Template 1.3.6.1.4.1.19376.1.5.3.1.4.2

Template Comment

Id 1.3.6.1.4.1.19376.1.5.3.1.4.2 Effective Date 2013‑12‑20

Status Active Version Label

Name EntryComment Display Name Comment

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.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.2

Classification CDA Entry Level Template

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

Used by / Uses

Used by 0 transactions and 21 templates, Uses 1 template

Used by	as	Name	Version
1.3.6.1.4.1.12559.11.10.1.3.1.3.7	Containment	Problem	2019‑04‑15 08:52:41
1.3.6.1.4.1.19376.1.5.3.1.4.12		Immunizations	2019‑05‑13 12:25:08
1.3.6.1.4.1.19376.1.5.3.1.3.23		Section Immunizations	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3		epSOS-Patient Summary	2018‑11‑14 10:53:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3		epSOS-Patient Summary	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4		epSOS-Health Care Encounter Report	2018‑11‑14 09:02:41
1.3.6.1.4.1.12559.11.10.1.3.1.1.4		epSOS-Health Care Encounter Report	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5		epSOS-Medication Related Overview	2018‑11‑14 09:03:13
1.3.6.1.4.1.12559.11.10.1.3.1.1.5		epSOS-Medication Related Overview	2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.2		Problem Concern	2019‑03‑12 15:36:45
1.3.6.1.4.1.19376.1.5.3.1.3.6		Section Active Problems	2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.8		Section History of Past Illness	2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.6		Allergies And Intolerances	2019‑02‑11 15:08:49
1.3.6.1.4.1.19376.1.5.3.1.4.5.3		Allergy and Intolerance Concern	2019‑04‑08 13:59:03
1.3.6.1.4.1.19376.1.5.3.1.3.13		Section Allergies and Other Adverse Reactions	2019‑04‑05 14:39:34
1.3.6.1.4.1.19376.1.5.3.1.3.13		Section Allergies and Other Adverse Reactions	2019‑04‑05 14:39:26
1.3.6.1.4.1.19376.1.5.3.1.3.13		Section Allergies and Other Adverse Reactions	2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.4.5.3		Allergy and Intolerance Concern	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.3.7	Containment	Problem	2019‑04‑15 08:52:27
1.3.6.1.4.1.12559.11.10.1.3.1.3.7	Containment	Problem	2019‑04‑15
1.3.6.1.4.1.19376.1.5.3.1.4.12	Containment	Immunizations	2013‑12‑20
Uses	as	Name	Version
2.16.840.1.113883.3.1937.777.11.10.102	Include	epSOS CDA author	DYNAMIC

Example

There is an open issue with this item:

epsos-issue-99: Comment Author (Open)

Item DT Card Conf Description Label

hl7:act R (Entent)

@classCode cs 1 … 1 F ACT

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 R (Entent)

@root uid 1 … 1 F 2.16.840.1.113883.10.20.1.40

hl7:templateId II 1 … 1 R (Entent)

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2

hl7:code CD 1 … 1 R (Entent)

@code CONF 0 … 1 F 48767-8

@codeSystem 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)

hl7:statusCode CS 1 … 1 R (Entent)

@code CONF 0 … 1 F completed

hl7:text ED 1 … 1 R (Entent)

hl7:reference TEL 1 … 1 M (Entent)

@value 1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

Included 0 … * R from 2.16.840.1.113883.3.1937.777.11.10.102 epSOS CDA author (DYNAMIC)

hl7:author 0 … * R (Entent)


	epsos-dataelement-67	Author	epSOS Data Set

@typeCode cs 0 … 1 F AUT

@contextControlCode cs 0 … 1 F OP

hl7:functionCode CE.EPSOS 0 … 1 R R1.10.6


	epsos-dataelement-180	Author Role	epSOS Data Set

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 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. (Entent)

hl7:assignedAuthor 1 … 1 R (Entent)

@classCode cs 0 … 1 F ASSIGNED

Schematron assert role error

test @nullFlavor or hl7:assignedPerson or hl7:assignedAuthoringDevice

Message At least an assignedPerson or an assignedAuthoringDevice has to be provided, otherwise a nullFlavor shall be present.

hl7:id II.EPSOS 1 … * R Identification of the Healthcare Practitioner that is the author of this document. R1.10.5


	epsos-dataelement-22	Author Identification	epSOS Data Set

@nullFlavor cs 0 … 1 F NA

hl7:code CE.EPSOS 0 … 1 R HP Specialty R1.10.7

hl7:addr AD.EPSOS 1 … * R IHE PCC

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

@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)

Choice

0 … 1

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice containing template 2.16.840.1.113883.3.1937.777.11.10.129 CDA Device (DYNAMIC)

hl7:assignedPerson R (Entent)

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … 1 R HP Name IHE PCC


	epsos-dataelement-19	Author Full Name	epSOS Data Set

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

hl7:family 1 … * M HP Family Name/Surname R1.10.1


	epsos-dataelement-21	Family Name/Surname	epSOS Data Set

hl7:given 1 … * M HP Given Name R1.10.2


	epsos-dataelement-20	Given Name	epSOS Data Set

hl7:prefix 0 … * R HP Prefix R1.10.3


	epsos-dataelement-273	Prefix	epSOS Data Set

hl7:suffix 0 … * R HP Suffix R1.10.4


	epsos-dataelement-274	Suffix	epSOS Data Set

hl7:assignedAuthoringDevice R Contains 2.16.840.1.113883.3.1937.777.11.10.129 CDA Device (DYNAMIC) (Entent)

hl7:representedOrganization 1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 epSOS CDA Organization (DYNAMIC) R1.10.9


	epsos-dataelement-23	Author Healthcare Facility	epSOS Data Set

Template Comment