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ref Template  Documentation Of Service Event

Id 2.16.756.5.30.1.1.10.2.30 Effective Date valid from 2017‑06‑12 14:18:48
Status draft Draft Version Label 2017
Name DocumentationOfServiceEvent Display Name Documentation Of Service Event
Classification CDA Header Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 5 concepts
Id Name Data Set
cdachresp-dataelement-55 Einsatznummer SNZ 1
cdachresp-dataelement-102 Team 1
cdachresp-dataelement-54 Einsatzdatum 1
cdachresp-dataelement-279 Name 1
cdachresp-dataelement-280 Vorname 1
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as Name Version
2.16.756.5.30.1.1.10.9.32 Containment draft Assigned Entity Compilation with id, name, addr, telecom, person and organization (2017) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.2.46 (DYNAMIC)
Example
Example
<documentationOf typeCode="DOC">
  <templateId root="2.16.756.5.30.1.1.10.2.46"/>  <serviceEvent classCode="ACT" moodCode="EVN">
    <!-- cdachresp-dataelement-55 Einsatznummer -->
    <!-- Extension: Einsatznummer SNZ root: OID vom SNZ -->
    <id root="2.16.756.5.30.1.9999999999.1" extension="S12345678"/>    <effectiveTime>
      <!-- cdachresp-dataelement-54: Einsatzdatum -->
      <low value="20161210"/>      <high nullFlavor="NA"/>    </effectiveTime>
    <!-- cdachresp-dataelement-102 Team -->
    <performer typeCode="PRF">
      <templateId root="2.16.756.5.30.1.1.10.9.31"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5"/>      <functionCode displayName="Andere Gesundheitsfachperson" code="223366009" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
        <translation code="133932002" displayName="Betreuer" codeSystem="2.16.840.1.113883.6.96" codeSystemName="IVR Codesystem RESP"/>      </functionCode>
      <assignedEntity>
        <!-- cdachresp-dataelement-281 -->
        <id extension="7601003330434" root="2.51.1.3"/>        <addr>
          <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>          <postalCode>8001</postalCode>          <city>Zürich</city>          <country>CH</country>        </addr>
        <telecom nullFlavor="NA"/>        <assignedPerson>
          <name>
            <given>Petra</given>            <family>Muster</family>          </name>
        </assignedPerson>
        <representedOrganization>
          <id root="2.51.1.3" extension="7601002156363"/>          <name>Rettungsdienst Schutz & Rettung Zürich</name>          <telecom nullFlavor="NA"/>          <addr>
            <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>            <postalCode>8001</postalCode>            <city>Zürich</city>            <country>CH</country>          </addr>
        </representedOrganization>
      </assignedEntity>
    </performer>
    <performer typeCode="PRF">
      <templateId root="2.16.756.5.30.1.1.10.9.31"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5"/>      <functionCode displayName="Andere Gesundheitsfachperson" code="223366009" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
        <translation code="133932002" displayName="Betreuer" codeSystem="2.16.840.1.113883.6.96" codeSystemName="IVR Codesystem RESP"/>      </functionCode>
      <assignedEntity>
        <!-- cdachresp-dataelement-281 -->
        <id extension="7601000211804" root="2.51.1.3"/>        <addr>
          <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>          <postalCode>8001</postalCode>          <city>Zürich</city>          <country>CH</country>        </addr>
        <telecom nullFlavor="NA"/>        <assignedPerson>
          <name>
            <given>Hans</given>            <family>Beispiel</family>          </name>
        </assignedPerson>
        <representedOrganization>
          <id root="2.51.1.3" extension="7601002156363"/>          <name>Rettungsdienst Schutz & Rettung Zürich</name>          <telecom nullFlavor="NA"/>          <addr>
            <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>            <postalCode>8001</postalCode>            <city>Zürich</city>            <country>CH</country>          </addr>
        </representedOrganization>
      </assignedEntity>
    </performer>
    <performer typeCode="PRF">
      <templateId root="2.16.756.5.30.1.1.10.9.31"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5"/>      <functionCode displayName="Arzt" code="309343006" codeSystemName="SNOMED CT" codeSystem="2.16.840.1.113883.6.96">
        <translation code="309343006" displayName="Notärztin / Notarzt" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>      </functionCode>
      <assignedEntity>
        <!-- cdachresp-dataelement-281 -->
        <id extension="7601000028105" root="2.51.1.3"/>        <addr>
          <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>          <postalCode>8001</postalCode>          <city>Zürich</city>          <country>CH</country>        </addr>
        <telecom nullFlavor="NA"/>        <assignedPerson>
          <name>
            <given>Notarzt</given>            <family>Hans</family>          </name>
        </assignedPerson>
        <representedOrganization>
          <id root="2.51.1.3" extension="7601002156363"/>          <name>Rettungsdienst Schutz & Rettung Zürich</name>          <telecom nullFlavor="NA"/>          <addr>
            <streetAddressLine>Bahnhofquai 3, Amtshaus I</streetAddressLine>            <postalCode>8001</postalCode>            <city>Zürich</city>            <country>CH</country>          </addr>
        </representedOrganization>
      </assignedEntity>
    </performer>
  </serviceEvent>
</documentationOf>
Item DT Card Conf Description Label
hl7:documentationOf
1 … 1 M Information about a health service describing the context of this CDA document. (Docdotsent)
@typeCode
cs 1 … 1 F DOC
hl7:templateId
II 1 … 1 M (Docdotsent)
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.2.46
hl7:templateId
II 1 … 1 M (Docdotsent)
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.2.30
hl7:serviceEvent
1 … 1 R (Docdotsent)
 
target cdachresp-dataelement-102 Team 1
@classCode
cs 1 … 1 F ACT
@moodCode
cs 1 … 1 F EVN
hl7:id
II 1 … 1 M misson number IMC in extension, oid of organization (IMC) in root (Docdotsent)
 
target cdachresp-dataelement-55 Einsatznummer SNZ 1
@root
oid 1 … 1 R
@extension
cs 1 … 1 R
hl7:effectiveTime
IVL_TS.CH.TZ 1 … 1 R Duration of the health service. (Docdotsent)
hl7:low
TS.CH.TZ 1 … 1 R Start of the health service. (Docdotsent)
 
target cdachresp-dataelement-54 Einsatzdatum 1
hl7:high
TS.CH.TZ 1 … 1 R End of the health service. (Docdotsent)
hl7:performer
0 … * Information about a healthcare provider who was the primary performer of the act. (Docdotsent)
@typeCode
cs 1 … 1 F PRF
hl7:templateId
II 1 … 1 M (Docdotsent)
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.9.31
hl7:templateId
1 … 1 R (Docdotsent)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5
hl7:functionCode
CE 1 … 1 R The functionCode MUST be taken from the Swiss EPR Value-Set for author roles. See FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), Appendix 3: Metadata, Section 2.1.
If the desired functionCode is not available in the Swiss EPR Value-Set for author roles, the code 133932002 (Other Caregiver) MUST be used. In this case, the originalText element MUST contain the description of the role.
Translations to other vocabularies are allowed.
(Docdotsent)
@displayName
st 1 … 1 R
@code
cs 1 … 1 R
@codeSystemName
st 1 … 1 F SNOMED CT
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.96
  CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.1.3 EprAuthorRole (DYNAMIC)
  Example <functionCode code="106292003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Professional nurse"/>
  Example <functionCode code="133932002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Other Caregiver">
  <originalText>Home helper</originalText></functionCode>
  Example <functionCode code="133932002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Other Caregiver">
  <originalText>Laboratory technician</originalText>  <translation code="3212" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO-08" displayName="Medical and pathology laboratory technicians"/></functionCode>
  Schematron assert role red error  
  test not(@code='133932002') or (originalText/text())  
  Message Other Caregivers description MUST be declared in the originalText element.  
hl7:originalText
ED 0 … 1 C Other Caregivers description MUST be declared in the originalText element. (Docdotsent)
hl7:translation
0 … * A translation of the code to another coding system (e.g. ISCO-08: 2.16.840.1.113883.2.9.6.2.7) (Docdotsent)
@displayName
st 1 … 1 R
@code
cs 1 … 1 R
@codeSystemName
st 1 … 1 R
@codeSystem
oid 1 … 1 R
hl7:time
IVL_TS.CH.TZ 0 … 1 Duration of the performance. (Docdotsent)
hl7:low
TS.CH.TZ 1 … 1 R Start of the performance. (Docdotsent)
hl7:high
TS.CH.TZ 1 … 1 R End of the performance. (Docdotsent)
hl7:assignedEntity
1 … 1 R Contains 2.16.756.5.30.1.1.10.9.32 Assigned Entity Compilation with id, name, addr, telecom, person and organization (DYNAMIC) (Docdotsent)
 
target cdachresp-dataelement-279 Name 1
  cdachresp-dataelement-280 Vorname 1