Overview of electronicMedicalRecords

CDM standard entities for 'electronicMedicalRecords'

Entities

Name Description
Account Business that represents a customer or potential customer. The company that is billed in business transactions.
AccountType
ActivityDefinition This entity allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.
ActivityDefinitionBodySite Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).
ActivityDefinitionContact Contact details to assist a user in finding and communicating with the publisher.
ActivityDefinitionContributor A contributor to the content of the asset, including authors, editors, reviewers, and endorsers.
ActivityDefinitionContributorContact Contact details to assist a user in finding and communicating with the contributor.
ActivityDefinitionDosage Provides detailed dosage instructions in the same way that they are described for Medication Request entities.
ActivityDefinitionDynamicValue Dynamic values that will be evaluated to produce values for elements of the resulting entity.
ActivityDefinitionJurisdiction A legal or geographic region in which the activity definition is intended to be used.
ActivityDefinitionLibrary A reference to a Library entity containing any formal logic used by the asset.
ActivityDefinitionParticipant Indicates who should participate in performing the action described.
ActivityDefinitionRelatedArtifact Related artifacts such as additional documentation, justification, or bibliographic references.
ActivityDefinitionTopic Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching.
ActivityDefinitionUseContext The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate activity definition instance
AdditionalName It consists the patient additional names.
Address Address and shipping information. Used to store additional addresses for an account or contact.
AllergyIntolerance Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.
AppointmentEMR A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).
AppointmentEMRIndication Reason the appointment has been scheduled to take place, as specified using information from another entity. The indication will typically be a Condition or a Procedure
AppointmentEMRParticipant List of participants involved in the appointment.
AppointmentEMRReason The reason that this appointment is being scheduled. This is more clinical than administrative.
AppointmentEMRReferralRequest The referral request this appointment is allocated to assess (incoming referral).
AppointmentEMRRequestedPeriod A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.
AppointmentEMRServiceType The specific service that is to be performed during this appointment.s
AppointmentEMRSlot The slots from the participants' schedules that will be filled by the appointment.
AppointmentEMRSpecialty The specialty of a practitioner that would be required to perform the service requested in this appointment.
AppointmentServiceCategory A broad categorization of the service that is to be performed during this appointment.
BodySite Record details about the anatomical location of a specimen or body part. This entity may be used when a coded concept does not provide the necessary detail needed for the use case.
CarePlan Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition
CarePlanActivity Identifies a planned action to occur as part of the plan. For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.
CarePlanActivityGoal Internal reference that identifies the goals that this activity is intended to contribute towards meeting.
CarePlanActivityOutcome Identifies the outcome at the point when the status of the activity is assessed. For example, the outcome of an education activity could be patient understands (or not).
CarePlanActivityOutcomeReference Details of the outcome or action resulting from the activity.
CarePlanActivityPerformer Identifies who's expected to be involved in the activity.
CarePlanActivityReason Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.
CarePlanActivityReasonCode Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.
CarePlanActivityReasonReference Provides the health condition(s) that drove the inclusion of this particular activity as part of the plan.
CarePlanAddresses Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.
CarePlanAuthor Identifies the individual(s) or organization who is responsible for the content of the care plan.
CarePlanBasedOn A care plan that is fulfilled in whole or in part by this care plan.
CarePlanCareTeam Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.
CarePlanCategory Identifies what "kind" of plan this is to support differentiation between multiple co-existing plans; e.g. "Home health", "psychiatric", "asthma", "disease management", "wellness plan", etc.
CarePlanDefinition Identifies the protocol, questionnaire, guideline or other specification the care plan should be conducted in accordance with.
CarePlanGoal Describes the intended objective(s) of carrying out the care plan.
CarePlanGoalMeasure
CarePlanGoalOutcome
CarePlanPartOf A larger care plan of which this particular care plan is a component or step.
CarePlanReplace Completed or terminated care plan whose function is taken by this new care plan.
CarePlanSupportInfo Identifies portions of the patient's record that specifically influenced the formation of the plan. These might include co-morbidities, recent procedures, limitations, recent assessments, etc.
CareTeam The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.
CareTeamCategory Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.
CareTeamManagingOrganization The organization responsible for the care team.
CareTeamParticipant Identifies all people and organizations who are expected to be involved in the care team.
CareTeamParticipantRole Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc.
CareTeamReasonCode Describes why the care team exists.
CareTeamReasonReference Condition(s) that this care team addresses.
ClinicalImpression A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient condition
ClinicalImpressionAction Action taken as part of assessment procedure.
ClinicalImpressionFinding Specific findings or diagnoses that was considered likely or relevant to ongoing treatment.
ClinicalImpressionInvestigation One or more sets of investigations (signs, etc.). The actual grouping of investigations vary greatly depending on the type and context of the assessment.
ClinicalImpressionInvestigationItem A record of a specific investigation that was undertaken.
ClinicalImpressionProblem This a list of the relevant problems/conditions for a patient.
ClinicalImpressionPrognosis Estimate of likely outcome.
ClinicalImpressionProtocol Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.
CodeableConcept A Codeable Concept represents a value that is usually supplied by providing a reference to one or more terminologies, but may also be defined by the provision of text.
Communication An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency was notified about a reportable condition.
CommunicationRequest A request to convey information.
CommunicationRequestBasedOn A plan or proposal that is fulfilled in whole or in part by this request.
CommunicationRequestCategory The type of message to be sent such as alert, notification, reminder, instruction, etc.
CommunicationRequestMedium A channel that was used for this communication (e.g. email, fax).
CommunicationRequestPayload Text, attachment(s), or resource(s) to be communicated to the recipient.
CommunicationRequestReason Describes why the request is being made in coded or textual form.
CommunicationRequestReasonReference Indicates another resource whose existence justifies this request.
CommunicationRequestRecipient The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.
CommunicationRequestReplace Completed or terminated request(s) whose function is taken by this new request.
CommunicationRequestTopic The entities which were related to producing this communication request.
Condition A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.
ConditionBodySite The anatomical location where this condition manifests itself.
ConditionCategory A category assigned to the condition.
ConditionEvidence Supporting Evidence / manifestations that are the basis on which this condition is suspected or confirmed.
ConditionStage Clinical stage or grade of a condition. May include formal severity assessments.
Contact Person with whom a business unit has a relationship, such as customer, supplier, and colleague.
ContactLink Link to another patient entity that concerns the same actual patient.
DataReqCodeFilterValueCodeableConcept The Codeable Concepts for the code filter.
DataRequirement Describes a required data item for evaluation in terms of the type of data, and optional code or date-based filters of the data.
DataRequirementCodeFilter Code filters specify additional constraints on the data, specifying the value set of interest for a particular element of the data.
DataRequirementCodeFilterValueCode The codes for the code filter.
DataRequirementCodeFilterValueCoding The Coding for the code filter.
DataRequirementDateFilter Date filters specify additional constraints on the data in terms of the applicable date range for specific elements.
DataRequirementMustSupport Indicates that specific elements of the type are referenced by the knowledge module and must be supported by the consumer in order to obtain an effective evaluation.
DataRequirementProfile If specified, this indicates a profile that the input data must conform to, or that the output data will conform to.
Device This entity identifies an instance or a type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity.
DeviceCalibration Describes the calibrations that have been performed or that are required to be performed.
DeviceComponent The characteristics, operational status and capabilities of a medical-related component of a medical device.
DeviceComponentOperationalStatus The current operational status of the device. For example: On, Off, Standby, etc.
DeviceComponentProductionSpecification The production specification such as component revision, serial number, etc.
DeviceContactPoint Contact details for an organization or a particular human that is responsible for the device.
DeviceMetric Describes a measurement, calculation or setting capability of a medical device.
DeviceMetricType Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.
DeviceRequest Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.
DeviceRequestBasedOn Plan/proposal/order fulfilled by this request.
DeviceRequestDefinition Protocol or definition followed by this request.
DeviceRequestPriorRequest The request takes the place of the referenced completed or terminated request(s).
DeviceRequestReasonCode Reason or justification for the use of this device.
DeviceRequestReasonReference Reason or justification for the use of this device.
DeviceRequestRelevantHistory Key events in the history of the request.
DeviceRequestSupportingInfo Additional clinical information about the patient that may influence the request fulfillment. For example, this may includes body where on the subject's the device will be used.
DeviceSafety Provides additional safety characteristics about a medical device. For example devices containing latex.
DeviceStatus
Dosage Indicates how the medication is/was taken or should be taken by the patient.
DosageAddInstruction Additional instruction such as "Swallow with plenty of water" which may or may not be coded.
Encounter An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.
EncounterAccount The set of accounts that may be used for billing for this Encounter.
EncounterClassHistory The class history permits the tracking of the encounters transitions without needing to go through the entity history.
EncounterDiagnosis The list of diagnosis relevant to this encounter.
EncounterEpisodeOfCare Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used.
EncounterHospitalizationArrangement Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.
EncounterHospitalizationCourtesy Special courtesies (VIP, board member).
EncounterHospitalizationDiet Used to track patient's diet restrictions and/or preference.
EncounterLocation List of locations where the patient has been during this encounter.
EncounterParticipant The list of people responsible for providing the service.
EncounterParticipantType The participant type indicates how an individual participates in an encounter.
EncounterReason Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.
EncounterReferralRequest The referral request this encounter satisfies (incoming referral).
EncounterStatusHistory The status history permits the encounter entity to contain the status history without needing to read through the historical versions of the entity, or even have the server store them
EncounterType Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).
Endpoint The technical details of an endpoint that can be used for electronic services.This may include any security context information.
EndpointContact Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.
EndpointHeader Additional headers / information to send as part of the notification.
EndpointPayloadMimeType The mime type to send the payload in . If the mime type is not specified, then the sender could send any content .
EndpointPayloadType The payload type describes the acceptable content that can be communicated on the endpoint.
EpisodeOfCare An association between a patient and an organization / healthcare provider(s) during which time encounters may occur.
EpisodeOfCareAccount The set of accounts that may be used for billing for this Episode Of Care.
EpisodeOfCareCareTeam The list of practitioners that may be facilitating this episode of care for specific purposes.
EpisodeOfCareDiagnosis The list of diagnosis relevant to this episode of care.
EpisodeOfCareHistory The history of statuses that the Episode Of Care has been through (without requiring processing the history of the resource).
EpisodeOfCareReferralRequest Referral Request(s) that are fulfilled by this Episode Of Care, incoming referrals.
EpisodeOfCareType A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.
FamilyMemberHistory Significant health events and conditions for a person related to the patient relevant in the context of care for the patient.
FamilyMemberHistoryCondition The significant Conditions (or condition) that the family member had.
FamilyMemberHistoryDefinition A protocol or questionnaire that was adhered to in whole or in part by this event.
FamilyMemberHistoryReason Describes why the family member history occurred in coded or textual form.
FamilyMemberHistoryReasonReference Indicates a Condition, Observation, Allergy Intolerance, or Questionnaire Response that justifies this family member history event.
Goal Describes the intended objective(s) for a patient, group or organization care
GoalAddresses The identified conditions and other health record elements that are intended to be addressed by the goal.
GoalCategory Indicates a category the goal falls within.
GoalOutcome Identifies the change (or lack of change) at the point when the status of the goal is assessed.
GoalOutcomeReference Details of what's changed (or not changed).
HealthcareService The details of a healthcare service available at a location.
HealthcareServiceAvailableTime A collection of times that the Service Site is available.
HealthcareServiceCategory Identifies the broad category of service being performed or delivered.
HealthcareServiceCharacteristic Collection of characteristics (attributes).
HealthcareServiceCoverageArea The location(s) that this service is available to (not where the service is provided).
HealthcareServiceEndpoint Technical endpoints providing access to services operated for the specific healthcare services defined at this entity.
HealthcareServiceLocation The location(s) where this healthcare service may be provided.
HealthcareServiceProgramName Program Names that can be used to categorize the service.
HealthcareServiceProvision The code(s) that detail the conditions under which the healthcare service is available/offered.
HealthcareServiceReferralMethod Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.
HealthcareServiceSpecialty Collection of specialties handled by the service site.
HealthcareServiceTelecom List of contacts related to this specific healthcare service.
Location Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained or accommodated.
LocationEndPoint Technical endpoints providing access to services operated for the location.
LocationTelecom The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.
MedicalIdentifier
Medication Medications
MedicationAdministration Describes the event of a patient consuming or otherwise being administered a medication.
MedicationAdministrationDefinition A protocol, guideline, order set or other definition that was adhered to in whole or in part by this event.
MedicationAdministrationDevice The device used in administering the medication to the patient. For example, a particular infusion pump.
MedicationAdministrationEventHistory A summary of the events of interest that have occurred, such as when the administration was verified.
MedicationAdministrationPartOf A larger event of which this particular event is a component or step.
MedicationAdministrationPerformer The individual who was responsible for giving the medication to the patient.
MedicationAdministrationReasonCode A code indicating why the medication was given.
MedicationAdministrationReasonNotGiven A code indicating why the administration was not performed.
MedicationAdministrationReasonReference Condition or observation that supports why the medication was administered.
MedicationAdministrationSupportingInformation Additional information (for example, patient height and weight) that supports the administration of the medication.
MedicationCode
MedicationForm Describes the form of the item. Powder; tablets; capsule.
MedicationImage Photo(s) or graphic representation(s) of the medication.
MedicationIngredient Identifies a particular constituent of interest in the product.
MedicationPackageBatch Information about a group of medication produced or packaged from one production run.
MedicationPackageContent A set of components that go to make up the described item.
MedicationRequest An order or request for both supply of the medication and the instructions for administration of the medication to a patient.
MedicationRequestBasedOn A plan or request that is fulfilled in whole or in part by this medication request.
MedicationRequestDefinition Protocol or definition followed by this request.
MedicationRequestDetectedIssue Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
MedicationRequestDosageInstruction Indicates how the medication is to be used by the patient.
MedicationRequestEventHistory Links to Provenance records for past versions of this entity that identify key state transitions or updates that are likely to be relevant to user looking at the current version of the entity.
MedicationRequestReasonCode The reason or the indication for ordering the medication.
MedicationRequestReasonReference Condition or observation that supports why the medication was ordered.
MedicationRequestSupportingInfo Include additional information (for example, patient height and weight) that supports the ordering of the medication.
NutritionOrder A request to supply a diet, formula feeding (eternal) or oral nutritional supplement to a patient/resident.
NutritionOrderAllergyIntolerance A link to a record of allergies or intolerance which should be included in the nutrition order.
NutritionOrderEnteralFormulaAdministration Formula administration instructions as structured data. This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding.
NutritionOrderExcludeFoodModifier This modifier is used to convey order-specific modifiers about the type of food that should NOT be given. These can be derived from patient allergies, intolerance, or preferences such as No Red Meat,
NutritionOrderFoodPreferenceModifier This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerance, or preferences.
NutritionOrderOralDietFluidConsistencyType The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.
NutritionOrderOralDietNutrient Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.
NutritionOrderOralDietSchedule The time period and frequency at which the diet should be given. The diet should be given for the combination of all schedules if more than one schedule is present.
NutritionOrderOralDietTexture Class that describes any texture modifications required for the patient to safely consume various types of solid foods.
NutritionOrderOralDietType The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.
NutritionOrderSupplement Oral nutritional products given in order to add further nutritional value to the patient's diet.
NutritionOrderSupplementSchedule The time period and frequency at which the supplement(s) should be given. The supplement should be given for the combination of all schedules if more than one schedule is present.
Observation Measurements and simple assertions made about a patient, device or other subject.
ObservationBasedOn A plan, proposal or order that is fulfilled in whole or in part by this event.
ObservationCategory A code that classifies the general type of observation being made.
ObservationCode Describes what was observed.
ObservationComponent Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes.
ObservationComponentReferenceRange Guidance on how to interpret the value by comparison to a normal or recommended range.
ObservationInterpretation The assessment made based on the result of the observation.
ObservationMethod Indicates the mechanism used to perform the observation.
ObservationPerformer Who was responsible for asserting the observed value as "true".
ObservationReferenceRange Guidance on how to interpret the value by comparison to a normal or recommended range.
ObservationReferenceRangeAppliesTo Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race.
ObservationRelatedResource A reference to another entity(usually another Observation) whose relationship is defined by the relationship type code.
PlanDefinition This entity allows for the definition of various types of plans as a shareable, consumable, and executable artifact.
PlanDefinitionAction An action to be taken as part of the plan.
PlanDefinitionActionAction Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions.
PlanDefinitionActionArtifact Didactic or other informational entities associated with the action that can be provided to the CDS recipient. Information entities can include inline text commentary and links to web resources.
PlanDefinitionActionCode A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a the section of a documentation template.
PlanDefinitionActionCondition An expression that describes applicability criteria, or start/stop conditions for the action.
PlanDefinitionActionDynamicValue Customization that should be applied to the statically defined entity.
PlanDefinitionActionGoal Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.
PlanDefinitionActionInput Defines input data requirements for the action.
PlanDefinitionActionOutput Defines the outputs of the action, if any.
PlanDefinitionActionReason A description of why this action is necessary or appropriate.
PlanDefinitionActionRelatedAction A relationship to another action such as "before" or "30-60 minutes after start of".
PlanDefinitionActionTriggerDefinition A description of when the action should be triggered.
PlanDefinitionArtifact Related artifacts such as additional documentation, justification, or bibliographic references.
PlanDefinitionContributor A contributor to the content of the asset, including authors, editors, reviewers, and endorsers.
PlanDefinitionContributorContact Contact details to assist a user in finding and communicating with the contributor.
PlanDefinitionGoal Goals that describe what the activities within the plan are intended to achieve.
PlanDefinitionGoalAddresses Identifies problems, conditions, issues, or concerns the goal is intended to address.
PlanDefinitionGoalArtifact Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web
PlanDefinitionGoalTarget Indicates what should be done and within what time frame.
PlanDefinitionJurisdiction A legal or geographic region in which the plan definition is intended to be used.
PlanDefinitionLibrary A reference to a Library entity containing any formal logic used by the plan definition.
PlanDefinitionParticipant Indicates who should participate in performing the action described.
PlanDefinitionTopic Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.
PlanDefinitionUseContext The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching for appropriate plan definition instances.
PractitionerQualification Qualifications obtained by training and certification.
PractitionerRole A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.
PractitionerRoleAvailableTime A collection of times that the Service Site is available.
PractitionerRoleCode Roles which this practitioner is authorized to perform for the organization.
PractitionerRoleEndPoint Technical endpoints providing access to services operated for the practitioner with this role.
PractitionerRoleHealthcareService The list of healthcare services that this worker provides for this role's Organization/Location(s).
PractitionerRoleLocation The location(s) at which this practitioner provides care.
PractitionerRoleSpecialty Specific specialty of the practitioner.
PractitionerRoleTelecom Contact details that are specific to the role/location/service.
PractitionerSpecialty Specific specialty of the practitioner.
Procedure An action that is or was performed on a patient. This can be a physical intervention like an operation, or less invasive like counseling or hypnotherapy.
ProcedureBasedOn A reference to a resource that contains details of the request for this procedure.
ProcedureBodySite Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.
ProcedureCode
ProcedureComplication Any complications that occurred during the procedure, or in the immediate post-performance period.
ProcedureComplicationDetail Any complications that occurred during the procedure, or in the immediate post-performance period.
ProcedureDefinition A protocol, guideline, order set or other definition that was adhered to in whole or in part by this procedure.
ProcedureFocalDevice A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.
ProcedureFollowUp If the procedure required specific follow up - e.g. removal of sutures. The followup may be represented as a simple note.
ProcedurePartOf A larger event of which this particular procedure is a component or step.
ProcedurePerformer Limited to 'real' people rather than equipment.
ProcedureReason The coded reason why the procedure was performed. This may be coded entity of some type, or may simply be present as text.
ProcedureReasonReference The condition that is the reason why the procedure was performed.
ProcedureReport Procedure report could represent histology result, pathology report, surgical report, etc.
ProcedureRequest A record of a request for diagnostic investigations, treatments, or operations to be performed.
ProcedureRequestBasedOn Plan/proposal/order fulfilled by this request.
ProcedureRequestBodySite Anatomic location where the procedure should be performed. This is the target site.
ProcedureRequestCategory A code that classifies the procedure for searching, sorting and display purposes (e.g. "Surgical Procedure").
ProcedureRequestDefinition Protocol or definition followed by this request.
ProcedureRequestReasonCode An explanation or justification for why this diagnostic investigation is being requested in coded or textual form. This is often for billing purposes. May relate to the resources referred to in supp
ProcedureRequestReasonReference Indicates another resource that provides a justification for why this diagnostic investigation is being requested. May relate to the resources referred to in supporting Information.
ProcedureRequestRelevantHistory Key events in the history of the request.
ProcedureRequestReplace The request takes the place of the referenced completed or terminated request(s).
ProcedureRequestSpecimen One or more specimens that the laboratory procedure will use.
ProcedureRequestSupportingInformation Additional clinical information about the patient or specimen that may influence the procedure or diagnostics or their interpretations.
ProcedureUsedCode Identifies coded items that were used as part of the procedure.
ProcedureUsedReference Identifies medications, devices and any other substance used as part of the procedure.
ReferenceRangeAppliesTo
ReferralRequest Used to record and send details about a request for referral service or transfer of a patient to the care of another provider or provider organization.
ReferralRequestBasedOn Indicates any plans, proposals or orders that this request is intended to satisfy - in whole or in part.
ReferralRequestDefinition A protocol, guideline, order set or other definition that is adhered to in whole or in part by this request.
ReferralRequestReasonCode Description of clinical condition indicating why referral/transfer of care is requested.
ReferralRequestReasonReference Indicates another resource whose existence justifies this request.
ReferralRequestRecipient The healthcare provider(s) or provider organization(s) who/which is to receive the referral/transfer of care request.
ReferralRequestRelevantHistory Links to Provenance records for past versions of this entity or fulfilling request or event resources.
ReferralRequestReplace Completed or terminated request(s) whose function is taken by this new request.
ReferralRequestServiceRequested The service(s) that is/are requested to be provided to the patient. For example: cardiac pacemaker insertion.
ReferralRequestSupportingInformation Any additional (administrative, financial or clinical) information required to support request for referral or transfer of care.
RelatedPerson Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.
RequestGroup A group of related requests that can be used to capture intended activities that have inter-dependencies such as "give this medication after that one".
RequestGroupAction The actions, if any, produced by the evaluation of the artifact.
RequestGroupActionAction Sub actions.
RequestGroupActionCode A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a the section of a documentation template.
RequestGroupActionCondition An expression that describes applicability criteria, or start/stop conditions for the action.
RequestGroupActionDocumentation Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.
RequestGroupActionParticipant The participant that should perform or be responsible for this action.
RequestGroupActionRelatedAction A relationship to another action such as "before" or "30-60 minutes after start of".
RequestGroupBasedOn A plan, proposal or order that is fulfilled in whole or in part by this request.
RequestGroupDefinition A protocol, guideline, order set or other definition that is adhered to in whole or in part by this request.
RequestGroupReplace Completed or terminated request(s) whose function is taken by this new request.
RiskAssessment An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.
RiskAssessmentBasis Indicates the source data considered as part of the assessment (Family History, Observations, Procedures, Conditions, etc.).
RiskAssessmentPrediction Describes the expected outcome for the subject.
Schedule A container for slots of time that may be available for booking appointments.
ScheduleActor The specialty of a practitioner that would be required to perform the service requested in this appointment.
ScheduleServiceType The specific service that is to be performed during this appointment.
ScheduleSpecialty A container for slots of time that may be available for booking appointments.
Slot A slot of time on a schedule that may be available for booking appointments.
SlotServiceType The type of appointments that can be booked into this slot. If provided then this overrides the value provided on the availability resource.
SlotSpecialty The specialty of a practitioner that would be required to perform the service requested in this appointment.
Specimen A sample to be used for analysis.
SpecimenContainer The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.
SpecimenParent Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.
SpecimenProcessing Details concerning processing and processing steps for the specimen.
SpecimenProcessingAdditive Material used in the processing step.
SpecimenRequest Details concerning a test or procedure request that required a specimen to be collected.
Substance A homogeneous material with a definite composition.
SubstanceCategory A code that classifies the general type of substance. This is used for searching, sorting and display purposes.
SubstanceIngredient A substance can be composed of other substances.
SubstanceInstance Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.
Task Generic activity representing work needed to be done.
TaskBasedOn BasedOn refers to a higher-level authorization that triggered the creation of the task. It references a "request" entity such as a ProcedureRequest, MedicationRequest, ProcedureRequest, CarePlan, etc
TaskInput Additional information that may be needed in the execution of the task.
TaskOutput Outputs produced by the Task.
TaskPartOf Task that this particular task is part of.
TaskPerformerType The type of participant that can execute the task.
TaskRelevantHistory Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.
TaskRestrictionRecipient For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought.
Timing Specifies an event that may occur multiple times. Timing schedules are used to record when things are planned, expected or requested to occur.
TimingDayOfWeek If one or more days of week is provided, then the action happens only on the specified day(s).
TimingEvent Identifies specific times when the event occurs.
TimingTimeOfDay Specified time of day for action to take place.
TimingWhen Real world events that the occurrence of the event should be tied to.
VisionPrescription An authorization for the supply of glasses and/or contact lenses to a patient.
VisionPrescriptionDispense Deals with details of the dispense part of the supply specification.