1.3.6.1.4.1.19376.1.5.3.1.1.1: Difference between revisions

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{{CDA Document|'Medical Documents|1.3.6.1.4.1.19376.1.5.3.1.1.1|Draft|
{{CDA Document|Medical Documents|1.3.6.1.4.1.19376.1.5.3.1.1.1|Draft|
Sample Document has one required section, and one entry that is required if known|
This section defines the base set of constraints used by almost all medical document profiles described the PCC Technical Framework.
|
Standards=
{{Std|CDAR2|Clinical Document Architecture, Release 2.0, 2005, HL7}}
{{Std|CRS|Implementation Guide for CDA Release 2 – Level 1 and 2 – Care Record Summary (US realm), 2006, HL7.}}
|
Data=
Data=
{{CDA Document Content|Sample Document|Sample Section|R|SampleSectionOID|Comment on section}}
{{CDA Document Content|Sample Document|Sample Section|R|SampleSectionOID|Comment on section}}
{{CDA Document Content|Sample Document|Sample Entry|R2|SampleEntryOID|Comment on entry}}
{{CDA Document Content|Sample Document|Sample Entry|R2|SampleEntryOID|Comment on entry}}|
}}
}}

Revision as of 15:07, 11 May 2007

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

Medical Documents Specification 1.3.6.1.4.1.19376.1.5.3.1.1.1

This section defines the base set of constraints used by almost all medical document profiles described the PCC Technical Framework.



Standards
CDAR2 Clinical Document Architecture, Release 2.0, 2005, HL7
CRS Implementation Guide for CDA Release 2 – Level 1 and 2 – Care Record Summary (US realm), 2006, HL7.

Transition to new CDA Document template to support schematron-->>Data<<--

Specification
Data Element Name Opt Template ID
Sample Section
Comment on section 		R SampleSectionOID
Sample Entry
Comment on entry 		R2 SampleEntryOID


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.

Sample Medical Documents Document 
<ClinicalDocument xmlns='urn:hl7-org:v3'>
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
  <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.1'/>
  <id root=' ' extension=' '/>
  <code code=' ' displayName=' '
    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
  <title>Medical Documents</title>
  <effectiveTime value='20260407012005'/>
  <confidentialityCode code='N' displayName='Normal' 
    codeSystem='2.16.840.1.113883.5.25' codeSystemName='Confidentiality' />
  <languageCode code='en-US'/>     
     :
  <component><structuredBody>
       
  </structuredBody></component>
</ClinicalDocument>

  

   <!-- Verify the document type code -->
   <assert test='cda:code[@code = "{{{LOINC}}}"]'>
     Error: The document type code of a Medical Documents must be {{{LOINC}}}
   </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>
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