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The update entry shall contain references to the entries or sections which are being replaced or updated. This reference shall not be present when the update entry is adding a new entries or sections.
Entries and sections can be added, updated, or removed from a PHR. An update entry indicates the entry in the original PHR Extract that should be replaced or updated with new information contained within the entry. Only one organizer of this type is allowed in a section, and if present, it must be the first entry in the section.
<entry> <organizer classCode='ORGANIZER' moodCode='EVN'> <templateId root='188.8.131.52.4.1.193184.108.40.206.1.4.16'/> <reference typeCode='RPLC'> <externalAct classCode='ACT' moodCode='EVN'> <id root='' extension=''/> </externalAct> </reference> </organizer> </entry>
This templateId indicates that the organizer is used to update a PHR Extract.
Either one reference element shall be present with typeCode APND, or one or more with typeCode RPLC, but APND cannot be combined with RPLC. The reference element lists the acts that are affected by the update. When the typeCode is RPLC, it indicates that any referenced act is being replaced with new information, and this element must be present, and may be repeated to replace more than one act at a time. When the typeCode is APND, the referenced act must be to a section with the same LOINC code as the section containing this entry, and only one reference element is allowed.
<externalAct classCode='ACT' moodCode='EVN'>
This element must appear as shown above. It indicates that the reference is to an external act (a section or entry contained in the parent document).
<id root=' ' extension=' '/>
This element identifies the information being replaced or updated. The identifer is of the entry or section being replaced. If the identifier is to a section being replaced, only one reference element is permitted.