Id2.16.840.1.113883.10.20.22.4.44Effective Date2014‑06‑09
Statusdraft DraftVersion Label2.1
NamePlannedObservationV2Display NamePlanned 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 2.16.840.1.113883.10.20.22.4.44
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 10 transactions and 19 templates, Uses 5 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.27Transactionfinal Operative Note (V3)2015‑08‑01
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
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (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
2.16.840.1.113883.3.1937.99.61.8.10.3.2Containmentdraft Plan of Care Section2014‑02‑04 13:11:29
2.16.840.1.113883.3.1937.99.61.21.10.20Containmentdraft NH MI (fake) Recommendation (2.1)2019‑07‑25 23:56:49
2.16.840.1.113883.3.1937.99.61.26.10.122Containmentdraft Nutrition Recommendation (2.1)2019‑04‑29 09:01:33
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
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
2.16.840.1.113883.10.20.22.1.7linkdraft Operative 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
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (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
2.16.840.1.113883.10.20.22.2.10linkdraft Plan of Treatment Section (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.2.10Containmentdraft Plan of Treatment Section (V2) (2.1)2019‑03‑16 08:54:08
2.16.840.1.113883.10.20.22.4.130Containmentdraft Nutrition Recommendation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.131linkdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146Containmentdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.19Containmentdraft Indication (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.20Containmentdraft Instruction (V2) (2.1)2014‑06‑09
2.16.840.1.113883.10.20.22.4.119Containmentdraft Author Participation (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.129Containmentdraft Planned Coverage (2.1)2015‑08‑13
2.16.840.1.113883.10.20.22.4.143Containmentdraft Priority Preference (2.1)2015‑08‑13
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.44 Plan of Care Activity Observation (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:observation
PlandotsonV2
@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 Plan of Care moodCode (Observation) (DYNAMIC)
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.44
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1098-30451) such that itCONFdots0451
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.44CONFdots0452
 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
CD (extensible)1 … 1SHALL 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
CONF0 … 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 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)		CONFdots2033
cda:entryRelationship
0 … *The following entryRelationship represents the priority that a patient or a provider places on the observation.
Contains 2.16.840.1.113883.10.20.22.4.143 Priority Preference (2015‑08‑13)		CONFdots1073
@typeCode
cs1 … 1FREFRCONFdots1074
 SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31074).
cda:entryRelationship
0 … *The following entryRelationship represents the indication for the observation.
Contains 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)		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 2.16.840.1.113883.10.20.22.4.20 Instruction (V2) (2014‑06‑09)		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 2.16.840.1.113883.10.20.22.4.129 Planned Coverage (2015‑08‑13)		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).