| Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
|
R |
CDA header |
(epSOS-HCER) |
 |
hl7:realmCode
|
|
CS |
1 .. 1 |
M |
|
(epSOS-HCER) |
|
hl7:typeId
|
|
II.EPSOS |
1 .. 1 |
M |
The clinical document typeId identifies the constraints imposed by CDA R2 on the
content, essentially acting as a version identifier.
The @root and @extension values of this element are specified as shown in the example below.
|
(epSOS-HCER) |
 |
|
@root
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.1.3 |
|
|
@extension
|
|
|
1 .. 1 |
F |
POCD_HD000040 |
| |
Example |
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
|
|
hl7:templateId
|
|
II.EPSOS |
1 .. 1 |
M |
Template ID for epSOS Health Care Encounter Report |
(epSOS-HCER) |
|
|
@root
|
|
|
1 .. 1 |
F |
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 |
| Included from 2.16.840.1.113883.3.1937.777.10.10.110 epSOS CDA Id (DYNAMIC) 1..1 Mandatory
|
|
hl7:id
|
|
|
1 .. 1 |
M |
The ClinicalDocument/id element is an instance identifier data type. The root attribute is an OID. If there
is a value in @extension, then the root uniquely identifies the scope of the extension.
If there is no value in @extension then @root SHALL uniquely identify the document
UUIDs SHALL be represented in the form XXXXXXXX-XXXX-XXXX-XXXX-XXXXXXXXXXXX, where
each X is a character from the set [A-Fa-f0-9].
OIDs SHALL be represented in dotted decimal notation, where each decimal number is
either 0, or starts with a nonzero digit. More formally, an OID SHALL be in the form
([0-2])(.([1-9][0-9]*|0))+.
|
R1.11.3 |
| |
Example |
<id extension="a621" root="2.16.840.1.113883.3.1937.777.10.9999"/>
|
|
hl7:code
|
|
CV.EPSOS |
1 .. 1 |
M |
Determines the document type "epSOS Health Care Encounter Report" |
R1.11.6 |
|
|
@displayName
|
|
|
1 .. 1 |
R |
|
|
|
@code
|
|
|
1 .. 1 |
F |
34133-9 |
|
|
@codeSystem
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
| |
Example |
<code code="34133-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Summarization of episode note"/>
|
|
hl7:title
|
|
ST |
1 .. 1 |
M |
ClinicalDocument/title is used for display purposes. |
R1.11.7 |
| |
Example |
<title>epSOS Health Care Encounter Report Maria Bakker November 13, 2011</title> |
|
hl7:effectiveTime
|
|
TS.EPSOS.TZ |
1 .. 1 |
M |
The element contains the date and time at which this document was created as an electronic
document.
|
R1.11.1 |
| |
Example |
<effectiveTime value="20111113125600+0200"/>
|
|
hl7:confidentialityCode
|
|
CE.EPSOS |
1 .. 1 |
R |
ClinicalDocument/confidentialityCode shall be present in accordance with the HL7 CDA
R2 standard.
|
R1.11.8 |
| |
CONF |
|
| |
Example |
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
|
|
hl7:languageCode
|
|
CS |
1 .. 1 |
M |
Document Language Code
- The language code SHALL be in the form nn-CC.
- The nn portion SHALL be an ISO-639-1 language code in lower case derived by the Value
Set epSOSLanguage.
- The CC portion SHALL be an ISO-3166 country code in upper case derived by the value
Set epSOSCountry
|
R.11.10 |
| |
Example |
<languageCode code="en-GB"/>
|
| |
Schematron assert |
role |
 error
|
| |
test |
matches(@code,'[a-z]{2}-[A-Z]{2}') |
| |
Message |
The language code SHALL be in the form nn-CC where nn is ISO-639-1 epSOSLanguage and
CC is ISO-3166 epSOSCountry |
| Included from 2.16.840.1.113883.3.1937.777.10.10.108 epSOS CDA setId (DYNAMIC) 0..1
|
|
hl7:setId
|
|
|
0 .. 1 |
R |
This attribute “represents an identifier that is common across all document revisions”.
In the case of the NCP transcoding /translation this is the ID that remains unchanged
among all the existing transformations.
Implementers are recommended to use this attribute.
|
(epSOS-HCER) |
|
hl7:versionNumber
|
|
|
0 .. 1 |
R |
|
(epSOS-HCER) |
| Included from 2.16.840.1.113883.3.1937.777.10.10.100 epSOS CDA recordTarget (DYNAMIC) 1..1 Mandatory
|
|
hl7:recordTarget
|
|
|
1 .. 1 |
M |
|
(epSOS-HCER) |
|
|
@typeCode
|
|
|
0 .. 1 |
F |
RCT |
|
|
@contextControlCode
|
|
|
0 .. 1 |
F |
OP |
|
|
hl7:patientRole
|
|
|
1 .. 1 |
M |
|
(epSOS-HCER) |
|
|
|
0 .. 1 |
F |
PAT |
|
|
II.EPSOS |
1 .. * |
R |
Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary
Patient Identifier (Social/Insurance Number)
|
R1.4 / R1.4.1 / R1.4.2 |
|
|
AD.EPSOS |
1 .. 1 |
R |
The patient address <addr> element is required. If there is no information, the nullFlavor
attribute shall have a value of 'NI' and no address parts shall be present, otherwise
there shall be no nullFlavor attribute, and at least one of the address parts listed
below shall be present.
|
R1.5 |
|
|
|
0 .. 1 |
F |
NI |
|
|
|
0 .. * |
R |
Patient's Number of Street/Patient's Number of Street |
R1.5.1 / R1.5.2 |
|
|
|
0 .. 1 |
R |
Patient's City |
R1.5.3 |
|
|
|
0 .. 1 |
R |
Patient's Postal Code |
R1.5.4 |
|
|
|
0 .. 1 |
R |
Patient's State or Province |
R1.5.5 |
|
|
|
0 .. 1 |
R |
Patient's Country. When used addr.country it is always bound to the epSOSCountry value
set
|
R1.5.6 |
|
|
TEL |
1 .. * |
R |
Patient’s telephone number / Patient e-mail address. The patient telephone or e-mail
<telecom> element is required. If there is no information, the nullFlavor attribute
shall have a value of 'NI' and the "value" and "use" attributes shall be omitted,
otherwise the nullFlavor attribute shall not be present, and the "value" and "use"
attributes shall be present Optionalities and Cardinalities of the following two items
shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored
telecom elements.
|
R1.6.1 / R1.6.2 |
|
|
|
0 .. 1 |
|
|
| |
CONF |
|
|
|
|
0 .. 1 |
F |
NI |
|
|
|
1 .. 1 |
M |
|
(epSOS-HCER) |
|
|
|
0 .. 1 |
F |
PSN |
|
|
|
0 .. 1 |
F |
INSTANCE |
|
|
PN |
1 .. * |
R |
Patient Name |
R1.1 |
|
|
|
1 .. * |
M |
Patient's Family Name/Surname |
R1.1.1 |
|
|
|
0 .. * |
R |
Patient's Prefix |
R1.1.2 |
| |
Constraint |
If the attribute qualifier is used for this element it should be derived from epSOSEntityNamePartQualifier
2.16.840.1.113883.5.43
|
|
|
|
1 .. * |
M |
Patient's Given Name |
R1.1.3 |
|
|
|
|
hl7:administrativeGenderCode
|
|
CE.EPSOS |
1 .. 1 |
R |
Patient's Gender |
R1.2 |
|
|
|
0 .. 1 |
F |
UNK |
| |
CONF |
|
|
|
TS |
1 .. 1 |
M |
Patient's Date of Birth. The patient date of birth may be a partial date such as only
the year.
|
R1.3 |
|
|
|
0 .. * |
R |
The guardians of a patient shall be recorded in the <guardian> element beneath the
/ClinicalDocument/recordTarget/patientRole/patient XML - <patient> element. Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact.
The relationship between the patient and the guardian or other contact should be recorded
in the <code> element. The code attribute is required and comes from the HL7 PersonalRelationshipRoleType
vocabulary (epSOSPersonalRelationship value set).
The address of the guardian or other contact should be present, and shall be represented,
as any other address would be in CDA.
The phone number of the guardian or other contact should be present, and shall be
represented, as any other phone number would be in CDA.
The name of the guardian or other contact shall be present, and shall be represented,
as any other name would be in CDA.
|
R1.7.A |
|
|
|
1 .. 1 |
F |
GUARD |
|
|
|
0 .. 1 |
|
|
| |
Use nullFlavor if unknown or if no information is applicable |
| |
Example |
<guardian classCode="GUARD">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.4"/>
<addr>
<streetAddressLine>2222 Home Street</streetAddressLine> <city>London</city> <state>London</state> <postalCode>A1B 2C3</postalCode> <country>UK</country> </addr> <telecom value="tel:+452070256161"/>
<telecom value="mailto:jsmith@myprovider.co.uk"/>
<guardianPerson>
<name>
<given>John</given> <family>Español Smith</family> </name> </guardianPerson></guardian> |
|
|
II.EPSOS |
1 .. 1 |
M |
Template id for IHE PCC Patient Contacts |
R1.7.A |
|
|
|
1 .. 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.2.4 |
|
|
AD.EPSOS |
1 .. 1 |
R |
The guardian’s address <addr> element is required. If there is no information, the
nullFlavor attribute shall have a value of 'NI' and no address parts shall be present,
otherwise there shall be no nullFlavor attribute, and at least one of the address
parts listed below shall be present
|
R1.7.A |
|
|
|
0 .. 1 |
F |
NI |
|
|
|
0 .. * |
R |
Guardian's Number of Street/Guardian's Number of Street |
R1.7.A.3.1/R1.7.A.3.2 |
|
|
|
0 .. 1 |
R |
Guardian's City |
R1.7.A.3.3 |
|
|
|
0 .. 1 |
R |
Guardian's Postal Code |
R1.7.A.3.4 |
|
|
|
0 .. 1 |
R |
Guardian's State or Province |
R1.7.A.3.5 |
|
|
|
0 .. 1 |
R |
Guardian's Country. When used addr.country it is always bound to the epSOSCountry
value set
|
R1.7.A.3.6 |
|
|
TEL |
1 .. * |
R |
Guardian’s telephone number / Patient e-mail address. The guardian telephone or e-mail
<telecom> element is required. If there is no information, the nullFlavor attribute
shall have a value of 'NI' and the "value" and "use" attributes shall be omitted,
otherwise the nullFlavor attribute shall not be present, and the "value" and "use"
attributes shall be present Optionalities and Cardinalities of the following two items
shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored
telecom elements.
|
R1.7.A.4.1/R1.7.A.4.2 |
|
|
|
0 .. 1 |
|
|
| |
CONF |
|
|
|
|
0 .. 1 |
F |
NI |
|
|
|
1 .. 1 |
R |
|
R1.7.A |
|
|
PN |
1 .. * |
R |
Patient Guardian's Name |
IHE PCC |
| Choice min 1 element(s) and max * element(s). Elements to choose from:
|
|
|
|
1 .. * |
R |
Patient Guardian's Family Name/Surname |
R1.7.A.1 |
|
|
|
1 .. * |
R |
Patient Guardian's Given Name |
R1.7.A.2 |
|
|
|
|
hl7:languageCommunication
|
|
|
1 .. * |
R |
This element is derived from the IHE template LanguageCommunication (1.3.6.1.4.1.19376.1.5.3.1.2.1),
however this template does not need the element preferenceInd because the language
is already said to be the "preferred language".
|
(epSOS-HCER) |
|
|
CS |
1 .. 1 |
R |
Patient’s preferred language
- The language code SHALL be in the form nn-CC.
- The nn portion SHALL be an ISO-639-1 language code in lower case derived by the Value
Set epSOSLanguage.
- The CC portion SHALL be an ISO-3166 country code in upper case derived by the value
Set epSOSCountry
|
R1.7 |
| |
Example |
<languageCode code="en-GB"/>
|
| |
Schematron assert |
role |
error
|
| |
test |
matches(@code,'[a-z]{2}-[A-Z]{2}') |
| |
Message |
The language code SHALL be in the form nn-CC where nn is ISO-639-1 epSOSLanguage and
CC is ISO-3166 epSOSCountry |
| Included from 2.16.840.1.113883.3.1937.777.10.10.102 epSOS CDA author (DYNAMIC) 1..* Required
|
|
hl7:author
|
|
|
1 .. * |
R |
|
(epSOS-HCER) |
|
|
@typeCode
|
|
|
0 .. 1 |
F |
AUT |
|
|
@contextControlCode
|
|
|
0 .. 1 |
F |
OP |
| |
Example |
<author>
<time value="20121229"/>
<assignedAuthor>
<id root="2.16.840.1.113883.2.9.4.3.2" extension="RSSMRA00A01F205F" assigningAuthorityName="Ministero Economia e Finanze"/>
<addr>
<streetAddressLine>Viale della Cristallina 3</streetAddressLine> <city>Bologna</city> <state>BO</state> <postalCode>40121</postalCode> <country>IT</country> </addr> <telecom use="WP" value="tel:(+39)051-34343434"/>
<assignedPerson>
<name>
<given>Paolo</given> <family>Rossi</family> </name> </assignedPerson> </assignedAuthor></author> |
|
|
hl7:functionCode
|
|
CE.EPSOS |
0 .. 1 |
R |
|
R1.10.6 |
| |
CONF |
|
|
|
hl7:time
|
|
TS.EPSOS.TZ |
1 .. 1 |
R |
The author/time element represents the start time of the author’s participation in
the creation of the clinical document. The author/time element SHALL be present.
|
(epSOS-HCER) |
|
|
hl7:assignedAuthor
|
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
|
|
|
0 .. 1 |
F |
ASSIGNED |
| |
Schematron assert |
role |
error
|
| |
test |
@nullFlavor or hl7:assignedPerson or hl7:assignedAuthoringDevice |
| |
Message |
If assignedAuthor has an associated representedOrganization with no assignedPerson
or assignedAuthoringDevice, then the value for "ClinicalDocument/author/assignedAuthor/id/@nullFlavor"
SHALL be "NA" "Not applicable" 2.16.840.1.113883.5.1008 NullFlavor STATIC. |
|
|
II.EPSOS |
1 .. * |
R |
HP ID number |
R1.10.5 |
|
|
|
0 .. 1 |
F |
NA |
|
|
CE.EPSOS |
0 .. 1 |
R |
HP Specialty |
R1.10.7 |
|
|
AD.EPSOS |
1 .. * |
R |
|
IHE PCC |
|
|
TEL.EPSOS |
1 .. * |
R |
Attribute @value SHALL contain a URI if element telecom is used. The URI scheme SHALL
be one of URLScheme
|
IHE PCC / R1.10.8 / R1.10.8.1 / R1.10.8.2 |
|
|
|
0 .. 1 |
|
|
| |
CONF |
|
Choice min 0 element(s) and max 1 element(s). Elements to choose from:
- hl7:assignedPerson
- hl7:assignedAuthoringDevice containing hl7:code from template CDA Device (DYNAMIC)
|
|
|
|
|
R |
|
(epSOS-HCER) |
|
|
|
0 .. 1 |
F |
PSN |
|
|
|
0 .. 1 |
F |
INSTANCE |
|
|
PN |
1 .. 1 |
R |
HP Name |
IHE PCC |
| |
Example |
<name>
<given>John</given> <family>Español Smith</family></name> |
|
|
|
1 .. * |
R |
HP Family Name/Surname |
R1.10.1 |
|
|
|
1 .. * |
R |
HP Given Name |
R1.10.2 |
|
|
|
1 .. * |
R |
HP Prefix |
R1.10.3 |
|
|
|
1 .. * |
R |
HP Suffix |
R1.10.4 |
|
|
|
|
hl7:assignedAuthoringDevice
|
|
|
|
R |
|
(epSOS-HCER) |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.129 CDA Device (DYNAMIC)
|
|
|
|
hl7:representedOrganization
|
|
|
1 .. 1 |
R |
|
R1.10.9 |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)
|
| Included from 2.16.840.1.113883.3.1937.777.10.10.104 epSOS CDA custodian (DYNAMIC) 1..1 Mandatory
|
|
hl7:custodian
|
|
|
1 .. 1 |
M |
|
(epSOS-HCER) |
|
|
@typeCode
|
|
|
0 .. 1 |
F |
CST |
|
|
hl7:assignedCustodian
|
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
|
|
|
0 .. 1 |
F |
ASSIGNED |
|
|
|
hl7:representedCustodianOrganization
|
|
|
1 .. 1 |
R |
|
R1.10.9 |
|
|
|
0 .. 1 |
F |
ORG |
|
|
|
0 .. 1 |
F |
INSTANCE |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)
|
| Included from 2.16.840.1.113883.3.1937.777.10.10.109 epSOS CDA legalAuthenticator (DYNAMIC) 1..* Mandatory
|
|
hl7:legalAuthenticator
|
|
|
1 .. * |
M |
The person taking responsibility for the medical content of the document. In Spain
this is the regional authority in healthcare. This regional authority healthcare organization
will send this to the NCP. The definition of the legal authenticator may vary accoriding
to the rules set up in the framework agreement particular to each state. It may be
a person or a regional authority, or an NCP.
|
R1.11.9 |
| |
Example |
<legalAuthenticator>
<time value="20111013150937"/>
<signatureCode code="S"/>
<assignedEntity>
<id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/>
<assignedPerson>
<name>
<given>John</given> <family>Español Smith</family> </name> </assignedPerson> <representedOrganization>
<name>Healthcare Facility's name</name> <addr>
<country>NL</country> <streetName>Duinweg</streetName> <houseNumber>23</houseNumber> <postalCode>7364 RX</postalCode> <city>Amsterdam</city> </addr> </representedOrganization> </assignedEntity></legalAuthenticator> |
|
|
hl7:time
|
|
TS.EPSOS.TZ |
1 .. 1 |
M |
Time of signing the document |
R1.11.9 |
|
|
hl7:signatureCode
|
|
CS |
0 .. 1 |
R |
Signature code |
R1.11.9 |
| |
CONF |
|
|
|
hl7:assignedEntity
|
|
|
0 .. 1 |
R |
The regional authority that is responsible for the legal authentication of the CDA
document
|
R1.11.9 |
|
|
|
1 .. 1 |
M |
Unique identification of legal authenticator |
R1.11.9 |
|
|
AD.EPSOS |
1 .. * |
R |
|
IHE PCC |
|
|
TEL.EPSOS |
1 .. * |
R |
|
IHE PCC |
|
|
|
1 .. 1 |
R |
|
IHE PCC |
|
|
|
0 .. 1 |
F |
PSN |
|
|
|
0 .. 1 |
F |
INSTANCE |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.113 CDA Person (DYNAMIC)
|
|
|
PN |
1 .. 1 |
R |
HP Name |
IHE PCC |
| |
Example |
<name>
<given>John</given> <family>Español Smith</family></name> |
|
|
|
1 .. * |
R |
HP Family Name/Surname |
R1.10.1 |
|
|
|
1 .. * |
R |
HP Given Name |
R1.10.2 |
|
|
|
1 .. * |
R |
HP Prefix |
R1.10.3 |
|
|
|
1 .. * |
R |
HP Suffix |
R1.10.4 |
|
|
|
hl7:representedOrganization
|
|
|
1 .. 1 |
M |
|
R1.11.9 |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)
|
| Choice min 0 element(s) and max * element(s). Elements to choose from:
|
| Included from 2.16.840.1.113883.3.1937.777.10.10.101 epSOS CDA Contact/Preferred HP/Legal Organization (DYNAMIC)
|
|
|
hl7:participant
where
[hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.2.4'] |
|
|
|
R |
Contact person / Preferred Health Professional to contact about patient. |
(epSOS-HCER) |
|
|
|
1 .. 1 |
F |
IND |
| |
Participant typeCode |
| |
Example |
Contact person <participant typeCode="IND">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.4"/>
<time value="20070213"/>
<associatedEntity classCode="NOK">
<addr>
<streetAddressLine>Promenade des Anglais 111</streetAddressLine> <city>Lyon</city> <postalCode>69001</postalCode> <country>FR</country> </addr> <telecom value="tel:(+33)555-20036" use="WP"/>
<associatedPerson>
<name>
<given>Martha</given> <family>Mum</family> </name> </associatedPerson> </associatedEntity></participant> |
| |
Example |
Preferred HP <participant typeCode="IND">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.4"/>
<functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
<associatedEntity classCode="PRS">
<addr>
<streetAddressLine>Karl Strasse</streetAddressLine> <city>Freiberg</city> <postalCode>09599</postalCode> <country>DE</country> </addr> <telecom value="tel:(+49)761-11110000" use="WP"/>
<associatedPerson>
<name>
<given>Arzt</given> <family>Guter</family> </name> </associatedPerson> </associatedEntity></participant> |
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1 .. 1 |
M |
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(epSOS-HCER) |
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1 .. 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.2.4 |
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0 .. 1 |
C |
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(epSOS-HCER) |
| |
Constraint |
The <functionCode> element is mandatory when this participant is the preferred HP |
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1 .. 1 |
F |
PCP |
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1 .. 1 |
F |
2.16.840.1.113883.5.88 (HL7 ParticipationFunction) |
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IVL_TS.EPSOS.TZ.OPT |
0 .. 1 |
R |
The <time> element may be present and indicates the time of the participation. |
(epSOS-HCER) |
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R |
The <associatedEntity> element identifies the type of contact. The classCode attribute
shall be present, and contains a value from the epSOSRoleClass value set when used
for the patient contacts; ‘PRS’ when used for “Preferred HP / Legal Organization”.
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(epSOS-HCER) |
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1 .. 1 |
R |
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| |
CONF |
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CV.EPSOS |
0 .. 1 |
R |
The relationship between the patient and the guardian or other contact should be recorded
in the <code> element. The code attribute is required and comes from the HL7 PersonalRelationshipRoleType
vocabulary with codeSystem (2.16.840.1.113883.5.111). The codeSystem attribute is
required. The relationship between the patient and his preferred HP comes from the
the full RoleCode (2.16.840.1.113883.5.111) codeSystem
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R1.8.6 |
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1 .. 1 |
F |
2.16.840.1.113883.5.111 (RoleCode) |
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AD.EPSOS |
1 .. 1 |
R |
Patient Contact's / Preferred HP's Address |
R1.8.3 / R1.9.2 |
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0 .. 1 |
F |
NI |
| |
Schematron assert |
role |
error
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test |
@nullFlavor or hl7:* |
| |
Message |
If addr is not nullflavored at least one sub element has to be provided |
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0 .. * |
R |
Patient Contact's Street/Number of Street / Preferred HP's Street/Number of Street |
R1.8.3.1 / R1.8.3.2 / R1.9.2.1 / R1.9.2.2 |
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0 .. 1 |
R |
Patient Contact's City / Preferred HP's City |
R1.8.2.3 / R1.9.2.3 |
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0 .. 1 |
R |
Patient Contact's Postal Code / Preferred HP's Postal Code |
R1.8.2.4 / R1.9.2.4 |
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0 .. 1 |
R |
Patient Contact's State or Province / Preferred HP's State or Province |
R1.8.2.5 / R1.9.2.5 |
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0 .. 1 |
R |
Patient Contact's Country / Preferred HP's Country. When used addr.country it is always
bound to the epSOSCountry value set
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R1.8.2.6 / R1.9.2.6 |
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TEL |
1 .. * |
R |
Patient Contact's / Preferred HP's/Legal Organization telephone or e-mail <telecom>
element is required. If there is no information, the nullFlavor attribute shall have
a value of 'UNK' and the "value" and "use" attributes shall be omitted, otherwise
the nullFlavor attribute shall not be present, and the "value" and "use" attributes
shall be present
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R1.8.4.1 / R1.8.4.2 / R1.9.3.1 / R1.9.3.2 |
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0 .. 1 |
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CONF |
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0 .. 1 |
F |
UNK |
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Example |
<telecom use="WP" value="tel:+45 20 7025 6161"/>
<telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/>
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Choice min 1 element(s) and max 1 element(s). Elements to choose from:
- hl7:associatedPerson
- hl7:scopingOrganization
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R |
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(epSOS-HCER) |
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PN |
1 .. 1 |
R |
Patient Contact's Name / Preferred HP's Name |
IHE PCC / R1.9.1 |
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Example |
<name>
<given>John</given> <family>Español Smith</family></name> |
| Choice min 1 element(s) and max * element(s). Elements to choose from:
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1 .. * |
R |
Patient Contact's Family Name/Surname / Preferred HP's Family Name/Surname |
R1.8.1 / R1.9.1.1 |
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1 .. * |
R |
Patient Contact's Given Name / Preferred HP's Given Name |
R1.8.2 / R1.9.1.2 |
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R |
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(epSOS-HCER) |
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ON |
1 .. 1 |
R |
Organization's Name |
R1.9.1 |
| Included from 2.16.840.1.113883.3.1937.777.10.10.112 CDA participant (DYNAMIC)
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hl7:participant
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0 .. * |
R |
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(epSOS-HCER) |
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cs |
1 .. 1 |
R |
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| |
CONF |
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1 .. 1 |
F |
OP |
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CE.EPSOS |
0 .. 1 |
R |
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(epSOS-HCER) |
| |
CONF |
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IVL_TS |
0 .. 1 |
R |
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(epSOS-HCER) |
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1 .. 1 |
R |
|
(epSOS-HCER) |
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cs |
1 .. 1 |
R |
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| |
CONF |
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II.EPSOS |
0 .. * |
R |
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(epSOS-HCER) |
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CE.EPSOS |
0 .. 1 |
R |
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(epSOS-HCER) |
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1 .. 1 |
F |
2.16.840.1.113883.5.111 (RoleCode) |
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AD |
0 .. * |
R |
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(epSOS-HCER) |
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TEL |
0 .. * |
R |
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(epSOS-HCER) |
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0 .. 1 |
R |
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(epSOS-HCER) |
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Contains |
2.16.840.1.113883.3.1937.777.10.10.113 CDA Person (DYNAMIC)
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0 .. 1 |
R |
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(epSOS-HCER) |
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Contains |
2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)
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| Included from 2.16.840.1.113883.3.1937.777.10.10.106 epSOS CDA documentationOf PCPR (DYNAMIC) 1..1 Required
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hl7:documentationOf
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1 .. 1 |
R |
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(epSOS-HCER) |
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@typeCode
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1 .. 1 |
F |
DOC |
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hl7:serviceEvent
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1 .. 1 |
R |
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(epSOS-HCER) |
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1 .. 1 |
F |
PCPR |
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1 .. 1 |
F |
EVN |
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II.EPSOS |
0 .. * |
R |
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(epSOS-HCER) |
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CE.EPSOS |
0 .. 1 |
R |
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(epSOS-HCER) |
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IVL_TS |
1 .. 1 |
R |
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(epSOS-HCER) |
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TS |
1 .. 1 |
R |
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(epSOS-HCER) |
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TS |
1 .. 1 |
R |
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(epSOS-HCER) |
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0 .. * |
R |
represents the healthcare providers involved in the current or pertinent historical
care of the patient. Preferably, the patient’s key healthcare providers would be listed,
particularly their primary physician and any active consulting physicians, therapists,
and counselors
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(epSOS-HCER) |
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cs |
1 .. 1 |
R |
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| |
CONF |
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CE.EPSOS |
1 .. 1 |
R |
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(epSOS-HCER) |
| |
CONF |
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IVL_TS |
0 .. 1 |
R |
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(epSOS-HCER) |
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1 .. 1 |
M |
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(epSOS-HCER) |
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II.EPSOS |
1 .. * |
R |
HP ID number |
(epSOS-HCER) |
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CE.EPSOS |
0 .. 1 |
R |
HP Specialty |
(epSOS-HCER) |
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AD.EPSOS |
1 .. * |
R |
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IHE PCC |
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TEL.EPSOS |
1 .. * |
R |
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IHE PCC |
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0 .. 1 |
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(epSOS-HCER) |
| |
Contains |
2.16.840.1.113883.3.1937.777.10.10.113 CDA Person (DYNAMIC)
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hl7:representedOrganization
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0 .. 1 |
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(epSOS-HCER) |
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Contains |
2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)
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| Included from 2.16.840.1.113883.3.1937.777.10.10.107 epSOS CDA relatedDocument (DYNAMIC) 1..1 Mandatory
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hl7:relatedDocument
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1 .. 1 |
M |
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(epSOS-HCER) |
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@typeCode
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cs |
1 .. 1 |
R |
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CONF |
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hl7:parentDocument
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1 .. 1 |
R |
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(epSOS-HCER) |
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0 .. 1 |
F |
DOCCLIN |
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0 .. 1 |
F |
EVN |
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II.EPSOS |
1 .. * |
R |
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(epSOS-HCER) |
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CD.EPSOS |
0 .. 1 |
R |
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(epSOS-HCER) |
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1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
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ED |
0 .. 1 |
R |
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(epSOS-HCER) |
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II.EPSOS |
0 .. 1 |
R |
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(epSOS-HCER) |
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INT |
0 .. 1 |
R |
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(epSOS-HCER) |
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hl7:component
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1 .. 1 |
M |
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(epSOS-HCER) |
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hl7:structuredBody
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1 .. 1 |
M |
the component/structuredBody SHALL contain at least one [1..*] component/section.
the component/structuredBody SHALL conform to the section constraints below
- MAY contain zero or one [0..1] Medication Summary Section (templateId: 1.3.6.1.4.1.12559.11.10.1.3.1.2.3).
- MAY contain zero or one [0..1] Allergies and Other Adverse Reactions Section (templateId:
1.3.6.1.4.1.19376.1.5.3.1.3.13).
- MAY contain zero or one [0..1] Coded List of Surgeries Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.12).
- MAY contain zero or one [0..1] Active Problems Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.6).
- MAY contain zero or one [0..1] Medical Devices Coded Section (templateId: 1.3.6.1.4.1.12559.11.10.1.3.1.2.4).
- MAY contain zero or one [0..1] Immunizations Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.23).
- MAY contain zero or one [0..1] Health Maintenance Care Plan Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.1.9.50).
- MAY contain zero or one [0..1] History of Past Illness Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.8).
- MAY contain zero or one [0..1] Coded Social History Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.16.1).
- MAY contain zero or one [0..1] Pregnancy History Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4).
- MAY contain zero or one [0..1] Coded Vital Signs Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2).
- MAY contain zero or one [0..1] Coded Results Section (templateId: 1.3.6.1.4.1.19376.1.5.3.1.3.28)
|
(epSOS-HCER) |
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0 .. 1 |
F |
DOCBODY |
| Choice min 1 element(s) and max * element(s). Elements to choose from:
|
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hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.12559.11.10.1.3.1.2.3' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.8']] |
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1 .. 1 |
R |
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(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.12559.11.10.1.3.1.2.3 Section Medication Summary (DYNAMIC)
|
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hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.13' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.2']] |
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|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.13 Section Allergies and Other Adverse Reactions (DYNAMIC)
|
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|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.12' and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.11']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.12 Section Coded List of Surgeries (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.6' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.11']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.6 Section Active Problems (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.12559.11.10.1.3.1.2.4' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.7'
and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5']] |
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|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.12559.11.10.1.3.1.2.4 Section Medical Devices Coded (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.23' and hl7:templateId/@root='2.16.840.1.113883.10.20.1.6']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.23 Section Immunizations (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.9.50' and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.31']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.1.9.50 Section Health Maintenance Care Plan (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.8']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.8 Section History of Past Illness (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.16.1' and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.16'
and hl7:templateId/@root='2.16.840.1.113883.10.20.1.15']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.16.1 Section Coded Social History (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 Section Pregnancy History (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2' and hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.25']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 Section Coded Vital Signs (DYNAMIC)
|
|
|
|
|
hl7:component
where
[hl7:section [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.3.28']] |
|
|
1 .. 1 |
R |
|
(epSOS-HCER) |
| |
Contains |
1.3.6.1.4.1.19376.1.5.3.1.3.28 Section Coded Results (DYNAMIC)
|
Template epSOS-Health Care Encounter Report