<status value="draft" /> <date value="2024-06-18" /> <publisher value="openEHR" /> <contact> <telecom> <system value="url" /> <value value="http://www.veratech.es" /> </telecom> </contact> <description value="Acronym for a group of headings used to aid recording of consistent, problem-oriented notes in a patient's health record." /> <purpose value="To provide a framework and design guidance for consistent modelling of SOAP content within a template representing problem-oriented clinical notes." /> <fhirVersion value="4.0.0" /> <mapping> <identity value="openEHR" /> <uri value="http://openehr.org" /> <name value="openEHR Mapping" /> </mapping> <mapping> <identity value="openEHR-natural" /> <uri value="http://openehr.org" /> <name value="openEHR natural path" /> </mapping> <kind value="logical" /> <abstract value="false" /> <type value="StructureDefinition" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <snapshot> <element id="SOAP_headings"> <path value="SOAP_headings" /> <short value="SOAP headings" /> <definition value="Acronym for a group of headings used to aid recording of consistent, problem-oriented notes in a patient's health record." /> <min value="1" /> <max value="1" /> <base> <path value="SOAP_headings" /> <min value="1" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="SOAP_headings.Subjective_(S)"> <path value="SOAP_headings.Subjective_(S)" /> <short value="Subjective (S)" /> <definition value="The subjective component, usually focused on the presenting complaint, history of present illness, relevant medical history and review of system." /> <min value="0" /> <max value="1" /> <base> <path value="SOAP_headings.Subjective_(S)" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="SOAP_headings.Objective_(O)"> <path value="SOAP_headings.Objective_(O)" /> <short value="Objective (O)" /> <definition value="The objective component, usually focused on observations, measurements, examination findings and diagnostic test results." /> <min value="0" /> <max value="1" /> <base> <path value="SOAP_headings.Objective_(O)" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="SOAP_headings.Assessment_(A)"> <path value="SOAP_headings.Assessment_(A)" /> <short value="Assessment (A)" /> <definition value="The assessment component, usually focused on conclusions and synopses about progress or change." /> <min value="0" /> <max value="1" /> <base> <path value="SOAP_headings.Assessment_(A)" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> <element id="SOAP_headings.Plan_(P)"> <path value="SOAP_headings.Plan_(P)" /> <short value="Plan (P)" /> <definition value="The plan component, usually focused on future investigations and treatment, goals of therapy and monitoring." /> <min value="0" /> <max value="1" /> <base> <path value="SOAP_headings.Plan_(P)" /> <min value="0" /> <max value="1" /> </base> <type> <code value="BackboneElement" /> </type> <mustSupport value="false" /> <isModifier value="false" /> <isSummary value="true" /> </element> </snapshot> </StructureDefinition>