Template
Show index

Template Planned Coverage 2015‑08‑13

Id	2.16.840.1.113883.10.20.22.4.129	Effective Date	2015‑08‑13
Status	Draft	Version Label	2.1
Name	PlannedCoverage	Display Name	Planned Coverage
Description	This template represents the insurance coverage intended to cover an act or procedure.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.129
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 10 transactions and 23 templates, Uses 1 template Used by as Name Version 2.16.840.1.113883.3.1937.99.3.4.27 Transaction Operative Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.31 Transaction Transfer Summary (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.25 Transaction Discharge Summary (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.29 Transaction Progress Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.26 Transaction History and Physical (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.22 Transaction Consultation Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.28 Transaction Procedure Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.23 Transaction Continuity of Care Document (CCD) (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.30 Transaction Referral Note (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.21 Transaction Care Plan (V2) 2015‑08‑01 1.3.6.1.4.1.19376.1.4.1.4.38 Containment Planned Procedure - Cardiac (1.0) 2017‑03‑23 15:57:39 2.16.840.1.113883.3.1937.99.61.26.10.119 Containment Planned Procedure (V2) (2.1) 2019‑04‑29 08:33:00 2.16.840.1.113883.3.1937.99.61.26.10.121 Containment Planned Supply (V2) (2.1) 2019‑04‑29 09:00:08 2.16.840.1.113883.10.20.21.2.3 Interventions Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.3 History and Physical (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.4 Consultation Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.6 Procedure Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.7 Operative Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.9 Progress Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.13 Transfer Summary (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.14 Referral Note (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.15 Care Plan (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.30 Planned Procedure Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.115 Containment Planned Observation (V2) (2.1) 2019‑04‑29 07:44:32 2.16.840.1.113883.10.20.22.4.41 Containment Planned Procedure (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.43 Containment Planned Supply (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.44 Containment Planned Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.130 Nutrition Recommendation (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.131 Intervention Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.146 Planned Intervention Act (V2) (2.1) 2015‑08‑01 Uses as Name Version 2.16.840.1.113883.10.20.22.4.119 Containment Author Participation (2.1) 2015‑08‑13
Relationship	Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07) ref ad1bbr-
Expand AllCollapse All Item DT Card Conf Description Label cda:act Planrage @classCode cs 1 … 1 F ACT CONF1945   SHALL contain exactly one [1..1] @classCode="ACT" act (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31945). @moodCode cs 1 … 1 F INT CONF1946   SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31946). cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-31947) such that it CONF1947 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.129 CONF1948   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.129" (CONF:1098-31948). cda:id II 1 … * SHALL contain at least one [1..*] id (CONF:1098-31950). CONF1950 cda:code CD 1 … 1 M SHALL contain exactly one [1..1] code (CONF:1098-31951). CONF1951 @code CONF 1 … 1 F 48768-6 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-31954). CONF1954 @code CONF 1 … 1 F active cda:author 0 … * MAY contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32178). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) CONF2178 cda:entryRelationship 1 … 1 M SHALL contain exactly one [1..1] entryRelationship (CONF:1098-31967) such that it CONF1967 @typeCode cs 1 … 1 F COMP CONF1968   SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31968). cda:act 1 … 1 M SHALL contain exactly one [1..1] act (CONF:1098-31969). CONF1969 @classCode cs 1 … 1 F ACT CONF1970   This act SHALL contain exactly one [1..1] @classCode="ACT" ACT (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31970). @moodCode cs 1 … 1 F INT CONF1971   This act SHALL contain exactly one [1..1] @moodCode="INT" intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31971). cda:id II 1 … * This act SHALL contain at least one [1..*] id (CONF:1098-31972). These act/identifiers are unique identifiers for the policy or program providing the coverage. CONF1972 cda:code CD 1 … 1 This act SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:1098-31973). CONF1973   CONF The value of @code shall be drawn from value set 2.16.840.1.114222.4.11.3591 Payer (DYNAMIC) cda:statusCode CS 1 … 1 M This act SHALL contain exactly one [1..1] statusCode (CONF:1098-31974). CONF1974 @code CONF 1 … 1 F active