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Template
Hearing Plan of Care CDA document
Template
2.16.840.1.113883.3.1937.99.61.8.10.1.1 - HearingPlanofCareCDAdocument
Id
2.16.840.1.113883.3.1937.99.61.8.10.1.1
Classification
CDA document level template
Context
Pathname cda:ClinicalDocument
Version
valid from 2014‑02‑04 status Under develeopment
Open/Closed
Open (other than defined elements are allowed)
Description
A CDA Release 2 document, that contains Hearing Plan of Care
Used by / Uses
Used by / Uses 13 templates
Uses Template Id
Name
as of
ehdi-template-internal-
1
CDAtypeId
2014‑02‑04
ehdi-template-internal-
2
CDAid
2014‑02‑04
ehdi-template-internal-
3
CDAtitle
2014‑02‑04
ehdi-template-internal-
4
CDAeffectiveTime
2014‑02‑04
ehdi-template-internal-
5
CDAconfidentialityCode
2014‑02‑04
ehdi-template-header-
1
CDArecordTarget
2014‑02‑04
ehdi-template-header-
2
CDAauthor
2014‑02‑04
ehdi-template-header-
3
CDAcustodian
2014‑02‑04
ehdi-template-section-
1
ProblemSectionentriesrequired
2014‑02‑04 13:10:32
ehdi-template-section-
3
ResultsSectionentriesrequired
2014‑02‑04 13:12:06
ehdi-template-section-
4
ProceduresSectionentriesrequired
2014‑02‑04 13:13:02
ehdi-template-section-
5
RiskAssessmentSection
2014‑02‑04 11:36:42
ehdi-template-section-
2
PlanofCareSection
2014‑02‑04 13:11:29
Example
<
ClinicalDocument
>
<!-- CDA Header -->
<
typeId
root
="
2.16.840.1.113883.1.3
"
extension
="
POCD_HD000040
"
/
>
<
templateId
root
="
2.16.840.1.113883.3.1937.99.61.8.10.1
"
/
>
<
id
extension
="
123456789
"
root
="
2.16.840.1.113883.3.1937.99.3.2.997788.1
"
/
>
<
code
code
="
11524-6
"
codeSystem
="
2.16.840.1.113883.6.1
"
codeSystemName
="
LOINC
"
displayName
="
EKG study report
"
/
>
<
effectiveTime
value
="
20131020122709
"
/
>
<
confidentialityCode
code
="
N
"
codeSystem
="
2.16.840.1.113883.5.25
"
/
>
<
recordTarget
>
<!-- .. -->
</
recordTarget
>
<
author
>
<!-- .. -->
</
author
>
<
custodian
>
<!-- .. -->
</
custodian
>
<!-- CDA Body -->
<
component
>
<
structuredBody
>
<
component
>
<!-- .. -->
</
component
>
</
structuredBody
>
</
component
>
</
ClinicalDocument
>
Item
DT
Card
Conf
Desc
Label
cda:ClinicalDocument
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.1
CDA typeId
(DYNAMIC)
cda:typeId
II
1 .. 1
CDAtypeId
@
extension
1 .. 1
F
POCD_HD000040
@
root
1 .. 1
F
2.16.840.1.113883.1.3
cda:templateId
II
1 .. 1
M
CDA document template id for this kind of document
(HearingPlanofCareCDAdocument)
@
root
1 .. 1
F
2.16.840.1.113883.3.1937.99.61.8.10.1
Example
<
templateId
root
="
2.16.840.1.113883.3.1937.99.61.8.10.1
"
/
>
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.2
CDA id
(DYNAMIC)
cda:id
II
1 .. 1
(HearingPlanofCareCDAdocument)
cda:code
CE
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
code
1 .. 1
F
111111-6
@
codeSystem
1 .. 1
F
2.16.840.1.113883.6.1 (LOINC)
Example
<
code
code
="
111111-6
"
codeSystem
="
2.16.840.1.113883.6.1
"
codeSystemName
="
LOINC
"
/
>
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.3
CDA title
(DYNAMIC) 0 .. 1
Example
<
title
>
EKG Report as of 1 February 2013
</
title
>
cda:title
ST
0 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.4
CDA effectiveTime
(DYNAMIC)
cda:effectiveTime
TS.DATETIME.MIN
1 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.5
CDA confidentialityCode
(DYNAMIC)
cda:confidentialityCode
CE
1 .. 1
(HearingPlanofCareCDAdocument)
CONF
The value of @code shall be drawn from value set
BasicConfidentialityKind
(DYNAMIC)
Error: Cannot find value set "BasicConfidentialityKind"
Included from
2.16.840.1.113883.3.1937.99.61.8.10.2.1
CDA recordTarget
(DYNAMIC)
cda:recordTarget
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
RCT
@
contextControlCode
0 .. 1
F
OP
cda:patientRole
1 .. 1
(HearingPlanofCareCDAdocument)
@
classCode
0 .. 1
F
PAT
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.4
National Patient Identifier
(DYNAMIC) 1 .. 1 Required
cda:id
II
1 .. 1
R
(HearingPlanofCareCDAdocument)
@
root
1 .. 1
@
extension
1 .. 1
National Patient Identifier
cda:patient
1 .. 1
R
(HearingPlanofCareCDAdocument)
@
classCode
0 .. 1
F
PSN
@
determinerCode
0 .. 1
F
INSTANCE
Example
<
patient
classCode
="
PSN
"
determinerCode
="
INSTANCE
"
>
<
name
>
<!-- ... -->
</
name
>
<
administrativeGenderCode
code
="
M
"
codeSystem
="
2.16.840.1.113883.5.1
"
/
>
<
birthTime
value
="
19620219
"
/
>
</
patient
>
cda:name
PN
1 .. *
R
(HearingPlanofCareCDAdocument)
cda:administrativeGenderCode
CE
1 .. 1
R
(HearingPlanofCareCDAdocument)
CONF
The value of @code shall be drawn from value set
AdministrativeGender
(DYNAMIC)
Error: Cannot find value set "AdministrativeGender"
cda:birthTime
TS
1 .. 1
R
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.2.2
CDA author
(DYNAMIC)
cda:author
1 .. *
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
AUT
cda:time
TS.DATE.MIN
1 .. 1
M
(HearingPlanofCareCDAdocument)
cda:assignedAuthor
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
classCode
0 .. 1
F
ASSIGNED
cda:id
II
1 .. 1
R
(HearingPlanofCareCDAdocument)
cda:assignedPerson
0 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.2
CDA Person Elements
(2011‑12‑19)
@
classCode
0 .. 1
F
PSN
@
determinerCode
0 .. 1
F
INSTANCE
cda:name
PN
1 .. 1
(HearingPlanofCareCDAdocument)
cda:representedOrganization
0 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.3
CDA Organization Elements
(DYNAMIC)
@
classCode
0 .. 1
F
ORG
@
determinerCode
0 .. 1
F
INSTANCE
cda:id
II
0 .. *
(HearingPlanofCareCDAdocument)
cda:name
ON
1 .. 1
(HearingPlanofCareCDAdocument)
cda:telecom
TEL
0 .. *
(HearingPlanofCareCDAdocument)
cda:addr
AD
0 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.2.3
CDA custodian
(DYNAMIC)
cda:custodian
1 .. 1
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
CST
cda:assignedCustodian
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
classCode
0 .. 1
F
ASSIGNED
cda:representedCustodianOrganization
0 .. 1
(HearingPlanofCareCDAdocument)
Included from
2.16.840.1.113883.3.1937.99.61.8.10.9.3
CDA Organization Elements
(DYNAMIC)
@
classCode
0 .. 1
F
ORG
@
determinerCode
0 .. 1
F
INSTANCE
cda:id
II
0 .. *
(HearingPlanofCareCDAdocument)
cda:name
ON
1 .. 1
(HearingPlanofCareCDAdocument)
cda:telecom
TEL
0 .. *
(HearingPlanofCareCDAdocument)
cda:addr
AD
0 .. 1
(HearingPlanofCareCDAdocument)
cda:component
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Example
<!-- now for the study results: CDA body -->
<
component
typeCode
="
COMP
"
contextConductionInd
="
true
"
>
<!-- ... -->
</
component
>
cda:structuredBody
(HearingPlanofCareCDAdocument)
@
classCode
0 .. 1
F
DOCBODY
@
moodCode
0 .. 1
F
EVN
Example
<
structuredBody
classCode
="
DOCBODY
"
moodCode
="
EVN
"
>
<!-- ... -->
</
structuredBody
>
cda:component
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Contains
inherited template rules
2.16.840.1.113883.3.1937.99.61.8.10.3.1
Problem Section (entries required)
(DYNAMIC) with overridden cardinality 1 .. 1 Mandatory
cda:component
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Contains
inherited template rules
2.16.840.1.113883.3.1937.99.61.8.10.3.3
Results Section (entries required)
(DYNAMIC) with overridden cardinality 1 .. 1 Mandatory
cda:component
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Contains
inherited template rules
2.16.840.1.113883.3.1937.99.61.8.10.3.4
Procedures Section (entries required)
(DYNAMIC) with overridden cardinality 1 .. 1 Mandatory
cda:component
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Contains
inherited template rules
2.16.840.1.113883.3.1937.99.61.8.10.3.5
Risk Assessment Section
(DYNAMIC) with overridden cardinality 1 .. 1 Mandatory
cda:component
1 .. 1
M
(HearingPlanofCareCDAdocument)
@
typeCode
0 .. 1
F
COMP
@
contextConductionInd
0 .. 1
F
true
Contains
inherited template rules
2.16.840.1.113883.3.1937.99.61.8.10.3.2
Plan of Care Section
(DYNAMIC) with overridden cardinality 1 .. 1 Mandatory