<!--
	Copyright (c) 2000 Jonathan Borden, The Open Healthcare Group
	Licensed upder http://www.openhealth.org/license

	This module includes element and content definitions for 
	general history and physical exam related documents.
	
	%astm.content defaults to (#PCDATA | %Flow.mix;)* and is a
	candidate for addition of extended coded vocabularies. 
	Modules which include this module can override content models on
	an element by element basis by defining <!ENTITY % xxx.model "...">

	PUBLIC "-//ASTM//DTD Admission/Discharge Summary Module 1.0//EN"

-->
<!-- summary of situation at admission
	admitting diagnosis (by admitting physician)
	chief complaint (by patient or relatives)
	reason for admission (by referring physician)
	summary of history
		history of present illness
		past history 
		family history 
		social history 

	summary of physical examination
	summary of lab data
	known allergies

-->
<!ENTITY % NS.prefixed "IGNORE">
<!-- <!ENTITY % ADS.prefixed "%NS.prefixed;"> -->
<!ENTITY % ADS.prefixed "INCLUDE" >

<!ENTITY % ASTM.base.module PUBLIC "-//ASTM//DTD E31.25 Base 1.0//EN" "ASTM.E31.25.dtd">

<!ENTITY % astm.physical.exam.module PUBLIC "-//ASTM//DTD Physical Examination Module 1.0//EN" "physical.examination.module.dtd">
<!ENTITY % astm.history.module PUBLIC "-//ASTM//DTD History Module 1.0//EN" "history.module.dtd">
<!ENTITY % ads.namespace.uri "http://www.openhealth.org/ASTM/admission.discharge.summary">

%ASTM.base.module;

<!ENTITY % astm.content "(#PCDATA)">

<!ENTITY % ads "ads">

<![ %ADS.prefixed; [
<!ENTITY % ads.prefix "%ads;:">
<!ENTITY % ADS.xmlns.attrib "xmlns:ads CDATA #FIXED 'http://www.openhealth.org/ASTM/admission.discharge.summary'">
]]>

<!ENTITY % ADS.xmlns.attrib "xmlns CDATA #FIXED 'http://www.openhealth.org/ASTM/admission.discharge.summary'">

<!ENTITY % ads.prefix "">
<!ENTITY % ads.xmlns.attrib.name "xmlns:%ads;">

<!ENTITY % admission.note.qname "%ads.prefix;admission.note">
<!ENTITY % discharge.summary.qname "%ads.prefix;discharge.summary">
<!ENTITY % history.and.physical.examination.qname "%ads.prefix;history.and.physical.examination">
<!ENTITY % clinical.body.qname "%ads.prefix;clinical.body">

<!ENTITY % admission.qname "%ads.prefix;admission">
<!ENTITY % diagnoses.qname "%ads.prefix;diagnoses">
<!ENTITY % diagnosis.qname "%ads.prefix;diagnosis">
<!ENTITY % chief.complaint.qname "%ads.prefix;chief.complaint">
<!ENTITY % reason.for.admission.qname "%ads.prefix;reason.for.admission">

<!ENTITY % history.of.present.illness.qname "%ads.prefix;history.of.present.illness">
<!--
<!ENTITY % history.qname "%ads.prefix;history">

<!ENTITY % past.medical.history.qname "%ads.prefix;past.medical.history">
<!ENTITY % past.surgical.history.qname "%ads.prefix;past.surgical.history">
<!ENTITY % family.history.qname "%ads.prefix;family.history">
<!ENTITY % social.history.qname "%ads.prefix;social.history">
<!ENTITY % review.of.systems.qname "%ads.prefix;review.of.systems">
<!ENTITY % known.allergies.qname "%ads.prefix;known.allergies">
<!ENTITY % medications.qname "%ads.prefix;medications">
<!ENTITY % medication.qname "%ads.prefix;medication">
<!ENTITY % physical.examination.qname "%ads.prefix;physical.examination">
-->

<!ENTITY % laboratory.data.qname "%ads.prefix;laboratory.data">
<!ENTITY % diagnostic.studies.qname "%ads.prefix;diagnostic.studies">

<!-- hospital course
	diagnoses
		main diagnosis
		secondary diagnosis
	operations and procedures
	complications
	consultations
-->

<!ENTITY % hospital.course.qname "%ads.prefix;hospital.course">
<!ENTITY % description.qname "%ads.prefix;description">
<!ENTITY % procedures.qname "%ads.prefix;procedures">
<!ENTITY % complications.qname "%ads.prefix;complications">
<!ENTITY % consultations.qname "%ads.prefix;consultations">
<!ENTITY % procedure.qname "%ads.prefix;procedure">
<!ENTITY % complication.qname "%ads.prefix;complication">
<!ENTITY % consultation.qname "%ads.prefix;consultation">
<!--
situation at discharge
	status of patient
		cause of death
		diagnosis at discharge
	medications at discharge
discharge plans
	medication plan
	follow-up activities
instructions to patient and family
	diet and physical activity (restrictions)
	return to work
-->

<!ENTITY % discharge.qname "%ads.prefix;discharge">
<!ENTITY % patient.status.qname "%ads.prefix;patient.status">
<!ENTITY % cause.of.death.qname "%ads.prefix;cause.of.death">
<!ENTITY % discharge.plan.qname "%ads.prefix;discharge.plan">
<!ENTITY % medication.plan.qname "%ads.prefix;medication.plan">
<!ENTITY % followup.qname "%ads.prefix;followup">
<!ENTITY % restrictions.qname "%ads.prefix;restrictions">
<!ENTITY % return.to.work.qname "%ads.prefix;return.to.work">
<!-- for admission note -->

<!ENTITY % assessment.model "%astm.content;">
<!ENTITY % plan.model "%astm.content;">
<!ENTITY % problem.list.model "(%problem.qname;)*">
<!ENTITY % problem.description.model "%astm.content;">
<!ENTITY % problem.model "(%problem.description.qname;,(%assessment.qname;)?,(%plan.qname;)?)">
<!ENTITY % assessment.and.plan.model "(
	#PCDATA | %Flow.mix; |
	%assessment.qname; | %plan.qname;
)*">
<!ENTITY % assessment.qname "%ads.prefix;assessment">
<!ENTITY % plan.qname "%ads.prefix;plan">
<!ENTITY % problem.list.qname "%ads.prefix;problem.list">
<!ENTITY % problem.qname "%ads.prefix;problem">
<!ENTITY % problem.description.qname "%ads.prefix;problem.description">
<!ENTITY % assessment.and.plan.qname "%ads.prefix;assessment.and.plan">
<!ENTITY % history.and.physical.qname "%ads.prefix;history.and.physical">

<!-- include physical exam vocabulary -->
%astm.physical.exam.module;
<!-- include history vocabulary -->
%astm.history.module;
<!-- now define models -->
<!ENTITY % history.and.physical.mix "
	%chief.complaint.qname;,
	%history.of.present.illness.qname;,
	%known.allergies.qname;,
	%medications.qname;,
	%history.qname;,
	%physical.examination.qname;,
	(%laboratory.data.qname;)?,
	(%diagnostic.studies.qname;)? "
>


<!ENTITY % admission.model "(
	%history.and.physical.mix;,
	%diagnoses.qname;,
	(%reason.for.admission.qname;)?
)">

<!ENTITY % history.and.physical.model "(%history.and.physical.mix;)">
<!ENTITY % diagnoses.model "(%diagnosis.qname;)*">
<!ENTITY % diagnosis.model "%astm.content;">
<!ENTITY % chief.complaint.model "(#PCDATA)">
<!ENTITY % reason.for.admission.model "%astm.content;">

<!ENTITY % history.of.present.illness.model "%astm.content;">
<!ENTITY % past.medical.history.model "%astm.content;">
<!ENTITY % past.surgical.history.model "%astm.content;">
<!ENTITY % family.history.model "%astm.content;">
<!ENTITY % social.history.model "%astm.content;">
<!ENTITY % review.of.systems.model "%astm.content;">
<!ENTITY % known.allergies.model "%astm.content;">
<!ENTITY % medications.model "(#PCDATA | %ASTM.Mix; | %medication.qname; )*">
<!ENTITY % medication.model "%astm.content;">
<!ENTITY % physical.examination.model "%astm.content;">
<!ENTITY % laboratory.data.model "%astm.content;">
<!ENTITY % diagnostic.studies.model "%astm.content;">

<!ENTITY % hospital.course.model "(
	%description.qname;,
	(%diagnoses.qname;)?,
	(%procedures.qname;)?,
	(%complications.qname;)?,
	(%consultations.qname;)?
)">
<!ENTITY % description.model "%astm.content;">
<!ENTITY % procedures.model "(%procedure.qname;)*">
<!ENTITY % complications.model "(%complication.qname;)*">
<!ENTITY % consultations.model "(%consultation.qname;)*">
<!ENTITY % procedure.model "%astm.content;">
<!ENTITY % complication.model "%astm.content;">
<!ENTITY % consultation.model "%astm.content;">

<!ENTITY % discharge.model "(
	(%assessment.and.plan.qname;)?,
	(%patient.status.qname;)?,
	(%diagnoses.qname;)?,
	(%cause.of.death.qname;)?,
	(%medications.qname;)?,
	(%discharge.plan.qname;)?,
)">

<!ENTITY % patient.status.model "%astm.content;">
<!ENTITY % cause.of.death.model "%astm.content;">
<!ENTITY % discharge.plan.model "(
	(%description.qname;)?,
	(%medication.plan.qname;)?,
	(%followup.qname;)?,
	(%restrictions.qname;)?,
	(%return.to.work.qname;)?
)">

<!ENTITY % medication.plan.model "%astm.content;">
<!ENTITY % followup.model "%astm.content;">
<!ENTITY % restrictions.model "%astm.content;">
<!ENTITY % return.to.work.model "%astm.content;">
<!ENTITY % assessment.model "%astm.content;">
<!ENTITY % plan.model "%astm.content;">
<!ENTITY % problem.list.model "(%problem.qname;)*">
<!ENTITY % problem.description.model "%astm.content;">
<!ENTITY % problem.model "(%problem.description.qname;,(%diagnosis.qname;)?,(%assessment.qname;)?,(%plan.qname;)?)">
<!ENTITY % assessment.and.plan.model "(
	#PCDATA | %ASTM.Mix;|
	%diagnosis.qname;|
	%assessment.qname;|
	%plan.qname;|
	%problem.qname;)*">

<!ELEMENT %admission.note.qname; (%clinical.header.qname;,%clinical.body.qname;)>
<!ATTLIST %admission.note.qname;
	%astm.document.attrib;
	%ADS.xmlns.attrib;
>

<!ELEMENT %admission.qname; %admission.model;>
<!ELEMENT %diagnoses.qname; %diagnoses.model;>
<!ELEMENT %diagnosis.qname; %diagnosis.model;>
<!ELEMENT %chief.complaint.qname; %chief.complaint.model;>
<!ELEMENT %reason.for.admission.qname; %reason.for.admission.model;>
<!ELEMENT %history.qname; %history.model;>
<!ELEMENT %history.of.present.illness.qname; %history.of.present.illness.model;>
<!ELEMENT %past.medical.history.qname; %past.medical.history.model;>
<!ELEMENT %past.surgical.history.qname; %past.surgical.history.model;>
<!ELEMENT %family.history.qname; %family.history.model;>
<!ELEMENT %social.history.qname; %social.history.model;>
<!ELEMENT %review.of.systems.qname; %review.of.systems.model;>
<!ELEMENT %known.allergies.qname; %known.allergies.model;>
<!ELEMENT %medications.qname; %medications.model;>
<!ELEMENT %medication.qname; %medication.model;>
<!ELEMENT %physical.examination.qname; %physical.examination.model;>
<!ELEMENT %laboratory.data.qname; %laboratory.data.model;>
<!ELEMENT %diagnostic.studies.qname; %diagnostic.studies.model;>
<!ELEMENT %hospital.course.qname; %hospital.course.model;>
<!ELEMENT %description.qname; %description.model;>
<!ELEMENT %procedures.qname; %procedures.model;>
<!ELEMENT %complications.qname; %complications.model;>
<!ELEMENT %consultations.qname; %consultations.model;>
<!ELEMENT %procedure.qname; %procedure.model;>
<!ELEMENT %complication.qname; %complication.model;>
<!ELEMENT %consultation.qname; %consultation.model;>
<!ELEMENT %discharge.qname; %discharge.model;>
<!ELEMENT %patient.status.qname; %patient.status.model;>
<!ELEMENT %cause.of.death.qname; %cause.of.death.model;>
<!ELEMENT %discharge.plan.qname; %discharge.plan.model;>
<!ELEMENT %medication.plan.qname; %medication.plan.model;>
<!ELEMENT %followup.qname; %followup.model;>
<!ELEMENT %restrictions.qname; %restrictions.model;>
<!ELEMENT %return.to.work.qname; %return.to.work.model;>
<!ELEMENT %problem.list.qname; %problem.list.model;>
<!ELEMENT %problem.qname; %problem.model;>
<!ELEMENT %problem.description.qname; %problem.description.model;>
<!ELEMENT %assessment.qname; %assessment.model;>
<!ELEMENT %plan.qname; %plan.model;>
<!ELEMENT %assessment.and.plan.qname; %assessment.and.plan.model;>
<!ELEMENT %history.and.physical.qname; %history.and.physical.model;>

<!ATTLIST %admission.qname; %astm.content.attrib;>
<!ATTLIST %diagnoses.qname; %astm.content.attrib;>
<!ATTLIST %diagnosis.qname; %astm.content.attrib;>
<!ATTLIST %chief.complaint.qname;  %astm.content.attrib;>
<!ATTLIST %reason.for.admission.qname;  %astm.content.attrib;>
<!ATTLIST %history.qname;  %astm.content.attrib;>
<!ATTLIST %history.of.present.illness.qname;  %astm.content.attrib;>
<!ATTLIST %past.medical.history.qname;  %astm.content.attrib;>
<!ATTLIST %past.surgical.history.qname;  %astm.content.attrib;>
<!ATTLIST %family.history.qname; %astm.content.attrib;>
<!ATTLIST %social.history.qname;  %astm.content.attrib;>
<!ATTLIST %review.of.systems.qname; %astm.content.attrib;>
<!ATTLIST %known.allergies.qname; %astm.content.attrib;>
<!ATTLIST %medications.qname; %astm.content.attrib;>
<!ATTLIST %medication.qname; %astm.content.attrib;>
<!ATTLIST %physical.examination.qname; %astm.content.attrib;>
<!ATTLIST %laboratory.data.qname; %astm.content.attrib;>
<!ATTLIST %diagnostic.studies.qname; %astm.content.attrib;>
<!ATTLIST %hospital.course.qname; %astm.content.attrib;>
<!ATTLIST %description.qname; %astm.content.attrib;>
<!ATTLIST %procedures.qname; %astm.content.attrib;>
<!ATTLIST %complications.qname; %astm.content.attrib;>
<!ATTLIST %consultations.qname; %astm.content.attrib;>
<!ATTLIST %procedure.qname; %astm.content.attrib;>
<!ATTLIST %complication.qname; %astm.content.attrib;>
<!ATTLIST %consultation.qname; %astm.content.attrib;>
<!ATTLIST %discharge.qname;  %astm.content.attrib;>
<!ATTLIST %patient.status.qname;  %astm.content.attrib;>
<!ATTLIST %cause.of.death.qname;  %astm.content.attrib;>
<!ATTLIST %discharge.plan.qname; %astm.content.attrib;>
<!ATTLIST %medication.plan.qname; %astm.content.attrib;>
<!ATTLIST %followup.qname; %astm.content.attrib;>
<!ATTLIST %restrictions.qname; %astm.content.attrib;>
<!ATTLIST %return.to.work.qname; %astm.content.attrib;>
<!ATTLIST %problem.list.qname; %astm.content.attrib;>
<!ATTLIST %problem.qname; %astm.content.attrib;>
<!ATTLIST %problem.description.qname; %astm.content.attrib;>
<!ATTLIST %assessment.qname; %astm.content.attrib;>
<!ATTLIST %plan.qname; %astm.content.attrib;>
<!ATTLIST %assessment.and.plan.qname; %astm.content.attrib;>
<!ATTLIST %history.and.physical.qname; %astm.content.attrib;>