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ref Template  Patient Referral Act

Template 2.16.840.1.113883.10.20.22.4.140 - PatientReferralAct ref (van repository: ccda-)
Id 2.16.840.1.113883.10.20.22.4.140
Versie 2.1 geldig vanaf 2015‑08‑13 status pending Onder revisie vóór de publicatie
Classificatie CDA entry level template
Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.140
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Omschrijving en-US This template represents the type of referral (e.g., for dental care, to a specialist, for aging problems) and represents whether the referral is for full care or shared care. It may contain a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure).
Gebruikt door / Gebruikt
Gebruikt door / Gebruikt 3 templates
Gebruikt door Template-id als Naam Versie
1.3.6.1.4.1.19376.1.5.3.1.3.1 Containment ReasonforReferralSectionV2 Reason for Referral Section (V2) 2014‑06‑09
Gebruikt Template-id als Naam Versie
2.16.840.1.113883.10.20.22.4.119 Containment AuthorParticipation 2015‑08‑13
2.16.840.1.113883.10.20.22.4.19 Containment IndicationV2 2014‑06‑09
Relatie Specialisatie: template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Item DT Card Conf Omschrijving Label
cda:act
(PatientReferralAct)
treetree @classCode
1 .. 1 F PCPR
  en-US SHALL contain exactly one [1..1] @classCode="PCPR" provision of care (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-30884).
treetree @moodCode
1 .. 1 R
  en-US SHALL contain exactly one [1..1] @moodCode, which SHALL be selected from ValueSet Patient Referral Act moodCode urn:oid:2.16.840.1.113883.11.20.9.66 STATIC 2014-09-01 (CONF:1098-30885).
  CONF
De waarde van @moodCode moet komen uit waardelijst 2.16.840.1.113883.11.20.9.66 Patient Referral Act moodCode (2014‑09‑01)
treetree cda:templateId
1 .. 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it CONF:1098‑30886
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.140
  en-US SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887).
treetree cda:id
1 .. * en-US SHALL contain at least one [1..*] id (CONF:1098-30888).

In the case of a Consultation Note where this referral is being fulfilled by this consultation, this id would be referenced in the inFullfilmentOf/order/id of the Consultation Note.
CONF:1098‑30888
treetree cda:code
1 .. 1 en-US SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Referral Types urn:oid:2.16.840.1.113883.11.20.9.56 DYNAMIC (CONF:1098-30889). CONF:1098‑30889
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.11.20.9.56 Referral Types CCDA (DYNAMISCH)
treetree cda:statusCode
1 .. 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). CONF:1098‑30892
treeblank treetree @code
1 .. 1 F active
treetree cda:effectiveTime
1 .. 1 en-US SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30893).

The effectiveTime represents the time when the future referral is intended to take place.
CONF:1098‑30893
treetree cda:priorityCode
0 .. 1 R en-US SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). CONF:1098‑32623
treetree cda:author
waar
[hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.119']
0 .. * R en-US SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612). CONF:1098‑31612
  Bevat 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
treetree cda:participant
0 .. * en-US MAY contain zero or more [0..*] participant (CONF:1098-32635). CONF:1098‑32635
treeblank treetree @typeCode
1 .. 1 F REFT
  en-US The participant, if present, SHALL contain exactly one [1..1] @typeCode="REFT" Referred to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32638).
treeblank treetree cda:participantRole
1 .. 1 M en-US The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). CONF:1098‑32636
treeblank treeblank treetree cda:code
0 .. 1 en-US This participantRole 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:1098-32637). CONF:1098‑32637
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.114222.4.11.1066 Healthcare Provider Taxonomy (HIPAA) (DYNAMISCH)
treetree cda:entryRelationship
0 .. * en-US MAY contain zero or more [0..*] entryRelationship (CONF:1098-31604) such that it

The following entryRelationship represents whether the referral is for full or shared care.
CONF:1098‑31604
treeblank treetree @typeCode
1 .. 1 F SUBJ
  en-US SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).
treeblank treetree cda:observation
1 .. 1 M en-US SHALL contain exactly one [1..1] observation (CONF:1098-31605). CONF:1098‑31605
treeblank treeblank treetree @classCode
1 .. 1 F OBS
  en-US This observation SHALL contain exactly one [1..1] @classCode="OBS" observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-31606).
treeblank treeblank treetree @moodCode
1 .. 1 F RQO
  en-US This observation SHALL contain exactly one [1..1] @moodCode="RQO" request (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-31607).
treeblank treeblank treetree cda:code
1 .. 1 M en-US This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). CONF:1098‑31608
treeblank treeblank treeblank treetree @code
1 .. 1 F ASSERTION
treeblank treeblank treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.4 (ActCode)
treeblank treeblank treetree cda:statusCode
1 .. 1 M en-US This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). CONF:1098‑31614
treeblank treeblank treeblank treetree @code
1 .. 1 F completed
treeblank treeblank treetree cda:priorityCode
0 .. 1 R en-US This observation SHOULD contain zero or one [0..1] priorityCode (ValueSet: Act Priority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC) (CONF:1098-32443). CONF:1098‑32443
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.1.11.16866 Act Priority (DYNAMISCH)
treeblank treeblank treetree cda:value
CD 1 .. 1 M en-US This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Care Model urn:oid:2.16.840.1.113883.11.20.9.61 STATIC 2014-06-19 (CONF:1098-31611). CONF:1098‑31611
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.11.20.9.61 Care Model (2014‑06‑19)
treetree cda:entryRelationship
waar
[cda:observation [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.19']]
0 .. * en-US The following entryRelationship represents a reference to another act in the document instance representing the clinical reason for the referral (e.g., problem, concern, procedure). CONF:1098‑31635
treeblank treetree @typeCode
1 .. 1 F RSON
  en-US SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).
  Bevat 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09)