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Template Encounter Activity (V3) 2015‑08‑01

Id2.16.840.1.113883.10.20.22.4.49
ref
ccda-
Effective Date2015‑08‑01
Statusdraft DraftVersion Label2.1
NameEncounterActivityV3Display NameEncounter Activity (V3)
DescriptionThis clinical statement describes an interaction between a patient and clinician. Interactions may include in-person encounters, telephone conversations, and email exchanges.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.49
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 11 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal 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
Uses as 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
RelationshipSpecialization: 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-
ItemDTCardConfDescriptionLabel
cda:encounter
EncodotstyV3
@classCode
cs1 … 1FENCCONFdots8710
 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
 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 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.49
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1198-8712) such that itCONFdots8712
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.49CONFdots6353
 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
 SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32546).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1198-8713).CONFdots8713
cda:code
 (preferred)1 … 1SHALL 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
The value of @code comes preferably from value set 2.16.840.1.113883.3.88.12.80.32 EncounterTypeCode (DYNAMIC)
cda:originalText
0 … 1RThis code SHOULD contain zero or one [0..1] originalText (CONF:1198-8719).CONFdots8719
cda:reference
0 … 1RThe originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1198-15970).CONFdots5970
@value
0 … 1 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, '#') 
 MessageThis 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 … *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 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8715).CONFdots8715
sdtc:dischargeDispositionCode
0 … 1MAY contain zero or one [0..1] sdtc:dischargeDispositionCode (CONF:1198-32176).CONFdots2176
@code
1 … 1RThis 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 … 1RThis 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
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMIC)
or
@codeSystem shall be "2.16.840.1.113883.12.112"
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:1198-8725).CONFdots8725
cda:assignedEntity
1 … 1MThe performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8726).CONFdots8726
cda:code
CE (preferred)0 … 1This 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
The value of @code comes preferably from value set 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (DYNAMIC)
cda:participant
 (extensible)0 … *RContains 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13)CONFdots8738
@typeCode
cs1 … 1FLOCCONFdots8740
 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 shall be "LOC"
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)CONFdots8722
@typeCode
cs1 … 1FRSONCONFdots8723
 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 … *Contains 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-
Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameEncounterActivitiesDisplay NameEncounter Activities
DescriptionThis clinical statement describes the interactions between the patient and clinicians. Interactions include in-person encounters, telephone conversations, and email exchanges.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.49
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 4 templates, Uses 3 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal 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
Uses as 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
ItemDTCardConfDescriptionLabel
cda:encounter
Encodotsties
@classCode
cs1 … 1FENCconf‑8710
@moodCode
cs1 … 1FEVNconf‑8711
cda:templateId
II1 … 1MSHALL 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 … *SHALL contain at least one [1..*] id (CONF:8713).conf‑8713
cda:code
 (extensible)0 … 1RSHOULD 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
The value of @code should be drawn from value set 2.16.840.1.113883.3.88.12.80.32 EncounterTypeCode (DYNAMIC)
cda:originalText
0 … 1RThe code, if present, SHOULD contain zero or one [0..1] originalText (CONF:8719).conf‑8719
cda:reference
0 … 1RThe 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, '#') 
 MessageThis 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 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:8715).conf‑8715
sdtc:dischargeDispositionCode
CD0 … 1MAY 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
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMIC)
or
@codeSystem shall be "2.16.840.1.113883.12.112"
@codeSystemName shall be "HL7v2 table 0112 Dicharge Disposition"
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:8725).conf‑8725
cda:assignedEntity
1 … 1MThe performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:8726).conf‑8726
cda:code
CE0 … 1This assignedEntity MAY contain zero or one [0..1] code (CONF:8727).conf‑8727
cda:participant
0 … *Contains 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 … *Contains 2.16.840.1.113883.10.20.22.4.19 Indication (2013‑01‑31)conf‑8722
@typeCode
cs1 … 1FRSONconf‑8723
cda:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (2013‑01‑31)confdots5492