Mobile Antepartum Summary, published by IHE Patient Care Coordination Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.mAPS/ and changes regularly. See the Directory of published versions
1:XX. Antepartum Summary (APS) Home
Official URL : https://profiles.ihe.net/PCC/mAPS/ImplementationGuide/ihe.pcc.maps
Version :
0.0.1-current
Active
as of 2024-04-30
Computable Name : IHE_PCC_MAPS
**Antepartum Summary is a content profile that defines the structure for the aggregation of significant events, diagnoses, and plans of care derived from the visits over the course of an antepartum episode. **
This profile is intended to be a summary for supporting pregnancy care prior to and leading up to delivery.
Organization of This Guide
This guide is organized into the following sections:
Volume 1:
Introduction
Actors, Transactions, and Content
Actor Options
Actor Required Groupings
Overview
Security Considerations
Cross Profile Considerations
Volume 3: Metadata and Content
Content One
Volume 4: National Extensions
TODO: point at the National Extensions if there are any
Other
Test Plan
Changes to Other IHE Specifications
See also the Table of Contents and the index of Artifacts defined as part of this implementation guide.
IHE uses the normative words: Shall, Should, and May according to standards conventions .
Must Support
The use of mustSupport
in StructureDefinition profiles equivalent to the IHE use of R2 as defined in Appendix Z .
mustSupport of true - only has a meaning on items that are minimal cardinality of zero (0), and applies only to the source actor populating the data. The source actor shall populate the elements marked with MustSupport, if the concept is supported by the actor, a value exists, and security and consent rules permit.
The consuming actors should handle these elements being populated or being absent/empty.
Note that sometimes mustSupport will appear on elements with a minimal cardinality greater than zero (0), this is due to inheritance from a less constrained profile.
Download and Analysis
The source code for this Implementation Guide can be found on https://github.com/IHE/PCC.mAPS
Cross Version Analysis
This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (ihe.pcc.maps.r4) and R4B (ihe.pcc.maps.r4b) are available.
Dependency Table
Package hl7.fhir.uv.extensions.r4#5.1.0
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)
Package hl7.fhir.uv.ips#1.1.0
International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)
Package hl7.fhir.uv.extensions.r4#1.0.0
This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)
Package ihe.pcc.odh#1.0.0-comment
This IG covers the specific data that covers past or present jobs, usual work, employment status, retirement date and combat zone period for the subject. It also includes the past or present jobs and usual work of other household members. This IG is International scope. (built Fri, Mar 8, 2024 10:41-0600-06:00)
Package ihe.iti.balp#1.1.3
The Basic Audit Log Patterns (BALP) Implementation Guide is a Content Profile that defines some basic and reusable AuditEvent patterns. This includes basic audit log profiles for FHIR RESTful operations to be used when there is not a more specific audit event defined. A focus is enabling Privacy centric AuditEvent logs that hold well formed indication of the Patient when they are the subject of the activity being recorded in the log. Where a more specific audit event can be defined it should be derived off of these basic patterns. (built Wed, Feb 14, 2024 15:23-0600-06:00)
Package ihe.iti.pdqm#3.0.0
The Patient Demographics Query for Mobile (PDQm) Profile defines a lightweight RESTful interface to a patient demographics supplier leveraging technologies readily available to mobile applications and lightweight browser based applications. (built Fri, Feb 23, 2024 14:36-0600-06:00)
Globals Table
There are no Global profiles defined
IP Statements
This publication includes IP covered under the following statements.
Copyright HL7. Licensed under creative commons public domain Show Usage
The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse Show Usage
Unified Code for Units of Measure (UCUM) : AlcoholUseFrequency , Alcohol_USe_Frequency_VS ... Show 28 more , MedicationStatement/ex-medicationStatement , Observation/ex-AlcoholUseFrequency , Observation/ex-BodyWeightMeasuredPrePregnancy , Observation/ex-CervicalCanalExternalosDiameterUltrasound , Observation/ex-CervixLengthUltrasound , Observation/ex-DateNextClinicVisit , Observation/ex-DurationOfMenstrualFlow , Observation/ex-EffacementCervixPalpitation , Observation/ex-Exercise , Observation/ex-FetalBodyWeightPalpation , Observation/ex-FetalBodyWeightUltrasound , Observation/ex-FetalHeartRateAuscultation , Observation/ex-FetalHeartRateUltrasound , Observation/ex-FetusGestationalAge , Observation/ex-FetusGestationalAgeClinicalEstimate , Observation/ex-FetusGestationalAgeEstimatedFromLMP , Observation/ex-FetusGestationalAgeEstimatedFromOvulationDate , Observation/ex-FrequencyOfMenstrualCycles , Observation/ex-GestationalAge , Observation/ex-Menarche , Observation/ex-SmokingTobaccoUseFrequency , Observation/ex-SocialHistory-alcoholUse , Observation/ex-UterusFundalHeight , Observation/ex-VitalSigns-BodyWeight , Observation/ex-VitalSigns-BodyWeight-PrePregnancy , Observation/ex-bloodpressure-amanda-alvarez , SmokingTobaccoUseFrequency and Smoking_Tabbacco_Use_Frequency_VS
This material contains content from LOINC . LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license . LOINC® is a registered United States trademark of Regenstrief Institute, Inc. Show Usage
LOINC : AlbuminPresenceInUrine , AlcoholUseFrequency ... Show 130 more , AnnotationComment , AntepartumLabs , AntepartumVisitSummaryFlowsheetBattery , Antepartum_Laboratory_VS , BodyWeightMeasuredPrePregnancy , CervicalCanalExternalosDiameterUltrasound , CervixLengthUltrasound , Composition/ex-APS-Composition-AmandaAlvarez , Condition/ex-Problem-Sepsis , DateNextClinicVisit , DateOfFirstPrenatalVisit , DateOfLastLiveBirth , DateOfLastMenstralPeriod , DateOfLastOtherPregnancyOutcome , DeliveryDateClinicalEstimate , DeliveryDateEstimatedFromLMP , DeliveryDateEstimatedFromOvulationDate , DeliveryRisk , DiagnosticReport/ex-DiagnosticReport-GestationalDiabetes , DiagnosticReport/ex-DiagnosticReport-Sepsis , Edema , EffacementCervixPalpitation , FetalBodyWeightPalpation , FetalBodyWeightUltrasound , FetalHeartRateAuscultation , FetalHeartRateUltrasound , FetalMovementReported , FetalPresentationPalpitation , FetalPresentationUltrasound , FetusGestationalAge , FetusGestationalAgeClinicalEstimate , FetusGestationalAgeEstimatedFromLMP , FetusGestationalAgeEstimatedFromOvulationDate , GestationalAge , GlucosePresenceinUrine , GlucosePresenceinUrineTestStrip , Homelessness , IHE_APS_Composition , LaborRisk , List/genetic , MenstrualStatus , MultiplePregnancy , NumberOfAbortions , NumberOfAbortionsInduced , NumberOfAbortionsSpontanious , NumberOfBirthsStillLiving , NumberOfBirthsToTerm , NumberOfEctopicPregnancies , NumberOfLiveBirths , NumberOfOtherPregnancyOutcomes , NumberOfPregnancies , NumberOfPrenatalVisitsForThisPregnancy , NumberOfPretermBirths , NumberOfPreviousCesareanDeliveries , NumberOfPreviousLiveBirthsNowDead , NumberOfStillbornBirths , NumberOfTotalBirths , Observation/ex-AlbuminPresenceInUrine , Observation/ex-AlcoholUseFrequency , Observation/ex-AnnotationComment , Observation/ex-AntepartumLabs , Observation/ex-AntepartumVisitSummaryFlowsheetBattery , Observation/ex-BodyWeightMeasuredPrePregnancy , Observation/ex-CervicalCanalExternalosDiameterUltrasound , Observation/ex-CervixLengthUltrasound , Observation/ex-DateNextClinicVisit , Observation/ex-DateOfFirstPrenatalVisit , Observation/ex-DateOfFirstPrenatalVisit-AmandaAlvarez , Observation/ex-DateOfLastLiveBirth , Observation/ex-DateOfLastLiveBirth-AmandaAlvarez , Observation/ex-DateOfLastMenstralPeriod , Observation/ex-DateOfLastOtherPregnancyOutcome , Observation/ex-DeliveryDateClinicalEstimate , Observation/ex-DeliveryDateEstimatedFromLMP , Observation/ex-DeliveryDateEstimatedFromOvulationDate , Observation/ex-DeliveryRisk , Observation/ex-Edema , Observation/ex-EffacementCervixPalpitation , Observation/ex-EstimatedDeliveryDate , Observation/ex-FetalBodyWeightPalpation , Observation/ex-FetalBodyWeightUltrasound , Observation/ex-FetalHeartRateAuscultation , Observation/ex-FetalHeartRateUltrasound , Observation/ex-FetalMovementReported , Observation/ex-FetalPresentationPalpitation , Observation/ex-FetalPresentationUltrasound , Observation/ex-FetusGestationalAge , Observation/ex-FetusGestationalAgeClinicalEstimate , Observation/ex-FetusGestationalAgeEstimatedFromLMP , Observation/ex-FetusGestationalAgeEstimatedFromOvulationDate , Observation/ex-GestationalAge , Observation/ex-GlucosePresenceinUrine , Observation/ex-GlucosePresenceinUrineTestStrip , Observation/ex-Homelessness , Observation/ex-LaborRisk , Observation/ex-MenstralStatus-Pregnancy , Observation/ex-MenstrualStatus , Observation/ex-MultiplePregnancy , Observation/ex-NumberOfAbortions , Observation/ex-NumberOfAbortionsInduced , Observation/ex-NumberOfAbortionsSpontanious , Observation/ex-NumberOfBirthsStillLiving , Observation/ex-NumberOfBirthsToTerm , Observation/ex-NumberOfEctopicPregnancies , Observation/ex-NumberOfLiveBirths , Observation/ex-NumberOfOtherPregnancyOutcomes , Observation/ex-NumberOfPregnancies , Observation/ex-NumberOfPrenatalVisitsForThisPregnancy , Observation/ex-NumberOfPretermBirths , Observation/ex-NumberOfPreviousCesareanDeliveries , Observation/ex-NumberOfPreviousLiveBirthsNowDead , Observation/ex-NumberOfStillbornBirths , Observation/ex-NumberOfTotalBirths , Observation/ex-PainSeverityReported , Observation/ex-PregnancyEducationObservation , Observation/ex-PregnencyStatus-pregnant , Observation/ex-PretermLaborSymptoms , Observation/ex-SocialHistory-EmploymentStatus , Observation/ex-SocialHistory-alcoholUse , Observation/ex-SocialHistory-smokingTobaccoUse , Observation/ex-SocialHistory-smokingTobaccoUse-formerSmoker , Observation/ex-UterusFundalHeight , Observation/ex-VitalSigns-BodyWeight , Observation/ex-VitalSigns-BodyWeight-PrePregnancy , Observation/ex-bloodpressure-amanda-alvarez , Observation/ex-pregnancy-edd , PainSeverityReported , PregnancyEducationObservation , PretermLaborSymptoms and UterusFundalHeight
This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org . Show Usage
SNOMED Clinical Terms® (SNOMED CT®) : Advance_Directives_VS , AlbuminPresenceInUrine ... Show 78 more , AllergyIntolerance/ex-Allergy-Fish , AllergyIntolerance/ex-Allergy-Latex , Antepartum_Education_VS , Antepartum_Family_History_and_Genetic_Screening_VS , Antepartum_Genetic_Screening , Antepartum_History_of_Infection_VS , Antepartum_History_of_Past_Illness_VS , Antepartum_Review_of_Systems_Menstrual_History_VS , CarePlan/ex-CarePlan-BirthPlan , CervicalCanalExternalosDiameterUltrasound , CervixLengthUltrasound , Condition/ex-Condition-FamilyHistory , Condition/ex-HistoryOfInfection , Condition/ex-Problem-GestationalDiabetes , Condition/ex-Problem-Sepsis , Consent/ex-AdvanceDirectives-BloodTransfusion , DiagnosticReport/ex-DiagnosticReport-Sepsis , Diet , DomesticViolenceRisk , DrugUse , DurationOfMenstrualFlow , Edema , Edema_VS , EffacementCervixPalpitation , Exercise , FetalBodyWeightPalpation , FetalBodyWeightUltrasound , FetalHeartRateAuscultation , FetalHeartRateUltrasound , FetalMovementReported , FetalPresentationPalpitation , FetalPresentationUltrasound , Fetal_Movement_VS , Fetal_Presentation_VS , FrequencyOfMenstrualCycles , GlucosePresenceinUrine , GlucosePresenceinUrineTestStrip , HCGPositive , IHEadvanceDirectives , MedicationStatement/ex-medicationStatement , Menarche , MensesMonthly , Observation/ex-AlbuminPresenceInUrine , Observation/ex-Antepartum-Genetic-Screening , Observation/ex-AntepartumLabs , Observation/ex-Diet , Observation/ex-DomesticViolenceRisk , Observation/ex-DrugUse , Observation/ex-DurationOfMenstrualFlow , Observation/ex-Edema , Observation/ex-Exercise , Observation/ex-FetalMovementReported , Observation/ex-FetalPresentationPalpitation , Observation/ex-FetalPresentationUltrasound , Observation/ex-FrequencyOfMenstrualCycles , Observation/ex-GlucosePresenceinUrine , Observation/ex-GlucosePresenceinUrineTestStrip , Observation/ex-HCGPositive , Observation/ex-HCGPositive-Positive , Observation/ex-Menarche , Observation/ex-MensesMonthly , Observation/ex-PhysicalExam-AbdominalTenderness , Observation/ex-PregnancyEducationObservation , Observation/ex-PregnancyHistory , Observation/ex-PregnancyHistory-AmandaAlvarez , Observation/ex-PriorMensesDate , Observation/ex-SmokingTobaccoUseFrequency , Observation/ex-ToxicExposure , PregnancyEducationObservation , PregnancyHistory , Presence_In_Urine_VS , PriorMensesDate , Procedure/ex-Procedure-CephalicVersion , Procedure/ex-Procedure-EducationSmoking , ServiceRequest/ex-ServiceRequest-EducationSmoking , SmokingTobaccoUseFrequency , Smoking_Status_VS and ToxicExposure
This material derives from the HL7 Terminology (THO). THO is copyright 1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license Show Usage
This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license Show Usage
AllergyIntolerance Clinical Status Codes : AllergyIntolerance/ex-Allergy-Fish and AllergyIntolerance/ex-Allergy-Latex
AllergyIntolerance Verification Status : AllergyIntolerance/ex-Allergy-Fish and AllergyIntolerance/ex-Allergy-Latex
Condition Category Codes : Condition/ex-HistoryOfInfection
Condition Clinical Status Codes : Condition/ex-Condition-FamilyHistory , Condition/ex-HistoryOfInfection , Condition/ex-Problem-GestationalDiabetes , Condition/ex-Problem-Sepsis and Condition/p1
ConditionVerificationStatus : Condition/ex-Problem-GestationalDiabetes , Condition/ex-Problem-Sepsis and Condition/p1
Consent PolicyRule Codes : Consent/ex-AdvanceDirectives-BloodTransfusion
Consent Scope Codes : Consent/ex-AdvanceDirectives-BloodTransfusion and IHEadvanceDirectives
DoseAndRateType : MedicationStatement/ex-medicationStatement
Immunization Origin Codes : Immunization/ex-Immunization-Vericella
List Empty Reasons : Composition/ex-APS-Composition-AmandaAlvarez
Observation Category Codes : AlbuminPresenceInUrine , AlcoholUseFrequency ... Show 139 more , AnnotationComment , BodyWeightMeasuredPrePregnancy , CervicalCanalExternalosDiameterUltrasound , CervixLengthUltrasound , DateNextClinicVisit , DateOfFirstPrenatalVisit , DateOfLastLiveBirth , DateOfLastMenstralPeriod , DateOfLastOtherPregnancyOutcome , DeliveryDateClinicalEstimate , DeliveryDateEstimatedFromLMP , DeliveryDateEstimatedFromOvulationDate , DeliveryRisk , Diet , DomesticViolenceRisk , DrugUse , DurationOfMenstrualFlow , Edema , EffacementCervixPalpitation , Exercise , FetalBodyWeightPalpation , FetalBodyWeightUltrasound , FetalHeartRateAuscultation , FetalHeartRateUltrasound , FetalMovementReported , FetalPresentationPalpitation , FetalPresentationUltrasound , FetusGestationalAge , FetusGestationalAgeClinicalEstimate , FetusGestationalAgeEstimatedFromLMP , FetusGestationalAgeEstimatedFromOvulationDate , FrequencyOfMenstrualCycles , GestationalAge , GlucosePresenceinUrine , GlucosePresenceinUrineTestStrip , HCGPositive , Homelessness , LaborRisk , Menarche , MensesMonthly , MenstrualStatus , MultiplePregnancy , NumberOfAbortions , NumberOfAbortionsInduced , NumberOfAbortionsSpontanious , NumberOfBirthsStillLiving , NumberOfBirthsToTerm , NumberOfEctopicPregnancies , NumberOfLiveBirths , NumberOfOtherPregnancyOutcomes , NumberOfPregnancies , NumberOfPrenatalVisitsForThisPregnancy , NumberOfPretermBirths , NumberOfPreviousCesareanDeliveries , NumberOfPreviousLiveBirthsNowDead , NumberOfStillbornBirths , NumberOfTotalBirths , Observation/ex-AlbuminPresenceInUrine , Observation/ex-AlcoholUseFrequency , Observation/ex-AnnotationComment , Observation/ex-BodyWeightMeasuredPrePregnancy , Observation/ex-CervicalCanalExternalosDiameterUltrasound , Observation/ex-CervixLengthUltrasound , Observation/ex-DateNextClinicVisit , Observation/ex-DateOfFirstPrenatalVisit , Observation/ex-DateOfFirstPrenatalVisit-AmandaAlvarez , Observation/ex-DateOfLastLiveBirth , Observation/ex-DateOfLastLiveBirth-AmandaAlvarez , Observation/ex-DateOfLastMenstralPeriod , Observation/ex-DateOfLastOtherPregnancyOutcome , Observation/ex-DeliveryDateClinicalEstimate , Observation/ex-DeliveryDateEstimatedFromLMP , Observation/ex-DeliveryDateEstimatedFromOvulationDate , Observation/ex-DeliveryRisk , Observation/ex-Diet , Observation/ex-DomesticViolenceRisk , Observation/ex-DrugUse , Observation/ex-DurationOfMenstrualFlow , Observation/ex-Edema , Observation/ex-EffacementCervixPalpitation , Observation/ex-EstimatedDeliveryDate , Observation/ex-Exercise , Observation/ex-FetalBodyWeightPalpation , Observation/ex-FetalBodyWeightUltrasound , Observation/ex-FetalHeartRateAuscultation , Observation/ex-FetalHeartRateUltrasound , Observation/ex-FetalMovementReported , Observation/ex-FetalPresentationPalpitation , Observation/ex-FetalPresentationUltrasound , Observation/ex-FetusGestationalAge , Observation/ex-FetusGestationalAgeClinicalEstimate , Observation/ex-FetusGestationalAgeEstimatedFromLMP , Observation/ex-FetusGestationalAgeEstimatedFromOvulationDate , Observation/ex-FrequencyOfMenstrualCycles , Observation/ex-GestationalAge , Observation/ex-GlucosePresenceinUrine , Observation/ex-GlucosePresenceinUrineTestStrip , Observation/ex-HCGPositive , Observation/ex-HCGPositive-Positive , Observation/ex-Homelessness , Observation/ex-LaborRisk , Observation/ex-Menarche , Observation/ex-MensesMonthly , Observation/ex-MenstralStatus-Pregnancy , Observation/ex-MenstrualStatus , Observation/ex-MultiplePregnancy , Observation/ex-NumberOfAbortions , Observation/ex-NumberOfAbortionsInduced , Observation/ex-NumberOfAbortionsSpontanious , Observation/ex-NumberOfBirthsStillLiving , Observation/ex-NumberOfBirthsToTerm , Observation/ex-NumberOfEctopicPregnancies , Observation/ex-NumberOfLiveBirths , Observation/ex-NumberOfOtherPregnancyOutcomes , Observation/ex-NumberOfPregnancies , Observation/ex-NumberOfPrenatalVisitsForThisPregnancy , Observation/ex-NumberOfPretermBirths , Observation/ex-NumberOfPreviousCesareanDeliveries , Observation/ex-NumberOfPreviousLiveBirthsNowDead , Observation/ex-NumberOfStillbornBirths , Observation/ex-NumberOfTotalBirths , Observation/ex-PainSeverityReported , Observation/ex-PhysicalExam-AbdominalTenderness , Observation/ex-PregnancyEducationObservation , Observation/ex-PretermLaborSymptoms , Observation/ex-PriorMensesDate , Observation/ex-SmokingTobaccoUseFrequency , Observation/ex-ToxicExposure , Observation/ex-UterusFundalHeight , Observation/ex-VitalSigns-BodyWeight , Observation/ex-VitalSigns-BodyWeight-PrePregnancy , Observation/ex-bloodpressure-amanda-alvarez , PainSeverityReported , PregnancyEducationObservation , PretermLaborSymptoms , PriorMensesDate , SmokingTobaccoUseFrequency , ToxicExposure and UterusFundalHeight
Organization type : Acme Healthcare and Insurance 1
identifierType : Acme Healthcare , Patient/ex-Patient-AmandaAlvarez and Practitioner/ex-Practitioner
This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license Show Usage
ActCode : Coverage/ex-Coverage , Encounter/ex-Encounter and IHE_APS_Composition
ActReason : Acme Healthcare , AllergyIntolerance/ex-Allergy-Fish ... Show 29 more , AllergyIntolerance/ex-Allergy-Latex , Composition/ex-APS-Composition-AmandaAlvarez , Condition/ex-Condition-FamilyHistory , Condition/ex-HistoryOfInfection , Condition/ex-Problem-GestationalDiabetes , Condition/ex-Problem-Sepsis , DiagnosticReport/ex-DiagnosticReport-GestationalDiabetes , DiagnosticReport/ex-DiagnosticReport-Sepsis , Encounter/ex-Encounter , Immunization/ex-Immunization-Vericella , MedicationStatement/ex-medicationStatement , Observation/ex-EstimatedDeliveryDate , Observation/ex-MenstralStatus-Pregnancy , Observation/ex-PhysicalExam-AbdominalTenderness , Observation/ex-PregnancyHistory-AmandaAlvarez , Observation/ex-PregnencyStatus-pregnant , Observation/ex-SocialHistory-EmploymentStatus , Observation/ex-SocialHistory-alcoholUse , Observation/ex-SocialHistory-smokingTobaccoUse , Observation/ex-SocialHistory-smokingTobaccoUse-formerSmoker , Observation/ex-VitalSigns-BodyWeight , Observation/ex-VitalSigns-BodyWeight-PrePregnancy , Observation/ex-pregnancy-edd , Patient/ex-Patient-AmandaAlvarez , Patient/ex-Patient-AmandaAlvarez-Father , Practitioner/ex-Practitioner , Procedure/ex-Procedure-CephalicVersion , Procedure/ex-Procedure-EducationSmoking and ServiceRequest/ex-ServiceRequest-EducationSmoking
ObservationInterpretation : Observation/ex-PhysicalExam-AbdominalTenderness
ObservationValue : Observation/ex-SocialHistory-EmploymentStatus
ParticipationType : Appointment/activity-1 , Appointment/activity-2 and Appointment/activity-3
RoleCode : List/genetic