| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Composition
|
AUBaseComposition | |||
status
|
Required Pattern: final | |||
|
type
|
Required Pattern: At least the following | |||
coding
|
1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system
|
1..1 | uri |
Identity of the terminology system Fixed Value: http://loinc.org |
|
|
code
|
1..1 | code |
Symbol in syntax defined by the system Fixed Value: 11503-0 |
|
|
display
|
1..1 | string |
Representation defined by the system Fixed Value: Medical Records |
|
subject
|
1.. | Reference (AU Primary Care Patient) | ||
|
encounter
|
.. 0 | |||
|
title
|
Required Pattern: Practice to Practice Patient Summary | |||
Slices for section
|
4 .. | Slice: Unordered, Open by value:code.coding.code | ||
section:clinicalSynopsis
|
0..1 | |||
code
|
S | |||
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 11329-0 | ||
|
display
|
Required Pattern: History general | |||
|
userSelected
|
Required Pattern: false | |||
|
text
|
S | |||
mode
|
S | Required Pattern: snapshot | ||
|
section:medicalHistoryList
|
1..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 11348-0 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Medical History List) | ||
|
section:adverseReactionList
|
1..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 48765-2 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Allergy Intolerance List) | ||
|
section:vaccinationList
|
1..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 41291-6 | ||
|
display
|
Required Pattern: Immunization | |||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Immunisation List) | ||
|
section:medicineList
|
1..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 10160-0 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Medicine List) | ||
|
section:socialHistory
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 29762-2 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
Slices for entry
|
S | Slice: Unordered, Closed by profile:resolve() | ||
|
entry:socialSummary
|
S | 0..1 | Reference (AU Primary Care Social Summary) | |
|
entry:smokingStatus
|
S | 0..1 | Reference (AU Primary Care Smoking Status) | |
|
entry:smokingSummary
|
S | 0..1 | Reference (AU Primary Tobacco Smoking Summary) | |
|
entry:smokingStarted
|
S | 0..1 | Reference (AU Primary Tobacco Smoking Date Started) | |
|
entry:smokingCeased
|
S | 0..1 | Reference (AU Primary Care Tobacco Smoking Date Ceased) | |
|
entry:smokingPattern
|
S | 0..* | Reference (AU Primary Tobacco Smoking Pattern Of Use) | |
|
entry:smokingOverallPackYears
|
S | 0..1 | Reference (AU Primary Tobacco Smoking Overall Pack Years) | |
|
entry:alcoholStatus
|
S | 0..1 | Reference (AU Primary Care Alcohol Status) | |
|
entry:alcoholSummary
|
S | 0..1 | Reference (AU Primary Care Alcohol Consumption Summary) | |
|
entry:alcoholPattern
|
S | 0..* | Reference (AU Primary Care Alcohol Pattern Of Use) | |
entry:alcoholCeased
|
S | 0..1 | Reference (AU Primary Care Alcohol Consumption Date Ceased) | |
|
section:familyHistoryList
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 10157-6 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Family Member History List) | ||
|
section:pregnancyHistory
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 10163-4 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
Slices for entry
|
S | Slice: Unordered, Closed by profile:resolve() | ||
|
entry:gravidity
|
S | 0..1 | Reference (AU Primary Care Gravidity) | |
|
entry:parity
|
S | 0..1 | Reference (AU Primary Care Parity) | |
|
entry:lmp
|
S | 0..1 | Reference (AU Primary Care Last Menstrual Period) | |
|
entry:edd
|
S | 0..1 | Reference (AU Primary Care Estimated Date of Delivery) | |
|
entry:scan
|
S | 0..1 | Reference (AU Primary Care Ultrasound Scan Obstetric) | |
|
entry:breastfeeding
|
S | 0..1 | Reference (AU Primary Care Breastfeeding Status) | |
|
entry:gestationalage
|
S | 0..1 | Reference (AU Primary Care Gestational Age) | |
|
section:encounterHistory
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 11347-2 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Encounter List) | ||
|
section:goalList
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 61146-7 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Goal List) | ||
|
section:followUp
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 69730-0 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Follow Up List) | ||
|
section:attachments
|
0..1 | |||
|
code
|
S | |||
|
coding
|
||||
|
system
|
Required Pattern: http://loinc.org | |||
|
code
|
1.. | Fixed Value: 52033-8 | ||
|
mode
|
S | Required Pattern: snapshot | ||
|
entry
|
S | Reference (AU Primary Care Attachment) | ||
|
Documentation for this format
|
||||