Difference between revisions of "CDA Release 2.0 Content Modules"

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(CDA and HL7 Version 3 Entry Content Modules)
(CDA Section Content Modules)
 
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1|PCC TF 2:6.3.3.2.17 Hazardous Working Conditions|XPHR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1|PCC TF 2:6.3.3.2.17 Hazardous Working Conditions|XPHR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4|PCC TF 2:6.3.3.2.18 Pregnancy History|IC|XPHR|EDES|APR|APS}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4|PCC TF 2:6.3.3.2.18 Pregnancy History|IC|XPHR|EDES|APR|APS}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.1|PCC CDA Supplement 2:6.3.3.2.28 Estimated Delivery Dates Section|APS|APR}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.1|PCC CDA Supplement 2:6.3.3.2.28 Estimated Delivery Dates|APS|APR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5|PCC TF 2:6.3.3.2.19 Medical Devices|XPHR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5|PCC TF 2:6.3.3.2.19 Medical Devices|XPHR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6|PCC TF 2:6.3.3.2.20 Foreign Travel|XPHR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6|PCC TF 2:6.3.3.2.20 Foreign Travel|XPHR}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.3.16.1|PCC CDA Supplement 2:6.3.3.2.36 Coded Social History|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.3.16.1|PCC CDA Supplement 2:6.3.3.2.36 Coded Social History|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1.1|PCC CDA Supplement 2:6.3.3.2.37 Coded History of Infection|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1.1|PCC CDA Supplement 2:6.3.3.2.37 Coded History of Infection|X}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3..1.1.21.2.2|PCC CDA Supplement 2:6.3.3.2.38 Prenatal Events|X}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.2|PCC CDA Supplement 2:6.3.3.2.38 Prenatal Events|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.3|PCC CDA Supplement 2:6.3.3.2.39 Labor and Delivery|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.3|PCC CDA Supplement 2:6.3.3.2.39 Labor and Delivery|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.4|PCC CDA Supplement 2:6.3.3.2.40 Newborn Delivery Information|X}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.4|PCC CDA Supplement 2:6.3.3.2.40 Newborn Delivery Information|X}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.41|PCC CDA Supplement 2:6.3.3.6.10 Health Maintenance Care Plan Status Report|PPHP}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.41|PCC CDA Supplement 2:6.3.3.6.10 Health Maintenance Care Plan Status Report|PPHP}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1|PCC CDA Supplement 2:6.3.3.6.11 Provider Orders|PPHP}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1|PCC CDA Supplement 2:6.3.3.6.11 Provider Orders|PPHP}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.1|PCC CDA Supplement 2:6.3.3.6.12 Birth Plan|PPHP}}
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.1|PCC CDA Supplement 2:6.3.3.6.12 Birth Plan|PPHP}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.18.3.1|PCC CDA Supplement 2:6.3.3.6.13 Immunization Recommendation|IC}}
 
}}
 
}}
 
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{{TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.42|PCC CDA Supplement 2:6.3.3.9.1 Pre-procedure Impressions|PPHP}}{{
 
{{TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.42|PCC CDA Supplement 2:6.3.3.9.1 Pre-procedure Impressions|PPHP}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.44|PCC CDA Supplement 2:6.3.3.9.2 Pre-procedure Risk Assessment|PPHP}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.9.44|PCC CDA Supplement 2:6.3.3.9.2 Pre-procedure Risk Assessment|PPHP}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2|PCC CDA Supplement 2:6.3.3.9.3 Visit Summary Section|APS|APR}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2|PCC CDA Supplement 2:6.3.3.9.3 Visit Summary|APS|APR}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.7|PCC CDA Supplement 2:6.3.3.9.4 Progress Note|EDES}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.7|PCC CDA Supplement 2:6.3.3.9.4 Progress Note|EDES}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9|PCC CDA Supplement 2:6.3.3.9.5 ED Diagnosis|EDES}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9|PCC CDA Supplement 2:6.3.3.9.5 ED Diagnosis|EDES}}{{
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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|PCC CDA Supplement 2:6.3.4.46 Intravenous Fluids Administered|EDES}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4|CDA Supplement 2:6.3.4.47 Nursing Assessments Battery|EDES}}{{
 
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4|CDA Supplement 2:6.3.4.47 Nursing Assessments Battery|EDES}}{{
TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10|CDA Supplement 2:6.3.4.48 Antenatal Testing and Surveillance Battery |X}}
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10|CDA Supplement 2:6.3.4.48 Antenatal Testing and Surveillance Battery |X}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.12.2|CDA Supplement 2:6.3.4.49 Immunization Recommendation|IC}}{{
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TOCLink|NA|CDA Supplement 2:6.3.4.50 Alert Entry|IC}}{{
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TOCLink|1.3.6.1.4.1.19376.1.5.3.1.4.12.1 |CDA Supplement 2:6.3.4.51 Antigen Dose|IC}}

Latest revision as of 16:09, 24 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