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ref Template  IPS Medical Device

Id 2.16.840.1.113883.10.22.4.26 Effective Date valid from 2017‑04‑11
Status draft Draft Version Label
Name IPSMedicalDevice Display Name IPS Medical Device
Description The medical devices entry content module describes the kind of device that is, or has been used by the patient
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.26
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.10.22.3.6 Containment draft IPS Medical Devices Section 2017‑04‑11
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2017‑04‑11
Relationship Adaptation: template 1.3.6.1.4.1.12559.11.10.1.3.1.3.5 (2013‑12‑20)
Example
Example
<supply moodCode="EVN" classCode="SPLY">
  <templateId root="2.16.840.1.113883.10.22.4.26"/>  <id root="2.16.840.1.113883.19.811.3"/>  <text>
    <reference value="#dev_1"/>  </text>
  <effectiveTime xsi:type="IVL_TS">
    <low value="20070728"/>  </effectiveTime>
  <participant typeCode="DEV">
    <participantRole classCode="MANU">
      <id/>      <playingDevice classCode="DEV" determinerCode="INSTANCE">
        <code code="304184000" displayName="Ankle joint implant" codeSystem="2.16.840.1.113883.6.96"/>      </playingDevice>
    </participantRole>
  </participant>
</supply>
Item DT Card Conf Description Label
hl7:supply
R The element shall be present. The moodCode attribute shall be EVN to reflect that a medical device has been provided. (IPSdotsice)
@classCode
cs 1 … 1 F SPLY
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M (IPSdotsice)
@root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.26
hl7:id
II 0 … * R This optional element identifies the provision of the device (e.g. implant procedure) (IPSdotsice)
hl7:text
ED 0 … 1 R (IPSdotsice)
hl7:reference
TEL 1 … 1 M (IPSdotsice)
@value
1 … 1 R Reference pointing to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1
hl7:effectiveTime
IVL_TS 1 … 1 R
This element provides the interval of time corresponding to the device usage by/presence in the patient.
(IPSdotsice)
@xsi:type
1 … 1 F IVL_TS
hl7:low
TS 1 … 1 R The lower bound of the interval represents the start date/time. (IPSdotsice)
hl7:high
TS 0 … 1 C The upper bound represents the end date/time. If it is not present, the device is still used by or present in the patient. (IPSdotsice)
hl7:participant
1 … * R The device is represented as a participant in the supply structure. The following descriptions apply to the device structure. (IPSdotsice)
@typeCode
cs 1 … 1 F DEV
  Example <participant typeCode="DEV">
  <participantRole classCode="MANU">
    <id root="1.2.3.999" extension="__example_only__"/>    <playingDevice classCode="DEV" determinerCode="INSTANCE">
      <code code="" codeSystem=""/>      <!-- ... -->
    </playingDevice>
  </participantRole>
</participant>
  Example
Presence of implanted device not known (situation)
<participant typeCode="DEV">
  <participantRole classCode="MANU">
    <playingDevice>
      <code code="000000" codeSystem="2.16.840.1.113883.6.96" displayName="Presence of implanted device not known (situation)"/>    </playingDevice>
    <scopingEntity>
      <id root="2.16.840.1.113883.3.3719"/>    </scopingEntity>
  </participantRole>
</participant>
  Example
No implant in situ (situation)
<participant typeCode="DEV">
  <participantRole classCode="MANU">
    <playingDevice>
      <code code="000000" codeSystem="2.16.840.1.113883.6.96" displayName="No implant in situ (situation)"/>    </playingDevice>
    <scopingEntity>
      <id root="2.16.840.1.113883.3.3719"/>    </scopingEntity>
  </participantRole>
</participant>
hl7:participantRole
1 … 1 R (IPSdotsice)
@classCode
cs 1 … 1 F MANU
hl7:id
II 0 … * R
The device ID, e.g. using UDI, is represented by the id element of the participant role. This element is optional, as not all production identifiers (e.g., serial number, lot/batch number, distinct identification number) may be known to the provider or patient.
(IPSdotsice)
  Example
UDI GS1: DeviceIdentifier 00844588003288, Serial# 10987654d321, Lot# 7654321D
<id root="2.16.840.1.113883.3.3719" extension="{01}00844588003288{17}141120{10}7654321D{21}10987654d321"/>
  Example
UDI ICCBBA: DeviceIdentifier 00844588003288
<id root="2.16.840.1.113883.3.3719" extension="A9999XYZ100T0474"/>
  Example
UDI HIBCC: Serial# XYZ456789012345678, Lot# LOT123456789012345
<id root="2.16.840.1.113883.3.3719" extension="+H123PARTNO1234567890120/$$420020216LOT123456789012345/SXYZ456789012345678/16D20130202C"/>
hl7:playingDevice
1 … 1 R The playingDevice element describes the device instance.  (IPSdotsice)
@classCode
cs 1 … 1 F DEV
@determinerCode
cs 1 … 1 F INSTANCE
hl7:code
CE.IPS preferred 1 … 1 R The device code describes the type of device (e.g. arm prosthesis, arterial stent). (IPSdotsice)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.23 IPS Medical Devices (DYNAMIC)