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draft Template  IHE Comment Entry NL

Id 2.16.840.1.113883.2.4.3.11.60.121.10.58
ref
zib2020bbr-
 		Ingangsdatum 2022‑03‑30
Status draft Ontwerp Versielabel 2020
Naam IHECommentEntryNL Weergavenaam IHE Comment Entry NL
Omschrijving
en-US This entry allows for a comment to be supplied with each entry. For CDA this structure is usually included in the target act using the <entryRelationship> element defined in the CDA Schema, but can also be used in the <component> element when the comment appears within an <organizer>. The example below shows recording a comment for an <entry>, and is used as context for the following sections. For HL7 Version 3 Messages, this relationship is represented with the element <sourceOf>, although the remainder of the typecodes and semantics are unchanged.

Any condition or allergy may be the subject of a comment.

Changes in version 2022-03-30T00:00:00:
  • Updated: text/reference is now conditionally mandatory. You cannot reference anywhere unless you are in a CDA
Classificatie CDA entry level template
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Koppelingen met
Koppelingen met 3 concepten
Id Naam Dataset
NL-CM-13.1.19 final Toelichting final nl.zorg.LaboratoriumUitslag 4.6
NL-CM-13.1.32 final UitslagInterpretatie final nl.zorg.LaboratoriumUitslag 4.6
NL-CM-13.1.5 final Toelichting final nl.zorg.LaboratoriumUitslag 4.6
Gebruikt door / Gebruikt
Gebruikt door 0 transacties en 10 templates, Gebruikt 0 templates
Gebruikt door als Naam Versie
2.16.840.1.113883.2.4.3.11.60.25.10.53 Containment draft Laboratory Report Data Processing Entry NL (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.25.10.52 link draft Laboratory Specialty Section NL (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.25.10.51 link draft Lab2Zorg - Sharing Laboratory Reports NL (XD-LAB) (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.121.10.51 link active Laboratory organizer or CDA 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.25.10.54 link draft Laboratory Report Item Section NL (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.66.10.77 link draft Organizer Labbepalingen 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.7.10.2 Containment draft Laboratory Battery Organizer NL (Specimen) (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.7.10.4 link draft Laboratory Isolate Organizer NL (Specimen) (2020) 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.7.10.3 Containment pending Specimen Collection HCIM 2022‑03‑30
2.16.840.1.113883.2.4.3.11.60.7.10.31 link draft Laboratory Observation NL (2020) 2022‑03‑30
Relatie Adaptatie: template 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry (2013‑12‑20)
ref
IHE-PCC-

Specialisatie: template 2.16.840.1.113883.10.20.1.40 Comment (DYNAMISCH)
ref
ccd1-
Voorbeeld
Voorbeeld
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.1.40"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>  <code code="48767-8" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#comment-2"/>  </text>  <statusCode code="completed"/>  <author>
    <time value=""/>    <assignedAuthor>
      <id root="" extension=""/>      <addr/>      <telecom value="" use=""/>      <assignedPerson>
        <name/>      </assignedPerson>      <representedOrganization>
        <name/>      </representedOrganization>    </assignedAuthor>  </author></act>
Item DT Card Conf Omschrijving Label
hl7:act
 		R (IHEdotsyNL)
@classCode
 		cs 1 … 1 F ACT
@moodCode
 		cs 1 … 1 F EVN
hl7:templateId
 		II 1 … 1 M (IHEdotsyNL)
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:templateId
 		II 1 … 1 M (IHEdotsyNL)
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.20.1.40
hl7:code
 		CD 1 … 1 M (IHEdotsyNL)
@code
 		CONF 1 … 1 F 48767-8
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:statusCode
 		CS 1 … 1 M (IHEdotsyNL)
@code
 		CONF 1 … 1 F completed
hl7:text
 		ED 1 … 1 M (IHEdotsyNL)
 
target
NL-CM-13.1.19 final Toelichting final nl.zorg.LaboratoriumUitslag 4.6
NL-CM-13.1.32 final UitslagInterpretatie final nl.zorg.LaboratoriumUitslag 4.6
NL-CM-13.1.5 final Toelichting final nl.zorg.LaboratoriumUitslag 4.6
  Schematron assert role red error  
  test not(ancestor::hl7:section) or hl7:reference[not(@nullFlavor)]  
  Melding Als dit template onder een CDA section staat, dan MOET de inhoud van dit element in section/text staan en MOET reference/@value de verwijzing naar deze inhoud zijn.  
hl7:reference
 		TEL 0 … 1 C (IHEdotsyNL)
  Constraint Mandatory in CDA
hl7:author
 		0 … * (IHEdotsyNL)
hl7:time
 		TS 1 … 1 M (IHEdotsyNL)
hl7:assignedAuthor
 		1 … 1 M (IHEdotsyNL)
hl7:id
 		II 1 … * M (IHEdotsyNL)
hl7:addr
 		AD 1 … * M (IHEdotsyNL)
hl7:telecom
 		TEL 1 … * M (IHEdotsyNL)
Keuze 1 … * Elementen om uit te kiezen:
  • hl7:assignedPerson
  • hl7:representedOrganization
hl7:assignedPerson
 		0 … 1 R (IHEdotsyNL)
hl7:name
 		PN 1 … * R (IHEdotsyNL)
hl7:representedOrganization
 		0 … 1 R (IHEdotsyNL)
hl7:name
 		ON 1 … * R (IHEdotsyNL)