Difference between revisions of "1.3.6.1.4.1.19376.1.5.3.1.1.5"
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− | {{CDA Document|PHR Extract|1.3.6.1.4.1.19376.1.5.3.1.1.5| | + | {{CDA Document|PHR Extract|1.3.6.1.4.1.19376.1.5.3.1.1.5|Trial|formatCode=urn:ihe:pcc:xphr:2007| |
The PHR Extract module describes the document content that summarizes information contained within a Personal Health Record. While a PHR can contain a great deal more information (including clinical documents, lab reported, images, trend data, monitoring data) et cetera, this content module only deals with the format of the summary information from the PHR. | The PHR Extract module describes the document content that summarizes information contained within a Personal Health Record. While a PHR can contain a great deal more information (including clinical documents, lab reported, images, trend data, monitoring data) et cetera, this content module only deals with the format of the summary information from the PHR. | ||
− | An PHR Extract Module is a type of medical summary, and incorporates the constraints defined for | + | An PHR Extract Module is a type of medical summary, and incorporates the constraints defined for {{ILink|1.3.6.1.4.1.19376.1.5.3.1.1.5|1.3.6.1.4.1.19376.1.5.3.1.1.2|Medical Summaries}}. While mappings have been provided to various standards, this content module conforms to the ASTM/HL7 Continuity of Care Document as well as this guide. |
The following table describes the data elements that may be present in a PHR Extract. The first column of this table is drawn from the Common Data Elements in the PHR found in Appendix B of the AHIMA Report: The Role of the Personal Health Record in the EHR. Indented items in this column of the table provide more detail for the item they appear underneath. | The following table describes the data elements that may be present in a PHR Extract. The first column of this table is drawn from the Common Data Elements in the PHR found in Appendix B of the AHIMA Report: The Role of the Personal Health Record in the EHR. Indented items in this column of the table provide more detail for the item they appear underneath. | ||
Line 12: | Line 12: | ||
|Parent=1.3.6.1.4.1.19376.1.5.3.1.1.2|ParentName=Medical Summary|CCD=2.16.840.1.113883.10.20.1 | |Parent=1.3.6.1.4.1.19376.1.5.3.1.1.2|ParentName=Medical Summary|CCD=2.16.840.1.113883.10.20.1 | ||
|Standards= | |Standards= | ||
− | {{Std|AHIMA-PHR|AHIMA PHR Common Data Elements|}} | + | {{Std|AHIMA-PHR|AHIMA PHR Common Data Elements|http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_027456.pdf}} |
{{Std|CDAR2}} | {{Std|CDAR2}} | ||
{{Std|CRS}} | {{Std|CRS}} | ||
{{Std|CCD}} | {{Std|CCD}} | ||
− | {{Std|HL7-PHR|HL7 PHR Functional Model (Draft)}} | + | {{Std|HL7-PHR|HL7 PHR Functional Model (Draft)|http://www.hl7.org/documentcenter/ballots/2007NOV/downloads/EHR_PHRSFM_R1_D1_2007NOV.zip}} |
{{Std|LOINC|Logical Observation Identifier Names and Codes|http://www.loinc.org}} | {{Std|LOINC|Logical Observation Identifier Names and Codes|http://www.loinc.org}} | ||
|Index={{T|AHIMA Common Data Elements|ASTM Continuity of Care Record|HL7 Clincial Document Architecture, Care Record Summary or Continuity of Care Document|HL7 PHR Conformance Criteria| | |Index={{T|AHIMA Common Data Elements|ASTM Continuity of Care Record|HL7 Clincial Document Architecture, Care Record Summary or Continuity of Care Document|HL7 PHR Conformance Criteria| | ||
Line 24: | Line 24: | ||
{{R|Contact Information|Patient|patientRole/telecom|Contact Information}} | {{R|Contact Information|Patient|patientRole/telecom|Contact Information}} | ||
{{R|Personal Identification Information|Patient|patientRole/id|Demographic Information}} | {{R|Personal Identification Information|Patient|patientRole/id|Demographic Information}} | ||
− | {{R|Gender|Patient|patient/ | + | {{R|Gender|Patient|patient/administrativeGenderCode|Demographic Information}} |
− | {{R|Date of Birth|Patient|patient/ | + | {{R|Date of Birth|Patient|patient/birthTime|Demographic Information}} |
− | {{R|Marital Status|Patient|patient/ | + | {{R|Marital Status|Patient|patient/maritalStatusCode| }} |
{{R|Race|Patient|patient/raceCode| }} | {{R|Race|Patient|patient/raceCode| }} | ||
− | {{R|Ethnicity|Patient|patient/ | + | {{R|Ethnicity|Patient|patient/ethnicGroupCode|Demographic Information}} |
{{R|(Religious Affiliation[1])|Patient|patient/religiousAffiliationCode|Spiritual Affiliation / Considerations}} | {{R|(Religious Affiliation[1])|Patient|patient/religiousAffiliationCode|Spiritual Affiliation / Considerations}} | ||
{{R|Languages Spoken|Patient|patient/languageCommunication| }} | {{R|Languages Spoken|Patient|patient/languageCommunication| }} | ||
Line 59: | Line 59: | ||
}} | }} | ||
|LOINC=34133-9|LOINCName=Summary of Episode Note | |LOINC=34133-9|LOINCName=Summary of Episode Note | ||
− | |Entry|Personal Information|R|| | + | |Entry|Personal Information|R|1.3.6.1.4.1.19376.1.5.3.1.1.1| |
− | + | :Name | |
− | + | :Address | |
− | + | :Contact Information | |
− | + | :Personal Identification | |
− | |Entry| | + | :Gender |
− | + | :Date of Birth<br/> | |
− | + | Thes components are required of all {{ILink|1.3.6.1.4.1.19376.1.5.3.1.1.5|1.3.6.1.4.1.19376.1.5.3.1.1.1|Medical Documents}} | |
− | |Entry| | + | |Entry|Personal Information|R2|1.3.6.1.4.1.19376.1.5.3.1.1.1| |
− | + | :Marital Status<br/> | |
− | + | This commponent is optional in {{ILink|1.3.6.1.4.1.19376.1.5.3.1.1.5|1.3.6.1.4.1.19376.1.5.3.1.1.1|Medical Documents}}, but required if known in this specification. | |
+ | |Entry|Personal Information|O|1.3.6.1.4.1.19376.1.5.3.1.1.1| | ||
+ | :Race | ||
+ | :Ethnicity | ||
+ | :Religious Affiliation [2]<br/> | ||
+ | These components are optional in {{ILink|1.3.6.1.4.1.19376.1.5.3.1.1.5|1.3.6.1.4.1.19376.1.5.3.1.1.1|Medical Documents}} | ||
|Entry|Languages Spoken|R2|1.3.6.1.4.1.19376.1.5.3.1.2.1| | |Entry|Languages Spoken|R2|1.3.6.1.4.1.19376.1.5.3.1.2.1| | ||
|Entry|Employer and School Contacts|O|1.3.6.1.4.1.19376.1.5.3.1.2.2| | |Entry|Employer and School Contacts|O|1.3.6.1.4.1.19376.1.5.3.1.2.2| | ||
Line 92: | Line 97: | ||
|Section|Family Member History|O|1.3.6.1.4.1.19376.1.5.3.1.3.15| | |Section|Family Member History|O|1.3.6.1.4.1.19376.1.5.3.1.3.15| | ||
|Section|Foreign Travel|O|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6| | |Section|Foreign Travel|O|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6| | ||
+ | |Section|Plan of Care|O|1.3.6.1.4.1.19376.1.5.3.1.3.31| | ||
+ | |Section|Coded Vital signs|O|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2| | ||
+ | |Section|Functional Status|O|1.3.6.1.4.1.19376.1.5.3.1.3.17| | ||
}} | }} | ||
====== Additional Constraints ====== | ====== Additional Constraints ====== |
Latest revision as of 14:03, 2 October 2008
Development Only
The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC
PHR Extract Specification 1.3.6.1.4.1.19376.1.5.3.1.1.5
The PHR Extract module describes the document content that summarizes information contained within a Personal Health Record. While a PHR can contain a great deal more information (including clinical documents, lab reported, images, trend data, monitoring data) et cetera, this content module only deals with the format of the summary information from the PHR.
An PHR Extract Module is a type of medical summary, and incorporates the constraints defined for Medical Summaries. While mappings have been provided to various standards, this content module conforms to the ASTM/HL7 Continuity of Care Document as well as this guide.
The following table describes the data elements that may be present in a PHR Extract. The first column of this table is drawn from the Common Data Elements in the PHR found in Appendix B of the AHIMA Report: The Role of the Personal Health Record in the EHR. Indented items in this column of the table provide more detail for the item they appear underneath.
These data elements were then mapped to the ASTM CCR, HL7 CDA, CRS and CCD and the implicit data elements referenced by the HL7 PHR Conformance Criteria.
A further requirement of transfers of information between PHR and EHR systems is that authorship of the information stored within the PHR shall be tracable through the various import/export cycles. PHR Manager Actors must be secure nodes, which requires logging of any updates to or accesses of PHR information. The DSG profile should be used to ensure that information coming into, or exiting these systems is verifiably authored.
Format Code
The XDSDocumentEntry format code for this content is urn:ihe:pcc:xphr:2007
Parent Template
This document is an instance of the Medical Summary template.
LOINC Code
The LOINC code for this document is 34133-9 Summary of Episode Note
Standards
Data Element Index
AHIMA Common Data Elements | ASTM Continuity of Care Record | HL7 Clincial Document Architecture, Care Record Summary or Continuity of Care Document | HL7 PHR Conformance Criteria |
---|---|---|---|
Personal Information | Patient | patientRole | Demographic Information |
Name | Patient | patient/name | Demographic Information |
Address | Patient | patientRole/addr | Contact Information |
Contact Information | Patient | patientRole/telecom | Contact Information |
Personal Identification Information | Patient | patientRole/id | Demographic Information |
Gender | Patient | patient/administrativeGenderCode | Demographic Information |
Date of Birth | Patient | patient/birthTime | Demographic Information |
Marital Status | Patient | patient/maritalStatusCode | |
Race | Patient | patient/raceCode | |
Ethnicity | Patient | patient/ethnicGroupCode | Demographic Information |
(Religious Affiliation[1]) | Patient | patient/religiousAffiliationCode | Spiritual Affiliation / Considerations |
Languages Spoken | Patient | patient/languageCommunication | |
Employer and School Contacts | Social History | ||
Hazardous Working Conditions | Social History | HISTORY OF OCCUPATIONAL EXPOSURE | |
Emergency Contacts | Support | ||
Healthcare Providers | Practitioners | serviceEvent/performer | Healthcare Providers |
Insurance Providers | Insurance | Health Insurance or Pharmacy Insurance | |
Pharamacy | performer | ||
Legal Documents and Medical Directives | Advance Directives | ADVANCE DIRECTIVES | Advance Directive |
General Medical Information Height, Weight |
Vital Signs | VITAL SIGNS | |
Blood Type | Results | RELEVANT DIAGNOSTIC TESTS AND/OR LABORATORY DATA | |
Last Physical or Checkup | Encounters | HISTORY OF OUTPATIENT VISITS | Clinical Encounters and Procedures List |
Allergies and Drug Sensitivies | Alerts | HISTORY OF ALLERGIES | Allergy and Reaction List |
Conditions | Problems | HISTORY OF PAST ILLNESS - or - PROBLEM LIST |
Problem List |
Surgeries | Procedures | HISTORY OF SURGICAL PROCEDURES | Clinical Encounters and Procedures List |
Medications – Prescription and Non-Prescription | Medications | HISTORY OF MEDICATION USE | Medication List |
Immunizations | Immunizations | HISTORY OF IMMUNIZATIONS | Immunizations List |
Doctor Visits | Encounters | HISTORY OF OUTPATIENT VISITS | Clinical Encounters and Procedures List |
Hospitalizations | Encounters | HISTORY OF HOSPITALIZATIONS | Clinical Encounters and Procedures List |
Other Healthcare Visits | Encounters | HISTORY OF OUTPATIENT VISITS | Clinical Encounters and Procedures List |
Clinical Tests | Results | RELEVANT DIAGNOSTIC TESTS AND/OR LABORATORY DATA | Laboratory and Test Results |
Pregnancies | HISTORY OF PREGNANCIES | ||
Medical Devices | Medical Devices | HISTORY OF MEDICAL DEVICE USE | |
Family Member History | Family History | HISTORY OF FAMILY MEMBER DISEASES | Family History |
Foreign Travel | HISTORY OF TRAVEL | ||
Therapy | Plan of Care | TREATMENT PLAN | Care Plans, Goals and Disease Management |
Vital Signs | Vital signs | VITAL SIGNS | |
(Functional Status[2]) | Functional Status | FUNCTIONAL STATUS |
Specification
Data Element Name | Opt | Template ID |
---|---|---|
Personal Information
Thes components are required of all Medical Documents |
R | 1.3.6.1.4.1.19376.1.5.3.1.1.1 |
Personal Information
This commponent is optional in Medical Documents, but required if known in this specification. |
R2 | 1.3.6.1.4.1.19376.1.5.3.1.1.1 |
Personal Information
These components are optional in Medical Documents |
O | 1.3.6.1.4.1.19376.1.5.3.1.1.1 |
Languages Spoken | R2 | 1.3.6.1.4.1.19376.1.5.3.1.2.1 |
Employer and School Contacts | O | 1.3.6.1.4.1.19376.1.5.3.1.2.2 |
Hazardous Working Conditions | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1 |
Patient Contacts | R2 | 1.3.6.1.4.1.19376.1.5.3.1.2.4 |
Healthcare Providers | R | 1.3.6.1.4.1.19376.1.5.3.1.2.3 |
Insurance Providers | R2 | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7 |
Pharamacy | R2 | 1.3.6.1.4.1.19376.1.5.3.1.2.3 |
Legal Documents and Medical Directives | R2 | 1.3.6.1.4.1.19376.1.5.3.1.3.34 |
Allergies and Drug Sensitivities | R | 1.3.6.1.4.1.19376.1.5.3.1.3.13 |
Conditions | R | 1.3.6.1.4.1.19376.1.5.3.1.3.8 |
Conditions (cont) | R | 1.3.6.1.4.1.19376.1.5.3.1.3.6 |
Surgeries | R2 | 1.3.6.1.4.1.19376.1.5.3.1.3.12 |
Medications – Prescription and Non-Prescription | R | 1.3.6.1.4.1.19376.1.5.3.1.3.19 |
Immunizations | R2 | 1.3.6.1.4.1.19376.1.5.3.1.3.23 |
Doctor Visits / Last Physical or Checkup | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 |
Hospitalizations | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 |
Other Healthcare Visits | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 |
Clinical Tests / Blood Type | O | 1.3.6.1.4.1.19376.1.5.3.1.3.28 |
Pregnancies | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 |
Medical Devices | R2 | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5 |
Family Member History | O | 1.3.6.1.4.1.19376.1.5.3.1.3.15 |
Foreign Travel | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6 |
Plan of Care | O | 1.3.6.1.4.1.19376.1.5.3.1.3.31 |
Coded Vital signs | O | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 |
Functional Status | O | 1.3.6.1.4.1.19376.1.5.3.1.3.17 |
Conformance
CDA Release 2.0 documents that conform to the requirements of this content module shall indicate their conformance by the inclusion of the appropriate <templateId> elements in the header of the document. This is shown in the sample document below. A CDA Document may conform to more than one template. This content module inherits from the Medical Summary content module, and so must conform to the requirements of that template as well, thus all <templateId> elements shown in the example below shall be included.
<ClinicalDocument xmlns='urn:hl7-org:v3'> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.2'/> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5'> <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5"]'> <!-- Verify that the template id is used on the appropriate type of object --> <assert test='../cda:ClinicalDocument'> Error: The PHR Extract can only be used on Clinical Documents. </assert> <!-- Verify that the parent templateId is also present. --> <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.1.2"]'> Error: The parent template identifier for PHR Extract is not present. </assert> <!-- Verify the document type code --> <assert test='cda:code[@code = "34133-9"]'> Error: The document type code of a PHR Extract must be 34133-9 </assert> <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> Error: The document type code must come from the LOINC code system (2.16.840.1.113883.6.1). </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.1"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Personal Information Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.1"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Personal Information Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.1"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Personal Information Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.2.1"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Languages Spoken Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.2.2"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Employer and School Contacts Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Hazardous Working Conditions Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.2.4"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Patient Contacts Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.2.3"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Healthcare Providers Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Insurance Providers Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.2.3"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Pharamacy Entry. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.34"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Legal Documents and Medical Directives Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.13"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Allergies and Drug Sensitivities Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.8"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Conditions Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.6"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Conditions (cont) Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.12"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Surgeries Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.19"]'> <!-- Verify that all required data elements are present --> Error: The PHR Extract Document must contain a(n) Medications – Prescription and Non-Prescription Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.23"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Immunizations Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Doctor Visits / Last Physical or Checkup Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Hospitalizations Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Other Healthcare Visits Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.28"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Clinical Tests / Blood Type Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Pregnancies Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5"]'> <!-- Alert on any missing required if known elements --> Warning: The PHR Extract Document should contain a(n) Medical Devices Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.15"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Family Member History Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Foreign Travel Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.31"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Plan of Care Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Coded Vital signs Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.17"]'> <!-- Note any missing optional elements --> Note: This PHR Extract Document does not contain a(n) Functional Status Section. See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5 </assert> </rule> </pattern>
Additional Constraints
The assignedAuthoring device shall be populated with information about the EHR and/or PHR which assisted in creation of the document.
All sections and entries within the document shall contain an <id> element.
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- CDA Document Templates