Id2.16.840.1.113883.3.1937.99.61.8.10.1.1Effective Date2014‑02‑04
Statusdraft DraftVersion Label
NameHearingPlanofCareCDAdocumentDisplay NameHearing Plan of Care CDA document
DescriptionA CDA Release 2 document, that contains Hearing Plan of Care
ContextPathname cda:ClinicalDocument
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 0 templates, Uses 13 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.8.4.2Transactiondraft Electrocardiogram Report2013‑02‑10
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.8.10.2.1Includedraft CDA recordTargetDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.2.2Includedraft CDA authorDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.2.3Includedraft CDA custodianDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.3.1Containmentdraft Problem Section (entries required)DYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.3.2Containmentdraft Plan of Care SectionDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.3.3Containmentdraft Results Section (entries required)DYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.3.4Containmentdraft Procedures Section (entries required)DYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.3.5Containmentdraft Risk Assessment SectionDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.9.1Includedraft CDA typeIdDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.9.2Includedraft CDA idDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.9.3Includedraft CDA titleDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.9.5Includedraft CDA confidentialityCodeDYNAMIC
2.16.840.1.113883.3.1937.99.61.8.10.9.900004Includedraft CDA effectiveTimeDYNAMIC
Example
Example
<ClinicalDocument>
  <!-- CDA Header -->
  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <templateId root="2.16.840.1.113883.3.1937.99.61.8.10.1"/>  <id extension="123456789" root="2.16.840.1.113883.3.1937.99.3.2.997788.1"/>  <code code="11524-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="EKG study report"/>  <effectiveTime value="20131020122709"/>  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>  <recordTarget>
    <!-- .. -->
  </recordTarget>
  <author>
    <!-- .. -->
  </author>
  <custodian>
    <!-- .. -->
  </custodian>
  <!-- CDA Body -->
  <component>
    <structuredBody>
      <component>
        <!-- .. -->
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>
ItemDTCardConfDescriptionLabel
cda:ClinicalDocument
0 … *Heardotsment
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.9.1 CDA typeId (DYNAMIC)
cda:typeId
II0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAtypeId
@extension
st1 … 1FPOCD_HD000040
@root
uid1 … 1F2.16.840.1.113883.1.3
cda:templateId
II1 … 1MCDA document template id for this kind of documentHeardotsment
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.8.10.1
 Example<templateId root="2.16.840.1.113883.3.1937.99.61.8.10.1"/>
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.9.2 CDA id (DYNAMIC)
cda:id
II0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAid
cda:code
CE1 … 1MHeardotsment
@code
CONF1 … 1F111111-6
@codeSystem
1 … 1F2.16.840.1.113883.6.1
 Example<code code="111111-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
Included0 … 1 from 2.16.840.1.113883.3.1937.99.61.8.10.9.3 CDA title (DYNAMIC)
 Example<title>EKG Report as of 1 February 2013</title>
cda:title
ST0 … 1CDAtitle
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.9.900004 CDA effectiveTime (DYNAMIC)
cda:effectiveTime
TS.DATETIME.MIN0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAedotsTime
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.9.5 CDA confidentialityCode (DYNAMIC)
cda:confidentialityCode
CE0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAcdotsCode
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.2.1 CDA recordTarget (DYNAMIC)
cda:recordTarget
0 … *CDArdotsrget
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
cda:patientRole
1 … 1CDArdotsrget
@classCode
cs0 … 1FPAT
Included1 … 1R from 2.16.840.1.113883.3.1937.99.61.8.10.9.4 National Patient Identifier (DYNAMIC)
cda:id
II1 … 1RNatidotsfier
@root
uid1 … 1R
@extension
st1 … 1RNational Patient Identifier
cda:patient
1 … 1RCDArdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Example<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>
  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19620219"/></patient>
cda:name
PN1 … *RCDArdotsrget
cda:administrativeGenderCode
CE1 … 1RCDArdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
cda:birthTime
TS1 … 1RCDArdotsrget
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.2.2 CDA author (DYNAMIC)
cda:author
0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAauthor
@typeCode
cs0 … 1FAUT
cda:time
TS.DATE.MIN1 … 1MCDAauthor
cda:assignedAuthor
1 … 1MCDAauthor
@classCode
cs0 … 1FASSIGNED
cda:id
II1 … 1RCDAauthor
cda:assignedPerson
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.61.8.10.9.2 CDA Person Elements (2011‑12‑19)
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
cda:name
PN1 … 1MCDAPdotsents
cda:representedOrganization
0 … 1CDAauthor
Included from 2.16.840.1.113883.3.1937.99.61.8.10.9.3 CDA title (DYNAMIC)
cda:title
ST0 … 1CDAtitle
Included0 … * from 2.16.840.1.113883.3.1937.99.61.8.10.2.3 CDA custodian (DYNAMIC)
cda:custodian
0 … *M

noticeWarning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

CDAcdotsdian
@typeCode
cs0 … 1FCST
cda:assignedCustodian
1 … 1MCDAcdotsdian
@classCode
cs0 … 1FASSIGNED
cda:representedCustodianOrganization
0 … 1CDAcdotsdian
Included from 2.16.840.1.113883.3.1937.99.61.8.10.9.3 CDA title (DYNAMIC)
cda:title
ST0 … 1CDAtitle
cda:component
0 … *Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
 Example<!-- now for the study results: CDA body -->
<component typeCode="COMP" contextConductionInd="true">
  <!-- ... -->
</component>
cda:structuredBody
0 … *Heardotsment
@classCode
cs0 … 1FDOCBODY
@moodCode
cs0 … 1FEVN
 Example<structuredBody classCode="DOCBODY" moodCode="EVN">
  <!-- ... -->
</structuredBody>
cda:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.61.8.10.3.1 Problem Section (entries required) (DYNAMIC)Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
cda:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.61.8.10.3.3 Results Section (entries required) (DYNAMIC)Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
cda:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.61.8.10.3.4 Procedures Section (entries required) (DYNAMIC)Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
cda:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.61.8.10.3.5 Risk Assessment Section (DYNAMIC)Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue
cda:component
1 … 1MContains 2.16.840.1.113883.3.1937.99.61.8.10.3.2 Plan of Care Section (DYNAMIC)Heardotsment
@typeCode
cs0 … 1FCOMP
@contextConductionInd
bl0 … 1Ftrue