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Template Planned Act (V2) 2014‑06‑09

Id	2.16.840.1.113883.10.20.22.4.39 ref ccda-	Gültigkeit ab	2014‑06‑09
Status	Entwurf	Versions-Label	2.1
Name	PlannedActV2	Bezeichnung	Planned Act (V2)
Beschreibung This template represents planned acts that are not classified as an observation or a procedure according to the HL7 RIM. Examples of these acts are a dressing change, the teaching or feeding of a patient or the providing of comfort measures. The priority of the activity to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the activity is intended to take place.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.39
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 10 Transactions und 25 Templates, Benutzt 4 Templates Benutzt von als Name Version 2.16.840.1.113883.3.1937.99.3.4.27 Transaktion Operative Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.31 Transaktion Transfer Summary (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.25 Transaktion Discharge Summary (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.29 Transaktion Progress Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.26 Transaktion History and Physical (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.22 Transaktion Consultation Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.28 Transaktion Procedure Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.23 Transaktion Continuity of Care Document (CCD) (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.30 Transaktion Referral Note (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.21 Transaktion Care Plan (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.61.8.10.3.2 Containment Plan of Care Section 2014‑02‑04 13:11:29 2.16.840.1.113883.3.1937.99.61.17.10.2 SHN StructuredBody 2015‑05‑09 11:18:02 2.16.840.1.113883.3.1937.99.61.17.10.3 SHN component 2015‑05‑09 11:28:46 2.16.840.1.113883.3.1937.99.61.18.10.6 Выписной эпикриз 2015‑06‑06 14:32:25 2.16.840.1.113883.3.1937.99.61.21.10.20 Containment NH MI (fake) Recommendation (2.1) 2019‑07‑25 23:56:49 2.16.840.1.113883.3.1937.99.61.26.10.122 Containment Nutrition Recommendation (2.1) 2019‑04‑29 09:01:33 2.16.840.1.113883.3.1937.99.61.28.10.3 CDA de Consulta (1) 2017‑04‑22 23:20:01 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 2.16.840.1.113883.10.20.22.2.9 Containment Assessment and Plan Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.10 Containment Plan of Treatment Section (V2) (2.1) 2019‑03‑16 08:54:08 2.16.840.1.113883.10.20.22.2.101 BC CDA Referral Note (V2) (2.1) 2019‑04‑06 02:03:17 2.16.840.1.113883.10.20.22.4.130 Containment 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 Containment Planned Intervention Act (V2) (2.1) 2015‑08‑01 Benutzt als Name Version 2.16.840.1.113883.10.20.22.4.19 Containment Indication (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.20 Containment Instruction (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.119 Containment Author Participation (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.143 Containment Priority Preference (2.1) 2015‑08‑13
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07) ref ad1bbr- Version: Template 2.16.840.1.113883.10.20.22.4.39 Plan of Care Activity Act (2013‑01‑31) ref ccda-
Alles ausklappenAlles einklappen Item DT Kard Konf Beschreibung Label cda:act PlanctV2 @classCode cs 1 … 1 F ACT CONF8538   SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8538). @moodCode cs 1 … 1 R SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC 2011-09-30 (CONF:1098-8539). CONF8539   CONF Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.23 Plan of Care moodCode (Act/Encounter/Procedure) (DYNAMIC) cda:templateId II 1 … 1 M C-CDA R1.1 templateId root without an extension CONF2936 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.39 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-30430) such that it CONF0430 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.39 CONF0431   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.39" (CONF:1098-30431). @extension st 1 … 1 F 2014-06-09 CONF2552   SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32552). cda:id II 1 … * SHALL contain at least one [1..*] id (CONF:1098-8546). CONF8546 cda:code CD 1 … 1 SHALL contain exactly one [1..1] code (CONF:1098-31687). CONF1687 cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-30432). CONF0432 @code CONF 1 … 1 F active cda:effectiveTime 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30433). The effectiveTime in a planned act represents the time that the act should occur. CONF0433 cda:performer 0 … * MAY contain zero or more [0..*] performer (CONF:1098-30435). The clinician who is expected to carry out the act could be identified using act/performer. CONF0435 cda:author 0 … 1 R SHOULD contain zero or one [0..1] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32020). The author in a planned act represents the clinician who is requesting or planning the act. Beinhaltet 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) CONF2020 cda:entryRelationship 0 … * The following entryRelationship represents the priority that a patient or a provider places on the activity. Beinhaltet 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13) CONF1067 @typeCode cs 1 … 1 F REFR CONF1068   SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31068). cda:entryRelationship 0 … * The following entryRelationship represents the indication for the act. Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) CONF2021 @typeCode cs 1 … 1 F RSON CONF2022   SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32022). cda:entryRelationship 0 … * The following entryRelationship captures any instructions associated with the planned act. Beinhaltet 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09) CONF2024 @typeCode cs 1 … 1 F SUBJ CONF2025   SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32025).