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ref Template  IPS Entry Comment

Id 2.16.840.1.113883.3.1937.777.13.10.28 Effective Date valid from 2017‑04‑07 10:00:14
Status rejected Rejected Version Label 0
Name IPSEntryComment Display Name IPS Entry Comment
Description
This entry allows for a comment to be supplied with each entry. For CDA this structure is usually included in the target act using the <entryRelationship> element defined in the CDA Schema, but can also be used in the <component> element when the comment appears within an <organizer>. The example below shows recording a comment for an <entry>, and is used as context for the following sections. For HL7 Version 3 Messages, this relationship is represented with the element <sourceOf>, although the remainder of the typecodes and semantics are unchanged.

Any condition or allergy may be the subject of a comment.

Context Parent nodes of template element with id 2.16.840.1.113883.3.1937.777.13.10.28
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as Name Version
2.16.840.1.113883.3.1937.777.11.10.102 Include draft epSOS CDA author DYNAMIC
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.2 (2013‑12‑20)
Example
Example
<act classCode="ACT" moodCode="EVN">
  <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" displayName="Annotation Comment" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <text>
    <reference value="#comment-2"/>  </text>
  <statusCode code="completed"/>  <author>
    <time value=""/>    <assignedAuthor>
      <id root="" extension=""/>      <addr/>      <telecom value="" use=""/>      <assignedPerson>
        <name>...</name>      </assignedPerson>
      <representedOrganization>
        <name>...</name>      </representedOrganization>
    </assignedAuthor>
  </author>
</act>
Item DT Card Conf Description Label
hl7:act
R (IPS…ent)
@classCode
cs 1 … 1 F ACT
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M (IPS…ent)
@root
1 … 1 F 2.16.840.1.113883.3.1937.777.13.10.28
hl7:templateId
II 1 … 1 R (IPS…ent)
@root
uid 1 … 1 F 2.16.840.1.113883.10.20.1.40
hl7:templateId
II 1 … 1 M (IPS…ent)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.2
hl7:code
CD 1 … 1 R (IPS…ent)
@code
CONF 1 … 1 F 48767-8
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
hl7:statusCode
CS 1 … 1 R (IPS…ent)
@code
CONF 1 … 1 F completed
hl7:text
ED 1 … * R (IPS…ent)
hl7:reference
TEL 1 … 1 M (IPS…ent)
@value
1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
Included 0 … * R from 2.16.840.1.113883.3.1937.777.11.10.102 epSOS CDA author (DYNAMIC)
hl7:author
0 … * R (IPS…ent)
@typeCode
cs 0 … 1 F AUT
@contextControlCode
cs 0 … 1 F OP
hl7:functionCode
CE.EPSOS 0 … 1 R R1.10.6
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 epSOSHealthcareProfessionalRoles (DYNAMIC)
hl7:time
TS.EPSOS.TZ 1 … 1 R The author/time element represents the start time of the author’s participation in the creation of the clinical document. The author/time element SHALL be present. (IPS…ent)
hl7:assignedAuthor
1 … 1 R (IPS…ent)
@classCode
cs 0 … 1 F ASSIGNED
  Schematron assert role red error  
  test @nullFlavor or hl7:assignedPerson or hl7:assignedAuthoringDevice  
  Message If assignedAuthor has an associated representedOrganization with no assignedPerson or assignedAuthoringDevice, then the value for "ClinicalDocument/author/assignedAuthor/id/@nullFlavor" SHALL be "NA" "Not applicable" 2.16.840.1.113883.5.1008 NullFlavor STATIC.  
hl7:id
II.EPSOS 1 … * R HP ID number R1.10.5
@nullFlavor
cs 0 … 1 F NA
hl7:code
CE.EPSOS 0 … 1 R HP Specialty R1.10.7
hl7:addr
AD.EPSOS 1 … * R IHE PCC
hl7:telecom
TEL.EPSOS 1 … * R Attribute @value SHALL contain a URI if element telecom is used. The URI scheme SHALL be one of URLScheme IHE PCC / R1.10.8 / R1.10.8.1 / R1.10.8.2
@use
set_cs 0 … 1  
  CONF
The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 epSOSTelecomAddress (DYNAMIC)
Choice 0 … 1 Elements to choose from:
hl7:assignedPerson
R (IPS…ent)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
hl7:name
PN 1 … 1 R HP Name IHE PCC
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
1 … * R HP Family Name/Surname R1.10.1
hl7:given
1 … * R HP Given Name R1.10.2
hl7:prefix
0 … * R HP Prefix R1.10.3
hl7:suffix
0 … * R HP Suffix R1.10.4
hl7:assignedAuthoringDevice
R Contains 2.16.840.1.113883.3.1937.777.11.10.129 CDA Device (DYNAMIC) (IPS…ent)
hl7:representedOrganization
1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 epSOS CDA Organization (DYNAMIC) R1.10.9