Difference between revisions of "CDA Release 2.0 Content Modules"

From IHE Wiki
Jump to: navigation, search
(CDA and HL7 Version 3 Entry Content Modules)
(CDA and HL7 Version 3 Entry Content Modules)
Line 234: Line 234:
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2|PCC CDA Supplement 2:6.3.4.28 Antepartum Visit Summary Battery|APS|APR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2|PCC CDA Supplement 2:6.3.4.28 Antepartum Visit Summary Battery|APS|APR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.13.7|PCC CDA Supplement 2:6.3.4.29 Advance Directive Observation}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.13.7|PCC CDA Supplement 2:6.3.4.29 Advance Directive Observation}}{{
 +
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.13.6|PCC CDA Supplement 2:6.3.4.30 Blood Type Observation|XPHR}}{{
 +
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.14|PCC CDA Supplement 2:6.3.4.31 Encounters}}{{
  
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.13.6|Blood Type Observation|XPHR}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.16|PCC CDA Supplement 2:6.3.4.32 Update Entry|XPHR}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.14|Encounters}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.19|PCC CDA Supplement 2:6.3.4.33 Procedure Entry}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.16|Update Entry|XPHR}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1|PCC CDA Supplement 2:6.3.4.34 Transport|EDR|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.19|Procedure Entry}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2|PCC CDA Supplement 2:6.3.4.35 Encounter Disposition|EDR|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1|Transport|EDR|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.17|PCC CDA Supplement 2:6.3.4.36 Coverage Entry|XPHR}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2|Intended Encounter Disposition|EDR|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.18|PCC CDA Supplement 2:6.3.4.37 Payer Entry|XPHR}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.17|Coverage Entry|XPHR}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1|PCC CDA Supplement 2:6.3.4.38 Pain Score Observation}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.18|Payer Entry|XPHR}}{{
+
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1|Pain Score Observation}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.2|PCC CDA Supplement 2:6.3.4.39 Braden Score Observation|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.2|Braden Score Observation|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.3|PCC CDA Supplement 2:6.3.4.40 Braden Score Component|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.3|Braden Score Component|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4|PCC CDA Supplement 2:6.3.4.41 Geriatric Depression Score Observation|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4|Geriatric Depression Score Observation|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5|PCC CDA Supplement 2:6.3.4.42 Geriatric Depression Score Component|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5|Geriatric Depression Score Component|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.7|PCC CDA Supplement 2:6.3.4.43 Survey Panel|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.7|Survey Panel|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6|PCC CDA Supplement 2:6.3.4.44 Survey Observation|XPHR|XDS-MS|FSA|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6|Survey Observation|XPHR|XDS-MS|FSA|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1|PCC CDA Supplement 2:6.3.4.45 Acuity|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1|Acuity|EDES}}{{
+
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.2|PCC CDA Supplement 2:6.3.4.46 Intravenous Fluids Administered|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.2|Intravenous Fluids Administered|EDES}}{{
+
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4|Nursing Assessments Battery|EDES}}
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4|Nursing Assessments Battery|EDES}}

Revision as of 23:49, 23 July 2009

HL7 Version 3.0 Content Modules

This section contains content modules based upon the HL7 CDA Release 2.0 Standard, and related standards and/or implementation guides.

CDA Document Content Modules

CDA Header Content Modules

CDA Section Content Modules

This list defines the sections that may appear in a medical document. It is intended to be a comprehensive list of all document sections that are used by any content profile defined in the Patient Care Coordination Technical Framework. All sections shall have a narrative component that may be freely formatted into normal text, lists, tables, or other appropriate human-readable presentations. Additional subsections or entry content modules may be required.

Reasons for Care

The sections described below describe various reasons why healthcare is being provided to the patient.

Other Condition Histories

The sections defined below provide historical information about the patient's conditions.

Medications

This section contains section content modules that describe activities surrounding the use of medication.

Physical Exams

Relevant Studies

Plans of Care

This section provides content modules for sections that describe the plan of care intended for the patient.

Procedures Performed

Impressions

Administrative and Other Information

CDA and HL7 Version 3 Entry Content Modules