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Revision as of 13:50, 30 May 2008
Folder Content Modules
This section contains modules that describe the content requirements of Folders used with XDS, XDM or XDR. When workflows are completed normally, the folders will contain documents with the optionality specified in the tables shown below. Under certain circumstances, the folders will not meet the optionality requirements described below, for example, when the patient leaves before treatment is completed.
HL7 Version 3.0 Content Modules
This section contains content modules based upon the HL7 CDA Release 2.0 Standard, and related standards and/or implementation guides.
CDA Document Content Modules
- (1.3.6.1.4.1.19376.1.5.3.1.1.1)Medical Documents Specification
CDA Header Content Modules
- (1.3.6.1.4.1.19376.1.5.3.1.2.5)PCC CDA Supplement 2:6.3.2.7 Authorization
CDA Section Content Modules
This list defines the sections that may appear in a medical document. It is intended to be a comprehensive list of all document sections that are used by any content profile defined in the Patient Care Coordination Technical Framework. All sections shall have a narrative component that may be freely formatted into normal text, lists, tables, or other appropriate human-readable presentations. Additional subsections or entry content modules may be required.
Impressions
- (1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4)PCC CDA Supplement 2:6.3.3.9.7 Assessments
CDA and HL7 Version 3 Entry Content Modules
- (1.3.6.1.4.1.19376.1.5.3.1.4.1)PCC TF 2:6.3.4.3 Severity
- (1.3.6.1.4.1.19376.1.5.3.1.4.1.1)PCC TF 2:6.3.4.4 Problem Status Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.1.2)PCC TF 2:6.3.4.5 Health Status
- (1.3.6.1.4.1.19376.1.5.3.1.4.2)PCC TF 2:6.3.4.6 Comments
- (1.3.6.1.4.1.19376.1.5.3.1.4.3)PCC TF 2:6.3.4.7 Patient Medication Instructions
- (1.3.6.1.4.1.19376.1.5.3.1.4.3.1)PCC TF 2:6.3.4.8 Medication Fulfillment Instructions
- (1.3.6.1.4.1.19376.1.5.3.1.4.4)PCC TF 2:6.3.4.9 External References
- (1.3.6.1.4.1.19376.1.5.3.1.4.4.1)PCC TF 2:6.3.4.10 Internal References
- (1.3.6.1.4.1.19376.1.5.3.1.4.5.1)PCC TF 2:6.3.4.11 Concern Entry
- (1.3.6.1.4.1.19376.1.5.3.1.4.5.2)PCC TF 2:6.3.4.12 Problem Concern Entry
- (1.3.6.1.4.1.19376.1.5.3.1.4.5.3)PCC TF 2:6.3.4.13 Allergy and Intolerance Concern
- (1.3.6.1.4.1.19376.1.5.3.1.4.5)PCC TF 2:6.3.4.14 Problem Entry
- (1.3.6.1.4.1.19376.1.5.3.1.4.6)PCC TF 2:6.3.4.15 Allergies and Intolerances
- (1.3.6.1.4.1.19376.1.5.3.1.4.7)PCC TF 2:6.3.4.16 Medications
- (1.3.6.1.4.1.19376.1.5.3.1.4.12)PCC TF 2:6.3.4.17 Immunizations
- (1.3.6.1.4.1.19376.1.5.3.1.4.7.3)PCC TF 2:6.3.4.18 Supply Entry
- (1.3.6.1.4.1.19376.1.5.3.1.4.7.2)PCC TF 2:6.3.4.19 Product Entry
- (1.3.6.1.4.1.19376.1.5.3.1.4.13)PCC TF 2:6.3.4.20 Simple Observations
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.1)PCC TF 2:6.3.4.21 Vital Signs Organizer
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.2)PCC TF 2:6.3.4.22 Vital Signs Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.15)PCC TF 2:6.3.4.23 Family History Organizer
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.4)PCC TF 2:6.3.4.24 Social History Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.3)PCC CDA Supplement 2:6.3.4.25 Family History Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.5)PCC CDA Supplement 2:6.3.4.26 Pregnancy Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.13.7)PCC CDA Supplement 2:6.3.4.29 Advance Directive Observation
- (1.3.6.1.4.1.19376.1.5.3.1.4.14)PCC CDA Supplement 2:6.3.4.31 Encounters
- (1.3.6.1.4.1.19376.1.5.3.1.4.19)PCC CDA Supplement 2:6.3.4.33 Procedure Entry
- (1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1)PCC CDA Supplement 2:6.3.4.38 Pain Score Observation
HL7 Version 2 Content Modules
This section contains content modules based upon the HL7 Version 2 Standard, and related standards and/or implementation guides.
PCC Value Sets
This section contains value sets used by Content Modules.