Id2.16.840.1.113883.10.20.22.4.109Effective Date2015‑08‑13
Statusdraft DraftVersion Label2.1
NameCharacteristicsofHomeEnvironmentDisplay NameCharacteristics of Home Environment
Description
This template represents the patient's home environment including, but not limited to, type of residence (trailer, single family home, assisted living), living arrangement (e.g., alone, with parents), and housing status (e.g., evicted, homeless, home owner).
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.109
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 8 transactions and 18 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.26Transactionfinal History and Physical (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.28Transactionfinal Procedure 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
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.51.60.2.4linkpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
2.16.840.1.113883.3.1937.99.61.20.10.13Containmentdraft Social History Section (V3) (2.1)2015‑11‑03 09:00:18
2.16.840.1.113883.3.1937.99.61.30.10.54Containmentcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24Containmentcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25Containmentcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14linkdraft Referral Note (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.17Containmentdraft Social History Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.17Containmentactive Social History Section (V3) (2.1)2019‑03‑16 21:14:36
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.132Containmentdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.136Containmentdraft Risk Concern Act (V2) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
cda:observation
Chardotsment
@classCode
cs1 … 1FOBSCONFdots7890
 SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-27890).
@moodCode
cs1 … 1FEVNCONFdots7891
 SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-27891).
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-27892) such that itCONFdots7892
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.109CONFdots7893
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.109" (CONF:1098-27893).
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:1098-27894).CONFdots7894
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1098-31352).CONFdots1352
@code
CONF1 … 1F75274-1
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:1098-27901).CONFdots7901
@code
CONF1 … 1Fcompleted
cda:value
CD1 … 1MSHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Residence and Accommodation Type urn:oid:2.16.840.1.113883.11.20.9.49 DYNAMIC (CONF:1098-28823).CONFdots8823
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.20.9.49 Residence and Accommodation Type (DYNAMIC)