EncounterActivityV3

Id

2.16.840.1.113883.10.20.22.4.49

ref

ccda-

Gültigkeit ab

2015‑08‑01

Status

draft

Entwurf

Versions-Label

2.1

Name

EncounterActivityV3

Bezeichnung

Encounter Activity (V3)

Beschreibung

This clinical statement describes an interaction between a patient and clinician. Interactions may include in-person encounters, telephone conversations, and email exchanges.

Kontext

Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.49

Klassifikation

CDA Entry Level Template

Offen/Geschlossen

Offen (auch andere als die definierten Elemente sind erlaubt)

Benutzt von / Benutzt

Benutzt von 4 Transactions und 11 Templates, Benutzt 3 Templates

Benutzt von	als	Name	Version
2.16.840.1.113883.3.1937.99.3.4.31	Transaktion	Transfer Summary (V2)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29	Transaktion	Progress Note (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23	Transaktion	Continuity of Care Document (CCD) (V3)	2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21	Transaktion	Care Plan (V2)	2015‑08‑01
1.2.276.0.76.3.1.135.8.10.3	Containment	Encounters Section (entries optional) (V3) (2.1)	2015‑12‑02 12:45:07
2.16.840.1.113883.3.1937.99.61.20.10.7	Containment	Encounters Section (entries required) (V3) (2.1)	2015‑11‑03 08:56:18
2.16.840.1.113883.10.20.21.2.3		Interventions Section (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.2		Continuity of Care Document (CCD) (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.9		Progress Note (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.13		Transfer Summary (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.1.15		Care Plan (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.22	Containment	Encounters Section (entries optional) (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.2.22.1	Containment	Encounters Section (entries required) (V3) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.131	Containment	Intervention Act (V2) (2.1)	2015‑08‑01
2.16.840.1.113883.10.20.22.4.146		Planned Intervention Act (V2) (2.1)	2015‑08‑01
Benutzt	als	Name	Version
2.16.840.1.113883.10.20.22.4.19	Containment	Indication (V2) (2.1)	2014‑06‑09
2.16.840.1.113883.10.20.22.4.32	Containment	Service Delivery Location (2.1)	2015‑08‑13
2.16.840.1.113883.10.20.22.4.80	Containment	Encounter Diagnosis (V3) (2.1)	2015‑08‑01

Beziehung

Spezialisierung: Template 2.16.840.1.113883.10.12.302 CDA Encounter (2005‑09‑07)

ref

ad1bbr-

Version: Template 2.16.840.1.113883.10.20.22.4.49 Encounter Activities (2013‑01‑31)

ref

ccda-

Item

DT

Kard

Konf

Beschreibung

Label

cda:encounter

EncotyV3

@classCode

cs

1 … 1

F

ENC

CONF8710

SHALL contain exactly one [1..1] @classCode="ENC" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8710).

@moodCode

cs

1 … 1

F

EVN

CONF8711

SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8711).

cda:templateId

II

1 … 1

M

C-CDA R1.1 templateId root without an extension

CONF2936

@root

uid

1 … 1

F

2.16.840.1.113883.10.20.22.4.49

cda:templateId

II

1 … 1

M

SHALL contain exactly one [1..1] templateId (CONF:1198-8712) such that it

CONF8712

@root

uid

1 … 1

F

2.16.840.1.113883.10.20.22.4.49

CONF6353

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.49" (CONF:1198-26353).

@extension

st

1 … 1

F

2015-08-01

CONF2546

SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32546).

cda:id

II

1 … *

SHALL contain at least one [1..*] id (CONF:1198-8713).

CONF8713

cda:code

1 … 1

SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet EncounterTypeCode urn:oid:2.16.840.1.113883.3.88.12.80.32 DYNAMIC (CONF:1198-8714).

CONF8714

CONF

Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.3.88.12.80.32 EncounterTypeCode (DYNAMIC)

cda:originalText

0 … 1

R

This code SHOULD contain zero or one [0..1] originalText (CONF:1198-8719).

CONF8719

cda:reference

0 … 1

R

The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1198-15970).

CONF5970

@value

0 … 1

The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1198-15971).

CONF5971

Schematron assert

role

error

test

not(@value) or starts-with(@value, '#')

Meldung

This reference/@value *SHALL* begin with a '#' and *SHALL* point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)

cda:translation

0 … *

This code MAY contain zero or one [0..1] translation (CONF:1198-32323).

The translation may exist to map the code of EncounterTypeCode (2.16.840.1.113883.3.88.12.80.32) valueset to the code of Encounter Planned (2.16.840.1.113883.11.20.9.52) valueset.

CONF2323

cda:effectiveTime

1 … 1

SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8715).

CONF8715

sdtc:dischargeDispositionCode

0 … 1

MAY contain zero or one [0..1] sdtc:dischargeDispositionCode (CONF:1198-32176).

CONF2176

@code

1 … 1

R

This sdtc:dischargeDispositionCode SHOULD contain zero or one [0..1] @code, which SHOULD be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) DYNAMIC or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177).

CONF2177

@codeSystem

1 … 1

R

This sdtc:dischargeDispositionCode SHOULD contain zero or one [0..1] @codeSystem, which SHOULD be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 OR CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377).

CONF2377

CONF

Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMIC)

oder

@codeSystem muss "2.16.840.1.113883.12.112" sein

cda:performer

0 … *

MAY contain zero or more [0..*] performer (CONF:1198-8725).

CONF8725

cda:assignedEntity

1 … 1

M

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8726).

CONF8726

cda:code

0 … 1

This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy (HIPAA) urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-8727).

CONF8727

CONF

Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (DYNAMIC)

cda:participant

0 … *

R

Beinhaltet 2.16.840.1.113883.10.20.22.4.32 Service Delivery Location (2015‑08‑13)

CONF8738

@typeCode

cs

1 … 1

F

LOC

CONF8740

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8740).

CONF

@typeCode muss "LOC" sein

cda:entryRelationship

0 … *

Beinhaltet 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)

CONF8722

@typeCode

cs

1 … 1

F

RSON

CONF8723

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8723).

cda:entryRelationship

0 … *

Beinhaltet 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (V3) (2015‑08‑01)

CONF5492