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draft Template  Care Plan Section - coded

Id 2.16.756.5.30.1.1.10.3.61 Effective Date 2017‑09‑13 19:55:52
Status draft Draft Version Label 2018
Name cdachsmcp_section_CarePlanCoded Display Name Care Plan Section - coded
Description
The care plan section shall contain a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.61
Label CDA‑CH‑SMCP
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.11 Containment draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Uses as Name Version
2.16.756.5.30.1.1.10.4.107 Containment draft Care Plan Observation (2018) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.27 Care Plan Section - plain text (DYNAMIC)
ref
ch-pcc-

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Specialization: template 2.16.840.1.113883.10.20.1.10 Plan of care section (2007‑04‑01)
ref
ccd1-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.61"/>  <templateId root="2.16.756.5.30.1.1.10.3.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.31"/>  <templateId root="2.16.840.1.113883.10.20.1.10"/>  <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Plan of care note"/>  <title>Attitude</title>  <text>Narrative text</text>  <entry>
    <!-- template 2.16.756.5.30.1.1.10.4.107 'Care Plan Observation' -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 CDA-dotsSMCP
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.61
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.27
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.31
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.840.1.113883.10.20.1.10
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 18776-5
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Plan of care note
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Behandlungsplan'
  • [fr]: 'Attitude'
  • [en]: 'Care Plan'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Behandlungsplan')  
  Message The German title must read 'Behandlungsplan'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Attitude')  
  Message The French title must read 'Attitude'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Care Plan')  
  Message The English title must read 'Care Plan'  
hl7:text
 SD.TEXT 1 … 1 M Human readable text of this section. CDA-dotsSMCP
hl7:entry
 1 … * R Contains 2.16.756.5.30.1.1.10.4.107 Care Plan Observation (DYNAMIC) CDA-dotsSMCP
treeblank where [hl7:observation [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.107'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.71'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.4.13']]]
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('16.1')])=1  
  Message The field 16.1 (Objectifs de soins et d’accompagnement de la personne) is required in exactly one entry.  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('57833-6')])=1  
  Message The field 16.8 (Ordonnance) is required in exactly one entry.  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('16.9')])=1  
  Message The field 16.9 (Document médical) is required in exactly one entry.  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('16.10')])=1  
  Message The field 16.10 (Plan de traitement) is required in exactly one entry.  
  Schematron assert role red error  
  test count(hl7:entry/hl7:observation[hl7:code/@code=('19.1')])=1  
  Message The field 19.1 (La personne (et/ou son représentant) a été informée et a donné son accord) is required in exactly one entry.