Template 2.16.840.1.113883.10.20.22.4.49

Template Encounter Activity (V3)

Template 2.16.840.1.113883.10.20.22.4.49 - EncounterActivityV3 ref (van repository: ccda-)

Id 2.16.840.1.113883.10.20.22.4.49

Versie

2.1 geldig vanaf 2015‑08‑01 status pending

Onder revisie vóór de publicatie

Er zijn versies van templates met dit id:

EncounterActivityV3 van 2015‑08‑01
EncounterActivities van 2013‑01‑31

Classificatie CDA entry level template

Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.49

Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)

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

Gebruikt door / Gebruikt

Gebruikt door / Gebruikt 3 templates

Gebruikt Template-id	als	Naam	Versie
2.16.840.1.113883.10.20.22.4.32	Containment	ServiceDeliveryLocation	2015‑08‑13
2.16.840.1.113883.10.20.22.4.19	Containment	IndicationV2	2014‑06‑09
2.16.840.1.113883.10.20.22.4.80	Containment	EncounterDiagnosisV3	2015‑08‑01

Relatie Specialisatie: template 2.16.840.1.113883.10.12.302 (2005‑09‑07)
Versie: template 2.16.840.1.113883.10.20.22.4.49 (2013‑01‑31)

Item DT Card Conf Omschrijving Label

cda:encounter

(EncounterActivityV3)

@classCode

1 .. 1

ENC

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

@moodCode

1 .. 1

EVN

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

1 .. 1

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

CONF:1198‑8712

@root

1 .. 1

2.16.840.1.113883.10.20.22.4.49

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

@extension

1 .. 1

2015-08-01

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

cda:id

1 .. *

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

CONF:1198‑8713

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).

CONF:1198‑8714

CONF

De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.80.32 Encounter Type Code (DYNAMISCH)

cda:originalText

0 .. 1

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

CONF:1198‑8719

cda:reference

0 .. 1

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

CONF:1198‑15970

@value

0 .. 1

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

Schematron assert role error

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

Melding 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 .. 1

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.

CONF:1198‑32323

cda:effectiveTime

1 .. 1

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

CONF:1198‑8715

sdtc:dischargeDispositionCode

0 .. 1

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

CONF:1198‑32176

@code

1 .. 1

This sdtc:dischargeDispositionCode *SHOULD* contain exactly [1..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

@codeSystem

1 .. 1

This sdtc:dischargeDispositionCode *SHOULD* contain exactly [1..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).

CONF

De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17 Patient Status (DYNAMISCH)

@codeSystem moet "2.16.840.1.113883.12.112" zijn

@codeSystemName moet "HL7v2 table 0112 Dicharge Disposition" zijn

cda:performer

0 .. *

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

CONF:1198‑8725

cda:assignedEntity

1 .. 1

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

CONF:1198‑8726

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).

CONF:1198‑8727

CONF

De waarde van @code moet komen uit waardelijst 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (HIPAA) (DYNAMISCH)

cda:participant
waar
[cda:participantRole [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.32']]

0 .. *

CONF:1198‑8738

@typeCode

1 .. 1

LOC

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8740).

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

cda:entryRelationship
waar
[cda:observation [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.19']]

0 .. *

CONF:1198‑8722

@typeCode

1 .. 1

RSON

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).

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

cda:entryRelationship
waar
[cda:act [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.80']]

0 .. *

CONF:1198‑15492

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

Template Encounter Activity (V3)