{ "name": "Patient Clinical Model 1.0", "mnemonic": "PAT_CLINICAL_V1", "description": "This is the release candidate version of the PIQI Clinical model reviewed by the PIQI Alliance Patient Clinical Data Class Model work group - as of 4/15/2026 ", "version": 1, "modelTypeName": "Standard base", "baseModel": null, "rootEntityName": "patient", "rootEntityMnemonic": "PATIENT", "dataClasses": [ { "name": "Demographics", "mnemonic": "DEM", "description": "Patient demographics ", "shortName": "Dem", "fieldName": "demographics", "isInherited": false, "sequence": 1, "cardinality": { "name": "One", "mnemonic": "ONE" }, "attributes": [ { "name": "Demographics data class", "mnemonic": "DEM", "shortName": "Demographics", "fieldName": "demographics", "description": "A collection of demographic attributes for the patient.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Demographics element", "mnemonic": "DEM_ELEMENT", "shortName": "Demographics", "fieldName": "demographics", "description": "A single Demographic element of the Demographics Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "birthDate", "mnemonic": "DEM_DOB", "shortName": "DOB", "fieldName": "birthDate", "description": "The patient's date of birth.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "deceased", "mnemonic": "DEM_DECSD", "shortName": "Deceased", "fieldName": "deceased", "description": "Indicates whether the patient is deceased.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "birthSex", "mnemonic": "DEM_SEX", "shortName": "Birth Sex", "fieldName": "birthSex", "description": "The patient's sex assigned at birth *Note: When converting from FHIR, this comes from the gender property.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "genderIdentity", "mnemonic": "DEM_GENID", "shortName": "Gender Idty", "fieldName": "genderIdentity", "description": "The patient's gender identity.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "race", "mnemonic": "DEM_RACE", "shortName": "Race", "fieldName": "race", "description": "The patient's race.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "ethnicity", "mnemonic": "DEM_ETHN", "shortName": "Ethnicity", "fieldName": "ethnicity", "description": "The patient's ethnicity.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "maritalStatus", "mnemonic": "DEM_MSTAT", "shortName": "Marital Status", "fieldName": "maritalStatus", "description": "The patient's marital status.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "primaryLanguage", "mnemonic": "DEM_LANG", "shortName": "Language", "fieldName": "primaryLanguage", "description": "The patients primary language", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "deathDate", "mnemonic": "DEM_DECDT", "shortName": "Death Date", "fieldName": "deathDate", "description": "The date of death of the patient.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "patientIdentifier", "mnemonic": "DEM_PATID", "shortName": "Patient ID", "fieldName": "patientIdentifier", "description": "The unique identifier for the patient.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "tribalAffiliation", "mnemonic": "DEM_TRIBALAFFILIATION", "shortName": "Tribal Affil", "fieldName": "tribalAffiliation", "description": "The patient's affiliation with a recognized American Indian or Alaska Native tribe.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "sexualOrientation", "mnemonic": "DEM_SEXUALORIENTATION", "shortName": "Sexual Orient", "fieldName": "sexualOrientation", "description": "The patient's self-reported sexual orientation.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "firstName", "mnemonic": "DEM_FIRSTNAME", "shortName": "First Name", "fieldName": "firstName", "description": "The patient's first (given) name.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "lastName", "mnemonic": "DEM_LASTNAME", "shortName": "Last Name", "fieldName": "lastName", "description": "The patient's last (family) name.", "sequence": 16, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "middleName", "mnemonic": "DEM_MIDDLENAME", "shortName": "Middle Name", "fieldName": "middleName", "description": "The patient's middle name or initial.", "sequence": 17, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "currentAddress", "mnemonic": "DEM_CURRENTADDRESS", "shortName": "Address", "fieldName": "currentAddress", "description": "The patient's current mailing or home address.", "sequence": 18, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "emailAddress", "mnemonic": "DEM_EMAILADDRESS", "shortName": "Email", "fieldName": "emailAddress", "description": "The patient's email address.", "sequence": 19, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "telecom", "mnemonic": "DEM_TELECOM", "shortName": "Phone", "fieldName": "telecom", "description": "The patient's telephone or other telecommunication contact information.", "sequence": 20, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "birthDate", "attributeMnemonic": "DEM_DOB" }, { "roleTypeName": "End Datetime", "roleTypeMnemonic": "END_DATETIME", "attributeName": "deathDate", "attributeMnemonic": "DEM_DECDT" } ] }, { "name": "Allergies", "mnemonic": "ALG", "description": "Patent allergies and substance intolerances", "shortName": "Allergy", "fieldName": "allergies", "isInherited": false, "sequence": 2, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Allergies data class", "mnemonic": "ALG", "shortName": "Allergies", "fieldName": "allergies", "description": "A collection representing a patient's allergies and substance intolerances.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Allergies element", "mnemonic": "ALG_ELEMENT", "shortName": "Allergy", "fieldName": "allergies", "description": "A single Allergy element of the Allergy Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "substance", "mnemonic": "ALG_SUB", "shortName": "Substance", "fieldName": "substance", "description": "The specific substance or allergen responsible for the reaction.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "category", "mnemonic": "ALG_CAT", "shortName": "Category", "fieldName": "category", "description": "The category of the allergy (e.g., medication, food, environment).", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "reaction", "mnemonic": "ALG_REACT", "shortName": "Reaction", "fieldName": "reaction", "description": "The clinical manifestation (reaction) resulting from exposure to the allergen.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "severity", "mnemonic": "ALG_SEV", "shortName": "Severity", "fieldName": "severity", "description": "The clinical assessment of the severity of the reaction.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "effectiveDate", "mnemonic": "ALG_EFFDT", "shortName": "Eff Date", "fieldName": "effectiveDate", "description": "The date when the allergy or substance intolerance was first recorded.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "clinicalStatus", "mnemonic": "ALG_CLINICALSTATUS", "shortName": "Clin Status", "fieldName": "clinicalStatus", "description": "The clinical status of the allergy or intolerance (e.g., active, inactive, resolved).", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "verificationStatus", "mnemonic": "ALG_VERIFICATIONSTATUS", "shortName": "Verify Status", "fieldName": "verificationStatus", "description": "The assertion of the certainty that the propensity to a reaction to the identified substance is present (e.g., confirmed, unconfirmed, refuted).", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "effectiveDate", "attributeMnemonic": "ALG_EFFDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "substance", "attributeMnemonic": "ALG_SUB" } ] }, { "name": "Conditions", "mnemonic": "CND", "description": "Patient problems, conditions and diagnoses.", "shortName": "Cond", "fieldName": "conditions", "isInherited": false, "sequence": 3, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Conditions data class", "mnemonic": "CND", "shortName": "Conditions", "fieldName": "conditions", "description": "A collection representing a patient's problems, diagnoses, and conditions.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Conditions element", "mnemonic": "CND_ELEMENT", "shortName": "Condition", "fieldName": "conditions", "description": "A single Condition element of the Conditions Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "condition", "mnemonic": "CND_COND", "shortName": "Condition", "fieldName": "condition", "description": "A clinical condition, problem, or diagnosis.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "onsetDate", "mnemonic": "CND_ONDT", "shortName": "Onset Date", "fieldName": "onsetDate", "description": "The date when the condition started.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "conditionStatus", "mnemonic": "CND_CSTAT", "shortName": "Cond Status", "fieldName": "conditionStatus", "description": "The clinical status of the condition.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resolutionDate", "mnemonic": "CND_RESDT", "shortName": "Res Date", "fieldName": "resolutionDate", "description": "The date when the condition resolved.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "clinicalStatus", "mnemonic": "CND_CLINICALSTATUS", "shortName": "Clin Status", "fieldName": "clinicalStatus", "description": "The clinical status of the condition (e.g., active, recurrence, relapse, inactive, remission, resolved).", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "verificationStatus", "mnemonic": "CND_VERIFICATIONSTATUS", "shortName": "Verify Status", "fieldName": "verificationStatus", "description": "The verification status of the condition, indicating the certainty of the diagnosis (e.g., confirmed, unconfirmed, provisional, refuted).", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "conditionCategory", "mnemonic": "CND_CATEGORY", "shortName": "Category", "fieldName": "conditionCategory", "description": "The category assigned to the condition (e.g., problem-list-item, encounter-diagnosis, health-concern).", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "assertedDate", "mnemonic": "CND_ASSERTEDDATE", "shortName": "Assrt Date", "fieldName": "assertedDate", "description": "The date the condition was first asserted or claimed by the patient or a clinician.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "recordedDate", "mnemonic": "CND_RECORDEDDATE", "shortName": "Rec Date", "fieldName": "recordedDate", "description": "The date the condition was first recorded in the patient's clinical record.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "End Datetime", "roleTypeMnemonic": "END_DATETIME", "attributeName": "resolutionDate", "attributeMnemonic": "CND_RESDT" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "onsetDate", "attributeMnemonic": "CND_ONDT" }, { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "onsetDate", "attributeMnemonic": "CND_ONDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "condition", "attributeMnemonic": "CND_COND" } ] }, { "name": "Immunizations", "mnemonic": "IMM", "description": "Patient vaccines and immunizations.", "shortName": "Imm", "fieldName": "immunizations", "isInherited": false, "sequence": 4, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Immunizations data class", "mnemonic": "IMM", "shortName": "Immunizations", "fieldName": "immunizations", "description": "A collection of Immunization s for the patient.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Immunizations element", "mnemonic": "IMM_ELEMENT", "shortName": "Immunization", "fieldName": "immunizations", "description": "A single Immunization element of the Immunizations Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "administrationDate", "mnemonic": "IMM_ADMDT", "shortName": "Admin Date", "fieldName": "administrationDate", "description": "The date the immunization was administered.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "immunization", "mnemonic": "IMM_VACC", "shortName": "Vaccine", "fieldName": "immunization", "description": "The vaccine or immunization administered.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "lotNumber", "mnemonic": "IMM_LOTNO", "shortName": "Lot Number", "fieldName": "lotNumber", "description": "The lot number of the immunization product.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "reaction", "mnemonic": "IMM_REACT", "shortName": "Reaction", "fieldName": "reaction", "description": "The reaction to the immunization.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "expirationDate", "mnemonic": "IMM_EXPDT", "shortName": "Expiry Date", "fieldName": "expirationDate", "description": "The expiration date of the immunization product.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "immunizationStatus", "mnemonic": "IMM_STATUS", "shortName": "Imm Status", "fieldName": "immunizationStatus", "description": "The immunization status for the immunization. May include that the immunization was refused.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "immunizationStatusReason", "mnemonic": "IMM_STATUSREASON", "shortName": "Status Reason", "fieldName": "immunizationStatusReason", "description": "Reason not done", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "primarySource", "mnemonic": "IMM_PRIMARYSOURCE", "shortName": "Primary Source", "fieldName": "primarySource", "description": "Indicates context the data was recorded in", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "administrationDate", "attributeMnemonic": "IMM_ADMDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "immunization", "attributeMnemonic": "IMM_VACC" } ] }, { "name": "Lab Results", "mnemonic": "LAB", "description": "Patient laboratory results.", "shortName": "Lab", "fieldName": "labResults", "isInherited": false, "sequence": 5, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Lab Results data class", "mnemonic": "LAB", "shortName": "Lab Results", "fieldName": "labResults", "description": "A collection of laboratory result observations.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Lab Results element", "mnemonic": "LAB_ELEMENT", "shortName": "Lab Result", "fieldName": "labResults", "description": "A single Lab Result element of the Lab Results Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "order", "mnemonic": "LAB_ORD", "shortName": "Order", "fieldName": "order", "description": "The order or panel that initiated the test.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "test", "mnemonic": "LAB_TEST", "shortName": "Lab Test", "fieldName": "test", "description": "The specific laboratory test performed.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultUnit", "mnemonic": "LAB_RESUOM", "shortName": "Result Unit", "fieldName": "resultUnit", "description": "The unit of measure for the laboratory result value.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultValue", "mnemonic": "LAB_RESVALUE", "shortName": "Result Value", "fieldName": "resultValue", "description": "The value of the laboratory result.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Observation Value", "mnemonic": "OBSVAL" } }, { "name": "interpretation", "mnemonic": "LAB_INT", "shortName": "Interp", "fieldName": "interpretation", "description": "The interpretation of the laboratory result.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "specimenType", "mnemonic": "LAB_SPECTYPE", "shortName": "Spec Type", "fieldName": "specimenType", "description": "The type of specimen used for the test.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultStatus", "mnemonic": "LAB_RSTAT", "shortName": "Result Status", "fieldName": "resultStatus", "description": "The status of the laboratory result.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "performedDateTime", "mnemonic": "LAB_PERFDT", "shortName": "Perf Date", "fieldName": "performedDateTime", "description": "The date and time the test was performed.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "issuedDateTime", "mnemonic": "LAB_RPTISSUEDT", "shortName": "Issued Date", "fieldName": "issuedDateTime", "description": "The date and time the lab test result was issued", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "referenceRange", "mnemonic": "LAB_REFRNG", "shortName": "Ref Range", "fieldName": "referenceRange", "description": "The reference range for the laboratory test result.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Range Value", "mnemonic": "RV" } }, { "name": "performingSite", "mnemonic": "LAB_PERFSITE", "shortName": "Perf Site", "fieldName": "performingSite", "description": "The site where the laboratory test was performed.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "specimenidentifier", "mnemonic": "LAB_SPECID", "shortName": "Specimen ID", "fieldName": "specimenIdentifier", "description": "The identifier for the specimen used to perform the laboratory test.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "specimenSourceSite", "mnemonic": "LAB_SPECSITE", "shortName": "Source Site", "fieldName": "specimenSourceSite", "description": "The concept used to represent the site for the specimen used to perform the test.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "specimenCondition", "mnemonic": "LAB_SPECCOND", "shortName": "Spec Condition", "fieldName": "specimenCondition", "description": "The concept representing the condition of the specimen used to perform the laboratory test.", "sequence": 16, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "specimenCollectionDateTime", "mnemonic": "LAB_SPECCOLLDT", "shortName": "Coll Date", "fieldName": "specimenCollectionDateTime", "description": "The date and time the specimen for the laboratory test was collected.", "sequence": 17, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "orderDate", "mnemonic": "LAB_ORDDT", "shortName": "Order Date", "fieldName": "orderDate", "description": "The date the laboratory order was placed.", "sequence": 18, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "labCategory", "mnemonic": "LAB_CATEGORY", "shortName": "Category", "fieldName": "labCategory", "description": "Classification of type of observation", "sequence": 19, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "performerName", "mnemonic": "LAB_PERFORMERNAME", "shortName": "Perf Name", "fieldName": "performerName", "description": "The name of the laboratory or organization that performed the test.", "sequence": 20, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerIdentifier", "mnemonic": "LAB_PERFORMERIDENTIFIER", "shortName": "Perf ID", "fieldName": "performerIdentifier", "description": "The unique identifier of the laboratory or organization that performed the test.", "sequence": 21, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Primary Unit of Measure", "roleTypeMnemonic": "PRIMARY_UOM", "attributeName": "resultUnit", "attributeMnemonic": "LAB_RESUOM" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "test", "attributeMnemonic": "LAB_TEST" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "performedDateTime", "attributeMnemonic": "LAB_PERFDT" }, { "roleTypeName": "Primary Value", "roleTypeMnemonic": "PRIMARY_VALUE", "attributeName": "resultValue", "attributeMnemonic": "LAB_RESVALUE" } ] }, { "name": "Medications", "mnemonic": "MED", "description": "Patient medication statements.", "shortName": "Med", "fieldName": "medications", "isInherited": false, "sequence": 6, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Medications data class", "mnemonic": "MED", "shortName": "Medications", "fieldName": "medications", "description": "A collection of medications", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Medications element", "mnemonic": "MED_ELEMENT", "shortName": "Medication", "fieldName": "medications", "description": "A single Medication element of the Medications Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "medication", "mnemonic": "MED_DRUG", "shortName": "Medication", "fieldName": "medication", "description": "The medication product", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "doseAmount", "mnemonic": "MED_DOSEAMT", "shortName": "Dose Amt", "fieldName": "doseAmount", "description": "The amount of medication per dose.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "doseAmountUnit", "mnemonic": "MED_DOSEAMTUOM", "shortName": "Dose Amt Unit", "fieldName": "doseAmountUnit", "description": "The unit of measure for the dose amount.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "doseRoute", "mnemonic": "MED_DOSEROUTE", "shortName": "Route", "fieldName": "doseRoute", "description": "The route of administration for the medication.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "doseQuantity", "mnemonic": "MED_DOSEQNT", "shortName": "Dose Qty", "fieldName": "doseQuantity", "description": "The quantity of medication dispensed.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "doseQuantityUnit", "mnemonic": "MED_DOSEQNTUOM", "shortName": "Dose Qty Unit", "fieldName": "doseQuantityUnit", "description": "The unit of measure for the dose quantity.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "instructions", "mnemonic": "MED_INSTR", "shortName": "Instructions", "fieldName": "instructions", "description": "The instructions for taking the medication", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "indication", "mnemonic": "MED_IND", "shortName": "Indication", "fieldName": "indication", "description": "The indication or reason for the medication.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "startDate", "mnemonic": "MED_STDT", "shortName": "Start Date", "fieldName": "startDate", "description": "The date the patient started the medication.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "endDate", "mnemonic": "MED_ENDDT", "shortName": "End Date", "fieldName": "endDate", "description": "The date the patient stopped taking the medication.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "statementDate", "mnemonic": "MED_STATEMENTDATE", "shortName": "Statement Date", "fieldName": "statementDate", "description": "The date of the medication statement.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "adherence", "mnemonic": "MED_ADHER", "shortName": "Adherence", "fieldName": "adherence", "description": "The patient's adherence to the medication regimen.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "fillStatus", "mnemonic": "MED_FSTAT", "shortName": "Fill Status", "fieldName": "fillStatus", "description": "The fill status of the medication.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "requestStatus", "mnemonic": "MED_REQUESTSTATUS", "shortName": "Req Status", "fieldName": "requestStatus", "description": "The current status of the medication request, such as active, stopped, or completed.", "sequence": 16, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "medicationCategory", "mnemonic": "MED_CATEGORY", "shortName": "Category", "fieldName": "medicationCategory", "description": "Classification of the medication context, such as community or inpatient.", "sequence": 17, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "medicationIntent", "mnemonic": "MED_INTENT", "shortName": "Intent", "fieldName": "medicationIntent", "description": "The intended purpose of the medication record, such as order, plan, or proposal.", "sequence": 18, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [ { "roleTypeName": "Primary Unit of Measure", "roleTypeMnemonic": "PRIMARY_UOM", "attributeName": "doseAmountUnit", "attributeMnemonic": "MED_DOSEAMTUOM" }, { "roleTypeName": "End Datetime", "roleTypeMnemonic": "END_DATETIME", "attributeName": "endDate", "attributeMnemonic": "MED_ENDDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "medication", "attributeMnemonic": "MED_DRUG" }, { "roleTypeName": "Primary Value", "roleTypeMnemonic": "PRIMARY_VALUE", "attributeName": "doseAmount", "attributeMnemonic": "MED_DOSEAMT" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "statementDate", "attributeMnemonic": "MED_STATEMENTDATE" }, { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "startDate", "attributeMnemonic": "MED_STDT" } ] }, { "name": "Procedures", "mnemonic": "PRC", "description": "Patient medical and surgical procedures.", "shortName": "Prc", "fieldName": "procedures", "isInherited": false, "sequence": 7, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Procedures data class", "mnemonic": "PRC", "shortName": "Procedures", "fieldName": "procedures", "description": "A collection of procedures for the patient.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Procedures element", "mnemonic": "PRC_ELEMENT", "shortName": "Procedure", "fieldName": "procedures", "description": "A single Procedure element of the Procedures Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "procedureDateTime", "mnemonic": "PRC_PRCDT", "shortName": "Proc Date", "fieldName": "procedureDateTime", "description": "The date and time the procedure was performed.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "procedure", "mnemonic": "PRC_PROC", "shortName": "Procedure", "fieldName": "procedure", "description": "The procedure performed on the patient.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "procedureReason", "mnemonic": "PRC_RSN", "shortName": "Reason", "fieldName": "procedureReason", "description": "The reason for the procedure.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "procedure status", "mnemonic": "PRC_STATUS", "shortName": "Proc Status", "fieldName": "procedureStatus", "description": "The concept representing the procedure status.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "procedure performed date", "mnemonic": "PRC_PERF_DATE", "shortName": "Perf Date", "fieldName": "procedurePerformedDate", "description": "The date and time the procedure was performed.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "procedureDateTime", "attributeMnemonic": "PRC_PRCDT" }, { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "procedureDateTime", "attributeMnemonic": "PRC_PRCDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "procedure", "attributeMnemonic": "PRC_PROC" } ] }, { "name": "Vital Signs", "mnemonic": "VIT", "description": "Patient vital sign measurements.", "shortName": "Vital", "fieldName": "vitalSigns", "isInherited": false, "sequence": 8, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Vital Signs data class", "mnemonic": "VIT", "shortName": "Vital Signs", "fieldName": "vitalSigns", "description": "A collection of vital sign observations.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Vital Signs element", "mnemonic": "VIT_ELEMENT", "shortName": "Vital Sign", "fieldName": "vitalSigns", "description": "A single Vital Sign element of the Vital Signs Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "vitalSign", "mnemonic": "VIT_VITAL", "shortName": "Vital Sign", "fieldName": "vitalSign", "description": "A specific vital sign assessment or test.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultValue", "mnemonic": "VIT_RESVAL", "shortName": "Result Value", "fieldName": "resultValue", "description": "The value of the vital sign result.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Observation Value", "mnemonic": "OBSVAL" } }, { "name": "resultUnit", "mnemonic": "VIT_RESUNIT", "shortName": "Result Unit", "fieldName": "resultUnit", "description": "The unit of measure for the vital sign result.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "interpretation", "mnemonic": "VIT_INT", "shortName": "Interpretation", "fieldName": "interpretation", "description": "The interpretation of the vital sign.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultStatus", "mnemonic": "VIT_RSTAT", "shortName": "Result Status", "fieldName": "resultStatus", "description": "The status of the vital sign result.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "performedDateTime", "mnemonic": "VIT_PERFDT", "shortName": "Perf Date", "fieldName": "performedDateTime", "description": "The date and time the vital sign was measured.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performingSite", "mnemonic": "VIT_PERFSITE", "shortName": "Perf Site", "fieldName": "performingSite", "description": "The site where the vital sign was measured.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "referenceRange", "mnemonic": "VIT_REFRNG", "shortName": "Ref Range", "fieldName": "referenceRange", "description": "The reference range for the vital sign.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Range Value", "mnemonic": "RV" } }, { "name": "issuedDateTime", "mnemonic": "VIT_ISSUEDATE", "shortName": "Issued Date", "fieldName": "issuedDateTime", "description": "The date and time the vital sign was issued.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "vitalSignCategory", "mnemonic": "VIT_CATEGORY", "shortName": "Category", "fieldName": "vitalSignCategory", "description": "Classification of the vital sign type.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "dataAbsentReason", "mnemonic": "VIT_DATAABSENTREASON", "shortName": "Abs Reason", "fieldName": "dataAbsentReason", "description": "The reason a vital sign result value is absent or not available.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [ { "roleTypeName": "Primary Unit of Measure", "roleTypeMnemonic": "PRIMARY_UOM", "attributeName": "resultUnit", "attributeMnemonic": "VIT_RESUNIT" }, { "roleTypeName": "Primary Value", "roleTypeMnemonic": "PRIMARY_VALUE", "attributeName": "resultValue", "attributeMnemonic": "VIT_RESVAL" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "performedDateTime", "attributeMnemonic": "VIT_PERFDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "vitalSign", "attributeMnemonic": "VIT_VITAL" } ] }, { "name": "Diagnostic Imaging", "mnemonic": "IMAGING", "description": "Patient diagnostic imaging results.", "shortName": "Imaging", "fieldName": "diagnosticImaging", "isInherited": false, "sequence": 9, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Diagnostic Imaging data class", "mnemonic": "IMAGING", "shortName": "Imaging", "fieldName": "diagnosticImaging", "description": "Patient diagnostic imaging results.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Diagnostic Imaging element", "mnemonic": "IMAGING_ELEMENT", "shortName": "Imaging", "fieldName": "diagnosticImaging", "description": "A single Diagnostic Imaging element of the Diagnostic Imaging Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "interpretation", "mnemonic": "IMAGING_INTERP", "shortName": "Interp", "fieldName": "interpretation", "description": "The interpretation of the diagnostic images.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "reportDateTime", "mnemonic": "IMAGING_RPT_DATETIME", "shortName": "Rpt Date", "fieldName": "reportDateTime", "description": "The date and time the diagnostic imaging was performed.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "procedure", "mnemonic": "IMAGING_PROCEDURE", "shortName": "Procedure", "fieldName": "procedure", "description": "the concept representing the diagnostic imaging procedure.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "hasAttachment", "mnemonic": "IMAGING_RPT_HASATTACHMENT", "shortName": "Has Attch", "fieldName": "hasAttachment", "description": "An indicator representing whether or not a digital attachment was present in the original diagnostic imaging resource. (Interpreted and populated by the PIQI converter)", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "issueDate", "mnemonic": "IMAGING_ISSUEDATE", "shortName": "Issue Date", "fieldName": "issueDate", "description": "The date and time the diagnostic imaging report was issued.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "reportStatus", "mnemonic": "IMAGING_REPORTSTATUS", "shortName": "Status", "fieldName": "reportStatus", "description": "The current status of the imaging report, such as final, preliminary, or amended.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "reportCategory", "mnemonic": "IMAGING_REPORTCATEGORY", "shortName": "Rpt Cat", "fieldName": "reportCategory", "description": "Classification of the type of diagnostic imaging report.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "reportPeriodStart", "mnemonic": "IMAGING_PERIODSTART", "shortName": "Period Start", "fieldName": "reportPeriodStart", "description": "The start date of the period covered by the imaging report.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "reportPeriodEnd", "mnemonic": "IMAGING_PERIODEND", "shortName": "Period End", "fieldName": "reportPeriodEnd", "description": "The end date of the period covered by the imaging report.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "reportResultValue", "mnemonic": "IMAGING_RESULTVALUE", "shortName": "Result Value", "fieldName": "reportResultValue", "description": "The quantitative or qualitative result value from the imaging report.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Observation Value", "mnemonic": "OBSVAL" } }, { "name": "reportResultUnit", "mnemonic": "IMAGING_RESULTUNIT", "shortName": "Result Unit", "fieldName": "reportResultUnit", "description": "The unit of measure for any quantitative imaging result value.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "dataAbsentReason", "mnemonic": "IMAGING_DATAABSENTREASON", "shortName": "Abs Reason", "fieldName": "dataAbsentReason", "description": "The reason an imaging result value is absent or not available.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "performerName", "mnemonic": "IMAGING_PERFORMERNAME", "shortName": "Perf Name", "fieldName": "performerName", "description": "The name of the clinician or organization that performed the imaging study.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerIdentifier", "mnemonic": "IMAGING_PERFORMERIDENTIFIER", "shortName": "Perf ID", "fieldName": "performerIdentifier", "description": "The unique identifier of the clinician or organization that performed the imaging study.", "sequence": 16, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "reportDateTime", "attributeMnemonic": "IMAGING_RPT_DATETIME" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "procedure", "attributeMnemonic": "IMAGING_PROCEDURE" } ] }, { "name": "Medical Devices", "mnemonic": "DEV", "description": "Patient implanted and prosthetic medical devices.", "shortName": "Dev", "fieldName": "medicalDevices", "isInherited": false, "sequence": 10, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Medical Devices data class", "mnemonic": "DEV", "shortName": "Devices", "fieldName": "medicalDevices", "description": "A collection of devices for the patient.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Medical Devices element", "mnemonic": "DEV_ELEMENT", "shortName": "Device", "fieldName": "medicalDevices", "description": "A single Medical Device element of the Medical Devices Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "deviceID", "mnemonic": "DEV_DEVID", "shortName": "Dev ID", "fieldName": "deviceID", "description": "The unique identifier for the medical device.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "deviceType", "mnemonic": "DEV_DEVTYPE", "shortName": "Type", "fieldName": "deviceType", "description": "The type of medical device.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "implantationDate", "mnemonic": "DEV_IMPDT", "shortName": "Implant Date", "fieldName": "implantationDate", "description": "The date the device was implanted.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "deviceStatus", "mnemonic": "DEV_DSTAT", "shortName": "Status", "fieldName": "deviceStatus", "description": "The status of the medical device.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "serialNumber", "mnemonic": "DEV_SERIALNUMBER", "shortName": "Serial No", "fieldName": "serialNumber", "description": "The serial number assigned by the manufacturer to identify the specific medical device.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "lotNumber", "mnemonic": "DEV_LOTNUMBER", "shortName": "Lot Number", "fieldName": "lotNumber", "description": "The lot or batch number assigned by the manufacturer to the medical device.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "expirationDate", "mnemonic": "DEV_EXPIRATIONDATE", "shortName": "Expiry Date", "fieldName": "expirationDate", "description": "The expiration date of the medical device as indicated on the device label.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "manufactureDate", "mnemonic": "DEV_MANUFACTUREDATE", "shortName": "Mfr Date", "fieldName": "manufactureDate", "description": "The date the medical device was manufactured.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "carrierHRF", "mnemonic": "DEV_CARRIERHRF", "shortName": "Carrier HRF", "fieldName": "carrierHRF", "description": "The human-readable form of the carrier or distributor identifier for the medical device.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "distinctIdentifier", "mnemonic": "DEV_DISTINCTIDENTIFIER", "shortName": "Distinct ID", "fieldName": "distinctIdentifier", "description": "A distinct identification code required by regulation for a human cell, tissue, or cellular and tissue-based product.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "implantationDate", "attributeMnemonic": "DEV_IMPDT" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "deviceType", "attributeMnemonic": "DEV_DEVTYPE" } ] }, { "name": "Health Assessments", "mnemonic": "HA", "description": "Patient health assessment observations.", "shortName": "Hlth Asmnt", "fieldName": "healthAssessments", "isInherited": false, "sequence": 11, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Health Assessments data class", "mnemonic": "HA", "shortName": "Assessments", "fieldName": "healthAssessments", "description": "A collection of health assessment observations.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Health Assessments element", "mnemonic": "HA_ELEMENT", "shortName": "Assessment", "fieldName": "healthAssessments", "description": "A single Health Assessment element of the Health Assessments Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "assessment", "mnemonic": "HA_ITEM", "shortName": "Assessment", "fieldName": "assessment", "description": "A specific health assessment observation.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "assessmentStatus", "mnemonic": "HA_STATUS", "shortName": "Status", "fieldName": "assessmentStatus", "description": "The current status of the health assessment, such as final, preliminary, or amended.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "resultValue", "mnemonic": "HA_RESVAL", "shortName": "Result Value", "fieldName": "resultValue", "description": "The value of the health assessment result .", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Observation Value", "mnemonic": "OBSVAL" } }, { "name": "resultUnit", "mnemonic": "HA_RESUOM", "shortName": "Result Unit", "fieldName": "resultUnit", "description": "The unit of measure for the health assessment result.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "effectiveDate", "mnemonic": "HA_EFFDT", "shortName": "Eff Date", "fieldName": "effectiveDate", "description": "The date and time the health assessment was performed.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "IssueDateTime", "mnemonic": "HA_ISSUEDT", "shortName": "Issue Date", "fieldName": "issueDateTime", "description": "The date and time the health assessment result was issued.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "category", "mnemonic": "HA_CATEGORY", "shortName": "Category", "fieldName": "category", "description": "The category of the health assessment observation (e.g., functional status, disability status, SDOH).", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "questionnaireURL", "mnemonic": "HA_QUESTIONNAIREURL", "shortName": "Questionnaire", "fieldName": "questionnaireURL", "description": "The URL or identifier of the questionnaire or survey instrument used for the assessment.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerName", "mnemonic": "HA_PERFORMERNAME", "shortName": "Perf Name", "fieldName": "performerName", "description": "The name of the clinician or organization that performed the health assessment.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerIdentifier", "mnemonic": "HA_PERFORMERIDENTIFIER", "shortName": "Perf ID", "fieldName": "performerIdentifier", "description": "The unique identifier of the clinician or organization that performed the health assessment.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "effectiveDate", "attributeMnemonic": "HA_EFFDT" }, { "roleTypeName": "Primary Unit of Measure", "roleTypeMnemonic": "PRIMARY_UOM", "attributeName": "resultUnit", "attributeMnemonic": "HA_RESUOM" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "assessment", "attributeMnemonic": "HA_ITEM" }, { "roleTypeName": "Primary Value", "roleTypeMnemonic": "PRIMARY_VALUE", "attributeName": "resultValue", "attributeMnemonic": "HA_RESVAL" } ] }, { "name": "Clinical Documents", "mnemonic": "DOC", "description": "Patient clinical documents,", "shortName": "Document", "fieldName": "clinicalDocuments", "isInherited": false, "sequence": 12, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Clinical Documents data class", "mnemonic": "DOC", "shortName": "Documents", "fieldName": "clinicalDocuments", "description": "Patient clinical documents,", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Clinical Documents element", "mnemonic": "DOC_ELEMENT", "shortName": "Document", "fieldName": "clinicalDocuments", "description": "A single Document element of the Documents Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "documentType", "mnemonic": "DOC_TYPE", "shortName": "Doc Type", "fieldName": "documentType", "description": "The concept representing the type of clinical document.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "documentTitle", "mnemonic": "DOC_TITLE", "shortName": "Doc Title", "fieldName": "documentTitle", "description": "The document title the the clinical document.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "effectiveDate", "mnemonic": "DOC_EFFDATE", "shortName": "Eff Date", "fieldName": "effectiveDate", "description": "The effective date and time of the document.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentStatus", "mnemonic": "DOC_STATUS", "shortName": "Doc Status", "fieldName": "documentStatus", "description": "The concept representing the status of the clinical document.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "hasAttachment", "mnemonic": "DOC_HAS_ATTACHMENT", "shortName": "Has Attch", "fieldName": "hasAttachment", "description": "The indicator representing whether or not the original clinical document resource included a digital attachment. (Interpreted and populated by the PIQI converter)", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentIdentifier", "mnemonic": "DOC_IDENTIFIER", "shortName": "Doc ID", "fieldName": "documentIdentifier", "description": "The unique identifier assigned to the clinical document.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentCategory", "mnemonic": "DOC_CATEGORY", "shortName": "Doc Category", "fieldName": "documentCategory", "description": "The category of the clinical document (e.g., clinical note, discharge summary, progress note).", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "documentAuthorName", "mnemonic": "DOC_AUTHORNAME", "shortName": "Author Name", "fieldName": "documentAuthorName", "description": "The name of the author who created or is responsible for the clinical document.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentAuthorIdentifier", "mnemonic": "DOC_AUTHORID", "shortName": "Author ID", "fieldName": "documentAuthorIdentifier", "description": "The unique identifier of the author who created or is responsible for the clinical document.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentPeriodStart", "mnemonic": "DOC_PERIODSTART", "shortName": "Period Start", "fieldName": "documentPeriodStart", "description": "The start date of the period that the clinical document content covers or pertains to.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentPeriodEnd", "mnemonic": "DOC_PERIODEND", "shortName": "Period End", "fieldName": "documentPeriodEnd", "description": "The end date of the period that the clinical document content covers or pertains to.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "documentFormat", "mnemonic": "DOC_FORMAT", "shortName": "Doc Format", "fieldName": "documentFormat", "description": "The technical format or encoding of the clinical document (e.g., PDF, CDA, FHIR).", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [ { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "documentType", "attributeMnemonic": "DOC_TYPE" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "effectiveDate", "attributeMnemonic": "DOC_EFFDATE" } ] }, { "name": "Encounters", "mnemonic": "ENC", "description": "Patient healthcare encounters.", "shortName": "Encounter", "fieldName": "encounters", "isInherited": false, "sequence": 13, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Encounters data class", "mnemonic": "ENC", "shortName": "Encounters", "fieldName": "encounters", "description": "Patient healthcare encounters.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Encounters element", "mnemonic": "ENC_ELEMENT", "shortName": "Encounter", "fieldName": "encounters", "description": "A single Encounter element of the Encounters Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "encounterIdentifier", "mnemonic": "ENC_ID", "shortName": "Enc ID", "fieldName": "encounterIdentifier", "description": "The unique identifier for the encounter.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "encounterIdentifierNamespace", "mnemonic": "ENC_IDNAMESPACE", "shortName": "ID Namespace", "fieldName": "encounterIdentifierNamespace", "description": "The namespace or system that assigned the encounter identifier, used to ensure uniqueness across systems.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterDiagnosis", "mnemonic": "ENC_DIAGNOSIS", "shortName": "Diagnosis", "fieldName": "encounterDiagnosis", "description": "The concept representing the encounter diagnosis or chief complaint.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "encounterDisposition", "mnemonic": "ENC_DISPOSITION", "shortName": "Disposition", "fieldName": "encounterDisposition", "description": "The encounter representing the encounter disposition.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterDateTime", "mnemonic": "ENC_DATETIME", "shortName": "Enc Date", "fieldName": "encounterDateTime", "description": "The date and time of the start of the encounter ", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterStartDate", "mnemonic": "ENC_STARTDATE", "shortName": "Start Date", "fieldName": "encounterStartDate", "description": "The date and time the encounter began.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterEndDateTime", "mnemonic": "ENC_ENDDATETIME", "shortName": "End Date", "fieldName": "encounterEndDateTime", "description": "The date and time the encounter concluded.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterLocation", "mnemonic": "ENC_LOCATION", "shortName": "Location", "fieldName": "encounterLocation", "description": "The encounter location.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "encounterType", "mnemonic": "ENC_TYPE", "shortName": "Enc Type", "fieldName": "encounterType", "description": "The concept representing the category of health care service. (e.g., office visit, telephone assessment, home visit) ", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "encounterReason", "mnemonic": "ENC_REASON", "shortName": "Reason", "fieldName": "encounterReason", "description": "The concept representing the reason for the encounter.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "encounterStatus", "mnemonic": "ENC_STATUS", "shortName": "Enc Status", "fieldName": "encounterStatus", "description": "The concept representing the status of the encounter.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "encounterClass", "mnemonic": "ENC_ENCOUNTERCLASS", "shortName": "Class", "fieldName": "encounterClass", "description": "The classification of the encounter setting (e.g., inpatient, outpatient, emergency, home health).", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [ { "roleTypeName": "End Datetime", "roleTypeMnemonic": "END_DATETIME", "attributeName": "encounterEndDateTime", "attributeMnemonic": "ENC_ENDDATETIME" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "encounterDateTime", "attributeMnemonic": "ENC_DATETIME" }, { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "encounterDateTime", "attributeMnemonic": "ENC_DATETIME" }, { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "encounterType", "attributeMnemonic": "ENC_TYPE" } ] }, { "name": "Goals", "mnemonic": "GOAL", "description": "Patient healthcare related goals.", "shortName": "GoalsClass", "fieldName": "goals", "isInherited": false, "sequence": 14, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Goals data class", "mnemonic": "GOAL", "shortName": "Goals", "fieldName": "goals", "description": "Patient healthcare related goals.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Goals element", "mnemonic": "GOAL_ELEMENT", "shortName": "Goal", "fieldName": "goals", "description": "A single Encounter element of the Encounters Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "goalCategory", "mnemonic": "GOAL_CATEGORY", "shortName": "Category", "fieldName": "goalCategory", "description": "The concept representing the category of the goal.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "goalPriority", "mnemonic": "GOAL_PRIORITY", "shortName": "Priority", "fieldName": "goalPriority", "description": "The priority of the goal.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "goal", "mnemonic": "GOAL_GOAL", "shortName": "Goal", "fieldName": "goal", "description": "The concept representing the patient goal. (SDOH goals, Treatable Prevention Preferences, Care Experience Preferences, etc.)", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "goalStatus", "mnemonic": "GOAL_STATUS", "shortName": "Status", "fieldName": "goalStatus", "description": "The concept representing the status of the goal.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "startDate", "mnemonic": "GOAL_STARTDATE", "shortName": "Start Date", "fieldName": "startDate", "description": "The date and time the patient goal was initiated.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "effectiveDate", "mnemonic": "GOAL_EFFDATE", "shortName": "Effective Date", "fieldName": "effectiveDate", "description": "The date and time of the documentation of the goal.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "dueDate", "mnemonic": "GOAL_DUEDATE", "shortName": "Due Date", "fieldName": "dueDate", "description": "The target date by which the patient goal is intended to be achieved.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [ { "roleTypeName": "Primary Concept", "roleTypeMnemonic": "PRIMARY_CONCEPT", "attributeName": "goal", "attributeMnemonic": "GOAL_GOAL" }, { "roleTypeName": "Effective Datetime", "roleTypeMnemonic": "EFFECTIVE_DATETIME", "attributeName": "effectiveDate", "attributeMnemonic": "GOAL_EFFDATE" }, { "roleTypeName": "Start Datetime", "roleTypeMnemonic": "START_DATETIME", "attributeName": "startDate", "attributeMnemonic": "GOAL_STARTDATE" } ] }, { "name": "Care Plans", "mnemonic": "CAREPLAN", "description": null, "shortName": "carePlan", "fieldName": "carePlans", "isInherited": false, "sequence": 15, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Care Plans data class", "mnemonic": "CAREPLAN", "shortName": "Care Plans", "fieldName": "carePlans", "description": "Collection of patient care plan records documenting goals and planned interventions.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Care Plans element", "mnemonic": "CAREPLAN_ELEMENT", "shortName": "Care Plan", "fieldName": "carePlans", "description": "A single patient care plan record.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "planNarrative", "mnemonic": "CAREPLAN_NARRATIVE", "shortName": "Narrative", "fieldName": "planNarrative", "description": "A human-readable summary of the care plan, including its goals, activities, and context.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "planNarrativeStatus", "mnemonic": "CAREPLAN_PLANNARRATIVESTATUS", "shortName": "Narr Status", "fieldName": "planNarrativeStatus", "description": "The status of the narrative text associated with the care plan (e.g., generated, additional).", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "planStatus", "mnemonic": "CAREPLAN_STATUS", "shortName": "Plan Status", "fieldName": "planStatus", "description": "The status of the care plan (e.g., draft, active, on-hold, revoked, completed).", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "planIntent", "mnemonic": "CAREPLAN_INTENT", "shortName": "Plan Intent", "fieldName": "planIntent", "description": "The intent of the care plan, indicating the level of authority and authorization (e.g., proposal, plan, order).", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "planCategory", "mnemonic": "CAREPLAN_CATEGORY", "shortName": "Plan Category", "fieldName": "planCategory", "description": "The category or type of care plan (e.g., assess-plan, longitudinal).", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "effectiveDate", "mnemonic": "CAREPLAN_EFFECTIVEDATE", "shortName": "Eff Date", "fieldName": "effectiveDate", "description": "The date and time the care plan became or becomes effective.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [] }, { "name": "Practitioners", "mnemonic": "PRACTITIONER", "description": "A member of the care team", "shortName": "Practitioners", "fieldName": "practitioners", "isInherited": false, "sequence": 16, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Practitioners data class", "mnemonic": "PRACTITIONER", "shortName": "Practitioners", "fieldName": "practitioners", "description": "A member of the care team", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Practitioners element", "mnemonic": "PRACTITIONER_ELEMENT", "shortName": "Practitioner", "fieldName": "practitioners", "description": "A single care team practitioner record associated with the patient.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "practitionerName", "mnemonic": "PRACTITIONER_NAME", "shortName": "Name", "fieldName": "practitionerName", "description": "The care team provider full name.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "practitionerIdentifier", "mnemonic": "PRACTITIONER_IDENTIFIER", "shortName": "Practitioner ID", "fieldName": "practitionerIdentifier", "description": "This is the care team provider identifier. This would typically be the NPI.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "practionerRole", "mnemonic": "PRACTITIONER_ROLE", "shortName": "Role", "fieldName": "practionerRole", "description": "The clinical or administrative role of the care team practitioner.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "practitionerStatus", "mnemonic": "PRACTITIONER_STATUS", "shortName": "Status", "fieldName": "practitionerStatus", "description": "The current status of the practitioner within the care team.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "practitionerAddress", "mnemonic": "PRACTITIONER_ADDRESS", "shortName": "Address", "fieldName": "practitionerAddress", "description": "The practice or mailing address of the care team practitioner.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "practitionerTelecom", "mnemonic": "PRACTITIONER_TELECOM", "shortName": "Contact", "fieldName": "practitionerTelecom", "description": "The telephone or other telecom contact information for the care team practitioner.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [] }, { "name": "Clinical Tests", "mnemonic": "CLINICAL_TESTS", "description": null, "shortName": "clinical tests", "fieldName": "clinicalTests", "isInherited": false, "sequence": 17, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Clinical Tests data class", "mnemonic": "CLINICAL_TESTS", "shortName": "Clinical Tests", "fieldName": "clinicalTests", "description": "A collection representing clinical test orders and results performed on a patient, including laboratory and diagnostic imaging tests.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Clinical Tests element", "mnemonic": "CLINICAL_TESTS_ELEMENT", "shortName": "Clinical Test", "fieldName": "clinicalTests", "description": "A single Clinical Test element of the Clinical Tests Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "testStatus", "mnemonic": "CLINICAL_TESTS_STATUS", "shortName": "Status", "fieldName": "testStatus", "description": "The status of the clinical test (e.g., registered, preliminary, final, amended, cancelled).", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "testCategory", "mnemonic": "CLINICAL_TESTS_CATEGORY", "shortName": "Category", "fieldName": "testCategory", "description": "The category of the clinical test (e.g., laboratory, imaging, survey).", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "test", "mnemonic": "CLINICAL_TESTS_TEST", "shortName": "Test", "fieldName": "test", "description": "The concept representing the specific clinical test or observation that was performed.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "effectiveDateTime", "mnemonic": "CLINICAL_TESTS_EFFECTIVEDATETIME", "shortName": "Eff Date", "fieldName": "effectiveDateTime", "description": "The date and time the clinical test was performed or the specimen was collected.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "testPeriodStart", "mnemonic": "CLINICAL_TESTS_PERIODSTART", "shortName": "Period Start", "fieldName": "testPeriodStart", "description": "The start date of the period over which the clinical test was performed or observed.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "testPeriodEnd", "mnemonic": "CLINICAL_TESTS_PERIODEND", "shortName": "Period End", "fieldName": "testPeriodEnd", "description": "The end date of the period over which the clinical test was performed or observed.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "resultValue", "mnemonic": "CLINICAL_TESTS_RESULTVALUE", "shortName": "Result Value", "fieldName": "resultValue", "description": "The result value of the clinical test, which may be a quantity, coded value, or string.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Observation Value", "mnemonic": "OBSVAL" } }, { "name": "resultUnit", "mnemonic": "CLINICAL_TESTS_RESULTUNIT", "shortName": "Result Unit", "fieldName": "resulUnit", "description": "The unit of measure associated with the clinical test result value.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "testDataAbsentReason", "mnemonic": "CLINICAL_TESTS_ABSENTREASON", "shortName": "Abs Reaspn", "fieldName": "testDataAbsentReason", "description": "The reason why a result value is absent or not available for the clinical test.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "IssueDate", "mnemonic": "CLINICAL_TESTS_ISSUEDATE", "shortName": "Issue Date", "fieldName": "issueDate", "description": "The date the clinical test order was issued or requested.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "hasAttachment", "mnemonic": "CLINICAL_TESTS_HASATTACHMENT", "shortName": "Has Attch", "fieldName": "hasAttachment", "description": "Indicator representing whether the clinical test result includes a digital attachment such as an image or report.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerName", "mnemonic": "CLINICAL_TESTS_PERFORMERNAME", "shortName": "Performer Name", "fieldName": "performerName", "description": "The name of the person or organization that performed the clinical test.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "performerIdentifier", "mnemonic": "CLINICAL_TESTS_PERFORMERIDENTIFIER", "shortName": "Performer ID", "fieldName": "performerIdentifier", "description": "The unique identifier of the person or organization that performed the clinical test.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [] }, { "name": "Coverage", "mnemonic": "COVERAGE", "description": null, "shortName": "coverage", "fieldName": "coverage", "isInherited": false, "sequence": 18, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Coverage data class", "mnemonic": "COVERAGE", "shortName": "Coverage", "fieldName": "coverage", "description": "A collection representing a patient's insurance coverage details as reported by the payer.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Coverage element", "mnemonic": "COVERAGE_ELEMENT", "shortName": "Coverage", "fieldName": "coverage", "description": "A single Coverage element of the Coverage Data Class.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "coverageStatus", "mnemonic": "COVERAGE_STATUS", "shortName": "Status", "fieldName": "coverageStatus", "description": "The status of the coverage record (e.g., active, cancelled, draft, entered-in-error).", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "coverageType", "mnemonic": "COVERAGE_TYPE", "shortName": "Coverage Type", "fieldName": "coverageType", "description": "The type of insurance coverage (e.g., medical, dental, vision, pharmacy).", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "coveragePeriodStart", "mnemonic": "COVERAGE_PERIODSTART", "shortName": "Period Start", "fieldName": "coveragePeriodStart", "description": "The date on which the coverage period begins or the policy became effective.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "coveragePeriodEnd", "mnemonic": "COVERAGE_PERIODEND", "shortName": "Period End", "fieldName": "coveragePeriodEnd", "description": "The date on which the coverage period ends or the policy was terminated.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "relationship", "mnemonic": "COVERAGE_RELATIONSHIP", "shortName": "Relationship", "fieldName": "relationship", "description": "The relationship of the covered member to the primary subscriber (e.g., self, spouse, child, other).", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "memberIdentifier", "mnemonic": "COVERAGE_MEMBERIDENTIFIER", "shortName": "Mem ID", "fieldName": "memberIdentifier", "description": "The identifier assigned to the covered member by the payer.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "memberIdentifierType", "mnemonic": "COVERAGE_MEMBERIDENTIFIERTYPE", "shortName": "Mem ID Type", "fieldName": "memberIdentifierType", "description": "The type of identifier used to uniquely identify the covered member (e.g., member ID, national identifier).", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "subscriberIdentifier", "mnemonic": "COVERAGE_SUBSCRIBERIDENTIFIER", "shortName": "Sub ID", "fieldName": "subscriberIdentifier", "description": "The identifier assigned by the payer to the primary subscriber of the insurance policy.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "payorIdentifier", "mnemonic": "COVERAGE_PAYORIDENTIFIER", "shortName": "Payor ID", "fieldName": "payorIdentifier", "description": "The unique identifier assigned to the payer or insurer responsible for the coverage.", "sequence": 11, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "planName", "mnemonic": "COVERAGE_PLANNAME", "shortName": "Plan Name", "fieldName": "planName", "description": "The name of the health plan benefit offering associated with the coverage.", "sequence": 12, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "planIdentifier", "mnemonic": "COVERAGE_PLANIDENTIFIER", "shortName": "Plan ID", "fieldName": "planIdentifier", "description": "The identifier assigned to the specific health plan benefit offering.", "sequence": 13, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "groupName", "mnemonic": "COVERAGE_GROUPNAME", "shortName": "Group Name", "fieldName": "groupName", "description": "The name of the employer group or plan sponsor associated with the coverage.", "sequence": 14, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "groupIdentifier", "mnemonic": "COVERAGE_GROUPIDENTIFIER", "shortName": "Group ID", "fieldName": "groupIdentifier", "description": "The identifier assigned to the employer group or plan sponsor associated with the coverage.", "sequence": 15, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } } ], "roles": [] }, { "name": "Provenance", "mnemonic": "PROVENANCE", "description": null, "shortName": "provenance", "fieldName": "provenance", "isInherited": false, "sequence": 19, "cardinality": { "name": "Zero to Many", "mnemonic": "ZERO_TO_MANY" }, "attributes": [ { "name": "Provenance data class", "mnemonic": "PROVENANCE", "shortName": "Provenance", "fieldName": "provenance", "description": "Collection of data provenance records documenting the source and authorship of clinical data.", "sequence": 1, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Data Class", "mnemonic": "CLS" } }, { "name": "Provenance element", "mnemonic": "PROVENANCE_ELEMENT", "shortName": "Provenance", "fieldName": "provenance", "description": "A single data provenance record documenting source and authorship of a clinical data record.", "sequence": 2, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Element", "mnemonic": "ELM" } }, { "name": "recordedDateTime", "mnemonic": "PROVENANCE_RECORDEDDATETIME", "shortName": "Recorded Date", "fieldName": "recordedDateTime", "description": "The date and time the provenance record was captured.", "sequence": 3, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "agentType", "mnemonic": "PROVENANCE_AGENTTYPE", "shortName": "Agent Type", "fieldName": "agentType", "description": "The type of agent responsible for the clinical data record, such as practitioner or system.", "sequence": 4, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "agentName", "mnemonic": "PROVENANCE_AGENTNAME", "shortName": "Agent Name", "fieldName": "agentName", "description": "The name of the agent responsible for the clinical data record.", "sequence": 5, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "agentIdentifier", "mnemonic": "PROVENANCE_AGENTIDENTIFIER", "shortName": "Agent ID", "fieldName": "agentIdentifier", "description": "The unique identifier of the agent responsible for the clinical data record.", "sequence": 6, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "agentOrganizationName", "mnemonic": "PROVENANCE_AGENTORGNAME", "shortName": "Org Name", "fieldName": "agentOrganizationName", "description": "The name of the organization associated with the provenance agent.", "sequence": 7, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "agentOrganizationIdentifier", "mnemonic": "PROVENANCE_AGENTORGAIDENTIFIER", "shortName": "Org ID", "fieldName": "agentOrganizationIdentifier", "description": "The unique identifier of the organization associated with the provenance agent.", "sequence": 8, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Simple Attribute", "mnemonic": "ATR" } }, { "name": "authorType", "mnemonic": "PROVENANCE_AUTHORTYPE", "shortName": "Author Type", "fieldName": "authorType", "description": "The type of author that created or contributed to the clinical record.", "sequence": 9, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } }, { "name": "transmitterType", "mnemonic": "PROVENANCE_TRANSMITTERTYPE", "shortName": "Transmitter", "fieldName": "transmitterType", "description": "The type of system or entity that transmitted the clinical data record.", "sequence": 10, "autoGenerated": false, "isInherited": false, "attributeType": { "name": "Codeable Concept", "mnemonic": "CC" } } ], "roles": [] } ] }