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Template Annotation Comment 2008‑08‑08

Id1.3.6.1.4.1.19376.1.5.3.1.4.2
ref
XDLAB-
Effective Date2008‑08‑08
Statuscancelled CancelledVersion Label2017
NameAnnotationCommentDisplay NameAnnotation Comment
Description
***CANCELLED! USE IHE PCC Comment Entry***
This entry allows for a comment to be supplied with each entry.
For CDA this structure is usually included in the target act using the <entryRelationship> element defined in the CDA Schema, but can also be used in the <component> element when the comment appears within an <organizer>. The example below shows recording a comment for an <entry>, and is used as context for the following sections. For HL7 Version 3 Messages, this relationship is represented with the element <sourceOf>, although the remainder of the typecodes and semantics are unchanged. Any condition or allergy may be the subject of a comment.

See also IHE PCC Wiki Content
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.2
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Structure included in the target act using the <entryRelationship> element
<entry>
  <observation classCode="OBS" moodCode="EVN">
    
....
    <entryRelationship typeCode="SUBJ" inversionInd="true">
      <act classCode="ACT" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.1.40"/>        <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>        <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>        <text>
          <reference value="#comment-2"/>        </text>
        <statusCode code="completed"/>        <author>
          <time value=""/>          <assignedAuthor>
            <id root="" extension=""/>            <addr>
              <!-- .. -->
            </addr>
            <telecom value="" use=""/>            <assignedPerson>
              <name>
                <!-- .. -->
              </name>
            </assignedPerson>
            <representedOrganization>
              <name>
                <!-- .. -->
              </name>
            </representedOrganization>
          </assignedAuthor>
        </author>
      </act>
    </entryRelationship>
    <!-- :: -->
  </observation>
</entry>
Example
Structure used in the <component> element when the comment appears within an <organizer>
<entry>
  <organizer>
    <!-- :: -->
    <component typeCode="COMP">
      <act classCode="ACT" moodCode="EVN">
        <templateId root="2.16.840.1.113883.10.20.1.40"/>        <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>        <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>        <!-- :: -->
      </act>
    </component>
  </organizer>
</entry>
ItemDTCardConfDescriptionLabel
hl7:act
The related statement is an event (moodCode='EVN') describing the act (classCode='ACT') of making an arbitrary comment or providing instruction on the related entry.Annodotsment
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1RAnnodotsment
@root
uid1 … 1F2.16.840.1.113883.10.20.1.40
hl7:templateId
II1 … 1RAnnodotsment
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:code
CD1 … 1MThe <code> element indicates that this is a comment and shall be recorded as shown above. The codeSystem and code attributes shall use the values specified above.Annodotsment
@code
CONF1 … 1F48767-8
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FAnnotation Comment
@codeSystemName
1 … 1FLOINC
hl7:text
ED1 … 1MThe <text> element provides a way to represent the <reference> to the text of the comment in the narrative portion of the document. For CDA, this SHALL be represented as a <reference> element that points to the narrative text section of the CDA. The comment itself is not the act being coded, so it appears in the <text> of the <observation>, not as part of the <code>. For HL7 Version 3 Messages, the <text> element SHALL contain the full narrative text.Annodotsment
hl7:statusCode
CS1 … 1MThe code attribute of <statusCode> for all comments must be completed.Annodotsment
@code
CONF1 … 1Fcompleted
hl7:author
0 … 1RThe comment may have an author.Annodotsment
@typeCode
cs0 … 1FAUT
hl7:time
TS0 … 1RThe time of the comment creation shall be recorded in the <time> element when the <author> element is present.Annodotsment
hl7:assignedAuthor
1 … 1MThe identifier of the author, and their address and telephone number must be present inside the <id>, <addr> and <telecom> elements when the <author> element is present.Annodotsment
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … 1RAnnodotsment
hl7:addr
AD1 … 1RAnnodotsment
hl7:telecom
TEL1 … 1RAnnodotsment
Choice1 … 2
The author's and/or the organization's name must be present when the <author> element is present.
Elements to choose from:
  • hl7:assignedPerson
  • hl7:representedOrganization
hl7:assignedPerson
0 … 1RAnnodotsment
hl7:representedOrganization
0 … 1RAnnodotsment