Template

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Template Harmonized EU-US Patient Summary 2014‑02‑08

Id2.16.840.1.113883.3.1937.99.61.31.10.1.1Effective Date2014‑02‑08
Statusdraft DraftVersion Label
NameEUUSPatientSummaryDisplay NameHarmonized EU-US Patient Summary
DescriptionHarmonized EU-US Patient Summary
ContextPathname cda:ClinicalDocument
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 0 templates, Uses 8 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.31.4.2Transactiondraft Harmonized EU-US Patient Summary2013‑02‑10
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.31.10.2.1Includedraft CDA recordTargetDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.2.2Includedraft CDA authorDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.2.3Includedraft CDA custodianDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.9.1Includedraft CDA typeIdDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.9.2Includedraft CDA idDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.9.3Includedraft CDA titleDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.9.5Includedraft CDA confidentialityCodeDYNAMIC
2.16.840.1.113883.3.1937.99.61.31.10.9.900004Includedraft CDA effectiveTimeDYNAMIC
Example
Example
<ClinicalDocument>
  <!-- CDA Header -->
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <hl7:templateId root="2.16.840.1.113883.3.1937.99.61.31.10.1"/>  <hl7:id extension="123456789" root="2.16.840.1.113883.3.1937.99.3.2.997788.1"/>  <hl7:code code="?????-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="?????"/>  <hl7:effectiveTime value="20131020122709"/>  <hl7:confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>  <hl7:recordTarget>
    <!-- .. -->
  </hl7:recordTarget>  <hl7:author>
    <!-- .. -->
  </hl7:author>  <hl7:custodian>
    <!-- .. -->
  </hl7:custodian>  <!-- CDA Body -->
  <hl7:component>
    <structuredBody>
      <hl7:component>
        <!-- .. -->
      </hl7:component>    </structuredBody>  </hl7:component></ClinicalDocument>
ItemDTCardConfDescriptionLabel
cda:ClinicalDocument
EUUSdotsmary
Included from 2.16.840.1.113883.3.1937.99.61.31.10.9.1 CDA typeId (DYNAMIC)
cda:typeId
II1 … 1MCDAtypeId
@extension
st1 … 1FPOCD_HD000040
@root
uid1 … 1F2.16.840.1.113883.1.3
cda:templateId
II1 … 1MCDA document template id for this kind of documentEUUSdotsmary
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.31.10.1
 Example<templateId root="2.16.840.1.113883.3.1937.99.61.31.10.1"/>
Included from 2.16.840.1.113883.3.1937.99.61.31.10.9.2 CDA id (DYNAMIC)
cda:id
II1 … 1MCDAid
cda:code
CE1 … 1MEUUSdotsmary
@code
CONF1 … 1F?????-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
 Example<code code="?????-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
Included0 … 1 from 2.16.840.1.113883.3.1937.99.61.31.10.9.3 CDA title (DYNAMIC)
 Example<title>Harmonized EU-US Patient Summary</title>
cda:title
ST0 … 1CDAtitle
Included from 2.16.840.1.113883.3.1937.99.61.31.10.9.900004 CDA effectiveTime (DYNAMIC)
cda:effectiveTime
TS.DATETIME.MIN1 … 1MCDAedotsTime
Included from 2.16.840.1.113883.3.1937.99.61.31.10.9.5 CDA confidentialityCode (DYNAMIC)
cda:confidentialityCode
CE1 … 1MCDAcdotsCode
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.1 CDA recordTarget (DYNAMIC)
cda:recordTarget
CDArdotsrget
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
cda:patientRole
1 … 1CDArdotsrget
@classCode
cs0 … 1FPAT
Included1 … 1R from 2.16.840.1.113883.3.1937.99.61.31.10.9.4 National Patient Identifier (DYNAMIC)
cda:id
II1 … 1RNatidotsfier
@root
uid1 … 1R
@extension
st1 … 1RNational Patient Identifier
cda:patient
1 … 1RCDArdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Example<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19620219"/></patient>
cda:name
PN1 … *RCDArdotsrget
cda:administrativeGenderCode
CE1 … 1RCDArdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
cda:birthTime
TS1 … 1RCDArdotsrget
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.2 CDA author (DYNAMIC)
cda:author
1 … *MCDAauthor
@typeCode
cs0 … 1FAUT
cda:time
TS.DATE.MIN1 … 1MCDAauthor
cda:assignedAuthor
1 … 1MCDAauthor
@classCode
cs0 … 1FASSIGNED
cda:id
II1 … 1RCDAauthor
cda:assignedPerson
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.4 CDA Person Elements (2011‑12‑19)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
cda:name
PN1 … 1MCDAPdotsents
cda:representedOrganization
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.5 CDA Organization Elements (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
cda:id
II0 … *CDAOdotsents
cda:name
ON1 … 1MCDAOdotsents
cda:telecom
TEL0 … *CDAOdotsents
cda:addr
AD0 … 1CDAOdotsents
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.3 CDA custodian (DYNAMIC)
cda:custodian
1 … 1MCDAcdotsdian
@typeCode
cs0 … 1FCST
cda:assignedCustodian
1 … 1MCDAcdotsdian
@classCode
cs0 … 1FASSIGNED
cda:representedCustodianOrganization
0 … 1CDAcdotsdian
Included from 2.16.840.1.113883.3.1937.99.61.31.10.2.5 CDA Organization Elements (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
cda:id
II0 … *CDAOdotsents
cda:name
ON1 … 1MCDAOdotsents
cda:telecom
TEL0 … *CDAOdotsents
cda:addr
AD0 … 1CDAOdotsents
cda:component
EUUSdotsmary
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
 Example<!-- now for the study results: CDA body -->
<component typeCode="COMP" contextConductionInd="true">
  <!-- ... -->
</component>
cda:structuredBody
EUUSdotsmary
@classCode
cs0 … 1FDOCBODY
@moodCode
cs0 … 1FEVN
 Example<structuredBody classCode="DOCBODY" moodCode="EVN">
  <!-- ... -->
</structuredBody>