1.3.6.1.4.1.19376.1.5.3.1.1.2: Difference between revisions

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{{CDA Document|Medical Summary|1.3.6.1.4.1.19376.1.5.3.1.1.2|Comment|
{{CDA Document|Medical Summary|1.3.6.1.4.1.19376.1.5.3.1.1.2|Trial|
A medical summary contains a snapshot of the patient's medical information.
A medical summary contains a snapshot of the patient's medical information.
|Standards={{Std|CDAR2}}
|Standards={{Std|CDAR2}}
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======Document Specification======
======Document Specification======
A medical summary is a type of medical document, and incorporates the constraints defined for {{ITmpRef|1.3.6.1.4.1.19376.1.5.3.1.1.1|Medical Documents|1.3.6.1.4.1.19376.1.5.3.1.1.2}}.
A medical summary is a type of medical document, and incorporates the constraints defined for {{ITmpRef|1.3.6.1.4.1.19376.1.5.3.1.1.1|Medical Documents|1.3.6.1.4.1.19376.1.5.3.1.1.2}}.
The medical summary further constrains CDA Release 2.0 by adopting all Level 1 and Level 2 constraints of the HL7 Care Record Summary.

Revision as of 10:06, 23 August 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 Summary Specification 1.3.6.1.4.1.19376.1.5.3.1.1.2

A medical summary contains a snapshot of the patient's medical information.


Parent Template

This document is an instance of the Medical Document template.

Standards
CDAR2 HL7 CDA Release 2.0
CRS HL7 Care Record Summary



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 Document 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.

Sample Medical Summary 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'/>
  <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.2'/>
  <id root=' ' extension=' '/>
  <code code=' ' displayName=' '
    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
  <title>Medical Summary</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 Summary 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>
Document Specification

A medical summary is a type of medical document, and incorporates the constraints defined for Medical Documents(1.3.6.1.4.1.19376.1.5.3.1.1.1) .

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