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Template BC CDA MI documentationOf 2020‑06‑30 20:24:31

Id2.16.840.1.113883.3.1937.99.61.21.10.53Effective Date2020‑06‑30 20:24:31
Statusdraft DraftVersion Label
NameCDAdocumentationOfDisplay NameBC CDA MI documentationOf
DescriptionTemplate CDA documentationOf (prototype, directly derived from POCD_RM000040 MIF)
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.21.10.51Includedraft BC CDA MedicalImaging2020‑06‑13 00:18:42
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.21.10.54Includedraft BC Physician Reading Study Performer (1.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:documentationOf
0 … *RCONFdots0520
@typeCode
cs1 … 1FDOC
 Constraint
documentationOf/serviceEventMAY be present. Where present, serviceEvent  SHALL conform to the requirements specified in the general BC header definition.
hl7:serviceEvent
1 … 1MCONFdots0103
@classCode
cs1 … 1FACTCONFdots0521
@moodCode
cs1 … 1FEVN
hl7:id
II0 … *CONFdots0103
hl7:code
CE0 … 1CONFdots0103
@codeSystem
0 … 1F2.16.840.1.113883.5.4
 Constraint
The value of ServiceEvent/code SHOULD be from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 DYNAMIC, or the value of ServiceEvent/code MAY be from ICD10-CA (codeSystem 2.16.840.1.113881.6.94) or CCI (codeSystem 2.16.840.1.113883.6.94).
bc:statusCode
CS (required)0 … 1CONFdots0103
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS1 … 1MCONFdots0103
hl7:performer
0 … *CONFdots0104
 Constraint
If present, performer SHALL contain the typeCode attribute whose value SHALL be either “PPRF” (primary performer) or “SPRF” (secondary performer).
Included from 2.16.840.1.113883.3.1937.99.61.21.10.54 BC Physician Reading Study Performer (DYNAMIC)
@typeCode
cs1 … 1FPRFconf‑8424
cda:time
0 … 1MAY contain zero or one [0..1] time (CONF:8425).

The content of time SHALL be a conformant US Realm Date and Time (DTM.US.FIELDED) (2.16.840.1.113883.10.20.22.5.3)

conf‑8425
cda:assignedEntity
1 … 1MSHALL contain exactly one [1..1] assignedEntity (CONF:8426).

Every assignedEntity element SHALL have at least one assignedPerson or representedOrganization.

conf‑8426
cda:id
II1 … *MThis assignedEntity SHALL contain at least one [1..*] id (CONF:10033).

The id SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier

confdots0033
@root
uid1 … 1F2.16.840.1.113883.4.6
cda:code
CE1 … 1RThis assignedEntity SHALL contain exactly one [1..1] code (CONF:8427).conf‑8427
Choice1 … 
Every assignedEntity element SHALL have at least one assignedPerson or representedOrganization.
Elements to choose from:
  • cda:assignedPerson
  • cda:representedOrganization
cda:assignedPerson
conf‑8426
cda:representedOrganization
conf‑8426
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId/@root="2.16.840.1.113883.10.20.6.2.1" (CONF:8423).conf‑8423
@root
uid1 … 1F2.16.840.1.113883.10.20.6.2.1