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draft Template  epSOS CDA documentationOf

Id 2.16.840.1.113883.3.1937.777.11.10.105 Effective Date valid from 2013‑12‑20
Status draft Draft Version Label
Name epSOSCDAdocumentationOf Display Name epSOS CDA documentationOf
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
Classification CDA Header Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
epsos-dataelement-66 draft Date of Last Update draft epSOS Data Set
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as Name Version
2.16.840.1.113883.3.1937.777.11.10.111 Containment draft epSOS CDA Organization DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.110 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:documentationOf
 0 … * R (epSdotsnOf)
@typeCode
 1 … 1 F DOC
hl7:serviceEvent
 1 … 1 R (epSdotsnOf)
@classCode
 1 … 1 F ACT
@moodCode
 1 … 1 F EVN
hl7:id
 II.EPSOS 0 … * R (epSdotsnOf)
hl7:code
 CE.EPSOS 0 … 1 R (epSdotsnOf)
hl7:effectiveTime
 IVL_TS 0 … 1 R (epSdotsnOf)
hl7:low
 TS R (epSdotsnOf)
hl7:high
 TS R

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
 
target
epsos-dataelement-66 draft Date of Last Update draft epSOS Data Set
hl7:performer
 0 … * R R1.10
@typeCode
 cs 1 … 1 R
  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 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)
hl7:time
 IVL_TS 0 … 1 R R1.10
hl7:assignedEntity
 1 … 1 R R1.10
hl7:id
 II.EPSOS 1 … * R HP ID number R1.10.5
hl7:code
 CE.EPSOS 0 … 1 R HP Specialty R1.10.7
hl7:addr
 AD.EPSOS 1 … * R IHE PCC
hl7:telecom
 TEL 1 … * R

Assigned Entity's Telecom

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.

R1.10.8 / R1.10.8.1 / R1.10.8.2
@use
 set_cs 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)
@nullFlavor
 cs 0 … 1 F NI
hl7:assignedPerson
 0 … 1 R R1.10
@classCode
 0 … 1 F PSN
@determinerCode
 0 … 1 F INSTANCE
hl7:name
 PN 1 … 1 R HP Name IHE PCC
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
Choice 2 … * Elements to choose from:
  • hl7:family
  • hl7:given
  • hl7:prefix
  • hl7:suffix
hl7:family
 1 … * R HP Family Name/Surname R1.10.1
hl7:given
 1 … * R HP Given Name R1.10.2
hl7:prefix
 0 … * R HP Prefix R1.10.3
hl7:suffix
 0 … * R HP Suffix R1.10.4
hl7:representedOrganization
 1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 epSOS CDA Organization (DYNAMIC) R1.10.9