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Template Encounter Activity (V3) 2015‑08‑01

Id2.16.840.1.113883.10.20.22.4.49
ref
ccda-
Gültigkeit ab2015‑08‑01
Statusdraft EntwurfVersions-Label2.1
NameEncounterActivityV3BezeichnungEncounter Activity (V3)
Beschreibungen-US This clinical statement describes an interaction between a patient and clinician. Interactions may include in-person encounters, telephone conversations, and email exchanges.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.49
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 4 Transactions und 11 Templates, Benutzt 3 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transaktionfinal en-US Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transaktionfinal en-US Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transaktionfinal en-US Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transaktionfinal en-US Care Plan (V2)2015‑08‑01
1.2.276.0.76.3.1.135.8.10.3Containmentdraft Encounters Section (entries optional) (V3) (2.1)2015‑12‑02 12:45:07
2.16.840.1.113883.3.1937.99.61.20.10.7Containmentdraft Encounters Section (entries required) (V3) (2.1)2015‑11‑03 08:56:18
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.22Containmentdraft Encounters Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.22.1Containmentdraft Encounters Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.131Containmentdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146linkdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
Benutzt als NameVersion
2.16.840.1.113883.10.20.22.4.19Containmentdraft Indication (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.32Containmentdraft Service Delivery Location (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.80Containmentdraft Encounter Diagnosis (V3) (2.1)2015‑08‑01
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.302 CDA Encounter (2005‑09‑07)
ref
ad1bbr-

Version: Template 2.16.840.1.113883.10.20.22.4.49 Encounter Activities (2013‑01‑31)
ref
ccda-
ItemDTKardKonfBeschreibungLabel
cda:encounter
EncodotstyV3
@classCode
cs1 … 1FENCCONFdots8710
 en-US SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8710).
@moodCode
cs1 … 1FEVNCONFdots8711
 en-US SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8711).
cda:templateId
II1 … 1Men-US C-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.49
cda:templateId
II1 … 1Men-US SHALL contain exactly one [1..1] templateId (CONF:1198-8712) such that itCONFdots8712
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.49CONFdots6353
 en-US SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49" (CONF:1198-26353).
@extension
st1 … 1F2015-08-01CONFdots2546
 en-US SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32546).
cda:id
II1 … *en-US SHALL contain at least one [1..*] id (CONF:1198-8713).CONFdots8713
cda:code
 (preferred)1 … 1en-US SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet EncounterTypeCode urn:oid:2.16.840.1.113883.3.88.12.80.32 DYNAMIC (CONF:1198-8714).CONFdots8714
 CONF
Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.3.88.12.80.32 EncounterTypeCode (DYNAMIC)
cda:originalText
0 … 1Ren-US This code SHOULD contain zero or one [0..1] originalText (CONF:1198-8719).CONFdots8719
cda:reference
0 … 1Ren-US The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1198-15970).CONFdots5970
@value
0 … 1 en-US The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1198-15971).CONFdots5971
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MeldungThis reference/@value *SHALL* begin with a '#' and *SHALL* point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:translation
0 … *en-US This code MAY contain zero or one [0..1] translation (CONF:1198-32323).

The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) valueset to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) valueset.

CONFdots2323
cda:effectiveTime
1 … 1en-US SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8715).CONFdots8715
sdtc:dischargeDispositionCode
0 … 1en-US MAY contain zero or one [0..1] sdtc:dischargeDispositionCode (CONF:1198-32176).CONFdots2176
@code
1 … 1Ren-US This sdtc:dischargeDispositionCode SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) DYNAMIC or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177).CONFdots2177
@codeSystem
1 … 1Ren-US This sdtc:dischargeDispositionCode SHOULD contain zero or one [0..1] @codeSystem, which SHOULD be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 OR CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377).CONFdots2377
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMIC)
oder
@codeSystem muss "2.16.840.1.113883.12.112" sein
cda:performer
0 … *en-US MAY contain zero or more [0..*] performer (CONF:1198-8725).CONFdots8725
cda:assignedEntity
1 … 1Men-US The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8726).CONFdots8726
cda:code
CE (preferred)0 … 1en-US This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-8727).CONFdots8727
 CONF
Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (DYNAMIC)
cda:participant
 (extensible)0 … *RBeinhaltet 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13)CONFdots8738
@typeCode
cs1 … 1FLOCCONFdots8740
 en-US SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8740).
 CONF
@typeCode muss "LOC" sein
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)CONFdots8722
@typeCode
cs1 … 1FRSONCONFdots8723
 en-US SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8723).
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (V3) (2015‑08‑01)CONFdots5492

Template Encounter Activities 2013‑01‑31

Id2.16.840.1.113883.10.20.22.4.49
ref
ccda-
Gültigkeit ab2013‑01‑31
Statusdraft EntwurfVersions-Label1.1
NameEncounterActivitiesBezeichnungEncounter Activities
Beschreibungen-US This clinical statement describes the interactions between the patient and clinicians. Interactions include in-person encounters, telephone conversations, and email exchanges.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.49
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 1 Transaction und 4 Templates, Benutzt 3 Templates
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.3.4.1Transaktionfinal en-US Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.2Containmentdraft Encounters Section (entries optional) (1.1)2016‑10‑09 02:21:23
2.16.840.1.113883.10.20.22.2.22Containmentdraft Encounters Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.22.1Containmentdraft Encounters Section (entries required) (1.1)2013‑01‑31
Benutzt als NameVersion
2.16.840.1.113883.10.20.22.4.19Containmentdraft Indication (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.32Containmentdraft Service Delivery Location (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.80Containmentdraft Encounter Diagnosis (1.1)2013‑01‑31
ItemDTKardKonfBeschreibungLabel
cda:encounter
Encodotsties
@classCode
cs1 … 1FENCconf‑8710
@moodCode
cs1 … 1FEVNconf‑8711
cda:templateId
II1 … 1Men-US SHALL contain exactly one [1..1] templateId (CONF:8712) such that itconf‑8712
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.49confdots0494
cda:id
II1 … *en-US SHALL contain at least one [1..*] id (CONF:8713).conf‑8713
cda:code
 (extensible)0 … 1Ren-US SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet EncounterTypeCode 2.16.840.1.113883.3.88.12.80.32 DYNAMIC (CONF:8714).conf‑8714
 CONF
Der Wert von @code sollte gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.80.32 EncounterTypeCode (DYNAMIC)
cda:originalText
0 … 1Ren-US The code, if present, SHOULD contain zero or one [0..1] originalText (CONF:8719).conf‑8719
cda:reference
0 … 1Ren-US The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15970).

This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)		conf‑15970 / conf‑8720
@value
0 … 1 confdots5971
 Schematron assertrolered error 
 teststarts-with(@value, '#') 
 MeldungThis reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:effectiveTime
1 … 1en-US SHALL contain exactly one [1..1] effectiveTime (CONF:8715).conf‑8715
sdtc:dischargeDispositionCode
CD0 … 1en-US MAY contain zero or one [0..1] sdtc:dischargeDispositionCode, which SHALL be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status DYNAMIC or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition. The prefix sdtc: SHALL be bound to the namespace “urn:hl7-org:sdtc”. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode elementEncodotsties
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMIC)
oder
@codeSystem muss "2.16.840.1.113883.12.112" sein
@codeSystemName muss "HL7v2 table 0112 Dicharge Disposition" sein
cda:performer
0 … *en-US MAY contain zero or more [0..*] performer (CONF:8725).conf‑8725
cda:assignedEntity
1 … 1Men-US The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8726).conf‑8726
cda:code
CE0 … 1en-US This assignedEntity MAY contain zero or one [0..1] code (CONF:8727).conf‑8727
cda:participant
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2013‑01‑31)conf‑8738
@typeCode
cs1 … 1FLOCconf‑8740
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (2013‑01‑31)conf‑8722
@typeCode
cs1 … 1FRSONconf‑8723
cda:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (2013‑01‑31)confdots5492