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draft Template  Care Plan Observation

Id 2.16.756.5.30.1.1.10.4.107 Effective Date 2017‑09‑15 09:19:07
Status draft Draft Version Label 2018
Name cdachsmcp_entry_CarePlanObservation Display Name Care Plan Observation
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.107
Label CDA‑CH‑SMCP
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 19 concepts
Id Name Data Set
cdachsmcp-dataelement-192 draft Field 16.4.1 (Code Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-190 draft Field 16.2.2 (Adhésion à la décision - l'entourage) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-188 draft Field 16.12 (Autres documents remis) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-187 draft Field 16.11 (Evaluations spécifiques en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-196 draft Field 16.9.1 (Code DMT en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-193 draft Field 16.4.2 (Précision Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-197 draft Field 16.9.2 (Code DMT suit) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-185 draft Field 16.8 (Ordonnance en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-189 draft Field 16.2.1 (Adhésion à la décision - la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-180 draft Field 16.3 (Soins à poursuivre et soins à prévoir) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-178 draft Field 16.1 (Objectifs de soins et d'accompagnement de la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-186 draft Field 16.9 (DMT en annexe ou suit) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-134 draft Field 7.5 (Projet de la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-270 draft Field 16.10 (Plan de traitement) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-184 draft Field 16.7 (Consultations à prévoir) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-191 draft Field 16.2.3 (Adhésion à la décision - les professionnels) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-218 draft Field 19.1 (La personne a été informée et a donnée son accord) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-181 draft Field 16.4 (Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-183 draft Field 16.6 (Consultations planifiées) draft DMST v3.1 - Etat de Vaud 7.8 updated
Used by / Uses
Used by 0 transactions and 2 templates, Uses 0 templates
Used by as Name Version
2.16.756.5.30.1.1.10.3.61 Containment draft Care Plan Section - coded (2018) 2017‑09‑13 19:55:52
2.16.756.5.30.1.1.10.1.11 link draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Relationship Specialization: template 2.16.756.5.30.1.1.10.4.71 Simple Observation (DYNAMIC)
ref
ch-pcc-

Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.13 (2016‑09‑26 08:43:40)
ref
?

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.107"/>  <templateId root="2.16.756.5.30.1.1.10.4.71"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="81334-5" codeSystem="2.16.840.1.113883.6.1" displayName="Personal advance care plan"/>  <text>
    <reference value="#your_content_id"/>  </text>
  <statusCode code="completed"/>  <effectiveTime nullFlavor="NAV"/>  <value xsi:type="CD" nullFlavor="NAV"/></observation>
Item DT Card Conf Description Label
hl7:observation
CDA-dotsSMCP
 
target
cdachsmcp-dataelement-190 draft Field 16.2.2 (Adhésion à la décision - l'entourage) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-189 draft Field 16.2.1 (Adhésion à la décision - la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-186 draft Field 16.9 (DMT en annexe ou suit) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-191 draft Field 16.2.3 (Adhésion à la décision - les professionnels) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-181 draft Field 16.4 (Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M CDA-dotsSMCP
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.107
hl7:templateId
II 1 … 1 M CDA-dotsSMCP
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.71
hl7:templateId
II 1 … 1 M CDA-dotsSMCP
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:id
II 1 … 1 M CDA-dotsSMCP
hl7:code
CD 1 … 1 M CDA-dotsSMCP
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.1.1.3.6.3.11.2 Care Plan Elements (DYNAMIC)
hl7:text
ED 1 … 1 M CDA-dotsSMCP
 
target
cdachsmcp-dataelement-180 draft Field 16.3 (Soins à poursuivre et soins à prévoir) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-178 draft Field 16.1 (Objectifs de soins et d'accompagnement de la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-134 draft Field 7.5 (Projet de la personne) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-184 draft Field 16.7 (Consultations à prévoir) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-183 draft Field 16.6 (Consultations planifiées) draft DMST v3.1 - Etat de Vaud 7.8 updated
hl7:reference
TEL 0 … 1 CDA-dotsSMCP
@value
st 1 … 1 R
hl7:statusCode
CS 1 … 1 M CDA-dotsSMCP
@code
cs 1 … 1 F completed
Choice 1 … 1 Elements to choose from:
  • hl7:effectiveTime
  • hl7:effectiveTime
hl7:effectiveTime
TS 0 … 1 R CDA-dotsSMCP
hl7:effectiveTime
IVL_TS 0 … 1 R CDA-dotsSMCP
hl7:low
IVXB_TS CDA-dotsSMCP
hl7:high
IVXB_TS CDA-dotsSMCP
Choice 1 … 2 Elements to choose from:
  • hl7:value[concat(@code, @codeSystem) = doc('include/voc-2.16.756.5.30.1.1.11.1-DYNAMIC.xml')//valueSet[1]/conceptList/concept/concat(@code, @codeSystem) or concat(@code, @codeSystem) = doc('include/voc-2.16.756.5.30.1.1.1.1.3.6.3.11.20-DYNAMIC.xml')//valueSet[1]/conceptList/concept/concat(@code, @codeSystem)]
  • hl7:value[(local-name-from-QName(resolve-QName(@xsi:type,.))='ST' and namespace-uri-from-QName(resolve-QName(@xsi:type,.))='urn:hl7-org:v3')]
hl7:value
CD 0 … 2 C CDA-dotsSMCP
 
target
cdachsmcp-dataelement-192 draft Field 16.4.1 (Code Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-188 draft Field 16.12 (Autres documents remis) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-187 draft Field 16.11 (Evaluations spécifiques en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-196 draft Field 16.9.1 (Code DMT en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-193 draft Field 16.4.2 (Précision Suivi ambulatoire) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-197 draft Field 16.9.2 (Code DMT suit) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-185 draft Field 16.8 (Ordonnance en annexe) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-270 draft Field 16.10 (Plan de traitement) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-218 draft Field 19.1 (La personne a été informée et a donnée son accord) draft DMST v3.1 - Etat de Vaud 7.8 updated
@xsi:type
1 … 1 F CD
@code
cs 1 … 1 R
@codeSystem
oid 1 … 1 R
@codeSystemName
st 1 … 1 R
@displayName
st 1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.1 Standard CDA Body Selection (DYNAMIC)
or
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.1.1.3.6.3.11.20 dmst-prec2 (DYNAMIC)
  Schematron assert role red error  
  test not(parent::hl7:observation/hl7:code/@code=('16.4')) or not(@code=('Y')) or (parent::hl7:observation/hl7:value[@xsi:type='ST']/text())  
  Message When Ambulatory follow-up is anserwed by Yes, a precision must be valued based on ST datatype.  
  Schematron assert role red error  
  test not(parent::hl7:observation/hl7:code/@code=('16.9')) or not(@code=('n')) or (parent::hl7:observation/hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.2.1.1.3.1' and @code])  
  Message When Medical Document (DMT) anserwed by No, a precision for 'follows' based on CD datatype and the Swiss Standard CDA Body Selection code (2.16.756.5.30.2.1.1.3.1) as code system.  
  Schematron assert role red error  
  test not(@codeSystem=('2.16.756.5.30.1.112.3.1.201812.3', '2.16.756.5.30.1.112.3.1.201812.4', '2.16.756.5.30.1.112.3.1.201812.5') and @code=('a')) or (parent::hl7:observation/hl7:reference[hl7:templateId/@root='2.16.840.1.113883.10.20.1.36'])  
  Message When a question is anserwed by attached, a reference to an externaL document ist required.  
hl7:value
ST 0 … 1 C CDA-dotsSMCP
@xsi:type
1 … 1 F ST
  Schematron assert role red error  
  test not(hl7:code[@code=('15.4.1')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.2.1.1.3.1' and @code])  
  Message Outpatient follow-up must be valued based on CD datatype and the Swiss Standard CDA Body Selection code (2.16.756.5.30.2.1.1.3.1) as code system.  
  Schematron assert role red error  
  test not(hl7:code[@code=('15.4.1')]) or (hl7:value[@code='N']) or (hl7:value[@code='Y'] and hl7:value[@xsi:type='ST' and text()])  
  Message When Outpatient follow-up is anserwed by yes, a precision must be valued based on ST datatype.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.2.1', '16.2.3', '16.2.3')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.2.1.1.3.1' and @code])  
  Message Adhesion to the decision must be valued based on CD datatype and the Swiss Standard CDA Body Selection code (2.16.756.5.30.2.1.1.3.1) as code system.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.3')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Care to continue and care to plan must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.4')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.2.1.1.3.1' and @code])  
  Message Ambulatory follow-up must be valued based on CD datatype and the Swiss Standard CDA Body Selection code (2.16.756.5.30.2.1.1.3.1) as code system.  
  Schematron assert role red error  
  test not(hl7:code[@code=('57833-6')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Ordonnance must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.9')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Medical Document (DMT) must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.10')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Treatment plan must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.11')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Specific evaluations must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('16.12')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.1.112.3.1.201812.4' and @code])  
  Message Other documents must be precised using another value element containing a code of code system 2.16.756.5.30.1.112.3.1.201812.4.  
  Schematron assert role red error  
  test not(hl7:code[@code=('19.1')]) or (hl7:value[@xsi:type='CD' and @codeSystem='2.16.756.5.30.2.1.1.3.1' and @code])  
  Message The person was informed and has agreed must be valued based on CD datatype and the Swiss Standard CDA Body Selection code (2.16.756.5.30.2.1.1.3.1) as code system.