IHE PCC Template Identifiers
IHE PCC Template Identifiers
This document defines the template identifiers shown in the table below. The root namespace (OID) for these identifiers is 1.3.6.1.4.1.19376.1.5.3.1.
| Template Identifier | Description | Reference |
| 1.3.6.1.4.1.19376.1.5.3.1.1 | CDA Document Template Identifiers | 5.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.1 | Medical Document Template | 5.4.1.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.2 | Medical Summary Template Identifier and XDS-MS formatCode | 5.4.1.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.3 | Referral Summary Template | 5.4.1.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.4 | Discharge Summary Template | 5.4.1.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5 | The template identifier used to indicate that a CDA document conforms to the PHR Extract Module Specification. | 5.4.1.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.6 | The template identifier used to indicate that a CDA document conforms to the PHR Update Module Specification. | 5.4.1.6 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.7 | The template identifier used to indicate that a CDA document conforms to the Basic Patient Privacy Consent to Share Information Module. | |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9 | The template identifier used to indicate that a CDA document conforms to the Pre-procedure History and Physical Module Specification. | |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10 | The template identifier used to indicate that a CDA document conforms to the ED Referral Module Specification. | |
| 1.3.6.1.4.1.19376.1.5.3.1.2 | CDA Header Template Identifiers | 5.4.1.7 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.1 | Language Communication | 5.4.2.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.2 | Employer, School or other affiliated organization contact | 5.4.2.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.3 | Healthcare Providers and Pharmacies | 5.4.2.6 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.4 | Patient Contacts | 5.4.2.7 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.5 | Authorizations | 5.4.2.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.2.6 | Consent Service Events | 5.4.2.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.3 | CDA Section Template Identifiers | 5.4.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.1 | Reason for Referral | 5.4.3.1.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.2 | Reason for Referral (Structured) | 5.4.3.1.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.3 | Hospital Admission Diagnosis | 5.4.3.1.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.4 | History of Present Illness | 5.4.3.2.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.5 | Hospital Course | 5.4.3.2.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.6 | Active Problems | 5.4.3.2.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.7 | Discharge Problems | 5.4.3.2.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.8 | Resolved Problems | 5.4.3.2.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.9 | History of Outpatient Visits | 5.4.3.2.6 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.10 | History of Inpatient Admissions | 5.4.3.2.8 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.11 | List of Surgeries | 5.4.3.2.9 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.12 | List of Surgeries (structured) | 5.4.3.2.9 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.13 | Allergies and Other Adverse Reactions | 5.4.3.2.10 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.14 | Family Medical History | 5.4.3.2.11 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.15 | Family Medical History (structured) | 5.4.3.2.11 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.16 | Social History | 5.4.3.2.12 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.17 | Functional Status | 5.4.3.2.14 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.18 | Review of Systems | 5.4.3.2.15 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.19 | Medications | 5.4.3.3.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.20 | Admission Medication History | 5.4.3.3.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.21 | Hospital Medications | 5.4.3.3.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.22 | Hospital Discharge Medications | 5.4.3.3.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.23 | Immunizations | 5.4.3.3.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.3.24 | Physical Exam | 5.4.3.4.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1 | History of Occupational Exposure | 0 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 | Vital Signs (Coded) | 5.4.3.4.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 | History of Encounters | 5.4.3.2.6 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 | History of Pregnancies | 5.4.3.2.17 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5 | Medical Devices | 5.4.3.2.18 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6 | History of Foreign Travel | 5.4.3.2.19 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7 | Payers | 5.4.3.9.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1 | The template identifier for the CARE PLAN Section | 5.4.3.6.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 | The template identifier for the TRANSPORT MODE Section | 5.4.3.6.9 |
| 1.3.6.1.4.1.19376.1.5.3.1.4 | CDA Entry Template Identifiers | 1.1.1.1.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.1.2 | The template identifier used to identify a health status observation. | 5.4.4.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.2 | The template identifier used to identify a comment on an observation. | 5.4.4.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.3 | The template identifier used to identify patient instructions in medication order. | 5.4.4.6 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.4 | The template identifier used to identify references to external documents. | 5.4.4.8 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.1 | The template identifier used to identify observation elements that indicate a concern. | 5.4.4.9 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | The template identifier used to identify observation elements that indicate a problem of concern. | 5.4.4.10 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 | The template identifier used to identify observation elements that indicate an allergy or adverse reaction of concern. | 5.4.4.11 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5 | The template identifier used to identify observation elements that describe patient problem. | 5.4.4.12 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.6 | The template identifier used to identify observation elements that describe patient allergy or adverse reaction. | 5.4.4.13 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.6.1 | The template identifier used to identify observation elements that describe manifestations of an allergy; the symptom, sign, or diagnosis observation, e.g. rash, weal (hive), or urticaria. | 5.4.4.13.2.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | The template identifier for a <substanceAdministration> event that records medication administration events or requests. This is the root template for all medications. | 5.4.4.14 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7.1 | This template identifier identifies medications that do not require complex processing for dose (e.g., split, tapered, conditional dosing or combination medications). | 5.4.4.14.2.1.1 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7.2 | The template identifier for a <supply> act that records requests or events for supply of a medication. | 5.4.4.17 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7.3 | The template identifier for a product used in a <substanceAdministration> or <supply> act. | 5.4.4.16 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.8 | The template identifier for a <substanceAdministration> event that records tapered dose information in subordinate <substanceAdministration> events. | 5.4.4.14.2.1.2 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.9 | The template identifier for a <substanceAdministration> event that records split dose information in subordinate <substanceAdministration> events. | 5.4.4.14.2.1.3 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.10 | The template identifier for a <substanceAdministration> event that records conditional dose information in subordinate <substanceAdministration> events. | 5.4.4.14.2.1.4 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.11 | The template identifier for a <substanceAdministration> event that records combination medication component information in subordinate <substanceAdministration> events. | 5.4.4.14.2.1.5 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.12 | Immunization | 5.4.4.15 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13 | Simple Observation | 5.4.4.18 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.14 | Encounter | 5.4.4.19 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.15 | Family History Observation | 5.4.4.22 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.16 | Procedure Entry | 5.4.4.30 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.17 | Coverage Entry | 5.4.4.33 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.18 | Policy Entry | 5.4.4.34 |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | Payer Entry | Error! Reference source not found. |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1 | The template identifier for the Transport Entry. | 5.4.4.31 |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2 | The template identifier for the Intended Disposition Entry. | 5.4.4.32 |