Id2.16.840.1.113883.10.20.22.2.126Effective Date2019‑04‑29 07:49:44
Statuspending Under pre-publication reviewVersion Label2.1
NamePlannedCoverageDisplay NamePlanned Coverage
DescriptionThis template represents the insurance coverage intended to cover an act or procedure.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.126
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.51.60.3.29Containmentpending BC CDA Planned Observation (V2) (2.1)2019‑04‑29 08:07:34
Uses as NameVersion
2.16.840.1.113883.3.51.60.3.5Containmentpending BC CDA Author (Body) (2.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.20.22.2.126 (2015‑08‑13)
Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
cda:act
Plandotsrage
@classCode
cs1 … 1FACTCONFdots1945
 SHALL contain exactly one [1..1] @classCode="ACT" act (CodeSystem: ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-31945).
@moodCode
cs1 … 1FINTCONFdots1946
 SHALL contain exactly one [1..1] @moodCode="INT" Intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31946).
hl7:templateId
II1 … 1MPlandotsrage
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.126
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-31947) such that itCONFdots1947
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.126CONFdots1948
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.129" (CONF:1098-31948).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-31950).CONFdots1950
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-31951).CONFdots1951
@code
CONF1 … 1F48768-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-31954).CONFdots1954
@code
CONF1 … 1Factive
cda:author
0 … *MAY contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32178).
Contains 2.16.840.1.113883.3.51.60.3.5 BC CDA Author (Body) (DYNAMIC)		CONFdots2178
cda:entryRelationship
1 … 1MSHALL contain exactly one [1..1] entryRelationship (CONF:1098-31967) such that itCONFdots1967
@typeCode
cs1 … 1FCOMPCONFdots1968
 SHALL contain exactly one [1..1] @typeCode="COMP" has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31968).
cda:act
1 … 1MSHALL contain exactly one [1..1] act (CONF:1098-31969).CONFdots1969
@classCode
cs1 … 1FACTCONFdots1970
 This act SHALL contain exactly one [1..1] @classCode="ACT" ACT (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31970).
@moodCode
cs1 … 1FINTCONFdots1971
 This act SHALL contain exactly one [1..1] @moodCode="INT" intent (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31971).
cda:id
II1 … *This act SHALL contain at least one [1..*] id (CONF:1098-31972).

These act/identifiers are unique identifiers for the policy or program providing the coverage.

CONFdots1972
cda:code
CD1 … 1This act SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Payer urn:oid:2.16.840.1.114222.4.11.3591 DYNAMIC (CONF:1098-31973).CONFdots1973
 CONF
The value of @code shall be drawn from value set 2.16.840.1.114222.4.11.3591 Payer (DYNAMIC)
cda:statusCode
CS1 … 1MThis act SHALL contain exactly one [1..1] statusCode (CONF:1098-31974).CONFdots1974
@code
CONF1 … 1Factive