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# Scenario Health Care Encounter Report (HCER) 2.16.840.1.113883.3.1937.777.11.3.5

Name | Details [‑]
--- | ---
Health Care Encounter Report (HCER) epsos-scenario-5
Effective date | 2013‑11‑02
| Description | -
Send HCER/Receive ACK epsos-transactions-20
Effective date | 2013‑11‑02 |  |
| Description | -
Send HCER to country A epsos-transactions-21Show diagram
Effective date | 2013‑11‑02 |  |
Model | ClinicalDocument | Label | HealthCareEncounterReport
| Description | -
| Actor | Sender (organization) HP B Receiver (organization) HP A
| Associations | Dataset (for transaction) epSOS Data Set(2.16.840.1.113883.3.1937.777.11.1.1 / DYNAMIC) Template epSOS-Medication Related Overview (1.3.6.1.4.1.12559.11.10.1.3.1.1.5 / DYNAMIC) XML overview epSOS-Medication Related Overview (1.3.6.1.4.1.12559.11.10.1.3.1.1.5 / DYNAMIC)
| Contained concepts
Concept | Card/Conf | Id
--- | --- | ---
| Patient Data
| 1 … 1 Required | epsos-dataelement-5link
| Information about the patient
|  | Identification
| 1 … 1 Mandatory | epsos-dataelement-6link
| Country ID, unique for the patient in that country. Example: ID for United Kingdom patient
|  |  | National Health Care patient ID (country of affiliation)
| 1 … 1 Mandatory | epsos-dataelement-7link
| Country ID from the country of origin, unique for the patient in that country. Example: ID for United Kingdom patient
|  |  | Other Identifier
| 0 … * | epsos-dataelement-235link
| Other identifiers than the national health care patient IDs from either the country of affiliation or the country of treatment
|  | Personal Information
| 1 … 1 Mandatory | epsos-dataelement-8link
| Personal information about the patient
|  |  | Full Name
| 1 … 1 Mandatory | epsos-dataelement-9link
| The full name of the patient
|  |  |  | Given name
| 1 … 1 Mandatory | epsos-dataelement-12link
| The Name of the patient (Example: John). This field can contain more than one element
|  |  |  | Family Name/Surname
| 1 … 1 Mandatory | epsos-dataelement-13link
| This field can containe more than one element.
|  |  |  | Prefix
| 0 … 1 | epsos-dataelement-263link
|  |  |  | Suffix
| 0 … 1 | epsos-dataelement-264link
|  |  | Date of Birth
| 1 … 1 Mandatory | epsos-dataelement-10link
| The date of birth of the patient. This field may contain only the year if day and month are not available
|  |  | Gender
| 1 … 1 Mandatory | epsos-dataelement-11link
| It must contained a recognized valid value for this field.
|  | Contact Information
| 0 … 1 | epsos-dataelement-26link
| Contact information of the patient, including information of the contacts of the patient.
|  |  | Address
| 0 … * | epsos-dataelement-27link
| Address of the patient
|  |  |  | Street
| 0 … 1 | epsos-dataelement-51link
| Name of street where the patient lives
|  |  |  | Number of Street
| 0 … 1 | epsos-dataelement-52link
| House number where the patient lives
|  |  |  | City
| 0 … 1 | epsos-dataelement-55link
| City where the patient lives
|  |  |  | Postal Code
| 0 … 1 | epsos-dataelement-53link
| Postal code where the patient lives
|  |  |  | State or Province
| 0 … 1 | epsos-dataelement-56link
| State or province where the patient lives
|  |  |  | Country
| 0 … 1 | epsos-dataelement-54link
| Country where the patient lives
|  |  | Telecom
| 1 … * Required | epsos-dataelement-300link
| Telecommunication addresses of the patient
|  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-28link
| Telephone number of the patient
|  |  |  | Email
| 0 … 1 | epsos-dataelement-29link
| Email address of the patient
|  |  | Preferred HP to contact
| 0 … 1 Required | epsos-dataelement-30link
| Preferred Health Professional to contact. A foreign HP may need a contact (HP/legal organization) who knows the patient
|  |  |  | Full Name
| 1 … 1 Required | epsos-dataelement-46link
| Name of the HP/name of the legal organization. If it is an HP, the structure of the name will be the same as described in ‘Full name’ (Given name, family name/surname)
|  |  |  |  | Given Name
| 1 … 1 Required | epsos-dataelement-47link
| The Name of the HP (Example: John). This field can contain more than one element
|  |  |  |  | Family Name/Surname
| 0 … 1 Required | epsos-dataelement-48link
| This field can contain more than one element.
|  |  |  |  | Prefix
| 0 … 1 | epsos-dataelement-265link
|  |  |  |  | Suffix
| 0 … 1 | epsos-dataelement-266link
|  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-41link
| Telephone number of the HP/name of the legal organization
|  |  |  | Email
| 0 … 1 | epsos-dataelement-43link
| Email address of the HP/name of the legal organization
|  |  | Contact Person/legal guardian
| 0 … 1 | epsos-dataelement-34link
| Contact or guardian of the patient
|  |  |  | Role of that person
| 0 … 1 Required | epsos-dataelement-35link
| The role of the person: contact person or legal guardian
|  |  |  | Full Name
| 0 … 1 | epsos-dataelement-36link
| Full name of the contact person or guardian
|  |  |  |  | Given Name
| 0 … 1 | epsos-dataelement-37link
| The Name of the person (Example: John). This field can contain more than one element
|  |  |  |  | Family Name/Surname
| 0 … 1 | epsos-dataelement-38link
| This field can contain more than one element.
|  |  |  |  | Prefix
| 0 … 1 | epsos-dataelement-267link
|  |  |  |  | Suffix
| 0 … 1 | epsos-dataelement-268link
|  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-39link
| Telephone number of the person
|  |  |  | Email
| 0 … 1 | epsos-dataelement-40link
| Email address of the person
|  | Insurance Information
| 0 … 1 | epsos-dataelement-14link
| Information about the insurance of the patient
|  |  | Insurance Number
| 0 … 1 | epsos-dataelement-15link
| European Health Insurance Code (EHIC) number of the patient
| Clinical Data
| 0 … 1 | epsos-dataelement-16link
| Clinical information of the patient
|  | Medical Problems
| 0 … 1 | epsos-dataelement-82link
|  |  | Problem/Diagnosis
| 0 … * Conditional | epsos-dataelement-228link
Card/Conf | Condition
--- | ---
0 … * | New problem/diagnosis
0 … 0 Not permitted | otherwise
|  |  |  | Problem/diagnosis Description
| 0 … 1 | epsos-dataelement-229link
| Problems or diagnosis not included under the definition of ‘Current problems or diagnosis’. Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that solved the problem and therefore it ́s a closed problem)
|  |  |  | Problem/diagnosis Id (Code)
| 0 … 1 | epsos-dataelement-230link
| Normalized identifier
|  |  |  | Problem Status
| 0 … 1 | epsos-dataelement-307link
|  |  |  | Problem Severity
| 0 … 1 | epsos-dataelement-303link
|  |  |  | Onset Time
| 0 … 1 | epsos-dataelement-231link
| Date of problem onset
|  |  | Surgical Procedure
| 0 … * Conditional | epsos-dataelement-188link
Card/Conf | Condition
--- | ---
0 … * | Executed surgical procedures
0 … 0 Not permitted | otherwise
|  |  |  | Procedure description
| 0 … 1 | epsos-dataelement-189link
| Describes the type of procedure that has been executed as part of the healthcare event.
|  |  |  | Procedure Id (code)
| 0 … 1 | epsos-dataelement-190link
| Normalized identifier
|  |  |  | Procedure Date
| 0 … 1 | epsos-dataelement-191link
| Date when procedure was performed
|  |  | Medical Devices and Implants
| 0 … * Conditional | epsos-dataelement-87link
Card/Conf | Condition
--- | ---
0 … * Required | New medical devices/implants
0 … 0 Not permitted | otherwise
|  |  |  | Medical Devices and Implants Description
| 0 … 1 | epsos-dataelement-88link
| Describes the patient's implanted and external medical devices and equipment that their health status depends on. Includes devices as cardiac pacemakers, implantable defribillator, prothesis, feromagnetic bone implants etc that are important to be known by HP.
|  |  |  | Device Code
| 0 … 1 | epsos-dataelement-89link
| Normalized identifier
|  |  |  | Implant Date
| 0 … 1 | epsos-dataelement-90link
|  |  | Treatments
| 0 … * | epsos-dataelement-128link
|  |  |  | Treatment description
| 0 … 1 | epsos-dataelement-129link
| Therapeutic treatment that does not include drugs (diet, physical excersize constraints etc)
|  |  |  | Treatment code
| 0 … 1 | epsos-dataelement-130link
| normalized identifier, concept code
|  |  |  | Onset time
| 0 … 1 | epsos-dataelement-131link
| Date of treatment onset
|  |  | Care plan
| 0 … * | epsos-dataelement-95link
|  |  |  | Recommendations Description
| 0 … 1 | epsos-dataelement-96link
| Therapeutic recommendations that do not include drugs (diet, physical exercise constraints, etc.)
|  |  |  | Recommendations Id (code)
| 0 … 1 | epsos-dataelement-97link
| Normalized identifier
|  |  | Disability or function
| 0 … * | epsos-dataelement-98link
|  |  |  | Invalidity description
| 0 … 1 | epsos-dataelement-99link
| Need of the patient to be continuously assisted by third parties. Invalidity status may influence decisions about how to administer treatments
|  |  |  | Onset time
| 0 … 1 | epsos-dataelement-132link
| Date of invalidity onset
|  | Medication
| 0 … 1 | epsos-dataelement-101link
|  |  | Prescription
| 0 … * Conditional | epsos-dataelement-102link
Card/Conf | Condition
--- | ---
0 … * Required | All prescribed medicine whose period of time indicated for the treatment has not yet expired
0 … 0 Not permitted | otherwise
|  |  |  | Prescription identification
| 1 … 1 Mandatory | epsos-dataelement-134link
| Unique identification of the prescription
|  |  |  | Medicinal product code
| 0 … 1 Required | epsos-dataelement-135link
| Code that identifies the medicinal product description
|  |  |  | Date of issue of prescription
| 1 … 1 Mandatory | epsos-dataelement-136link
| Date when medicine has been prescribed
|  |  |  | Brand name
| 1 … 1 Required | epsos-dataelement-137link
| Original brand name of the medicine (in the language of the country in which the prescription was made)
|  |  |  | Active ingredient
| 1 … * Required | epsos-dataelement-103link
| Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product.
|  |  |  | Active ingredient code
| 1 … * Mandatory | epsos-dataelement-104link
| Code that identifies the Active ingredient
|  |  |  | Strength
| 1 … * Mandatory | epsos-dataelement-105link
| The content of the active ingredient expressed quantitatively per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet
|  |  |  | Medicinal product package size
| 1 … 1 Required | epsos-dataelement-138link
| The size of the package prescribed
|  |  |  | Pharmaceutical dose form
| 1 … 1 Mandatory | epsos-dataelement-106link
| It is the form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablets, syrup)
|  |  |  | Number of packages
| 1 … 1 Required | epsos-dataelement-139link
| Number of boxes that have been prescribed
|  |  |  | Number of units per intake
| 1 … 1 Required | epsos-dataelement-107link
| The number of units per intake that the patient is taking (e.g. 1 tablet)
|  |  |  | Frequency of intakes
| 1 … * Required | epsos-dataelement-108link
| Frequency of intakes (per hours/day/month/ week..). Example: each 24 hours
|  |  |  | Duration of treatment
| 1 … 1 Required | epsos-dataelement-109link
|  |  |  | Date of onset of treatment
| 1 … 1 Required | epsos-dataelement-110link
| Date when patient needs to start taking the medicine prescribed
|  |  |  | Route of administration
| 0 … 1 Required | epsos-dataelement-140link
| Indicates the part of the body through or into which, or the way in which, the medicinal product is intended to be introduced. In some cases a medicinal product can be intended for more than one route and/or method of administration. NOTE FOR GUIDANCE ON DATA ELEMENTS AND STANDARDS FOR DRUG DICTIONARIES (EMEA/CHMP/ICH/168535/2005)
|  |  |  | Instructions to patient
| 0 … 1 Required | epsos-dataelement-141link
| The prescriber might give to the patient instructions; They must be presented in the original language.
|  |  |  | Advice to dispenser
| 0 … 1 | epsos-dataelement-142link
| The prescriber might give instructions to the dispenser. The information will be in the original language as automatic translation is not secure enough. To avoid legal and ethical issues to the dispenser, it should be wise to implement an option that allows the dispenser to decide, knowing that this data is available, whether he wants to consult it or not.
|  |  |  | Prescriber
| 0 … 1 | epsos-dataelement-236link
|  |  |  |  | Prescriber Profession
| 0 … 1 | epsos-dataelement-237link
|  |  |  |  | Prescriber Speciality
| 0 … 1 | epsos-dataelement-238link
| Some countries need the specialty of the prescriber for the epSOS ePrescription to be seen as valid. In the epSOS phase 1 ePrescription data set, this element is not basic (minimum), therefore not always filled in. The proposal is to define the specialty of the prescriber as a basic element, so it should be filled in, if available. As it could be that this information is not available in every country, null values should be allowed.
|  |  |  |  | Timestamp of Prescribing
| 0 … 1 | epsos-dataelement-239link
| Date/time the medication was prescribed
|  |  |  |  | Prescriber Identification
| 0 … 1 | epsos-dataelement-240link
| Unique identification of the prescriber
|  |  |  |  | Prescriber Full Name
| 0 … 1 | epsos-dataelement-241link
| The full name of the Health Professional
|  |  |  |  |  | Given Name
| 0 … 1 | epsos-dataelement-242link
| The Name of the Prescriber (Example: John). This field can contain more than one element
|  |  |  |  |  | Family Name/Surname
| 0 … 1 | epsos-dataelement-243link
| This field can contain more than one element.
|  |  |  |  |  | Prefix
| 0 … 1 | epsos-dataelement-269link
|  |  |  |  |  | Suffix
| 0 … 1 | epsos-dataelement-270link
|  |  |  |  | Prescriber Telecom
| 0 … * | epsos-dataelement-282link
|  |  |  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-280link
|  |  |  |  |  | Email
| 0 … 1 | epsos-dataelement-281link
|  |  |  |  | Prescriber Healthcare Facility
| 0 … 1 | epsos-dataelement-244link
| Information about the healthcare facility where the health professional works
|  |  |  |  |  | Identifier
| 0 … 1 | epsos-dataelement-245link
| Unique identification of the healthcare facility
|  |  |  |  |  | Name
| 0 … 1 | epsos-dataelement-246link
| Name of the healthcare facility
|  |  |  |  |  | Healthcare Facility Telecom
| 0 … * | epsos-dataelement-283link
|  |  |  |  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-278link
|  |  |  |  |  |  | Email
| 0 … 1 | epsos-dataelement-279link
|  |  |  |  | Prescriber Credentialing Organization
| 0 … 1 | epsos-dataelement-290link
| The organization which provided the credentialing for the prescriber
|  |  |  |  |  | Identifier
| 0 … 1 | epsos-dataelement-291link
| Unique identification of the organization which provided the credentialing for the prescriber
|  |  |  |  |  | Name
| 0 … 1 | epsos-dataelement-292link
| The name of the organization which provided the credentialing for the prescriber
|  |  | Dispense
| 0 … * | epsos-dataelement-143link
| Information about dispensed medication
|  |  |  | Dispense identification
| 1 … 1 Mandatory | epsos-dataelement-165link
| Unique identification of the dispensed medication
|  |  |  | Date of issue of dispense
| 1 … 1 Required | epsos-dataelement-173link
| Date when the medicine has been dispensed
|  |  |  | Related Prescription
| 0 … 1 Required | epsos-dataelement-162link
| The ID of the prescription serving as the basis for the dispensation
|  |  |  | Brand name
| 0 … 1 Required | epsos-dataelement-172link
| Original brand name of the medicine (in the language of the country in which the prescription was made)
|  |  |  | Active ingredient
| 1 … * Mandatory | epsos-dataelement-160link
| Substance that alone or in combination with one or more other ingredients produces the intended activity of a medicinal product.
|  |  |  | Active ingredient code
| 1 … * Required | epsos-dataelement-159link
| Code that identifies the Active ingredient
|  |  |  | Strength
| 1 … * Mandatory | epsos-dataelement-156link
| The content of the active ingredient expressed quantitatively per dosage unit, per unit of volume or per unit of weight, according to the pharmaceutical dose form. Example: 500 mg per tablet
|  |  |  | Medicinal product package size
| 1 … 1 Mandatory | epsos-dataelement-158link
| The size of the package prescribed
|  |  |  | Pharmaceutical dose form
| 1 … 1 Mandatory | epsos-dataelement-154link
| It is the form in which a pharmaceutical product is presented in the medicinal product package (e.g. tablets, syrup)
|  |  |  | Route of administration
| 0 … 1 Required | epsos-dataelement-153link
| Indicates the part of the body through or into which, or the way in which, the medicinal product is intended to be introduced. In some cases a medicinal product can be intended for more than one route and/or method of administration. NOTE FOR GUIDANCE ON DATA ELEMENTS AND STANDARDS FOR DRUG DICTIONARIES (EMEA/CHMP/ICH/168535/2005)
|  |  |  | Number of packages
| 0 … 1 Required | epsos-dataelement-152link
| Number of boxes that have been prescribed
|  |  |  | Number of units per intake
| 1 … 1 Required | epsos-dataelement-151link
| The number of units per intake that the patient is taking (e.g. 1 tablet)
|  |  |  | Frequency of intakes
| 1 … * Required | epsos-dataelement-150link
| Frequency of intakes (per hours/day/month/ week..). Example: each 24 hours
|  |  |  | Substitution
| 0 … 1 Required | epsos-dataelement-149link
|  |  |  | Duration of treatment
| 0 … 1 | epsos-dataelement-148link
|  |  |  | Date of onset of treatment according to prescription
| 0 … 1 | epsos-dataelement-147link
| Date when the patient needs to start taking the medicine prescribed
|  |  |  | Validity of prescription
| 1 … 1 Required | epsos-dataelement-146link
| Date of the end of the treatment or prescriptions where the end of treatment has expired
|  |  |  | Date of onset of dispense
| 0 … 1 | epsos-dataelement-145link
| Date when the patient starts taking the medicine dispensed
|  |  |  | Expected date of end of treatment
| 0 … 1 | epsos-dataelement-144link
| Expectation when the patient stops taking the medicine dispensed
|  |  |  | Dispenser
| 0 … 1 | epsos-dataelement-247link
|  |  |  |  | Timestamp of dispensing
| 0 … 1 | epsos-dataelement-248link
| Date/time the medication was dispensed
|  |  |  |  | Dispenser Identification
| 0 … 1 | epsos-dataelement-249link
| Unique identification of the dispenser
|  |  |  |  | Dispenser Full Name
| 0 … 1 | epsos-dataelement-250link
|  |  |  |  |  | Given
| 0 … 1 | epsos-dataelement-251link
|  |  |  |  |  | Family Name/Surname
| 0 … 1 | epsos-dataelement-252link
|  |  |  |  |  | Prefix
| 0 … 1 | epsos-dataelement-271link
|  |  |  |  |  | Suffix
| 0 … 1 | epsos-dataelement-272link
|  |  |  |  | Dispenser Telecom
| 0 … * | epsos-dataelement-287link
|  |  |  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-288link
|  |  |  |  |  | Email
| 0 … 1 | epsos-dataelement-289link
|  |  |  |  | Dispenser Healthcare Facility
| 0 … 1 | epsos-dataelement-253link
|  |  |  |  |  | Identifier
| 0 … 1 | epsos-dataelement-254link
| Unique identification of the healthcare facility
|  |  |  |  |  | Name
| 0 … 1 | epsos-dataelement-255link
|  |  |  |  |  | Address
| 0 … 1 | epsos-dataelement-256link
|  |  |  |  |  |  | Street
| 0 … 1 | epsos-dataelement-257link
|  |  |  |  |  |  | Number of Street
| 0 … 1 | epsos-dataelement-258link
|  |  |  |  |  |  | City
| 0 … 1 | epsos-dataelement-259link
|  |  |  |  |  |  | Postal Code
| 0 … 1 | epsos-dataelement-260link
|  |  |  |  |  |  | State or Province
| 0 … 1 | epsos-dataelement-261link
|  |  |  |  |  |  | Country
| 0 … 1 | epsos-dataelement-262link
|  |  |  |  |  | Healthcare Facility Telecom
| 0 … * | epsos-dataelement-284link
|  |  |  |  |  |  | Telephone No
| 0 … 1 | epsos-dataelement-285link
|  |  |  |  |  |  | Email
| 0 … 1 | epsos-dataelement-286link
|  |  |  |  | Dispenser Credentialing Organization
| 0 … 1 | epsos-dataelement-293link
| The organization which provided the credentialing for the dispenser
|  |  |  |  |  | Identification
| 0 … 1 | epsos-dataelement-294link
| Unique identification of the organization which provided the credentialing for the dispenser
|  |  |  |  |  | Name
| 0 … 1 | epsos-dataelement-295link
| The name of the organization which provided the credentialing for the dispenser
|  | Physical Findings
| 0 … * Required | epsos-dataelement-117link
|  |  | Vital Signs Observations
| 0 … 1 | epsos-dataelement-118link
|  |  |  | Blood Pressure
| 0 … 1 Required | epsos-dataelement-119link
| One value of blood pressure which includes: systolic Blood Pressure and Diastolic Blood pressure
|  |  |  |  | Systolic Blood Pressure
| 0 … 1 Required | epsos-dataelement-120link
|  |  |  |  | Diastolic Blood Pressure
| 0 … 1 Required | epsos-dataelement-121link
|  |  |  | Date when blood pressure was measured
| 0 … 1 Required | epsos-dataelement-122link
| Date when blood pressure was measured
|  | Diagnostic Tests
| 0 … * Required | epsos-dataelement-123link
|  |  | Blood Group
| 0 … 1 Required | epsos-dataelement-124link
|  |  |  | Result of Blood Group
| 0 … 1 Required | epsos-dataelement-125link
| Result from the blood group test made to the patient
|  |  |  | Date
| 0 … 1 Required | epsos-dataelement-126link
| Date in which the blood group test was done. This field may contain only the year if day and month are not available. Eg: 01/01/2009
|  | Vaccination
| 0 … * Required | epsos-dataelement-167link
|  |  | Vaccine brand name
| 0 … 1 Required | epsos-dataelement-168link
| Brand name of the vaccination
|  |  | Vaccine description
| 0 … 1 Required | epsos-dataelement-171link
| Description of the vaccine
|  |  | Vaccine code
| 0 … 1 Required | epsos-dataelement-170link
| The code of the vaccine
|  |  | Vaccination date
| 0 … 1 Required | epsos-dataelement-169link
| The date the vaccination was done
|  | Allergy
| 0 … * Required | epsos-dataelement-58link
| Allergies and intolerances
|  |  | Allergy description
| 1 … 1 Required | epsos-dataelement-68link
| Description of the clinical manifestation of the allergy reaction. Example: Anaphylactic shock, angioedema (the clinical manifestation also gives information about the severity of the observed reaction)
|  |  | Allergy code
| 1 … 1 Required | epsos-dataelement-69link
| The code of the allergy
|  |  | Allergy Severity
| 0 … 1 | epsos-dataelement-304link
|  |  | Onset Date
| 0 … 1 | epsos-dataelement-70link
| Date when the allergy started
|  |  | Agent description
| 1 … 1 Required | epsos-dataelement-71link
| Describes the agent (drug, food, chemical agent, etc) that is responsible for the adverse reaction
|  |  | Agent Code
| 1 … 1 Required | epsos-dataelement-72link
| The code of the allergen agent
|  | Pregnancy History
| 0 … * Required | epsos-dataelement-115link
|  |  | Expected date of delivery
| 0 … 1 Required | epsos-dataelement-116link
| Date in which the woman is due to give birth. Year, day and month are required.
|  | Social History
| 0 … 1 Required | epsos-dataelement-111link
|  |  | Social History Observations
| 0 … * Required | epsos-dataelement-112link
|  |  |  | Social History Observations related to: smoke, alcohol and diet
| 0 … 1 Required | epsos-dataelement-113link
|  |  |  | Date range of observation
| 0 … 1 Required | epsos-dataelement-114link
| Document Data
| 1 … 1 Required | epsos-dataelement-62link
| Information about the document itself
|  | Identification
| 1 … 1 Mandatory | epsos-dataelement-176link
| Identification of the document
|  | Type
| 1 … 1 Mandatory | epsos-dataelement-296link
| Type of the document
|  | Confidentiality
| 1 … 1 Required | epsos-dataelement-297link
| Confidentiality of the document as a whole
|  | Language
| 1 … 1 Mandatory | epsos-dataelement-298link
| The principal language of the documentThe language code SHALL be in the form nn-CC. The nn portion SHALL be an ISO-639-1 language code in lower case derived by the Value Set epSOSLanguage. The CC portion SHALL be an ISO-3166 country code in upper case derived by the value Set epSOSCountry
|  | Country B
| 1 … 1 Mandatory | epsos-dataelement-179link
| Name of country B
|  | Topicality
| 1 … 1 Required | epsos-dataelement-64link
|  |  | Date Created
| 1 … 1 Mandatory | epsos-dataelement-65link
| Date on which the document was generated
|  |  | Date of Last Update
| 1 … 1 Mandatory | epsos-dataelement-66link
| Date on which the document was updated (date of last version)
|  | Author
| 1 … 1 Mandatory | epsos-dataelement-67link
| To highlight if the data is collected manually by an HP or is collected automatically from different sources (eg: hospital doctor repository, GPs...etc) through predetermined clinical rules.
|  |  | Author Identification
| 1 … 1 Mandatory | epsos-dataelement-22link
| Unique identification of the Health Professional.
|  |  | Author Full Name
| 1 … 1 Required | epsos-dataelement-19link
| The full name of the Health Professional
|  |  |  | Given Name
| 0 … * Required | epsos-dataelement-20link
| The Name of the HP (Example: John). This field can contain more than one element
|  |  |  | Family Name/Surname
| 1 … 1 Required | epsos-dataelement-21link
| This field can contain more than one element.
|  |  | Author Role
| 1 … 1 | epsos-dataelement-180link
| Role or specialism the author was in when sending the document.
|  | Legal Entity
| 1 … 1 Required | epsos-dataelement-177link
| Responsible for the data in the document
|  |  | Health Professional ID
| 0 … 1 Required | epsos-dataelement-185link
| Health professional ID responsible for the data in the document
|  |  | Healthcare Provider ID
| 0 … 1 Required | epsos-dataelement-181link
| Legal organization ID responsible for the data in het document
|  |  | Health Professional Role
| 0 … 1 | epsos-dataelement-182link
| Role the health professional is in while being responsible for the document data
Respond ACK epsos-transactions-22Show diagram
Effective date | 2013‑11‑02 |  |
| Description | Please note that acknowledgements come down to an IHE XCF/XCA Response. This is not modelled in this specification. Refer to the IHE Profile for details
| Actor | Sender (organization) HP A Receiver (organization) HP B
| Associations | Dataset (for transaction) epSOS Data Set(2.16.840.1.113883.3.1937.777.11.1.1 / DYNAMIC)