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Template IHE Comment Entry 2013‑12‑20

Id1.3.6.1.4.1.19376.1.5.3.1.4.2
ref
IHE-PCC-
Effective Date2013‑12‑20
Statusactive ActiveVersion Label2014
NameIHECommentEntryDisplay NameIHE Comment Entry
Description
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.

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)
Used by / Uses
Used by 1 transaction and 10 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.6.4.2Transactiondraft CDA Document Anatomic Pathology Structured Report 2015 (2.0)2015‑10‑23 10:32:36
1.3.6.1.4.1.19376.1.3.10.3.1linkdraft Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.8.1.1.1linkdraft Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1linkdraft Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2linkdraft Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3linkdraft Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4linkdraft Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5linkdraft Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
1.3.6.1.4.1.19376.1.8.1.3.6Containmentdraft Problem Organizer (2.0)2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.8.1.4.9Containmentdraft AP Observation Entry (2.0)2014‑05‑14 17:09:54
1.3.6.1.4.1.19376.1.8.1.4.10Containmentdraft Embedded Image2016‑06‑22 16:08:01
RelationshipSpecialization: template 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)
ref
ccd1-
Example
Example
<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/>      <telecom value="" use=""/>      <assignedPerson>
        <name/>      </assignedPerson>      <representedOrganization>
        <name/>      </representedOrganization>    </assignedAuthor>  </author></act>
ItemDTCardConfDescriptionLabel
hl7:act
RIHECdotsntry
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MIHECdotsntry
@root
uid1 … 1F2.16.840.1.113883.10.20.1.40
hl7:templateId
II1 … 1MIHECdotsntry
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:code
CD1 … 1MIHECdotsntry
@code
CONF1 … 1F48767-8
@codeSystem
1 … 1F2.16.840.1.113883.6.1
hl7:statusCode
CS1 … 1MIHECdotsntry
@code
CONF1 … 1Fcompleted
hl7:text
ED1 … 1MIHECdotsntry
hl7:reference
TEL1 … 1MIHECdotsntry
hl7:author
0 … *IHECdotsntry
hl7:time
TS1 … 1MIHECdotsntry
hl7:assignedAuthor
1 … 1MIHECdotsntry
hl7:id
II1 … *MIHECdotsntry
hl7:addr
AD1 … *MIHECdotsntry
hl7:telecom
TEL1 … *MIHECdotsntry
Choice1 … *Elements to choose from:
  • hl7:assignedPerson
  • hl7:representedOrganization
hl7:assignedPerson
0 … 1RIHECdotsntry
hl7:name
PN1 … *RIHECdotsntry
hl7:representedOrganization
0 … 1RIHECdotsntry
hl7:name
ON1 … *RIHECdotsntry