rss
J Am Med Inform Assoc 13:30-39 doi:10.1197/jamia.M1888
  • Original Investigation

HL7 Clinical Document Architecture, Release 2

Table 1

CDA entryRelationship Types

entryRelationship. typeCode Reasonable Source and Target Acts Comments
CAUS (is etiology for) [Act | Observation | Procedure | SubstanceAdministration]CAUS [Observation] Used to show that the source caused the target observation (for instance, source “diabetes mellitus” is the cause of target “kidney disease”).
COMP (has component) [Act | Observation | Procedure | SubstanceAdministration | Supply]COMP [Act | Observation | Procedure | SubstanceAdministration | Supply] Used to show that the target is a component of the source (for instance, “hemoglobin measurement” is a component of a “complete blood count”).
GEVL (evaluates (goal)) [Observation]GEVL [Observation] Used to link an observation (intent or actual) to a goal to indicate that the observation evaluates the goal (for instance, a source observation of “walking distance” evaluates a target goal of “adequate walking distance”).
MFST (is manifestation of) [Observation]MFST [Observation] Used to say that the source is a manifestation of the target (for instance, source “hives” is a manifestation of target “penicillin allergy”).
RSON (has reason) [Act | Encounter | Observation | Procedure | SubstanceAdministration | Supply]RSON [Act | Encounter | Observation | Procedure | SubstanceAdministration | Supply] Used to show the reason or rationale for a service (for instance, source “treadmill test” has reason “chest pain”).
SAS (starts after start) [Act | Encounter | Observation | Procedure | SubstanceAdministration | Supply]SAS [Act | Encounter | Observation | Procedure | SubstanceAdministration | Supply] The source Act starts after the start of the target Act (for instance, source “diaphoresis” starts after the start of target “chest pain”).
SPRT (has support) [Observation]SPRT [Observation | ObservationMedia | RegionOfInterest] Used to show that the target provides supporting evidence of the source (for instance, source “possible lung tumor” has support target “mass seen on chest -x-ray”).

This Article

  1. Abstract
  2. Full text
  3. PDF

Access policy for JAMIA

All content published in JAMIA is deposited with PubMed Central by the publisher with a 12 month embargo. Authors/funders may pay an Unlocked fee of $2,000 to make the article free on the JAMIA website and PMC immediately on publication.

All content older than 12 months is freely available on this website.

AMIA members can log in with their JAMIA user name (email address) and password or via the AMIA website.