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active Template  Annotation Comments

Id 2.16.756.5.30.1.1.10.4.2
ref
ch-pcc-
Effective Date 2016‑11‑12
Other versions this id:
Status active Active Version Label 2016
Name chpcc_entry_AnnotationComments Display Name Annotation Comments
Description This entry allows for a comment to be supplied with each entry.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.2
Label IHE PCC TF2 Rev.11, 6.3.4.6
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 6 transactions and 20 templates, Uses 2 templates
Used by as Name Version
cdachemed-transaction-4 Transaction draft Medication Prescription document 2018‑04‑04 15:33:29
cdachemed-transaction-9 Transaction draft Medication Treatment Plan document 2019‑12‑12 14:11:31
cdachemed-transaction-5 Transaction draft Medication Dispense document 2018‑04‑04 15:35:51
cdachemed-transaction-6 Transaction draft Pharmaceutical Advice document 2018‑04‑04 15:36:35
cdachemed-transaction-7 Transaction draft Medication List document 2018‑04‑04 15:37:19
cdachemed-transaction-8 Transaction draft Medication Card document 2018‑04‑04 15:42:50
2.16.756.5.30.1.1.10.3.2 Containment active Remarks Section - coded (2017) 2018‑04‑18
2.16.756.5.30.1.1.10.1.3 link pending Medication Card document (2020) 2016‑05‑13
2.16.756.5.30.1.1.10.1.4 link pending Medication Prescription document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.1.5 link pending Medication Dispense document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.1.6 link pending Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.1.7 link pending Medication Treatment Plan document (2020) 2017‑04‑12 13:57:31
2.16.756.5.30.1.1.10.1.9 link active CDA-CH v2.1 - structuredBody (2020) 2019‑10‑17 15:22:41
2.16.756.5.30.1.1.10.4.34 Containment pending Medication Treatment Plan Item Entry Content Module (2020) 2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.3.13 link pending Medication Treatment Plan Section Content Module (2017) 2017‑05‑01 12:51:36
2.16.756.5.30.1.1.10.3.44 link pending Medication List Section Content Module (2017) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link pending Medication List document (2020) 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.3.9 link pending Medication Card Section Content Module (2017) 2016‑05‑21
2.16.756.5.30.1.1.10.4.34 Containment cancelled Medication Treatment Plan Item Entry Content Module (2017) 2016‑06‑13
2.16.756.5.30.1.1.10.4.42 Containment draft Dispense Item Entry Content Module (2017) 2016‑06‑17
2.16.756.5.30.1.1.10.3.11 link pending Dispense Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.4.43 Containment pending Prescription Item Entry Content Module (2020) 2019‑09‑11 17:05:49
2.16.756.5.30.1.1.10.3.10 link pending Prescription Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.4.43 Containment cancelled Prescription Item Entry Content Module (2017) 2016‑06‑25
2.16.756.5.30.1.1.10.4.44 Containment pending Pharmaceutical Advice Item Entry Content Module (2020) 2016‑06‑25
2.16.756.5.30.1.1.10.3.12 link pending Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
Uses as Name Version
2.16.756.5.30.1.1.10.9.14 Include active Narrative Text Reference (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.54 Containment active Author Compilation with id, name, addr and telecom (2020) DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.2 Comment (2013‑12‑20)
ref
epsos-

Specialization: template 2.16.840.1.113883.10.20.1.40 Befundtext (Anmerkungen und Kommentare)-deprecated (DYNAMIC)
ref
elga-
Example
Example
<act classCode="ACT" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.2"/>  <templateId root="2.16.840.1.113883.10.20.1.40"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>  <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/>  <text>
    <reference value="#narrtextref"/>  </text>
  <statusCode code="completed"/></act>
Item DT Card Conf Description Label
hl7:act
R A comment to the parent entry. IHE PCC TF2 Rev.11, 6.3.4.6
@classCode
cs 1 … 1 F ACT
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.6
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.2
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.6
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.40
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.6
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:id
II 0 … 1 An ID for this item MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.4.6
@root
uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CD 1 … 1 M IHE PCC TF2 Rev.11, 6.3.4.6
@code
cs 1 … 1 F 48767-8
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
st 1 … 1 F LOINC
@displayName
st 1 … 1 F Annotation comment
Included 1 … 1 R from 2.16.756.5.30.1.1.10.9.14 Narrative Text Reference (DYNAMIC)
The reference to the text in the narrative section of the section MUST be specified.
hl7:text
ED 1 … 1 M CDA‑CH V2
hl7:reference
TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] CDA‑CH V2
@value
1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding <content/> element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
hl7:statusCode
CS 1 … 1 M

The status 'completed' indicates that the comment is final.

IHE PCC TF2 Rev.11, 6.3.4.6
@code
cs 1 … 1 F completed
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20025 ActStatusCompleted (DYNAMIC)
hl7:author
0 … * C The author of the statement SHALL be specified either here or in one of the ancestors.
Contains 2.16.756.5.30.1.1.10.9.54 Author Compilation with id, name, addr and telecom (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.4.6
  Schematron assert role red error  
  test (hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::*/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement SHALL be specified either here or in one of the ancestors. It shall contain the time, id, name, addr and telecom elements as specified in IHE PCC TF Vol. 2, section 6.3.4.1 Authors and Informants.  
  Schematron assert role yellow info  
  test (not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement is specified by the ancestor section.  
  Schematron assert role yellow info  
  test (not(hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]] or ancestor::hl7:section/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]]) and ancestor::hl7:ClinicalDocument/hl7:author[hl7:time and hl7:assignedAuthor[hl7:id and hl7:addr and hl7:telecom and (hl7:assignedPerson/hl7:name or hl7:representedOrganization/hl7:name)]])  
  Message The author of the statement is specified by the author in the document header.