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Template KEZO Contactverslag 2015‑06‑01

Id2.16.840.1.113883.2.4.3.11.60.66.10.207
ref
kz-
Effective Date2015‑06‑01
Statusactive ActiveVersion Label
Namekezo-ContactverslagDisplay NameKEZO Contactverslag
Descriptionnl-NL Bouwsteen: Contactverslag
Verdere informatie
ContextParent nodes of template element with id 2.16.840.1.113883.2.4.3.11.60.66.10.207
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 7 templates, Uses 7 templates
Used by as NameVersion
2.16.840.1.113883.2.4.3.11.60.66.4.507Transactionpending nl-NL Sturen Rapportage Consult
en-US Send Encounter Report		2018‑04‑13
2.16.840.1.113883.2.4.3.11.60.66.4.526Transactiondraft nl-NL Beschikbaarstellen contactverslagen
en-US Encounter Notes Response		2018‑04‑13
2.16.840.1.113883.2.4.3.11.60.66.10.4linkretired VZVZ Batch antwoord2015‑07‑13
2.16.840.1.113883.2.4.3.11.60.66.10.14Containmentretired VZVZ Opleveren Contactverslagen2015‑06‑01
2.16.840.1.113883.2.4.3.11.60.66.10.14Containmentactive Organizer Contactverslagen2018‑04‑18
2.16.840.1.113883.2.4.3.11.60.66.10.51linkretired KEZO Clinical Document Overdracht2015‑07‑13
2.16.840.1.113883.2.4.3.11.60.66.10.61linkactive KEZO Clinical Document Overdracht2018‑04‑18
2.16.840.1.113883.2.4.3.11.60.66.10.302Containmentretired KEZO Summary Section2015‑07‑13
2.16.840.1.113883.2.4.3.11.60.66.10.302Containmentactive KEZO Summary Section2018‑04‑18
Uses as NameVersion
2.16.840.1.113883.2.4.3.11.60.7.10.32Includeactive part Encounter reference2017‑12‑21 12:39:47
2.16.840.1.113883.2.4.3.11.60.7.10.33Includeactive part Concern reference2017‑12‑21 12:40:50
2.16.840.1.113883.2.4.3.11.60.66.10.208Containmentactive KEZO SubjectiveDYNAMIC
2.16.840.1.113883.2.4.3.11.60.66.10.209Containmentactive KEZO ObjectiveDYNAMIC
2.16.840.1.113883.2.4.3.11.60.66.10.210Containmentactive KEZO AssessmentDYNAMIC
2.16.840.1.113883.2.4.3.11.60.66.10.211Containmentactive KEZO PlanDYNAMIC
2.16.840.1.113883.2.4.3.11.60.66.10.9030Includeactive KEZO PART CDA Responsible Party (Body)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.840.1.113883.2.4.3.11.60.66.10.207"/>  <id extension="cv768598457.94785" root="2.16.528.1.1007.3.3.765332.1.12"/>  <code code="34900-1" codeSystem="2.16.840.1.113883.6.1" displayName="General medicine Progress note" codeSystemName="LOINC"/>  <statusCode code="completed"/>  <effectiveTime value="20150601103412"/>  <participant typeCode="RESP">
    <!-- responsible party -->
  </participant>  <entryRelationship typeCode="REFR">
    <!-- Contact Reference -->
  </entryRelationship>  <entryRelationship typeCode="REFR">
    <!-- Concern Reference -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- S-regel -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- O-regel -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- E-regel -->
  </entryRelationship>  <entryRelationship typeCode="COMP">
    <!-- P-regel -->
  </entryRelationship></act>
ItemDTCardConfDescriptionLabel
hl7:act
kezodotsslag
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Mkezodotsslag
@root
uid1 … 1F2.16.840.1.113883.2.4.3.11.60.66.10.207
hl7:id
II1 … *Mkezodotsslag
hl7:code
CV1 … 1Mkezodotsslag
@code
CONF1 … 1F34900-1
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
CS1 … 1Mkezodotsslag
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
TS.DATE.MIN1 … 1Mnl-NL Datum/tijd van het contactverslagkezodotsslag
hl7:participant
0 … 1Rkezodotsslag
@typeCode
cs0 … 1FRESP
Included from 2.16.840.1.113883.2.4.3.11.60.66.10.9030 KEZO PART CDA Responsible Party (Body) (DYNAMIC)
hl7:time
IVL_TS0 … 1nl-NL Tijdstip (@value) of periode (low|width|high) waarop de participantRole in zijn rol was/iskezodotsBody
hl7:participantRole
1 … 1RkezodotsBody
@classCode
cs1 … 1FASSIGNED
hl7:id
II0 … *nl-NL UZI of AGBkezodotsBody
hl7:code
CE0 … 1kezodotsBody
@codeSystem
CONF0 … 1F2.16.840.1.113883.2.4.15.111
hl7:addr
AD0 … *kezodotsBody
hl7:telecom
TEL0 … *kezodotsBody
hl7:playingEntity
0 … 1nl-NL Zorgverlener specialisme en naamkezodotsBody
@classCode
cs1 … 1FPSN
@determinerCode
cs1 … 1FINSTANCE
hl7:code
CE0 … 1kezodotsBody
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.1.11.2 (DYNAMIC)
hl7:name
PN0 … *kezodotsBody
hl7:scopingEntity
0 … 1nl-NL Zorgaanbieder id, code en naam (in element desc)kezodotsBody
@classCode
cs1 … 1FORG
@determinerCode
cs1 … 1FINSTANCE
hl7:id
II0 … *kezodotsBody
hl7:code
CE0 … 1kezodotsBody
@codeSystem
CONF0 … 1F2.16.840.1.113883.2.4.15.1060
hl7:desc
ST0 … 1kezodotsBody
Included0 … * from 2.16.840.1.113883.2.4.3.11.60.7.10.32 part Encounter reference (2017‑12‑21 12:39:47)
hl7:entryRelationship
0 … *Ren-US Relationship to an encounter. The only required data element encounter id, as means to reference it.
nl-NL Relatie met een contactmoment/bezoek. Het enige verplichte data-element is het id, om daar naar te verwijzen		partdotsence
where [@typeCode = 'REFR'] [hl7:encounter]
@typeCode
cs1 … 1FREFR
 Example
Verwijzing naar contactmoment/bezoek met id
<encounter classCode="ENC" moodCode="EVN">
  <id extension="0056465423" root="2.16.528.1.1007.3.3.765332.1.12"/></encounter>
hl7:encounter
1 … 1Men-US The encounter
nl-NL Het contactmoment/bezoek		partdotsence
@classCode
cs1 … 1FENC
@moodCode
cs1 … 1FEVN
hl7:id
II1 … 1Men-US Identification encounter
nl-NL Identificatie contactmoment/bezoek		partdotsence
Included0 … * from 2.16.840.1.113883.2.4.3.11.60.7.10.33 part Concern reference (2017‑12‑21 12:40:50)
hl7:entryRelationship
0 … *Ren-US Relationship to a health concern. The only required data element is the id, as means to reference it. The code element is also required, but has fixed contents.
nl-NL Relatie met een concern/episode. Het enige verplichte data-element is het id, om daar naar te verwijzen. Het element code is ook verplicht, maar heeft vaste waarden.		partdotsence
where [@typeCode = 'REFR'] [hl7:act [hl7:code [@code = 'CONC'] [@codeSystem = '2.16.840.1.113883.5.6']]]
@typeCode
cs1 … 1FREFR
 Example
Verwijzing naar concern/episode met id
<act classCode="ACT" moodCode="EVN">
  <id extension="hc657498ft562.9895" root="2.16.528.1.1007.3.3.765332.1.12"/>  <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern"/></act>
hl7:act
1 … 1Men-US The health concern
nl-NL Het concern/de episode		partdotsence
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:id
II1 … 1Men-US Identification health concern
nl-NL Identificatie concern/episode		partdotsence
hl7:code
CV1 … 1Men-US Type act has fixed value HL7 ActClass CONC
nl-NL Type act heeft vaste waarde HL7 ActClass CONC		partdotsence
@code
CONF1 … 1FCONC
@codeSystem
1 … 1F2.16.840.1.113883.5.6
hl7:entryRelationship
0 … 1Rnl-NL S-regel
Contains 2.16.840.1.113883.2.4.3.11.60.66.10.208 KEZO Subjective (DYNAMIC)		kezodotsslag
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Rnl-NL O-regel
Contains 2.16.840.1.113883.2.4.3.11.60.66.10.209 KEZO Objective (DYNAMIC)		kezodotsslag
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Rnl-NL E-regel
Contains 2.16.840.1.113883.2.4.3.11.60.66.10.210 KEZO Assessment (DYNAMIC)		kezodotsslag
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … 1Rnl-NL P-regel
Contains 2.16.840.1.113883.2.4.3.11.60.66.10.211 KEZO Plan (DYNAMIC)		kezodotsslag
@typeCode
cs1 … 1FCOMP