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Template Planned Encounter (V2) 2014‑06‑09

Id	2.16.840.1.113883.10.20.22.4.40 ref ccda-	Gültigkeit ab	2014‑06‑09
Status	Entwurf	Versions-Label	2.1
Name	PlannedEncounterV2	Bezeichnung	Planned Encounter (V2)
Beschreibung This template represents a planned or ordered encounter. The type of encounter (e.g., comprehensive outpatient visit) is represented. Clinicians participating in the encounter and the location of the planned encounter may be captured. The priority that the patient and providers place on the encounter may be represented.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.40
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 10 Transactions und 24 Templates, Benutzt 4 Templates Benutzt von als Name Version 2.16.840.1.113883.3.1937.99.3.4.27 Transaktion Operative Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.31 Transaktion Transfer Summary (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.25 Transaktion Discharge Summary (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.29 Transaktion Progress Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.26 Transaktion History and Physical (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.22 Transaktion Consultation Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.28 Transaktion Procedure Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.23 Transaktion Continuity of Care Document (CCD) (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.30 Transaktion Referral Note (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.21 Transaktion Care Plan (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.61.8.10.3.2 Containment Plan of Care Section 2014‑02‑04 13:11:29 2.16.840.1.113883.3.1937.99.61.17.10.2 SHN StructuredBody 2015‑05‑09 11:18:02 2.16.840.1.113883.3.1937.99.61.17.10.3 SHN component 2015‑05‑09 11:28:46 2.16.840.1.113883.3.1937.99.61.18.10.6 Выписной эпикриз 2015‑06‑06 14:32:25 2.16.840.1.113883.3.1937.99.61.21.10.20 Containment NH MI (fake) Recommendation (2.1) 2019‑07‑25 23:56:49 2.16.840.1.113883.3.1937.99.61.26.10.122 Containment Nutrition Recommendation (2.1) 2019‑04‑29 09:01:33 2.16.840.1.113883.3.1937.99.61.28.10.3 CDA de Consulta (1) 2017‑04‑22 23:20:01 2.16.840.1.113883.10.20.21.2.3 Interventions Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.3 History and Physical (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.4 Consultation Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.6 Procedure Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.7 Operative Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.9 Progress Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.13 Transfer Summary (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.14 Referral Note (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.15 Care Plan (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.10 Containment Plan of Treatment Section (V2) (2.1) 2019‑03‑16 08:54:08 2.16.840.1.113883.10.20.22.2.101 BC CDA Referral Note (V2) (2.1) 2019‑04‑06 02:03:17 2.16.840.1.113883.10.20.22.4.130 Containment Nutrition Recommendation (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.131 Intervention Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.146 Containment Planned Intervention Act (V2) (2.1) 2015‑08‑01 Benutzt als Name Version 2.16.840.1.113883.10.20.22.4.19 Containment Indication (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.32 Containment Service Delivery Location (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.119 Containment Author Participation (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.143 Containment Priority Preference (2.1) 2015‑08‑13
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.302 CDA Encounter (2005‑09‑07) ref ad1bbr- Version: Template 2.16.840.1.113883.10.20.22.4.40 Plan of Care Activity Encounter (2013‑01‑31) ref ccda-
Alles ausklappenAlles einklappen Item DT Kard Konf Beschreibung Label cda:encounter PlanerV2 @classCode cs 1 … 1 F ENC CONF8564   SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8564). @moodCode cs 1 … 1 R SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Act/Encounter/Procedure) urn:oid:2.16.840.1.113883.11.20.9.23 STATIC  2014-09-01  (CONF:1098-8565). CONF8565   CONF Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.23 Plan of Care moodCode (Act/Encounter/Procedure) (DYNAMIC) cda:templateId II 1 … 1 M C-CDA R1.1 templateId root without an extension CONF2936 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.40 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-30437) such that it CONF0437 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.40 CONF0438   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.40" (CONF:1098-30438). @extension st 1 … 1 F 2014-06-09 CONF2553   SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32553). cda:id II 1 … * SHALL contain at least one [1..*] id (CONF:1098-8567). CONF8567 cda:code  (extensible) 0 … 1 R SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Encounter Planned urn:oid:2.16.840.1.113883.11.20.9.52 DYNAMIC (CONF:1098-31032). Records the type of encounter ordered or recommended. CONF1032   CONF Der Wert von @code sollte gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.52 Encounter Planned or Requested (DYNAMIC) cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-30439). CONF0439 @code CONF 1 … 1 F active cda:effectiveTime 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30440). CONF0440 cda:performer 0 … * MAY contain zero or more [0..*] performer (CONF:1098-30442) such that it Performers represent clinicians who are responsible for assessing and treating the patient. CONF0442 cda:assignedEntity 1 … 1 SHALL contain exactly one [1..1] assignedEntity (CONF:1098-31874). CONF1874 cda:author 0 … * R SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32045). The author in a planned encounter represents the clinician who is requesting or planning the encounter. Beinhaltet 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) CONF2045 cda:participant  (extensible) 0 … * This location participation captures where the planned or ordered encounter may take place. Beinhaltet 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13) CONF0443 @typeCode cs 1 … 1 F LOC CONF1875   SHALL contain exactly one [1..1] @typeCode="LOC" Location (HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-31875).   CONF @typeCode muss "LOC" sein cda:entryRelationship 0 … 1 The following entryRelationship represents the priority that a patient or a provider places on the encounter. Beinhaltet 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13) CONF1033 @typeCode cs 1 … 1 F REFR CONF1034   SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31034). cda:entryRelationship 0 … * The following entryRelationship captures the reason for the planned or ordered encounter Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) CONF1877 @typeCode cs 1 … 1 F RSON CONF1878   SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31878).

Template Plan of Care Activity Encounter 2013‑01‑31

Id	2.16.840.1.113883.10.20.22.4.40 ref ccda-	Gültigkeit ab	2013‑01‑31
Status	Entwurf	Versions-Label	1.1
Name	PlanofCareActivityEncounter	Bezeichnung	Plan of Care Activity Encounter
Beschreibung	This is the template for the Plan of Care Activity Encounter.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.40
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 7 Transactions und 10 Templates, Benutzt 0 Templates Benutzt von als Name Version 2.16.840.1.113883.3.1937.99.3.4.4 Transaktion Progress Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.3 Transaktion Discharge Summary (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.6 Transaktion Operative Note (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.5 Transaktion Procedure Note (US Realm – Release 1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.2 Transaktion Consultation Notes (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.7 Transaktion History and Physical (H and P) (Release 1.1) 2013‑01‑31 2.16.840.1.113883.3.1937.99.3.4.1 Transaktion Continuity of Care Document (CCD) (Release 1.1) 2013‑01‑31 1.3.6.1.4.1.19376.1.4.1.2.22 Containment Plan of Care - Cardiac Section (1.0) 2017‑03‑28 22:31:43 2.16.840.1.113883.3.1937.99.61.41.10.4 Discharge Summary (1.1) 2018‑02‑19 15:30:38 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.3 History and Physical (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.4 Consultation Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.6 Procedure Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.7 Operative Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.1.9 Progress Note (1.1) 2013‑01‑31 2.16.840.1.113883.10.20.22.2.10 Containment Plan of Care Section (1.1) 2013‑01‑31
Alles ausklappenAlles einklappen Item DT Kard Konf Beschreibung Label cda:encounter Plannter @classCode cs 1 … 1 F ENC conf‑8564 @moodCode cs 1 … 1 R conf‑8565   CONF Der Wert von @moodCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.11.20.9.23 Plan of Care moodCode (Act/Encounter/Procedure) (DYNAMIC) cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:8566) such that it conf‑8566 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.40 conf0511 cda:id II 1 … * SHALL contain at least one [1..*] id (CONF:8567). conf‑8567