Athena Core Implementation Guide
4.2.0 - release

Athena Core Implementation Guide - Local Development build (v4.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

CodeSystem: athenahealth Encounter Section Item

Official URL: https://fhir.athena.io/CodeSystem/ah-encounter-section-item Version: 4.2.0
Active as of 2025-04-17 Computable Name: AthenahealthEncounterSectionItem

List of codes referring to individual input fields within clinical encounter sections, specifically provider notes and templates from the HPI, ROS, PE and A&P sections. Note that templates and notes differ in that a template is pre-defined placeholder text that providers can select from a list of conditions/illnesses, whereas notes are manually entered by the provider

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem ah-encounter-section-item

Information Source: athenacoreext

This code system https://fhir.athena.io/CodeSystem/ah-encounter-section-item defines the following codes:

CodeDisplayDefinition
HPINote History of Present Illness Note Provider notes regarding the development of the patient's present illness
HPITemplate History of Present Illness Template Template data regarding the development of the patient's present illness
ROSNote Review of Systems Note Provider notes regarding the review of systems of the patient
ROSTemplate Review of Systems Template Template data regarding the review of systems of the patient
PENote Physical Exam Note Provider notes regarding the phyiscal exam of the patient
PETemplate Physical Exam Template Template data regarding physical exam of the patient
APNote Assessment and Plan Note Provider notes regarding the assessment and plan for patient's illness