DocumentEntry Metadata Attribute



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DocumentEntry Metadata Attribute

Description

Data Type (Error: Reference source not found)

FHIR

FHIR

Author

The humans and/or machines that authored the document. This attribute contains the sub-attributes: authorInstitution, authorPerson, authorRole, authorSpecialty and authorTelecommunication.

See section Error: Reference source not found

author , custodian, and/or context

Seems all can be represented, but need for more deterministic mapping to assure consistency.

What is the relationship to context?



availabilityStatus

The lifecycle status of the DocumentEntry

Predefined URN

status




classCode

The code specifying the particular kind of document (e.g., Prescription, Discharge Summary, Report).

Code

type




comments

Comments associated with the Document.

String

????

should be description but description is defined as title? Should description be 0..* with the first entry considered the title or should there be a title and description?

confidentialityCode

The code specifying the level of confidentiality of the Document.

Code

confidentiality

should become provenance?

creationTime

The time the author created the document. Shall have a single value.

DTM

created




entryUUID

A globally unique identifier used to identify the entry.

UUID

???

in FHIR this is likely just the URL to the resource. Is there a way to pack this into ETag? Will we be forced to carry this in extensions?

eventCodeList

This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented.

Code

????




formatCode

Code globally uniquely specifying the format of the document.

Code

format




Hash

Hash of the Document itself.

SHA1 hash

hash




healthcareFacility
TypeCode

This code represents the type of organizational setting of the clinical encounter during which the documented act occurred.

Code

context.facilityType





homeCommunityId

A globally unique identifier for a community.

OID URN

service.parameter

Is this the best place to put this? It seems possible, just not clear

languageCode

Specifies the human language of character data in the document. Using codes from IETF RFC 3066

String

primaryLanguage




legalAuthenticator

Represents a participant who has legally authenticated or attested the document within the authorInstitution.

XCN

authenticator

Need to make more clear that this is the legal authenticator.

Is this related to provenance?



mimeType

MIME type of the document.

MIME type

mimeType




patientId

The patientId represents the subject of care of the document.

CX

subject.id




practiceSettingCode

The code specifying the clinical specialty where the act that resulted in the document was performed (e.g., Family Practice, Laboratory, Radiology).

Code

context.code

This doesn’t seem clear

referenceIdList

A list of identifiers that apply to the document.

CXi

????

could this be context???

Seems this is conceptually needed regardless of XDS mapping.



repositoryUniqueId

The globally unique identifier of the repository where the document is stored.

OID

service.????

is this right?

serviceStartTime

The start time the service being documented took place.

DTM

context.period

unclear documentation

serviceStopTime

The stop time the service being documented took place.

DTM

context.period

unclear documentation

Size

Size in bytes of the document.

Integer

size




sourcePatientId

The sourcePatientId represents the subject of care medical record Identifier (e.g., Patient Id) in the local patient Identifier Domain of the Document Source.

CX

subject




sourcePatientInfo

This attribute contains demographic information of the patient to whose medical record this document belongs.

CX

subject




Title

The title of the document.

UTF-8

description

should be made more clear this is title rather than description-comment

typeCode

The code specifying the precise kind of document (e.g., Pulmonary History and Physical, Discharge Summary, Ultrasound Report).

Code

subtype




uniqueId

The globally unique identifier assigned by the document creator to this document.

OID

masterIdentifier




URI

The URI for the document.

URI

location






highlevel


SubmissionSet
Metadata Attribute

Description

Form

FHIR

FHIR comment

author

The humans and/or machines that authored the document in the SubmissionSet. This attribute contains the sub-attributes: authorInstitution, authorPerson, authorRole, authorSpecialty.

Error: Reference source not found







availabilityStatus

The lifecycle status of the SubmissionSet

Predefined URN







comments

Comments associated with the SubmissionSet.

String







contentTypeCode

The code specifying the type of clinical activity that resulted in placing the documents in this SubmissionSet.

Code







entryUUID

A globally unique identifier used to identify the SubmissionSet.

UUID







homeCommunityId

A globally unique identifier for a community.

OID URN







intendedRecipient

The organization(s) or person(s) for whom the SubmissionSet is intended.

See Error: Reference source not found







limitedMetadata

A flag that the associated SubmissionSet was created using the less rigorous metadata requirements as defined for the Metadata-limited Document Source.

4.2.3.3.13




not likely to be needed as a formal FHIR item

patientId

The patientId represents the subject of care whose longitudinal record is being reflected in this SubmissionSet.

CX







sourceId

OID identifying the instance of the creating entity that contributed the SubmissionSet.

OID







submissionTime

Point in time at the creating entity when the SubmissionSet was created.

DTM







title

The title of the SubmissionSet.

UTF-8







uniqueId

A globally unique identifier for the SubmissionSet assigned by the creating entity.

OID









Folder Metadata Attribute

Description

Form

FHIR

comment

availabilityStatus

The lifecycle status of the Folder

Predefined URN







codeList

Shall contain the set of codes specifying the type of clinical activities that resulted in placing DocumentEntries in this Folder.

Code







comments

Comments associated with the Folder.

String







entryUUID

This globally unique identifier used to identify the Folder.

UUID







homeCommunityId

A globally unique identifier for a community.

OID URN







lastUpdateTime

Most recent point in time that the Folder has been modified.

DTM







limitedMetadata

A flag that the associated Folder was created using the less rigorous metadata requirements as defined for the Metadata-Limited

4.2.3.4.10







patientId

The patientId represents the subject of care of the DocumentEntries within the Folder.

CX







Title

The title of the Folder.

String







uniqueId

Globally unique identifier for the Folder.

OID







Queries


FindDocuments & FindDocumentsByReferenceId

Parameter Name

FHIR – Search Parameters

$XDSDocumentEntryPatientId

DocumentReference.subject.id

[$XDSDocumentEntryReferenceIdList]

????

$XDSDocumentEntryClassCode1

DocumentReference.type

$XDSDocumentEntryTypeCode1

DocumentReference.subtype

$XDSDocumentEntryPracticeSettingCode1

DocumentReference.context.code

$XDSDocumentEntryCreationTimeFrom

DocumentReference.created

$XDSDocumentEntryCreationTimeTo

DocumentReference.created

$XDSDocumentEntryServiceStartTimeFrom

DocumentReference.context.period

$XDSDocumentEntryServiceStartTimeTo

DocumentReference.context.period

$XDSDocumentEntryServiceStopTimeFrom

DocumentReference.context.period

$XDSDocumentEntryServiceStopTimeTo

DocumentReference.context.period

$XDSDocumentEntryHealthcareFacilityTypeCode1

DocumentReference.context.facilityType

$XDSDocumentEntryEventCodeList1

????

$XDSDocumentEntryConfidentialityCode1

DocumentReference.confidentiality

$XDSDocumentEntryAuthorPerson4

DocumentReference.author

$XDSDocumentEntryFormatCode1

DocumentReference.format

$XDSDocumentEntryStatus

DocumentReference.status

GetAll

Parameter Name

FHIR

$patientId

DocumentReference.subject.id

$XDSDocumentEntryStatus

DocumentReference.status

$XDSSubmissionSetStatus

???

$XDSFolderStatus

???

$XDSDocumentEntryFormatCode2

DocumentReference.format

$XDSDocumentEntryConfidentialityCode1, 2

DocumentReference.confidentiality

The following XDS queries are not supported given FHIR schema and query parameters

FindSubmissionSets – not supported

FindFolders – not supported

GetFolders – not supported

GetAssociations – not supported

GetDocumentsAndAdssociations – not supported

GetSubmissionSets – not supported

GetSubmissionSetsAndContents – not supported

GetFoldersAndContents – not supported

GetFoldersForDocument – not supported



GetRelatedDocuments – not supported


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