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draft Template  Annotation Comments

Id 2.16.756.5.30.1.1.10.4.82
ref
ch-pharm-
Effective Date 2021‑06‑10 11:32:29
Status draft Draft Version Label 2016
Name chpharm_entry_AnnotationComments Display Name Annotation Comments
Description This entry allows for a comment to be supplied with each entry. This is a modification of the CH-PCC template to change the element include.
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 16 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 final Medication Card document (2022) 2018‑04‑04 15:42:50
2.16.756.5.30.1.1.10.4.34 Containment draft Medication Treatment Plan Item Entry Content Module (2021) 2019‑12‑11 11:31:52
2.16.756.5.30.1.1.10.3.13 link draft Medication Treatment Plan Section Content Module (2017) 2017‑05‑01 12:51:36
2.16.756.5.30.1.1.10.1.7 link draft Medication Treatment Plan document (2020) 2017‑04‑12 13:57:31
2.16.756.5.30.1.1.10.3.44 link draft Medication List Section Content Module (2021) 2018‑01‑22 15:40:38
2.16.756.5.30.1.1.10.1.13 link draft Medication List document (2020) 2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.3.9 link active Medication Card Section Content Module (2022) 2022‑03‑04 12:34:31
2.16.756.5.30.1.1.10.1.3 link active Medication Card document (2022) 2016‑05‑13
2.16.756.5.30.1.1.10.4.44 link draft Pharmaceutical Advice Item Entry Content Module (2022) 2022‑06‑30 15:10:57
2.16.756.5.30.1.1.10.3.12 link draft Pharmaceutical Advice Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.6 link draft Pharmaceutical Advice document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.4.42 Containment draft Dispense Item Entry Content Module (2021) 2016‑06‑17
2.16.756.5.30.1.1.10.3.11 link draft Dispense Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.5 link draft Medication Dispense document (2020) 2016‑05‑21
2.16.756.5.30.1.1.10.4.43 Containment draft Prescription Item Entry Content Module (2021) 2019‑09‑11 17:05:49
2.16.756.5.30.1.1.10.3.10 link draft Prescription Section Content Module (2017) 2016‑06‑06
2.16.756.5.30.1.1.10.1.4 link draft Medication Prescription document (2020) 2016‑05‑21
Uses as Name Version
2.16.756.5.30.1.1.10.9.1 Include draft Narrative Text Reference With Content (2021) DYNAMIC
2.16.756.5.30.1.1.10.9.54 Containment active Author Compilation with id, name, addr and telecom (2020) DYNAMIC
Relationship Adaptation: template 2.16.756.5.30.1.1.10.4.2 Annotation Comments (2016‑11‑12)
ref
ch-pcc-

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 2.16.756.5.30.1.1.10.9.1 Narrative Text Reference With Content (DYNAMIC)
The reference to the text in the narrative section of the section MUST be specified.
hl7:text
ED 1 … 1 R It shall contain both the narrative text content and a reference to the human readable part of the item. This human readable part may contain a simple text to redirect the reader to the PDF document (e.g. "See PDF version included").
There shall be a single non-blank text node (i.e. the text shall be completely before or after the reference, see examples). The text shall be raw (i.e. no markup shall be used).
IHE PCC TF2 Rev.11, 6.3.4.6
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']
IHE PCC TF2 Rev.11, 6.3.4.6
@value
st 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 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"/>').  
  Variable let Name textBefore  
  Value normalize-space(text()[1])  
  Variable let Name textAfter  
  Value normalize-space(text()[2])  
  Schematron assert role red error  
  test (not($textBefore) and $textAfter) or ($textBefore and not($textAfter))  
  Message The text content shall be included before or after the reference.  
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.