.attachment.date, DocumentReference.created | |
| author | DocumentReference.agent | |
| title | DocumentReference.description, DocumentReference.content.attachment.title | |
| confidentiality | DocumentReference.securityLabel | |
| attester | DocumentReference.authenticator | |
| custodian | DocumentReference.custodian | |
| relatesTo | DocumentReference.relatesTo | |
| code | DocumentReference.relatesTo.code | |
| target[x] | DocumentReference.relatesTo.target | |
| event | DocumentReference.event | |
| code | DocumentReference.event.code | |
| period | DocumentReference.event.period | |
| AtApsComposition | ||
| Composition | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| category | FiveWs.class | |
| subject | FiveWs.subject[x], FiveWs.subject | |
| encounter | FiveWs.context | |
| date | FiveWs.done[x] | |
| author | FiveWs.author | |
| attester | ||
| party | FiveWs.witness | |
| section | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionMedications) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionAllergies) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionProblems) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionProceduresHx) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionMedicalDevices) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionImmunizations) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionResults) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionVitalSigns) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionPastIllnessHx) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionFunctionalStatus) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionPlanOfCare) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionSocialHistory) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionPregnancyHx) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionAdvanceDirectives) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionAlerts) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |
| section (sectionPatientStory) | ||
| author | FiveWs.author | |
| mode | FiveWs.class | |