Id2.16.840.1.113883.3.51.60.3.29Effective Date2019‑04‑29 08:07:34
Statuspending Under pre-publication reviewVersion Label2.1
NameBCCDAPlannedObservationV2Display NameBC CDA Planned Observation (V2)
Description
This template represents planned observations that result in new information about the patient which cannot be classified as a procedure according to the HL7 RIM, i.e., procedures alter the patient's body. Examples of these observations are laboratory tests, diagnostic imaging tests, EEGs, and EKGs. The importance of the planned observation to the patient and provider is communicated through Priority Preference. The effectiveTime indicates the time when the observation is intended to take place and authorTime indicates when the documentation of the plan occurred. The Planned Observation template may also indicate the potential insurance coverage for the observation.
ContextParent nodes of template element with id 2.16.840.1.113883.3.51.60.3.29
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.51.60.3.36Containmentpending BC CDA Plan of Treatment Section (V2) (2.1)2019‑04‑29 08:44:11
2.16.840.1.113883.3.51.60.3.38Containmentpending BC CDA Nutrition Recommendation (2.1)2019‑04‑29 09:04:18
Uses as NameVersion
2.16.840.1.113883.3.51.60.3.5Containmentpending BC CDA Author (Body) (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.67Containmentpending Indication (V2) (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.68Containmentpending Instruction (V2) (2.1)DYNAMIC
2.16.840.1.113883.10.20.22.2.126Containmentpending Planned Coverage (2.1)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.3.51.60.3.29 (2014‑06‑09)
Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.3.51.60.3.29 (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:observation
BCCDdotsonV2
@classCode
cs1 … 1FOBSCONFdots8581
 SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8581).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned moodCode (Observation) urn:oid:2.16.840.1.113883.11.20.9.25 STATIC 2011-09-30 (CONF:1098-8582).CONFdots8582
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.11.20.9.25 Planned moodCode (Observation) (2011‑09‑30)
hl7:templateId
II1 … 1MBCCDdotsonV2
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.29
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-30451) such that itCONFdots0451
@root
uid1 … 1F2.16.840.1.113883.3.51.60.3.29CONFdots0452
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.44" (CONF:1098-30452).
@extension
st1 … 1F2014-06-09CONFdots2555
 SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32555).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-8584).CONFdots8584
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-31030).CONFdots1030
@codeSystem
CONF1 … 1F2.16.840.1.113883.6.1
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-30453).CONFdots0453
@code
CONF1 … 1Factive
cda:effectiveTime
IVL_TS0 … 1RSHOULD contain zero or one [0..1] effectiveTime (CONF:1098-30454).

The effectiveTime in a planned observation represents the time that the observation should occur.

CONFdots0454
cda:value
0 … 1MAY contain zero or one [0..1] value (CONF:1098-31031).CONFdots1031
cda:methodCode
0 … 1MAY contain zero or one [0..1] methodCode (CONF:1098-32043).

In a planned observation the provider may suggest that an observation should be performed using a particular method.

CONFdots2043
cda:targetSiteCode
0 … *RSHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-32044).

The targetSiteCode is used to identify the part of the body of concern for the planned observation.

CONFdots2044
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.88.12.3221.8.9 Body Site (DYNAMIC)
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:1098-30456).

The clinician who is expected to perform the observation could be identified using procedure/performer.

CONFdots0456
cda:author
0 … *RSHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32033).

The author in a planned observation represents the clinician who is requesting or planning the observation.


Contains 2.16.840.1.113883.3.51.60.3.5 BC CDA Author (Body) (DYNAMIC)		CONFdots2033
cda:entryRelationship
0 … *The following entryRelationship represents the indication for the observation.
Contains 2.16.840.1.113883.10.20.22.2.67 Indication (V2) (DYNAMIC)		CONFdots2034
@typeCode
cs1 … 1FRSONCONFdots2035
 SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32035).
cda:entryRelationship
0 … *The following entryRelationship captures any instructions associated with the planned observation.
Contains 2.16.840.1.113883.10.20.22.2.68 Instruction (V2) (DYNAMIC)		CONFdots2037
@typeCode
cs1 … 1FSUBJCONFdots2038
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32038).
cda:entryRelationship
0 … *The following entryRelationship represents the insurance coverage the patient may have for the observation.
Contains 2.16.840.1.113883.10.20.22.2.126 Planned Coverage (DYNAMIC)		CONFdots2040
@typeCode
cs1 … 1FCOMPCONFdots2041
 SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32041).