| Clinical Document |
| Composition | | Entity. Role, or Act |
| id | | |
| meta | | |
| implicitRules | | |
| language | | |
| text | | Act.text? |
| contained | | N/A |
| extension | | |
| extension | versionNumber | |
| modifierExtension | | N/A |
| url | | |
| identifier | | Document.id / Document.setId |
| version | | |
| 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and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |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"] |
| useContext | | |
| author | | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| name | | |
| title | | ./title |
| note | | |
| 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 |
| 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"] |
| focus | | |
| 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] |
| Clinical Document |
| Composition | | when described by DocumentReference |
| id | | |
| meta | | |
| implicitRules | | |
| language | | |
| text | | |
| contained | | |
| extension | | |
| extension | versionNumber | |
| modifierExtension | | |
| url | | |
| identifier | | DocumentReference.masterIdentifier |
| version | | |
| status | | DocumentReference.status |
| type | | DocumentReference.type |
| category | | DocumenttReference.category |
| subject | | DocumentReference.subject |
| encounter | | DocumentReference.context.encounter |
| date | | DocumentReference.content.attachment.date, DocumentReference.created |
| useContext | | |
| author | | DocumentReference.agent |
| name | | |
| title | | DocumentReference.description, DocumentReference.content.attachment.title |
| note | | |
| attester | | DocumentReference.authenticator |
| id | | |
| extension | | |
| modifierExtension | | |
| mode | | |
| time | | |
| party | | |
| custodian | | DocumentReference.custodian |
| relatesTo | | DocumentReference.relatesTo |
| event | | DocumentReference.event |
| id | | |
| extension | | |
| modifierExtension | | |
| code | | DocumentReference.event.code |
| period | | DocumentReference.event.period |
| detail | | |
| section | | |
| id | | |
| extension | | |
| modifierExtension | | |
| title | | |
| code | | |
| author | | |
| focus | | |
| text | | |
| mode | | |
| orderedBy | | |
| entry | | |
| emptyReason | | |
| section | | |
Foundation
. Page versions: R5 R4B R4 R3 R2
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