Template epSOS CDA documentationOf

Template (internal) 2.16.840.1.113883.3.1937.777.10.10.105 - epSOSCDAdocumentationOf

Id 2.16.840.1.113883.3.1937.777.10.10.105

Version valid from 2013‑12‑20 status Under develeopment

Classification CDA Header Level Template

Open/Closed Open (other than defined elements are allowed)

Description

/ClinicalDocument/author/assignedAuthor
/ClinicalDocument/documentationOf/serviceEvent/performer (this applies to the prescriber and the dispenser).

The template ID referenced here refers to HP information in the /ClinicalDocument/documentationOf/serviceEvent/performer structure. In this document, the same requriements apply to the person author of the document (if there is one), and to the prescrober and dispenser (see body).

When there is no HP but we have the method of assembly of data by a device, such as the “spider” method, we have the following expression; ClinicalDocument/author/assignedAuthor/assignedAuthoringDevice.

When the data is collected from different sources & pre-existing documents that are part of a bigger system. In that case the organization responsible of that collection “signed” the PS as responsible.

ClinicalDocument/author/assignedAuthor/representedOrganization

Used by / Uses

Used by / Uses 1 template

Uses Template id	as	Name	Version
2.16.840.1.113883.3.1937.777.10.10.111	Containment	epSOSCDAOrganization	DYNAMIC

Relationship Specialization: template 2.16.840.1.113883.10.12.110 (2005‑09‑07)

Item DT Card Conf Description Label

hl7:documentationOf

0 .. *

(epSOSCDAdocumentationOf)

@typeCode

1 .. 1

DOC

hl7:serviceEvent

1 .. 1

(epSOSCDAdocumentationOf)

@classCode

1 .. 1

ACT

@moodCode

1 .. 1

EVN

hl7:id

II.EPSOS

0 .. *

(epSOSCDAdocumentationOf)

hl7:code

CE.EPSOS

0 .. 1

(epSOSCDAdocumentationOf)

hl7:effectiveTime

IVL_TS

0 .. 1

(epSOSCDAdocumentationOf)

hl7:low

(epSOSCDAdocumentationOf)

hl7:high

Please note that with this element we don't specify any document authoring time, but when the episode of care documented by this CDA ended.

For a summary document, there is only one service event, describing the provision of care over a period of time. All information represented in the document must have occured within the time period specified in serviceEvent/effectiveTime. Therefore this elements represents also the last effetive date when the summary content has been updated (even if it may happen that this instance of the CDA has been authored later..).

As for the eP and eD the last update of the document is better represented by authoring time.

Please refers to the template "epSOS-Patient Summary" in the element description at ClinicalDocument.effectiveTime "Relevant times for the Patient Summary" for further details

R1.11.2

hl7:performer

0 .. *

R1.10

@typeCode

1 .. 1

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)

hl7:functionCode

CE.EPSOS

0 .. 1

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)

hl7:time

IVL_TS

0 .. 1

R1.10

hl7:assignedEntity

1 .. 1

R1.10

hl7:id

II.EPSOS

1 .. *

HP ID number

R1.10.5

hl7:code

CE.EPSOS

0 .. 1

HP Specialty

R1.10.7

hl7:addr

AD.EPSOS

1 .. *

IHE PCC

hl7:telecom

TEL.EPSOS

1 .. *

Attribute @value SHALL contain a URI if element telecom is used. The URI scheme SHALL be one of URLScheme

R1.10.8 / R1.10.8.1 / R1.10.8.2

@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)

hl7:assignedPerson

0 .. 1

R1.10

@classCode

0 .. 1

PSN

@determinerCode

0 .. 1

INSTANCE

hl7:name

1 .. 1

HP Name

IHE PCC

Example <name> <given>John</given> <family>Español Smith</family></name>

Choice min 1 element(s) and max * element(s). Elements to choose from:

hl7:family
hl7:given
hl7:prefix
hl7:suffix

hl7:family

1 .. *

HP Family Name/Surname

R1.10.1

hl7:given

1 .. *

HP Given Name

R1.10.2

hl7:prefix

1 .. *

HP Prefix

R1.10.3

hl7:suffix

1 .. *

HP Suffix

R1.10.4

hl7:representedOrganization

1 .. 1

R1.10.9

Contains 2.16.840.1.113883.3.1937.777.10.10.111 epSOS CDA Organization (DYNAMIC)