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Template 1.3.6.1.4.1.19376.1.5.3.1.4.2 - EntryComment
Id 1.3.6.1.4.1.19376.1.5.3.1.4.2
Version valid from 2013‑12‑20 status draft Under develeopment
Classification CDA Entry Level Template
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.2
Open/Closed Open (other than defined elements are allowed)
Description 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.
Used by / Uses
Used by / Uses 26 templates
Used by Template id as Name Version
1.3.6.1.4.1.19376.1.5.3.1.4.12 Containment EntryImmunizations Immunizations 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.23 link SectionImmunizations Section Immunizations 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link epSOS-PS epSOS-Patient Summary 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 link epSOS-HCER epSOS-Health Care Encounter Report 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 link epSOS-MRO epSOS-Medication Related Overview 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5 Containment EntryProblem Problem 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.2 link EntryProblemConcern Problem Concern 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.6 link SectionActiveProblems Section Active Problems 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.8 link SectionHistoryOfPastIllness Section History of Past Illness 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.6 link EntryAllergyAndIntolerance Allergies And Intolerances 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.3 link EntryAllergyAndIntoleranceConcern Allergy and Intolerance Concern 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.13 link SectionAllergiesAndOtherAdverseReactions Section Allergies and Other Adverse Reactions 2013‑12‑20
Uses Template id as Name Version
2.16.840.1.113883.3.1937.777.10.10.102 Include epSOSCDAauthor DYNAMIC
Example <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 Description Label
hl7:act
R (EntryComment)
treetree @classCode
1 .. 1 F ACT
treetree @moodCode
1 .. 1 F EVN
treetree hl7:templateId
II 1 .. 1 R (EntryComment)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.1.40
treetree hl7:templateId
II 1 .. 1 R (EntryComment)
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2
treetree hl7:code
CD 1 .. 1 R (EntryComment)
treeblank treetree @code
1 .. 1 F 48767-8
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree hl7:statusCode
CS 1 .. 1 R (EntryComment)
treeblank treetree @code
1 .. 1 F completed
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.5.14 (ActStatus)
treetree hl7:text
ED 1 .. * R (EntryComment)
Included from 2.16.840.1.113883.3.1937.777.10.10.102 epSOS CDA author (DYNAMIC) 0..* Required
treetree hl7:author
0 .. * R (EntryComment)
treeblank treetree @typeCode
0 .. 1 F AUT
treeblank treetree @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>
treeblank treetree hl7:functionCode
CE.EPSOS 0 .. 1 R R1.10.6
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 epSOSHealthcareProfessionalRoles (DYNAMIC)
treeblank treetree 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. (EntryComment)
treeblank treetree hl7:assignedAuthor
1 .. 1 R (EntryComment)
treeblank treeblank treetree @classCode
0 .. 1 F ASSIGNED
  Schematron assert role red 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.
treeblank treeblank treetree hl7:id
II.EPSOS 1 .. * R HP ID number R1.10.5
treeblank treeblank treeblank treetree @nullFlavor
0 .. 1 F NA
treeblank treeblank treetree hl7:code
CE.EPSOS 0 .. 1 R HP Specialty R1.10.7
treeblank treeblank treetree hl7:addr
AD.EPSOS 1 .. * R IHE PCC
treeblank treeblank treetree hl7:telecom
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
treeblank treeblank treeblank treetree @use
0 .. 1  
  CONF
The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 epSOSTelecomAddress (DYNAMIC)
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)
treeblank treeblank treeblank treetree hl7:assignedPerson
R (EntryComment)
treeblank treeblank treeblank treeblank treetree @classCode
0 .. 1 F PSN
treeblank treeblank treeblank treeblank treetree @determinerCode
0 .. 1 F INSTANCE
treeblank treeblank treeblank treeblank treetree hl7:name
PN 1 .. 1 R HP Name IHE PCC
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
treeblank treeblank treeblank treeblank treeblank treetree hl7:family
1 .. * R HP Family Name/Surname R1.10.1
treeblank treeblank treeblank treeblank treeblank treetree hl7:given
1 .. * R HP Given Name R1.10.2
treeblank treeblank treeblank treeblank treeblank treetree hl7:prefix
1 .. * R HP Prefix R1.10.3
treeblank treeblank treeblank treeblank treeblank treetree hl7:suffix
1 .. * R HP Suffix R1.10.4
treeblank treeblank treeblank treetree hl7:assignedAuthoringDevice
R (EntryComment)
  Contains 2.16.840.1.113883.3.1937.777.10.10.129 CDA Device (DYNAMIC)
treeblank treeblank treetree hl7:representedOrganization
1 .. 1 R R1.10.9
  Contains 2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)