1.3.6.1.4.1.19376.1.5.3.1.4.14

Development Only

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Encounters 1.3.6.1.4.1.19376.1.5.3.1.4.14

Standards

CCD	ASTM/HL7 Continuity of Care Document

Uses

See Templates using Encounters

Specification

Encounters Example

<encounter classCode='ENC' moodCode='PRMS|ARQ|EVN'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.14'/> <templateId root='2.16.840.1.113883.10.20.1.21'/> <templateId root='2.16.840.1.113883.10.20.1.25'/> <id root=' ' extension=' '/> <code code=' ' codeSystem='2.16.840.1.113883.5.4' codeSystemName='ActEncounterCode' /> <text><reference value='#xxx'/></text> <effectiveTime> <low value=' '/> <high value=' '/> </effectiveTime> <priorityCode code=' '/> <performer typeCode='PRF'> <low value=' '/><high value=' '/> <assignedEntity>...</assignedEntity> </performer> <author /> <informant /> <participant typeCode='LOC'> <participantRole classCode='SDLOC'> <id/> <code/> <addr>...</addr> <telecom value=' ' use=' '/> <playingEntity classCode='PLC' determinerCode='INST'> <name></name> </playingEntity> </participantRole> </participant> </encounter>

<encounter classCode='ENC' moodCode='PRMS|ARQ|EVN'>

This element is an encounter. The classCode shall be 'ENC'. The moodCode may be PRMS to indicated a scheduled appointment, ARQ to describe a request for an appointment that has been made but not yet scheduled by a provider, or EVN, to describe an encounter that has already occurred.

<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.14'/>

The templateId indicates that this <encounter> entry conforms to the constraints of this content module. NOTE: When the encounter is in event mood (moodCode='EVN'), this entry conforms to the CCD template 2.16.840.1.113883.10.20.1.21, and when in other moods, this entry conforms to the CCD template 2.16.840.1.113883.10.20.1.25.

<id root=' ' extension=' '/>

This required element shall contain an identifier for the encounter. More than one encounter identifier may be present.

<code code=' ' codeSystem='2.16.840.1.113883.5.4'
  codeSystemName='ActEncounterCode' />

This required element should contain a code from the HL7 ActEncounterCode vocabulary describing the type of encounter (e.g., inpatient, ambulatory, emergency, et cetera). Developers should take care to check that rational combinations of encounter.code and encounter.moodCode are used , but this profile does not restrict any combination.

<text><reference value='#xxx'/></text>

The <text> element shall contain a reference to the narrative text describing the encounter.

<effectiveTime><low value=' '/><high value=' '/></effectiveTime>

This element records the time over which the encounter occurred (in EVN mood), or the desired time of the encounter in ARQ or APT mood. In EVN or APT mood, the effectiveTime element should be present. In ARQ mood, the effectiveTime element may be present, and if not, the priorityCode may be present to indicate that a callback is required to schedule the appointment.

<priorityCode code='CS'/>

This element may be present in ARQ mood to indicate a callback is requested to schedule the appointment.

<performer>

For encounters in EVN mood, at least one performer should be present that identifies the provider of the service given during the encounter. More than one performer may be present. The element should be used to indicate the duration of the participation of the performer when it is substantially different from that of the effectiveTime of the encounter. In ARQ mood, the performer may be present to indicate a preference for a specific provider. In APT mood, the performer may be present to indicate which provider is scheduled to perform the service.

<participant typeCode='LOC'>
 <participantRole classCode='SDLOC'>

A <participant> element with typeCode='LOC' may be present to provide information about the location where the encounter is to be or was performed. This element shall have a <participantRole> element with classCode='SDLOC' that describes the service delivery location.

<id/>

The <id> element may be present to identify the service delivery location.

<code/>

The <code> element may be present to classify the service delivery location.

<addr>...</addr>

The <addr> element should be present, and gives the address of the location.

<telecom value=' ' use=' '/>

The <telecom> element should be present, and gives the telephone number of the location.

<playingEntity classCode='PLC'>
 <name>...</name>
</playingEntity>

The <playingEntity> shall be present, and gives the name of the location in the required <name> element.