Template 2.16.840.1.113883.3.1937.777.11.10.105

Template eHDSI DocumentationOf

2.16.840.1.113883.3.1937.777.11.10.105

Effective Date

2020‑10‑06 09:42:36

Other versions this id:

eHDSIDocumentationOf as of 2020‑04‑16 10:55:29
epSOSCDAdocumentationOf as of 2013‑12‑20

Status

Active

Version Label

Name

eHDSIDocumentationOf

Display Name

eHDSI 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 3 concepts

Id	Name	Data Set
ehdsi-dataelement-120	Date of Last Update	eHDSI Data Set
ehdsi-dataelement-324	Documentation Of	eHDSI Data Set
ehdsi-dataelement-129	Documentation Of	eHDSI Data Set

Used by / Uses

Used by 4 transactions and 8 templates, Uses 1 template

Used by	as	Name	Version
epsos-transactions-44	Transaction	Return OrCD Medical Imaging Report of country A	2021‑04‑30 11:27:45
epsos-transactions-41	Transaction	Return OrCD Medical Images of country A	2021‑04‑30 11:16:15
epsos-transactions-38	Transaction	Return OrCD Laboratory Result of country A	2021‑04‑30 11:00:04
epsos-transactions-35	Transaction	Return OrCD Hospital Discharge Report of country A	2021‑04‑30 09:22:38
1.3.6.1.4.1.12559.11.10.1.3.1.1.10	Include	eHDSI OrCD Medical Imaging Report	2022‑09‑12 13:42:07
1.3.6.1.4.1.12559.11.10.1.3.1.1.10	Include	eHDSI OrCD Medical Imaging Report	2020‑11‑30 16:12:00
1.3.6.1.4.1.12559.11.10.1.3.1.1.11	Include	eHDSI OrCD Medical Images	2022‑09‑12 13:41:33
1.3.6.1.4.1.12559.11.10.1.3.1.1.11	Include	eHDSI OrCD Medical Images	2021‑01‑18 16:22:00
1.3.6.1.4.1.12559.11.10.1.3.1.1.8	Include	eHDSI OrCD Laboratory Result	2022‑09‑12 13:40:54
1.3.6.1.4.1.12559.11.10.1.3.1.1.8	Include	eHDSI OrCD Laboratory Result	2020‑11‑27 14:52:00
1.3.6.1.4.1.12559.11.10.1.3.1.1.9	Include	eHDSI OrCD Hospital Discharge Report	2022‑09‑12 13:40:30
1.3.6.1.4.1.12559.11.10.1.3.1.1.9	Include	eHDSI OrCD Hospital Discharge Report	2020‑11‑30 15:46:00
Uses	as	Name	Version
2.16.840.1.113883.3.1937.777.11.10.111	Containment	eHDSI Organization	DYNAMIC

Relationship

Version: template 2.16.840.1.113883.3.1937.777.11.10.105 eHDSI DocumentationOf (2020‑04‑16 10:55:29)
Specialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07)

ref

ad1bbr-

Item

Card

Conf

Description

Label

hl7:documentationOf

0 … *

(eHDnOf)


ehdsi-dataelement-324	Documentation Of	eHDSI Data Set
ehdsi-dataelement-129	Documentation Of	eHDSI Data Set

@typeCode

1 … 1

DOC

hl7:serviceEvent

1 … 1

(eHDnOf)

@classCode

1 … 1

ACT

@moodCode

1 … 1

EVN

hl7:id

II.EPSOS

0 … *

(eHDnOf)

hl7:code

CE.EPSOS

0 … 1

(eHDnOf)

hl7:effectiveTime

IVL_TS

0 … 1

(eHDnOf)

hl7:low

(eHDnOf)

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 occurred within the time period specified in serviceEvent/effectiveTime. Therefore this elements represents also the last effective 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 "eHDSI Patient Summary" in the element description at ClinicalDocument.effectiveTime "Relevant times for the Patient Summary" for further details

R1.11.2


	ehdsi-dataelement-120	Date of Last Update	eHDSI Data Set

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 eHDSIHealthcareProfessionalRole (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

1 … *

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 eHDSITelecomAddress (DYNAMIC)

@nullFlavor

0 … 1

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

2 … *

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

0 … *

HP Prefix

R1.10.3

hl7:suffix

0 … *

HP Suffix

R1.10.4

hl7:representedOrganization

1 … 1

Contains 2.16.840.1.113883.3.1937.777.11.10.111 eHDSI Organization (DYNAMIC)

R1.10.9

Template eHDSI DocumentationOf