R6 Ballot (2nd Draft)

Publish-box (todo)

Structured Documents icon Work GroupMaturity Level: N/AStandards Status: InformativeSecurity Category: Not Classified Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson

Mappings for the composition resource (see Mappings to Other Standards for further information & status).

Composition infrastructure.documents
    url FiveWs.identifier
    identifier FiveWs.identifier
    version FiveWs.version
    status FiveWs.status
    type FiveWs.class
    category FiveWs.class
    subject FiveWs.subject[x]
    encounter FiveWs.context
    date FiveWs.done[x]
    author FiveWs.author
        party FiveWs.witness
        author FiveWs.author
Composition Event
    identifier Event.identifier
    status Event.status
    type Event.code
    subject Event.subject
    encounter Event.encounter
    date Event.occurrence[x]
    author Event.performer
Composition ClinicalDocument
    url
    identifier .setId
    version .versionNumber
    status n/a
    type .code
    category n/a
    subject .recordTarget
    encounter .componentOf.encompassingEncounter
    date .effectiveTime
    useContext
    author .author.assignedAuthor
    name
    title .title
    note
    attester .authenticator/.legalAuthenticator
        mode implied by .authenticator/.legalAuthenticator
        time .authenticator.time
        party .authenticator.assignedEnttty
    custodian .custodian.assignedCustodian
    relatesTo .relatedDocument
    event .documentationOf.serviceEvent
        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
        orderedBy n/a
        entry .entry
        emptyReason n/a
        section .component.section
Composition Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
    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
    attester .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
        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']
        period .effectiveTime
        detail .outboundRelationship[typeCode="SUBJ"].target
    section ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
        title ./title
        code ./code
        author .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
        text .text
        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]
Composition when described by DocumentReference
    url
    identifier DocumentReference.identifier
    version DocumentReference.version
    status DocumentReference.docStatus
    type DocumentReference.type
    category DocumenttReference.category
    subject DocumentReference.subject
    encounter DocumentReference.context
    date DocumentReference.content.attachment.date, DocumentReference.date
    useContext
    author DocumentReference.author
    name
    title DocumentReference.description, DocumentReference.content.attachment.title
    note
    attester DocumentReference.attester
        mode DocumentReference.attester.mode
        time DocumentReference.attester.time
        party DocumentReference.attester.party
    custodian DocumentReference.custodian
    relatesTo DocumentReference.relatesTo
    event
        period DocumentReference.period
        detail DocumentReference.event
    section
        title
        code
        author
        focus
        text
        orderedBy
        entry
        emptyReason
        section