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
Active as of 2025-04-17 |
{
"resourceType" : "CodeSystem",
"id" : "ah-encounter-section-item",
"meta" : {
"source" : "athenacoreext"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ah-encounter-section-item</b></p><a name=\"ah-encounter-section-item\"> </a><a name=\"hcah-encounter-section-item\"> </a><a name=\"ah-encounter-section-item-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"https://simplifier.net/resolve?scope=ig-athena-core@dev&canonical=https://fhir.athena.io/core/athenacoreext\">athenacoreext</a></p></div><p>This code system <code>https://fhir.athena.io/CodeSystem/ah-encounter-section-item</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">HPINote<a name=\"ah-encounter-section-item-HPINote\"> </a></td><td>History of Present Illness Note</td><td>Provider notes regarding the development of the patient's present illness</td></tr><tr><td style=\"white-space:nowrap\">HPITemplate<a name=\"ah-encounter-section-item-HPITemplate\"> </a></td><td>History of Present Illness Template</td><td>Template data regarding the development of the patient's present illness</td></tr><tr><td style=\"white-space:nowrap\">ROSNote<a name=\"ah-encounter-section-item-ROSNote\"> </a></td><td>Review of Systems Note</td><td>Provider notes regarding the review of systems of the patient</td></tr><tr><td style=\"white-space:nowrap\">ROSTemplate<a name=\"ah-encounter-section-item-ROSTemplate\"> </a></td><td>Review of Systems Template</td><td>Template data regarding the review of systems of the patient</td></tr><tr><td style=\"white-space:nowrap\">PENote<a name=\"ah-encounter-section-item-PENote\"> </a></td><td>Physical Exam Note</td><td>Provider notes regarding the phyiscal exam of the patient</td></tr><tr><td style=\"white-space:nowrap\">PETemplate<a name=\"ah-encounter-section-item-PETemplate\"> </a></td><td>Physical Exam Template</td><td>Template data regarding physical exam of the patient</td></tr><tr><td style=\"white-space:nowrap\">APNote<a name=\"ah-encounter-section-item-APNote\"> </a></td><td>Assessment and Plan Note</td><td>Provider notes regarding the assessment and plan for patient's illness</td></tr></table></div>"
},
"url" : "https://fhir.athena.io/CodeSystem/ah-encounter-section-item",
"version" : "4.2.0",
"name" : "AthenahealthEncounterSectionItem",
"title" : "athenahealth Encounter Section Item",
"status" : "active",
"date" : "2025-04-17T16:42:09+00:00",
"publisher" : "athenahealth",
"contact" : [
{
"name" : "FHIR Enablement Team",
"telecom" : [
{
"system" : "email",
"value" : "mailto:fhir-enablement@athenahealth.com"
}
]
}
],
"description" : "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",
"content" : "complete",
"count" : 7,
"concept" : [
{
"code" : "HPINote",
"display" : "History of Present Illness Note",
"definition" : "Provider notes regarding the development of the patient's present illness"
},
{
"code" : "HPITemplate",
"display" : "History of Present Illness Template",
"definition" : "Template data regarding the development of the patient's present illness"
},
{
"code" : "ROSNote",
"display" : "Review of Systems Note",
"definition" : "Provider notes regarding the review of systems of the patient"
},
{
"code" : "ROSTemplate",
"display" : "Review of Systems Template",
"definition" : "Template data regarding the review of systems of the patient"
},
{
"code" : "PENote",
"display" : "Physical Exam Note",
"definition" : "Provider notes regarding the phyiscal exam of the patient"
},
{
"code" : "PETemplate",
"display" : "Physical Exam Template",
"definition" : "Template data regarding physical exam of the patient"
},
{
"code" : "APNote",
"display" : "Assessment and Plan Note",
"definition" : "Provider notes regarding the assessment and plan for patient's illness"
}
]
}