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Packageca.on.hrm.r4
Resource TypeStructureDefinition
IdStructureDefinition-ca-on-hrm-profile-consultation-note.json
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=ca.on.hrm.r4@1.0.1-snapshot1&canonical=http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-consultation-note
URLhttp://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-consultation-note
Statusactive
NameHRMProfileConsultationNote
TitleExperimental HRM Consultation Note
Realmca
DescriptionThe Consultation Note is generated by a request from a clinician for an opinion or advice from another clinician. Consultations may involve face-to-face time with the patient or may fall under the auspices of telemedicine visits. Consultations may occur while the patient is inpatient or ambulatory. The Consultation Note should also be used to summarize an Emergency Room or Urgent Care encounter. A Consultation Note includes the reason for the referral, history of present illness, physical examination, and decision-making components (Assessment and Plan).
TypeComposition
Kindresource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
ca-on-hrm-profile-headerExperimental HRM Header Profile
ca-on-hrm-profile-observation-smokingstatusExperimental Smoking Status Observation Profile
profile-allergyIntoleranceAllergyIntolerance EHR
profile-conditionCondition EHR
profile-encounterEncounter EHR
profile-serviceRequestServiceRequest EHR
ValueSet
ca-on-hrm-vs-document-type-consultConsult Document Type

Narrative

No narrative content found in resource


Source1

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  "id": "ca-on-hrm-profile-consultation-note",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-consultation-note",
  "name": "HRMProfileConsultationNote",
  "title": "Experimental HRM Consultation Note",
  "status": "active",
  "description": "The Consultation Note is generated by a request from a clinician for an opinion or advice from another clinician. Consultations may involve face-to-face time with the patient or may fall under the auspices of telemedicine visits. Consultations may occur while the patient is inpatient or ambulatory. The Consultation Note should also be used to summarize an Emergency Room or Urgent Care encounter.\n\nA Consultation Note includes the reason for the referral, history of present illness, physical examination, and decision-making components (Assessment and Plan).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Composition",
  "baseDefinition": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-hrm-profile-header",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Composition.type",
        "path": "Composition.type",
        "label": "Consultation Note",
        "short": "Consultation Note",
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/ca-on-hrm-vs-document-type-consult"
        }
      },
      {
        "id": "Composition.encounter",
        "path": "Composition.encounter",
        "label": "encompassingEncounter",
        "short": "encompassingEncounter",
        "min": 1
      },
      {
        "id": "Composition.section",
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          "rules": "open"
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        "sliceName": "allergies_and_intolerances_section",
        "label": "Allergies and Intolerances Section",
        "short": "Allergies and Intolerances Section",
        "comment": "Allergies and Intolerances Section",
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        "mustSupport": true
      },
      {
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      {
        "id": "Composition.section:allergies_and_intolerances_section.code",
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        "short": "Allergies and adverse reactions",
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        "mustSupport": true
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        "id": "Composition.section:allergies_and_intolerances_section.entry",
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        "slicing": {
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            {
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        "short": "entry"
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        "id": "Composition.section:allergies_and_intolerances_section.entry:allergy_intolerance_entry",
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        "path": "Composition.section",
        "sliceName": "history_of_present_illness_section",
        "label": "History of Present Illness Section",
        "short": "History of Present Illness Section",
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        "id": "Composition.section:history_of_present_illness_section.title",
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        "mustSupport": true
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      {
        "id": "Composition.section:history_of_present_illness_section.code",
        "path": "Composition.section.code",
        "label": "History of present illness",
        "short": "History of present illness",
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        "sliceName": "problem_section",
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        "type": [
          {
            "code": "Reference",
            "targetProfile": [
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        ]
      },
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        "id": "Composition.section:physical_exam_section",
        "path": "Composition.section",
        "sliceName": "physical_exam_section",
        "label": "Physical Exam Section",
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        "comment": "Physical Exam Section",
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        "path": "Composition.section",
        "sliceName": "assessment_and_plan_section",
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        "comment": "Assessment and Plan Section",
        "min": 0,
        "max": "1"
      },
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        "id": "Composition.section:assessment_and_plan_section.code",
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      },
      {
        "id": "Composition.section:assessment_section.code",
        "path": "Composition.section.code",
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        "sliceName": "chief_complaint_and_reason_for_visit_section",
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        "short": "Chief Complaint and Reason for Visit Section. This section records the patient's chief complaint (the patient’s own description) and/or the reason for the patient's visit (the provider’s description of the reason for visit). Local policy determines whether the information is divided into two sections or recorded in one section serving both purposes.",
        "comment": "Chief Complaint and Reason for Visit Section",
        "min": 0,
        "max": "1"
      },
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        "id": "Composition.section:chief_complaint_and_reason_for_visit_section.title",
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        "label": "Chief complaint and reason for visit",
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        "min": 1
      },
      {
        "id": "Composition.section:chief_complaint_section",
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        "id": "Composition.section:chief_complaint_section.title",
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        "id": "Composition.section:chief_complaint_section.code",
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              "code": "10154-3",
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        "id": "Composition.section:chief_complaint_section.text",
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      {
        "id": "Composition.section:family_history_section",
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        "sliceName": "family_history_section",
        "label": "Family History Section",
        "short": "Family History Section",
        "comment": "Family History Section",
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      },
      {
        "id": "Composition.section:family_history_section.title",
        "path": "Composition.section.title",
        "short": "title",
        "min": 1
      },
      {
        "id": "Composition.section:family_history_section.code",
        "path": "Composition.section.code",
        "label": "Family history",
        "short": "Family history",
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            {
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      },
      {
        "id": "Composition.section:family_history_section.entry:sliceEntry",
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        "sliceName": "sliceEntry",
        "short": "This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.",
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          {
            "code": "Reference",
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      {
        "id": "Composition.section:functional_status_section.title",
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        "id": "Composition.section:functional_status_section.code",
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      {
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              "code": "11369-6",
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