Template 2.16.840.1.113883.10.20.22.4.140

Template Patient Referral Act

Id 2.16.840.1.113883.10.20.22.4.140 ref (van repository: ccda-) Geldigheid geldig vanaf 2015‑08‑13

Status Onder revisie vóór de publicatie Versielabel 2.1

Naam PatientReferralAct Weergavenaam Patient Referral Act

Omschrijving 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).

Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.140

Classificatie CDA entry level template

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

Gebruikt door / Gebruikt

Gebruikt door 1 template, Gebruikt 2 templates

Gebruikt door Template-id	als	Naam	Versie
1.3.6.1.4.1.19376.1.5.3.1.3.1	Containment	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)

@classCode 1 … 1 F PCPR

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).

@moodCode 1 … 1 R 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)

cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-30886) such that it CONF:1098‑30886

@root 1 … 1 F 2.16.840.1.113883.10.20.22.4.140

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.140" (CONF:1098-30887).

cda:id

1 … *

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

cda:code CD 1 … 1 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)

cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-30892). CONF:1098‑30892

@code 1 … 1 F active

cda:effectiveTime

1 … 1

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

cda:priorityCode 0 … 1 R SHOULD contain zero or one [0..1] priorityCode (CONF:1098-32623). CONF:1098‑32623

cda:author 0 … * R SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31612).
Bevat 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) CONF:1098‑31612

waar [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.119']

cda:participant 0 … * MAY contain zero or more [0..*] participant (CONF:1098-32635). CONF:1098‑32635

@typeCode 1 … 1 F REFT

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).

cda:participantRole 1 … 1 M The participant, if present, SHALL contain exactly one [1..1] participantRole (CONF:1098-32636). CONF:1098‑32636

cda:code CD 0 … 1 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)

cda:entryRelationship

0 … *

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

@typeCode 1 … 1 F SUBJ

SHALL contain exactly one [1..1] @typeCode="SUBJ" has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31613).

cda:observation 1 … 1 M SHALL contain exactly one [1..1] observation (CONF:1098-31605). CONF:1098‑31605

@classCode 1 … 1 F OBS

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).

@moodCode 1 … 1 F RQO

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).

cda:code CD 1 … 1 M This observation SHALL contain exactly one [1..1] code (CONF:1098-31608). CONF:1098‑31608

@code 1 … 1 F ASSERTION

@codeSystem 1 … 1 F 2.16.840.1.113883.5.4 (ActCode)

cda:statusCode CS 1 … 1 M This observation SHALL contain exactly one [1..1] statusCode (CONF:1098-31614). CONF:1098‑31614

@code 1 … 1 F completed

cda:priorityCode 0 … 1 R 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 ActPriority (DYNAMISCH)

cda:value CD 1 … 1 M 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)

cda:entryRelationship 0 … * 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).
Bevat 2.16.840.1.113883.10.20.22.4.19 Indication (V2) (2014‑06‑09) CONF:1098‑31635

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

@typeCode 1 … 1 F RSON

SHALL contain exactly one [1..1] @typeCode="RSON" has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31636).

Template Patient Referral Act