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 Template  epSOS CDA documentationOf

Template (internal) 2.16.840.1.113883.2.4.3.11.60.22.10.13 - epSOSCDAdocumentationOf
Id 2.16.840.1.113883.2.4.3.11.60.22.10.13
Classification CDA header level template
Relationship Specialization: template 2.16.840.1.113883.10.12.110 (2005‑09‑07)
Version valid from 2013‑12‑02 status Under develeopment
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 HCP 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 HCP 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 in
Used in 1 template
Id Name as of
1.3.6.1.4.1.12559.11.10.1.3.1.1.1 epSOS-eP  epSOS-ePrescription 2012‑05‑03
Item DT Card Conf Desc Label
hl7:documentationOf
0 .. * (epSOSCDAdocumentationOf)
treetree @typeCode
1 .. 1 F DOC
treetree hl7:serviceEvent
1 .. 1 R (epSOSCDAdocumentationOf)
treeblank treetree @classCode
1 .. 1 F ACT
treeblank treetree @moodCode
1 .. 1 F EVN
treeblank treetree hl7:id
II 0 .. * (epSOSCDAdocumentationOf)
treeblank treetree hl7:code
CE 0 .. 1 (epSOSCDAdocumentationOf)
treeblank treetree hl7:effectiveTime
IVL_TS 0 .. 1 (epSOSCDAdocumentationOf)
treeblank treeblank treetree hl7:low
TS (epSOSCDAdocumentationOf)
treeblank treeblank treetree hl7:high
TS

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
treeblank treetree hl7:performer
0 .. * R1.10
treeblank treeblank treetree @typeCode
cs 1 .. 1  
  CONF
The value of @typeCode shall be drawn from value set ServiceEventPerformer (DYNAMIC)
alert Error: Cannot find value set "ServiceEventPerformer"
treeblank treeblank treetree hl7:functionCode
CE 0 .. 1 R1.10.6
CONF
The value of @code shall be drawn from value set epSOSHealthcareProfessionalRoles (DYNAMIC)
treeblank treeblank treetree hl7:time
IVL_TS 0 .. 1 R1.10
treeblank treeblank treetree hl7:assignedEntity
1 .. 1 R R1.10
treeblank treeblank treeblank treetree hl7:id
II 1 .. * R HP ID number R1.10.5
treeblank treeblank treeblank treetree hl7:code
CE 0 .. 1 HP Specialty R1.10.7
treeblank treeblank treeblank treetree hl7:telecom
TEL 0 .. * 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
treeblank treeblank treeblank treeblank treetree @use
0 .. 1  
  CONF
The value of @use shall be drawn from value set epSOSTelecomAddress (DYNAMIC)
treeblank treeblank treeblank treetree hl7:assignedPerson
0 .. 1 R1.10
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 0 .. 1 HP Name R1.10
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
treeblank treeblank treeblank treeblank treeblank treeblank treetree hl7:family
ENXP 1 .. * HP Family Name/Surname R1.10.1
treeblank treeblank treeblank treeblank treeblank treeblank treetree hl7:given
ENXP 1 .. * HP Given Name R1.10.2
treeblank treeblank treeblank treeblank treeblank treeblank treetree hl7:prefix
ENXP 1 .. * HP Prefix R1.10.3
treeblank treeblank treeblank treeblank treeblank treeblank treetree hl7:suffix
ENXP 1 .. * HP Suffix R1.10.4
treeblank treeblank treeblank treetree hl7:representedOrganization
1 .. 1 R1.10.9
Contains inherited template rules epSOS CDA Organization (DYNAMIC) with overridden cardinality 1 .. 1