Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
Active as of 2024-11-21 |
Mappings for the ProcedureNote logical model.
ProcedureNote | ||
ClinicalDocument | n/a | |
effectiveTime | n/a | |
recordTarget | ||
patientRole | ||
addr | n/a | |
patient | ||
name | n/a | |
guardian | ||
addr | n/a | |
guardianPerson | ||
name | n/a | |
providerOrganization | ||
addr | n/a | |
author | ||
time | n/a | |
assignedAuthor | ||
addr | n/a | |
assignedPerson | ||
name | n/a | |
dataEnterer | ||
time | n/a | |
assignedEntity | ||
addr | n/a | |
assignedPerson | ||
name | n/a | |
informant | ||
informant (provider) | ||
assignedEntity | ||
addr | n/a | |
assignedPerson | ||
name | n/a | |
custodian | ||
assignedCustodian | ||
representedCustodianOrganization | ||
addr | n/a | |
informationRecipient | ||
intendedRecipient | ||
informationRecipient | ||
name | n/a | |
legalAuthenticator | ||
time | n/a | |
assignedEntity | ||
addr | n/a | |
assignedPerson | ||
name | n/a | |
authenticator | ||
time | n/a | |
assignedEntity | ||
addr | n/a | |
assignedPerson | ||
name | n/a | |
participant | ||
time | n/a | |
participant (participant1) | ||
time | n/a | |
documentationOf | ||
serviceEvent | ||
effectiveTime | n/a | |
performer | ||
time | n/a | |
performer (primary) | ||
time | n/a | |
performer (secondary) | ||
time | n/a | |
componentOf | ||
encompassingEncounter | ||
effectiveTime | n/a | |
component | ||
structuredBody | ||
component | ||
component (complications) | ||
section | n/a | |
component (procedureDescription) | ||
section | n/a | |
component (indications) | ||
section | n/a | |
component (postProcedureDx) | ||
section | n/a | |
component (assessment) | ||
section | n/a | |
component (assessmentAndPlan) | ||
section | n/a | |
component (planOfTreatment) | ||
section | n/a | |
component (allergies) | ||
section | n/a | |
component (anesthesia) | ||
section | n/a | |
component (chiefComplaint) | ||
section | n/a | |
component (chiefComplaintRFV) | ||
section | n/a | |
component (familyHistory) | ||
section | n/a | |
component (pastMedicalHistory) | ||
section | n/a | |
component (historyPresentIllness) | ||
section | n/a | |
component (medicalHistory) | ||
section | n/a | |
component (medications) | ||
section | n/a | |
component (medsAdministered) | ||
section | n/a | |
component (physicalExam) | ||
section | n/a | |
component (plannedProcedure) | ||
section | n/a | |
component (procedureDisposition) | ||
section | n/a | |
component (estBloodLoss) | ||
section | n/a | |
component (findings) | ||
section | n/a | |
component (implants) | ||
section | n/a | |
component (specimensTaken) | ||
section | n/a | |
component (procedures) | ||
section | n/a | |
component (reasonForVisit) | ||
section | n/a | |
component (reviewOfSystems) | ||
section | n/a | |
component (socialHistory) | ||
section | n/a | |
component (advDirectives) | ||
section | n/a |