Draft| Description |
This template represents a Planned Intervention Act. It is a wrapper for planned intervention-type activities considered to be parts of the same intervention. For example, an activity such as "elevate head of bed" combined with "provide humidified O2 per nasal cannula" may be the interventions planned for a health concern of "respiratory insufficiency" in order to attempt to achieve a goal of "pulse oximetry greater than 92%". These intervention activities may be newly described or derived from a variety of sources within an EHR. Interventions are actions taken to increase the likelihood of achieving the patient's or providers' goals. An Intervention Act should contain a reference to a Goal Observation representing the reason for the intervention. Planned Intervention Acts can be related to each other or to Intervention Acts. (E.g., a Planned Intervention Act with moodCode of INT could be related to a series of Intervention Acts with moodCode of EVN, each having an effectiveTime containing the time of the intervention.) All interventions referenced in a Planned Intervention Act must have moodCodes indicating that that are planned (have not yet occurred). |
| Used by 2 transactions and 5 templates, Uses 22 templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Progress Note (V3)
ref
ad1bbr-
Version: template 2.16.840.1.113883.10.20.22.4.146 Planned Intervention Act (V2) (DYNAMIC)
| Item | DT | Card | Conf | Description | Label | |
|---|---|---|---|---|---|---|
| cda:act | Plan ctV2 | |||||
| @classCode | cs | 1 … 1 | F | ACT | CONF2678 | |
| SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1198-32678). | ||||||
| @moodCode | cs | 1 … 1 | R | SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Planned Intervention moodCode urn:oid:2.16.840.1.113883.11.20.9.54 DYNAMIC (CONF:1198-32679). | CONF2679 | |
| CONF |
| |||||
| cda:templateId | II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.146 | ||
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1198-32653) such that it | CONF2653 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.146 | CONF2680 | |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.146" (CONF:1198-32680). | ||||||
| @extension | st | 1 … 1 | F | 2015-08-01 | CONF2912 | |
| SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32912). | ||||||
| cda:id | II | 1 … * | SHALL contain at least one [1..*] id (CONF:1198-32681). | CONF2681 | ||
| cda:code | CD | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:1198-32654). | CONF2654 | |
| @code | CONF | 1 … 1 | F | 362956003 | ||
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.96 | |||
| cda:statusCode | CS | 1 … 1 | M | SHALL contain exactly one [1..1] statusCode (CONF:1198-32655). | CONF2655 | |
| @code | CONF | 1 … 1 | F | active | ||
| cda:effectiveTime | 0 … 1 | R | SHOULD contain zero or one [0..1] effectiveTime (CONF:1198-32723). | CONF2723 | ||
| 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:1198-32719). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | CONF2719 | ||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.48 Advance Directive Observation (V3) (2015‑08‑01) | CONF2652 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2685 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32685). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.52 Immunization Activity (V3) (2015‑08‑01) | CONF2656 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2686 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32686). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.16 Medication Activity (V2) (2014‑06‑09) | CONF2657 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2688 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32688). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.12 Procedure Activity Act (V2) (2014‑06‑09) | CONF2658 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2690 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32690). | ||||||
| cda:entryRelationship | 0 … * | The following entryRelationship represents the relationship between two Intervention Acts (Intervention RELATES TO Intervention). Contains 2.16.840.1.113883.10.20.22.4.131 Intervention Act (V2) (2015‑08‑01) | CONF2659 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2692 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32692). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.13 Procedure Activity Observation (V2) (2014‑06‑09) | CONF2660 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2694 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32694). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.14 Procedure Activity Procedure (V2) (2014‑06‑09) | CONF2661 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2696 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32696). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.49 Encounter Activity (V3) (2015‑08‑01) | CONF2662 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2698 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32698). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09) | CONF2663 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2700 | |
| MAY contain zero or one [0..1] typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32700). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.50 Non-Medicinal Supply Activity (V2) (2014‑06‑09) | CONF2664 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2702 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32702). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.39 Planned Act (V2) (2014‑06‑09) | CONF2665 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2704 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32704). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.40 Planned Encounter (V2) (2014‑06‑09) | CONF2666 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2706 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32706). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.44 Planned Observation (V2) (2014‑06‑09) | CONF2667 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2708 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32708). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.41 Planned Procedure (V2) (2014‑06‑09) | CONF2668 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2710 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32710). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.42 Planned Medication Activity (V2) (2014‑06‑09) | CONF2669 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2712 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32712). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.43 Planned Supply (V2) (2014‑06‑09) | CONF2670 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2714 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32714). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.130 Nutrition Recommendation (2015‑08‑13) | CONF2671 | |||
| cda:entryRelationship | 0 … * | Where an Intervention needs to reference another entry already described in the CDA document instance, rather than repeating the full content of the entry, the Entry Reference template may be used to reference this entry. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF2672 | |||
| where [@typeCode='REFR'] | ||||||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2717 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32717). | ||||||
| cda:entryRelationship | 1 … * | M | An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation. Contains 2.16.840.1.113883.10.20.22.4.122 Entry Reference (2015‑08‑13) | CONF2673 | ||
| where [@typeCode='RSON'] | ||||||
| @typeCode | cs | 1 … 1 | F | RSON | CONF2720 | |
| SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32720). | ||||||
| Constraint | This entryReference template *SHALL* reference an instance of a Goal Observation template. | |||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.141 Handoff Communication Participants (2015‑08‑13) | CONF2675 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2726 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32726). | ||||||
| cda:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.120 Planned Immunization Activity (2015‑08‑13) | CONF2676 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2728 | |
| SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32728). | ||||||
| cda:reference | 0 … * | Contains 2.16.840.1.113883.10.20.22.4.115 External Document Reference (2014‑06‑09) | CONF2766 | |||
| @typeCode | cs | 1 … 1 | F | REFR | CONF2767 | |
| The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-32767). | ||||||