Difference between revisions of "PCC Vocabulary Registry and Data Dictionary"

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__TOC__
 
__TOC__
  
 +
== How to Acquire a new PCC Template Id ==
 +
* add new row to section and Appendices for each new profile
 +
* IHE PCC Template Id root: 1.3.6.1.4.1.19376.1.5.3.1
 +
* .1 is for doc content modules
 +
* .2 is for sections
 +
* .3 is for entries and header elements
 +
* .4 is for entries
 +
* .5 is for workflow
 +
* PCC formatCodes are managed on a shared domain wiki page that can be found here: [[IHE_Format_Codes]]
  
 
==''Volume 1, Sections and Appendices ''==
 
==''Volume 1, Sections and Appendices ''==
Line 14: Line 23:
 
!Chapter !! Description !! Status !! OID Space
 
!Chapter !! Description !! Status !! OID Space
 
|-
 
|-
−
| 3 || [[PCC_TF-1/XDS-MS|Cross-Enterprise Sharing of Medical Summaries (XDS-MS)]] || Final Text
+
| 3 || [[PCC_TF-1/XDS-MS|Cross-Enterprise Sharing of Medical Summaries (XDS-MS)]] || Final Text ||1.3.6.1.4.1.19376.1.5.3.1.1.2
 
|-
 
|-
 
| 4 || [[PCC_TF-1/XPHR|Exchange of Personal Health Record Content (XPHR)]] || Final Text
 
| 4 || [[PCC_TF-1/XPHR|Exchange of Personal Health Record Content (XPHR)]] || Final Text
 
|-
 
|-
−
| 5 || [[PCC_TF-1/EDR|ED Referral (EDR)]] || Final Text
+
| 5 || [[PCC_TF-1/EDR|ED Referral (EDR)]] || Final Text ||1.3.6.1.4.1.19376.1.5.3.1.1.10
 
|-
 
|-
−
| 6 || [[PCC_TF-1/FSA|Reserved for Functional Status Assessments (FSA)]] || Under Revision
+
| 6 || [[PCC_TF-1/IC|Immunization Content (IC)]] || Final Text || 1.3.6.1.4.1.19376.1.5.3.1.1.18
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.12
 
 
|-
 
|-
−
| 7 || [[PCC_TF-1/EDES|Reserved for Emergency Department Encounter Summary (EDES)]] || Trial Implementation
+
| 7 || [[PCC_TF-1/EDES|Reserved for Emergency Department Encounter Summary (EDES)]] || Under Revision ||1.3.6.1.4.1.19376.1.5.3.1.1.13
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.13
 
 
|-
 
|-
−
| 8 || [[PCC_TF-1/QED|Reserved for Query for Existing Data (QED)]] || Trial Implementation
+
| 8 || [[PCC_TF-1/QED|Reserved for Query for Existing Data (QED)]] || Trial Implementation || 1.3.6.1.4.1.19376.1.5.3.1.1.14
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.14
 
 
|-
 
|-
−
| 9 || [[PCC_TF-1/APR|Antepartum Record (APR)]] || Trial Implementation
+
| 9 || [[PCC_TF-1/APR|Antepartum Record (APR)]] || Under Revision || 1.3.6.1.4.1.19376.1.5.3.1.1.16
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.16
 
 
|-
 
|-
−
| 10 || [[PCC_TF-1/CM|Care Management (CM)]] || Trial Implementation
+
| 10 || [[PCC_TF-1/CM|Care Management (CM)]] || Trial Implementation || 1.3.6.1.4.1.19376.1.5.3.1.1.17
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.17
 
 
|-
 
|-
−
| 11 || [[PCC_TF-1/IC|Immunization Content (IC)]] || Trial Implementation
+
| 12 || [[PCC_TF-1/CND|Patient Plan of Care (PPOC)]] || Trial Implementation || 1.3.6.1.4.1.19376.1.5.3.1.1.20
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.18
 
 
|-
 
|-
−
| 12 || [[PCC_TF-1/CND|Patient Plan of Care (PPOC)]] || Draft
+
| 13 || [[PCC_TF-1/QCG|Request for Clincal Guidance (QCG)]] || Trial Implementation || 1.3.6.1.4.1.19376.1.5.3.1.1.??
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.20
 
 
|-
 
|-
−
| 13 || [[PCC_TF-1/QCG|Query for Clincal Guidance (QCG)]] || Draft
+
| 13 || [[PCC_TF-1/PPCR|EMS Transfer of Care (ETC)]] || Trial Implementation || 1.3.6.1.4.1.19376.1.5.3.1.1.19
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.21
 
 
|-
 
|-
−
| 13 || [[PCC_TF-1/PPCR|Prehosptial Care Report (PPCR)]] || Draft
+
| 13 || Labor and Delivery Record (LDR) || || 1.3.6.1.4.1.19376.1.5.3.1.1.21
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.22
 
 
|-
 
|-
−
| 13 || [[PCC_TF-1/LDR|Labor and Delivery Record (LDR)]] || Draft
+
| 14 || Newborn Delivery Record  || || 1.3.6.1.4.1.19376.1.5.3.1.1.22
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.23
+
|-
 +
| 15 || Patient Centerd Coordination Plan (PCCP) || || 1.3.6.1.4.1.19376.1.5.3.1.1.23
 +
|-
 +
| 19 || Family Planning || || 1.3.6.1.4.1.19376.1.5.3.1.1.24
 
|-
 
|-
 
| A || Actor Descriptions
 
| A || Actor Descriptions
Line 55: Line 58:
 
|-
 
|-
 
| C || How to Prepare and IHE Integration Statement
 
| C || How to Prepare and IHE Integration Statement
−
|}
 
−
 
−
=== Removed, Deprecated, Withdrawn From Volume 1, Sections and Appendices ===
 
−
{| class="wikitable"
 
−
! Chapter !! Description !! Status/Location !! OID Space
 
−
|-
 
−
| X || <del>Reserved for Basic Patient Privacy Consents (BPPC)</del> || Now in ITI
 
−
|-
 
−
| X || <del>Reserved for Preprocedure History and Physical (PPHP)</del> || Withdrawn
 
−
|-
 
−
| X || <del>Reserved for Antepartum Summary (APS)</del> || Moved to APR
 
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.11
 
−
|-
 
−
| X || <del>Laboratory Public Health Reporting</del> || Added as CP to XD-LAB
 
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.15
 
−
|-
 
−
| X || <del>Cancer Registry Content</del> || Transferred to Pathology
 
−
| 1.3.6.1.4.1.19376.1.5.3.1.1.19
 
 
|}
 
|}
  
Line 79: Line 64:
 
{| class="wikitable"
 
{| class="wikitable"
 
! Number
 
! Number
−
! Section Name and Transaction Name
+
! Section and Transaction Name
 
|-
 
|-
 
| [[PCC-1]]
 
| [[PCC-1]]
−
| <ins>Query Existing Data</ins>
+
| Document Sharing
 +
|-
 +
| [[PCC-2]]
 +
| Query Existing Data
 
|-
 
|-
 
| [[PCC-7]]
 
| [[PCC-7]]
Line 98: Line 86:
 
| [[PCC-11]]
 
| [[PCC-11]]
 
| V2 Care Management Update  
 
| V2 Care Management Update  
 +
 +
Transaction 12 is already defined in the Request for Clinical Guidance (RCG) supplement and is not related to the requirements in the RPM supplement.
 +
Transactions 13 and 14 are already defined in the RCK supplement.
 +
 +
|-
 +
| [[PCC-12]]
 +
| Reserved for RCG
 +
|-
 +
| [[PCC-13]]
 +
| Reserved for RCK
 +
|-
 +
| [[PCC-14]]
 +
| Reserved for RCK
 +
|-
 +
| [[PCC-15]]
 +
| Communicate PCHA Data Transaction (RPM)
 +
|-
 +
| [[PCC-16]]
 +
| Share List (RECON on FHIR)
 +
|-
 +
| [[PCC-17]]
 +
| Translate Code (CMAP)
 +
|-
 +
| [[PCC-18]]
 +
| Retrieve Code Mappings (CMAP)
 +
|-
 +
| [[PCC-19]]
 +
| Evaluate Order (GAO)
 +
|-
 +
| [[PCC-20]]
 +
| Invoke Questionnaire (GAO)
 +
|-
 +
| [[PCC-21]]
 +
| Communicate PCD Data-hData (RPM)
 +
|-
 +
| [[PCC-22]]
 +
| Communicate PCD Data-SOAP (RPM)
 +
|-
 +
| [[PCC-23]]
 +
| Admission Notification (BED)
 +
|-
 +
| [[PCC-24]]
 +
| Admission Order (BED)
 +
|-
 +
| [[PCC-25]]
 +
| Patient Movement (BED)
 +
|-
 +
| [[PCC-26]]
 +
| Submit and assign HT Management
 +
|-
 +
| [[PCC-27]]
 +
| Accept/Reject HT Activity
 +
|-
 +
| [[PCC-28]]
 +
| Assign HT Participation
 +
|-
 +
| [[PCC-29]]
 +
| Add Request of more clinical information
 +
|-
 +
| [[PCC-30]]
 +
| Add more clinical information
 +
|-
 +
| [[PCC-31]]
 +
| Complete individual preparation
 +
|-
 +
| [[PCC-32]]
 +
| Plan HT Discussion
 +
|-
 +
| [[PCC-33]]
 +
| Complete HT
 +
|-
 +
| [[PCC-34]]
 +
| Finalization
 +
|-
 +
| [[PCC-35]]
 +
| Cancel HT
 +
|-
 +
| [[PCC-36]]
 +
| Cancel HT assignment
 +
|-
 +
| [[PCC-37]]
 +
| Update Care Plan
 +
|-
 +
| [[PCC-38]]
 +
| Retrieve Care Plan
 +
|-
 +
| [[PCC-39]]
 +
| Subscribe to Care Plan Updates
 +
|-
 +
| [[PCC-40]]
 +
| Provide Care Plan
 +
|-
 +
| [[PCC-41]]
 +
| Search for Care Plan
 +
|-
 +
| [[PCC-42]]
 +
| Communicate FHIR Data-hData (RPM)
 +
|-
 +
| [[PCC-43]]
 +
| Share FHIR Resources (RPM)
 +
|-
 +
| [[PCC-44]]
 +
| Mobile Query Existing Data (QEDm)
 +
|-
 +
| [[PCC-45]]
 +
| Update Care Team (DCTM)
 +
|-
 +
| [[PCC-46]]
 +
| Search for Care team (DCTM)
 +
|-
 +
| [[PCC-47]]
 +
| Retrieve Care Team (DCTM)
 +
|-
 +
| [[PCC-48]]
 +
| Subscribe to Care Team Updates (DCTM)
 +
|-
 +
| [[PCC-49]]
 +
| Provide Care Team (DCTM)
 +
|-
 +
| [[PCC-50]]
 +
| Register Medical Device (PMDT)
 +
|-
 +
| [[PCC-51]]
 +
| Search Medical Devices (PMDT)
 +
|-
 +
| [[PCC-52]]
 +
| Start Point-of-Care Device Procedure (PMDT)
 +
|-
 +
| [[PCC-53]]
 +
| Complete Point-of-Care Device Procedure (PMDT)
 +
|-
 +
| [[PCC-54]]
 +
| Search Point-of-Care Device Procedure (PMDT)
 +
|-
 +
| [[PCC-55]]
 +
| Referral Request (360X)
 +
|-
 +
| [[PCC-56]]
 +
| Referral Decline (360X)
 +
|-
 +
| [[PCC-57]]
 +
| Referral Outcome (360X)
 +
|-
 +
| [[PCC-58]]
 +
| Referral Cancellation (360X)
 +
|-
 +
| [[PCC-59]]
 +
| Interim Consultation Note (360X)
 +
|-
 +
| [[PCC-60]]
 +
| Appointment Notification (360X)
 +
|-
 +
| [[PCC-61]]
 +
| No-show Notification (360X)
 +
|-
 +
| [[PCC-62]]
 +
| Query for Transport Data (RIPT)
 +
|-
 +
| [[PCC-63]]
 +
| Update Plan Definition
 +
|-
 +
| [[PCC-64]]
 +
| Retrieve Plan Definition
 +
|-
 +
| [[PCC-65]]
 +
| Search for Plan Definition
 +
|-
 +
| [[PCC-66]]
 +
| Subscribe to Plan Definition Updates
 +
|-
 +
| [[PCC-67]]
 +
| Provide Plan Definition
 +
|-
 +
| [[PCC-68]]
 +
| Provide Activity Definition
 +
|-
 +
| [[PCC-69]]
 +
| Apply Activity Definition Operation
 +
|-
 +
| [[PCC-70]]
 +
| Apply Plan Definition Operation
 +
|-
 +
| [[PCC-71]]
 +
| Query Artifact (ACDC)
 +
|-
 +
| [[PCC-72]]
 +
| Request Assessment (ACDC)
 +
|-
 +
| [[PCC-73]]
 +
| Report Assessment (ACDC)
 +
|-
 +
| [[PCC-74]]
 +
| Referral Request Selection (360XL)
 +
|-
 +
| [[PCC-75]]
 +
| LTPAC Transfer Documentation (360XL)
 +
|-
 +
| [[PCC-76]]
 +
| Facility Admission Notification (360XL)
 
|-
 
|-
 
|}
 
|}
  
−
=== Removed, Deprecated, Withdrawn From Volume 2, Transaction and Section Numbers ===
 
 
{| class="wikitable"
 
{| class="wikitable"
−
! Chapter !! Description !! Status/Location !! OID Space
+
! Chapter !! Description
 
|-
 
|-
−
| [[PCC-1]]
+
| 5.3.1 || Folder Content Module Reserved for APS
−
| <del>Query Vital Signs</del>
+
|-
 +
| 5.4.1.10 - 13 || Document Content Modules Reserved for APS  
 
|-
 
|-
−
| [[PCC-2]]
+
| 6.6 || HL7 FHIR® Content Module
−
| <del>Query Problems and Allergies</del>
 
 
|-
 
|-
−
| [[PCC-3]]
+
| 6.6.x || HL7 FHIR® Content Module - Reserved for PCC FHIR Profiled Resources
−
| <del>Query Lab Results</del>
 
 
|-
 
|-
−
| [[PCC-4]]
+
| 6.7.x || HL7 FHIR® Content Module - Reserved for PCC FHIR Extensions
−
| <del>Query Medications</del>
 
 
|-
 
|-
−
| [[PCC-5]]
+
| 6.8.x || HL7 FHIR® Content Module - Reserved for PCC FHIR Data Types
−
| <del>Query Immunizations</del>
 
 
|-
 
|-
−
| [[PCC-6]]
 
−
| <del>Query Professional Services</del>
 
 
|}
 
|}
  
 +
{| class="wikitable"
 +
! Chapter !! PCC FHIR Resource Profiled !! IHE PCC Profile Used in
 +
|-
 +
| 6.6.1 || CarePlan Resource || DCP
 +
|-
 +
| 6.6.2 || Subscription Resource || DCP  
 +
|-
 +
| 6.6.3 || Transport Content || RIPT
 +
|-
 +
| 6.6.4 || dctmCareTeam Resource || DCTM
 +
|-
 +
| 6.6.5 || dctmSubscription Resource || DCTM
 +
|-
 +
| 6.6.6 || PhdPatient Resource|| RPM
 +
|-
 +
| 6.6.7 || PhdDevice Resource || RPM
 +
|-
 +
| 6.6.8 || PhdDeviceComponent Resource || RPM
 +
|-
 +
| 6.6.9 || PhdDeviceMetric Resource|| RPM
 +
|-
 +
| 6.6.10 || PhgDevice Resource|| RPM
 +
|-
 +
| 6.6.11 || PhgDeviceComponent Resource || RPM
 +
|-
 +
| 6.6.12 || PhdNumericObservation Resource || RPM
 +
|-
 +
| 6.6.13 || PhdCompoundNumericObservation Resource || RPM
 +
|-
 +
| 6.6.14 || PhdCodedEnumerationObservation Resource || RPM
 +
|-
 +
| 6.6.15 || PhdBitsEnumerationObservation Resource || RPM
 +
|-
 +
| 6.6.16 || PhdStringEnumerationObservation Resource || RPM
 +
|-
 +
| 6.6.17 || PhdRtsaObservation Resource || RPM
 +
|-
 +
| 6.6.18 || PhdCoincidentTimeStampObservation Resource|| RPM
 +
|-
 +
| 6.6.20 || TBD || TBD
 +
|-
 +
| 6.6.21 || TBD || TBD
 +
|-
 +
| 6.6.22 || TBD || TBD
 +
|-
 +
| 6.6.23 || TBD || TBD
 +
|-
 +
| 6.6.24 || TBD || TBD
 +
|-
 +
| 6.6.25 || TBD || TBD
 +
|-
 +
|}
  
 
{| class="wikitable"
 
{| class="wikitable"
−
! Chapter !! Description
+
! Chapter !! PCC FHIR Extensions !! IHE PCC Profile Used in
 +
|-
 +
| 6.7.1 || PchaDeviceProperty Extension || RPM
 +
|-
 +
| 6.7.2 || phgDeviceReference Extension || RPM 
 +
|-
 +
| 6.7.3 || tbd || TBD
 +
|-
 +
| 6.7.4 || tbd || TBD
 +
|-
 +
| 6.7.5 || tbd || TBD
 +
|-
 +
| 6.7.6 || tbd || TBD
 
|-
 
|-
−
| 5.3.1 || Folder Content Module Reserved for APS
+
| 6.7.7 || tbd || TBD
 
|-
 
|-
−
| 5.4.1.10 - 13 || Document Content Modules Reserved for APS
+
| 6.7.8 || tbd || TBD
 
|-
 
|-
 
|}
 
|}
  
−
{{Fixme|Update this page}}
+
{| class="wikitable"
−
 
+
! Chapter !! PCC FHIR Data Types !! IHE PCC Profile Used in
−
 
+
|-
−
 
+
| 6.8.1 || PhdQuantity Data Type || RPM
−
 
+
|-
 +
| 6.8.2 || PhdTypeCodeableConcept Data Type || RPM
 +
|-
 +
| 6.8.3 || tbd || TBD
 +
|-
 +
| 6.8.4 || tbd || TBD
 +
|-
 +
| 6.8.5 || tbd || TBD
 +
|-
 +
| 6.8.6 || tbd || TBD
 +
|-
 +
| 6.8.7 || tbd || TBD
 +
|-
 +
| 6.8.8 || tbd || TBD
 +
|-
 +
|}
 +
'''[[PCC_Vocabulary_Registry_and_Data_Dictionary_Removed | Sections, Appendices and Transactions that have been Removed, Deprecated, Withdrawn From Volume 1 and 2]]'''
  
 
== ''PCC Template Identifiers'' ==
 
== ''PCC Template Identifiers'' ==
Line 149: Line 410:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.1
 
|1.3.6.1.4.1.19376.1.5.3.1.1.1
−
|Medical Document Template
+
|Medical Document
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.2
 
|1.3.6.1.4.1.19376.1.5.3.1.1.2
Line 155: Line 416:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.3
 
|1.3.6.1.4.1.19376.1.5.3.1.1.3
−
|Referral Summary Template
+
|Referral Summary
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.4
 
|1.3.6.1.4.1.19376.1.5.3.1.1.4
−
|Discharge Summary Template
+
|Discharge Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4
 +
|History and Physical
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.5
 
|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.
+
|PHR Extract
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.6
 
|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.
+
|PHR Update
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.7  
 
|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.
+
|Basic Patient Privacy Consent (BPPC)
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.10
 +
|Emergency Department Referral (EDR)
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.11.2
 +
|Antepartum Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1
 +
|Triage Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.2
 +
|Nursing Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.3
 +
|Composite Triage and Nursing Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.4
 +
|ED Physician Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.1.1
 +
|Antepartum History and Physical
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2
 +
|Antepartum Laboratory
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.1.3
 +
|Antepartum Education
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.18.1.2
 +
|Immunization Detail
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.19.1
 +
|Prehospital Patient Care Report
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.1
 +
|Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.2
 +
|Subsequent Evaluation Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.1.1
 +
|Labor and Delivery Admission History and Physical
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.9
+
|1.3.6.1.4.1.19376.1.5.3.1.1.21.1.2
−
|The template identifier used to indicate that a CDA document conforms to the Pre-procedure History and Physical Module Specification.
+
|Labor and Delivery Summary
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.10
+
|1.3.6.1.4.1.19376.1.5.3.1.1.21.1.3
−
|The template identifier used to indicate that a CDA document conforms to the ED Referral Module Specification.
+
|Maternal Discharge Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.1.4
 +
|Postpartum Visit Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3
 +
|e-Nursing Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.22.1.1
 +
|Newborn Discharge Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.23.1.1
 +
|Patient Centered Coordination Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.23.1.2
 +
|Patient Centered Coordination Task
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.23.1.3
 +
|Patient Centered Coordination Task Report
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.24.1
 +
|Reconciliation Document
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.25.1
 +
|Transport Document
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1
 +
|Patient Care Plan Document
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.27.1
 +
|Patient Care Plan Document (CCDA version)
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.28.1
 +
|Routine Interfacility Patient Transport Document
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.29.1
 +
|Paramedicine Care Summary: Clinical Subset 
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.30.1
 +
|Paramedicine Care Summary: Complete 
 
|-
 
|-
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.2
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.2
Line 182: Line 527:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.2.2
 
|1.3.6.1.4.1.19376.1.5.3.1.2.2
−
|Employer, School or other affiliated organization contact
+
|Employer and School Contacts
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.2.3
 
|1.3.6.1.4.1.19376.1.5.3.1.2.3
−
|Pharmacy Contact
+
|Healthcare Providers and Pharmacies
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.4
 +
|Patient Contacts
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.4.1
 +
|Spouse
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.4.2
 +
|Natural Father of Fetus
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.5
 +
|Authorization
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.6
 +
|Consent Service Events
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.7
 +
|Related Document
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.2.8
 +
|Order Fulfillment
 
|-
 
|-
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.3
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.3
 
|style="background-color:#D9D9D9; font-weight:bold" | CDA Section Template Identifiers
 
|style="background-color:#D9D9D9; font-weight:bold" | CDA Section Template Identifiers
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Reasons For Care
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.1
 
|1.3.6.1.4.1.19376.1.5.3.1.3.1
Line 194: Line 562:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.2
 
|1.3.6.1.4.1.19376.1.5.3.1.3.2
−
|Reason for Referral (Structured)
+
|Reason for Referral (coded)
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1
 +
|Chief Complaint
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.3
 
|1.3.6.1.4.1.19376.1.5.3.1.3.3
 
|Hospital Admission Diagnosis
 
|Hospital Admission Diagnosis
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.1
 +
|Proposed Procedure
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.2
 +
|Estimated Blood Loss
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.3
 +
|Proposed Anesthesia
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.4
 +
|Reason for Procedure
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1.1
 +
|Reason for Visit
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
 +
|Mode of Arrival
 +
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold;padding-left:60px" colspan="2" | Other Condition Histories
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.4
 
|1.3.6.1.4.1.19376.1.5.3.1.3.4
Line 209: Line 601:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.7
 
|1.3.6.1.4.1.19376.1.5.3.1.3.7
−
|Discharge Problems
+
|Discharge Diagnosis
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.8
 
|1.3.6.1.4.1.19376.1.5.3.1.3.8
−
|Resolved Problems
+
|History of Past Illness
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
 +
|Encounter Histories
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.9
 
|1.3.6.1.4.1.19376.1.5.3.1.3.9
Line 218: Line 613:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.10
 
|1.3.6.1.4.1.19376.1.5.3.1.3.10
−
|History of Inpatient Admissions
+
|History of Inpatient Visits
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.11
 
|1.3.6.1.4.1.19376.1.5.3.1.3.11
Line 224: Line 619:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.12
 
|1.3.6.1.4.1.19376.1.5.3.1.3.12
−
|List of Surgeries (structured)
+
|Coded List of Surgeries
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.13
 
|1.3.6.1.4.1.19376.1.5.3.1.3.13
Line 233: Line 628:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.15
 
|1.3.6.1.4.1.19376.1.5.3.1.3.15
−
|Family Medical History (structured)
+
|Coded Family Medical History
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.5
 +
|Pre-procedure Family Medical History
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.16
 
|1.3.6.1.4.1.19376.1.5.3.1.3.16
Line 240: Line 638:
 
|1.3.6.1.4.1.19376.1.5.3.1.3.17
 
|1.3.6.1.4.1.19376.1.5.3.1.3.17
 
|Functional Status
 
|Functional Status
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1
 +
|Coded Functional Status
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2
 +
|Pain Scale Assessment
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3
 +
|Braden Score Assessment
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4
 +
|Geriatric Depression Scale
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5
 +
|Physical Function
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.18
 
|1.3.6.1.4.1.19376.1.5.3.1.3.18
 
|Review of Systems
 
|Review of Systems
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.13
 +
|Preprocedure Review of Systems
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1
 +
|Hazardous Working Conditions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4
 +
|Pregnancy History
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.1
 +
|Estimated Delivery Date Section
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5
 +
|Medical Devices
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6
 +
|Foreign Travel
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.8
 +
|History of Tobacco Use
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.10
 +
|Current Alcohol/Substance Abuse
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.12
 +
|History of Blood Transfusion
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.14
 +
|Anesthesia Risk Review of Systems
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.46
 +
|Implanted Medical Device Review
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.47
 +
|Pregnancy Status Review
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1
 +
|History of Infection
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1.1
 +
|Coded History of Infection
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.16.1
 +
|Coded Social History
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.37
 +
|Occupational Data for Health
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.2
 +
|Prenatal Events
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.3
 +
|Labor and Delivery Events
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.4
 +
|Newborn Delivery Information
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.7
 +
|Postpartum Treatment
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.8
 +
|Newborn Status at Maternal Discharge
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.9
 +
|Event Outcomes
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1
 +
|History of Cognitive Function
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.2
 +
|History of Surgical Procedures
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.6
 +
|Operation Note Section
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.4
 +
|Pain Assessment Panel
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.12
 +
|Discharge Status
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.37
 +
|Occupational Data for Health Section   
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.38
 +
|Mental Status section
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.39
 +
|Review of systems – EMS section     
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.40
 +
|EMS Injury Incident Description Clinical Section   
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.41
 +
|EMS Scene Clinical Section         
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.42
 +
|EMS Situation Clinical Section         
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Medications
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.19
 
|1.3.6.1.4.1.19376.1.5.3.1.3.19
Line 251: Line 765:
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.21
 
|1.3.6.1.4.1.19376.1.5.3.1.3.21
−
|Hospital Medications
+
|Medications Administered
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.22
 
|1.3.6.1.4.1.19376.1.5.3.1.3.22
Line 258: Line 772:
 
|1.3.6.1.4.1.19376.1.5.3.1.3.23
 
|1.3.6.1.4.1.19376.1.5.3.1.3.23
 
|Immunizations
 
|Immunizations
 +
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Physical Exams
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.3.24
 
|1.3.6.1.4.1.19376.1.5.3.1.3.24
 
|Physical Exam
 
|Physical Exam
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1
+
|1.3.6.1.4.1.19376.1.5.3.1.1.9.15
−
|History of Occupational Exposure
+
|Physical Exam (with subsections)
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.26
 +
|Hospital Discharge Physical Exam
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.25
 +
|Vital Signs
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2
 
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2
−
|Vital Signs (Coded)
+
|Coded Vital Signs
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.16
 +
|General Appearance
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.48
 +
|Visible Implanted Medical Devices
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.17
 +
|Integumentary System
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
+
|1.3.6.1.4.1.19376.1.5.3.1.1.9.18
−
|History of Encounters
+
|Head
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.19
 +
|Eyes
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.20
 +
|Ears, Nose, Mouth and Throat
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.21
 +
|Ears
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.22
 +
|Nose
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.23
 +
|Mouth, Throat, and Teeth
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.24
 +
|Neck
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.25
 +
|Endocrine System
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.26
 +
|Thorax and Lungs
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.27
 +
|Chest Wall
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.28
 +
|Breasts
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.29
 +
|Heart
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.30
 +
|Respiratory System
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.31
 +
|Abdomen
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.32
 +
|Lymphatic System
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.33
 +
|Vessels
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.34
 +
|Musculoskeletal System
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.35
 +
|Neurologic System
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.36
 +
|Genitalia
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.37
 +
|Rectum
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1
 +
|Extremeties
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.15.1
 +
|Coded Physical Exam
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.10
 +
|Pelvis
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.22.1.1.2.1
 +
|Admission Physical Exam
 +
 
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Relevant Studies
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.27
 +
|Results
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.28
 +
|Coded Results
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.29
 +
|Hospital Studies Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.30
 +
|Coded Hospital Studies Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.8
 +
|Consultations
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.5
 +
|Antenatal Testing and Surveillance
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.5.1
 +
|Coded Antenatal Testing and Surveillance
 +
 
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Plans of Care
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.31
 +
|Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5
 +
|Assessment and Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.33
 +
|Discharge Diet
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.34
 +
|Advance Directives
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.35
 +
|Coded Advance Directives
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.40
 +
|Procedure Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.45
 +
|Procedure Care Plan Status Report
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.50
 +
|Health Maintenance Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.41
 +
|Health Maintenance Care Plan Status Report
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1
 +
|Provider Orders
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
 +
|Transport Mode
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.11
 +
|History of Cognitive Function
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.2.1
 +
|Birth Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.18.3.1
 +
|Immunization Recommendations
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.38
 +
|Patient Education
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.2
 +
|Diet and Nutrition
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.2.3
 +
|Intake and Output
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.1
 +
|Goals
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.2
 +
|Expected Outcomes
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.3
 +
|Treatment Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.3.36
 +
|Coded Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.1
 +
|Patient Care Plan
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.2
 +
|Hospital Discharge Instructions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.3
 +
|Patient Goals
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.4
 +
|Reconciled Plan of Care
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.5
 +
|Reconciled Patient Goals
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.6
 +
|Reconciled Interventions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.7
 +
|Transport Instructions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.8
 +
|Care Plan Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.9
 +
|Encounter Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.10
 +
|Active/Planned Medication Summary
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.26.1.11
 +
|Care Team Section 
 +
 
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Procedures Performed
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.11
 +
|Procedures and Interventions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.6
 +
|Intravenous Fluids Administered     
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.14
 +
|EMS Procedures and Interventions Section
 +
|-
 +
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Impressions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.42
 +
|Pre-procedure Impressions
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.9.44
 +
|Pre-procedure Risk Assessment
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2
 +
|Visit Summary Flowsheet Section
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.7
 +
|Progress Note
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9
 +
|ED Diagnoses
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4
+
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.2
−
|History of Pregnancies
+
|Acuity Assessment
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5
+
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4
−
|Medical Devices
+
|Assessments
 +
 
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6
+
|style="background-color:#EFEFEF; font-weight:bold; padding-left:60px" colspan="2" | Administrative and Other Information
−
|History of Foreign Travel
 
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
 
|1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
 
|Payers
 
|Payers
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1
+
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.3
−
|The template identifier for the CARE PLAN Section
+
|Referral Source
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
 
|1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
−
|The template identifier for the TRANSPORT MODE Section
+
|Mode of Arrival
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.10
 +
|ED Disposition
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.12
 +
|Certification of Medical Necessity
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.13
 +
|Transport Reason
 
|-
 
|-
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.4
 
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.4
 
|style="background-color:#D9D9D9; font-weight:bold" | CDA Entry Template Identifiers
 
|style="background-color:#D9D9D9; font-weight:bold" | CDA Entry Template Identifiers
 +
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.1
 +
|Severity
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.1.1
 +
|Problem Status Observation
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.4.1.2
 
|1.3.6.1.4.1.19376.1.5.3.1.4.1.2
Line 300: Line 1,069:
 
|1.3.6.1.4.1.19376.1.5.3.1.4.3
 
|1.3.6.1.4.1.19376.1.5.3.1.4.3
 
|The template identifier used to identify instructions in medication order.
 
|The template identifier used to identify instructions in medication order.
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.3.1
 +
|Medication Fulfillment Instructions
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.4.4
 
|1.3.6.1.4.1.19376.1.5.3.1.4.4
 
|The template identifier used to identify references to external documents.
 
|The template identifier used to identify references to external documents.
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.4.1
 +
|Internal References
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.4.5.1
 
|1.3.6.1.4.1.19376.1.5.3.1.4.5.1
Line 318: Line 1,093:
 
|1.3.6.1.4.1.19376.1.5.3.1.4.6
 
|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.
 
|The template identifier used to identify observation elements that describe patient allergy or adverse reaction.
−
|-
 
−
|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.
 
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.4.7
 
|1.3.6.1.4.1.19376.1.5.3.1.4.7
 
|The template identifier for a <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> event that records medication administration events or requests.  This is the root template for all medications.
 
|The template identifier for a <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> event that records medication administration events or requests.  This is the root template for all medications.
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.12
 +
|Immunizations
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.7.3
 +
|Supply Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.7.2
 +
|Product Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13
 +
|Simple Observations
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.1
 +
|Vital Signs Organizer
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.2
 +
|Vital Signs Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.15
 +
|Family History Organizer
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.3
 +
|Family History Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.4
 +
|Social History Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.5
 +
|Pregnancy Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1
 +
|Estimated Delivery Date Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2
 +
|Antepartum Visit Summary Battery 
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.7
 +
|Advance Directive Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.13.6
 +
|Blood Type Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.14
 +
|Encounters
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.16
 +
|Update Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.19
 +
|Procedure Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1
 +
|Transport
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2
 +
|Intended Encounter Disposition
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.17
 +
|Coverage Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.18
 +
|Payer Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1
 +
|Pain Score Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.2
 +
|Braden Score Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.3
 +
|Braden Score Component
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4
 +
|Geriatric Depression Score Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5
 +
|Geriatric Depression Score Component
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.7
 +
|Survey Panel
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6
 +
|Survey Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1
 +
|Acuity
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.2
 +
|Intravenous Fluids Administered
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4
 +
|Nursing Assessments Battery
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10
 +
|Antenatal Testing and Surveillance Battery
 
|-
 
|-
 
|1.3.6.1.4.1.19376.1.5.3.1.4.7.1
 
|1.3.6.1.4.1.19376.1.5.3.1.4.7.1
Line 340: Line 1,208:
 
|The template identifier for a <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> event that records combination medication component information in subordinate <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> events.
 
|The template identifier for a <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> event that records combination medication component information in subordinate <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> events.
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.12
+
|1.3.6.1.4.1.19376.1.5.3.1.4.21
−
|Immunization
+
|The template identifier for a <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> event that records delayed start medication component information in subordinate <nowiki><</nowiki>substanceAdministration<nowiki>></nowiki> events.
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.1.25.1.4.1
 +
|Patient Transfer
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20
 +
|Occupational Data for Health Organizer
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.1
 +
|Employment Status Organizer Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.2
 +
|Usual Occupation and Industry Organizer Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.3
 +
|History of Occupation Organizer Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.4
 +
|Employment Status Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.5
 +
|Usual Occupation and Industry Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.6
 +
|Past and Present Occupation Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.7
 +
|Work Schedule Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.8
 +
|Weekly Work Hours Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.9
 +
|Usual Occupation Duration Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.10
 +
|Usual Industry Duration Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.11
 +
|Weekly Work Days Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.12  
 +
|Past and Present Industry Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.13
 +
|Job Employment Type Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.14
 +
|Usual Occupation Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.20.15
 +
|Usual Industry Observation Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.22
 +
|Pregnancy Status Review Organizer
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.22.1
 +
|Pregnancy Status Review Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.23
 +
|Medical Necessity Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.24
 +
|Note Activity Entry
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.25
 +
|Mental status Observation
 +
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.4.26
 +
|Last Oral Intake
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.13
+
|1.3.6.1.4.1.19376.1.5.3.1.4.27
−
|Simple Observation
+
|Last known well
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.14
+
|style="background-color:#D9D9D9; font-weight:bold" | 1.3.6.1.4.1.19376.1.5.3.1.5
−
|Encounter
+
|style="background-color:#D9D9D9; font-weight:bold" | Workflow Template Identifiers
 +
|
 +
 
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.15
+
|1.3.6.1.4.1.19376.1.5.3.1.5.1
−
|Family History Observation
+
|eReferral Workflow (XBeR-WD)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.16
+
|1.3.6.1.4.1.19376.1.5.3.1.5.2
−
|Procedure Entry
+
|Telehome Monitoring Workflow (XTHM-WD)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.17
+
|1.3.6.1.4.1.19376.1.5.3.1.5.3
−
|Coverage Entry
+
|Tumour Board Workflow (XTB-WD)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.18
+
|1.3.6.1.4.1.19376.1.5.3.1.5.4
−
|Policy Entry
+
|EHDI Workflow (EHDI)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.4.19
+
|1.3.6.1.4.1.19376.1.5.3.1.5.6
−
|Payer Entry
+
|Cross-Enterprise Cardiovascular Heart Team Workflow (XCHT-WD)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1
+
|1.3.6.1.4.1.19376.1.5.3.1.5.5
−
|The template identifier for the Transport Entry.
+
| Mutliple Content View (MCV)
 
|-
 
|-
−
|1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2
+
|1.3.6.1.4.1.19376.1.5.3.1.5.5.1
−
|The template identifier for the Intended Disposition Entry.
+
|Narrative Formatting Option
 
|-
 
|-
 +
|1.3.6.1.4.1.19376.1.5.3.1.5.5.2
 +
|Entry Reference Tagging Option
 
|}
 
|}
  
Line 382: Line 1,323:
 
|-
 
|-
 
| C || Extensions to CDA Release 2.0
 
| C || Extensions to CDA Release 2.0
 +
|-
 +
| D || Profile Mappings
 
|}
 
|}
  
 +
==URN other than FormatCode ==
 +
 +
 +
{| class="wikitable"
 +
|-
 +
! style="width: 20%" | Code Value
 +
! Definition
 +
|-
 +
| urn:ihe:pcc:qedm:2017:document-provenance-policy
 +
| The Provenance resource is representing data (Provenance.target) that has been sourced from XDS or MHD accessible Documents.
 +
|-
 +
|}
  
 
==See Also==
 
==See Also==
  
−
The [[Frameworks#IHE Patient Care Coordination Technical Framework| PCC Technical Framework]] is the official master document.
+
*The [[Frameworks#IHE Patient Care Coordination Technical Framework| PCC Technical Framework]] is the official master document.<br/>
 +
*[[PCC_TF-2/Namespaces_and_Vocabularies | PCC Namespaces and Vocabularies]]
 +
*[[PCC Vocabulary Registry and Data Dictionary/zh|A Simplified Chinese version of this page]]

Latest revision as of 14:14, 13 November 2020

PCC Vocabulary Registry and Data Dictionary


This page lists various vocabularies and data dictionaries that are under the control of the PCC Committee. Please do not edit this without coordinating your activity with the PCC Committee. It is supposed to be a safe reference for currently assigned terms, etc. Some terms should not be assigned permanent values here until after the PCC profile documentation is complete.


How to Acquire a new PCC Template Id

  • add new row to section and Appendices for each new profile
  • IHE PCC Template Id root: 1.3.6.1.4.1.19376.1.5.3.1
  • .1 is for doc content modules
  • .2 is for sections
  • .3 is for entries and header elements
  • .4 is for entries
  • .5 is for workflow
  • PCC formatCodes are managed on a shared domain wiki page that can be found here: IHE_Format_Codes

Volume 1, Sections and Appendices

Chapter Description Status OID Space
3 Cross-Enterprise Sharing of Medical Summaries (XDS-MS) Final Text 1.3.6.1.4.1.19376.1.5.3.1.1.2
4 Exchange of Personal Health Record Content (XPHR) Final Text
5 ED Referral (EDR) Final Text 1.3.6.1.4.1.19376.1.5.3.1.1.10
6 Immunization Content (IC) Final Text 1.3.6.1.4.1.19376.1.5.3.1.1.18
7 Reserved for Emergency Department Encounter Summary (EDES) Under Revision 1.3.6.1.4.1.19376.1.5.3.1.1.13
8 Reserved for Query for Existing Data (QED) Trial Implementation 1.3.6.1.4.1.19376.1.5.3.1.1.14
9 Antepartum Record (APR) Under Revision 1.3.6.1.4.1.19376.1.5.3.1.1.16
10 Care Management (CM) Trial Implementation 1.3.6.1.4.1.19376.1.5.3.1.1.17
12 Patient Plan of Care (PPOC) Trial Implementation 1.3.6.1.4.1.19376.1.5.3.1.1.20
13 Request for Clincal Guidance (QCG) Trial Implementation 1.3.6.1.4.1.19376.1.5.3.1.1.??
13 EMS Transfer of Care (ETC) Trial Implementation 1.3.6.1.4.1.19376.1.5.3.1.1.19
13 Labor and Delivery Record (LDR) 1.3.6.1.4.1.19376.1.5.3.1.1.21
14 Newborn Delivery Record 1.3.6.1.4.1.19376.1.5.3.1.1.22
15 Patient Centerd Coordination Plan (PCCP) 1.3.6.1.4.1.19376.1.5.3.1.1.23
19 Family Planning 1.3.6.1.4.1.19376.1.5.3.1.1.24
A Actor Descriptions
B Transaction Descriptions
C How to Prepare and IHE Integration Statement

Volume 2, Transaction and Section Numbers

Number Section and Transaction Name
PCC-1 Document Sharing
PCC-2 Query Existing Data
PCC-7 Guideline Notification
PCC-8 Request Guideline Data
PCC-9 Care Management Data Query
PCC-10 V3 Care Management Update
PCC-11 V2 Care Management Update

Transaction 12 is already defined in the Request for Clinical Guidance (RCG) supplement and is not related to the requirements in the RPM supplement. Transactions 13 and 14 are already defined in the RCK supplement.

PCC-12 Reserved for RCG
PCC-13 Reserved for RCK
PCC-14 Reserved for RCK
PCC-15 Communicate PCHA Data Transaction (RPM)
PCC-16 Share List (RECON on FHIR)
PCC-17 Translate Code (CMAP)
PCC-18 Retrieve Code Mappings (CMAP)
PCC-19 Evaluate Order (GAO)
PCC-20 Invoke Questionnaire (GAO)
PCC-21 Communicate PCD Data-hData (RPM)
PCC-22 Communicate PCD Data-SOAP (RPM)
PCC-23 Admission Notification (BED)
PCC-24 Admission Order (BED)
PCC-25 Patient Movement (BED)
PCC-26 Submit and assign HT Management
PCC-27 Accept/Reject HT Activity
PCC-28 Assign HT Participation
PCC-29 Add Request of more clinical information
PCC-30 Add more clinical information
PCC-31 Complete individual preparation
PCC-32 Plan HT Discussion
PCC-33 Complete HT
PCC-34 Finalization
PCC-35 Cancel HT
PCC-36 Cancel HT assignment
PCC-37 Update Care Plan
PCC-38 Retrieve Care Plan
PCC-39 Subscribe to Care Plan Updates
PCC-40 Provide Care Plan
PCC-41 Search for Care Plan
PCC-42 Communicate FHIR Data-hData (RPM)
PCC-43 Share FHIR Resources (RPM)
PCC-44 Mobile Query Existing Data (QEDm)
PCC-45 Update Care Team (DCTM)
PCC-46 Search for Care team (DCTM)
PCC-47 Retrieve Care Team (DCTM)
PCC-48 Subscribe to Care Team Updates (DCTM)
PCC-49 Provide Care Team (DCTM)
PCC-50 Register Medical Device (PMDT)
PCC-51 Search Medical Devices (PMDT)
PCC-52 Start Point-of-Care Device Procedure (PMDT)
PCC-53 Complete Point-of-Care Device Procedure (PMDT)
PCC-54 Search Point-of-Care Device Procedure (PMDT)
PCC-55 Referral Request (360X)
PCC-56 Referral Decline (360X)
PCC-57 Referral Outcome (360X)
PCC-58 Referral Cancellation (360X)
PCC-59 Interim Consultation Note (360X)
PCC-60 Appointment Notification (360X)
PCC-61 No-show Notification (360X)
PCC-62 Query for Transport Data (RIPT)
PCC-63 Update Plan Definition
PCC-64 Retrieve Plan Definition
PCC-65 Search for Plan Definition
PCC-66 Subscribe to Plan Definition Updates
PCC-67 Provide Plan Definition
PCC-68 Provide Activity Definition
PCC-69 Apply Activity Definition Operation
PCC-70 Apply Plan Definition Operation
PCC-71 Query Artifact (ACDC)
PCC-72 Request Assessment (ACDC)
PCC-73 Report Assessment (ACDC)
PCC-74 Referral Request Selection (360XL)
PCC-75 LTPAC Transfer Documentation (360XL)
PCC-76 Facility Admission Notification (360XL)
Chapter Description
5.3.1 Folder Content Module Reserved for APS
5.4.1.10 - 13 Document Content Modules Reserved for APS
6.6 HL7 FHIR® Content Module
6.6.x HL7 FHIR® Content Module - Reserved for PCC FHIR Profiled Resources
6.7.x HL7 FHIR® Content Module - Reserved for PCC FHIR Extensions
6.8.x HL7 FHIR® Content Module - Reserved for PCC FHIR Data Types
Chapter PCC FHIR Resource Profiled IHE PCC Profile Used in
6.6.1 CarePlan Resource DCP
6.6.2 Subscription Resource DCP
6.6.3 Transport Content RIPT
6.6.4 dctmCareTeam Resource DCTM
6.6.5 dctmSubscription Resource DCTM
6.6.6 PhdPatient Resource RPM
6.6.7 PhdDevice Resource RPM
6.6.8 PhdDeviceComponent Resource RPM
6.6.9 PhdDeviceMetric Resource RPM
6.6.10 PhgDevice Resource RPM
6.6.11 PhgDeviceComponent Resource RPM
6.6.12 PhdNumericObservation Resource RPM
6.6.13 PhdCompoundNumericObservation Resource RPM
6.6.14 PhdCodedEnumerationObservation Resource RPM
6.6.15 PhdBitsEnumerationObservation Resource RPM
6.6.16 PhdStringEnumerationObservation Resource RPM
6.6.17 PhdRtsaObservation Resource RPM
6.6.18 PhdCoincidentTimeStampObservation Resource RPM
6.6.20 TBD TBD
6.6.21 TBD TBD
6.6.22 TBD TBD
6.6.23 TBD TBD
6.6.24 TBD TBD
6.6.25 TBD TBD
Chapter PCC FHIR Extensions IHE PCC Profile Used in
6.7.1 PchaDeviceProperty Extension RPM
6.7.2 phgDeviceReference Extension RPM
6.7.3 tbd TBD
6.7.4 tbd TBD
6.7.5 tbd TBD
6.7.6 tbd TBD
6.7.7 tbd TBD
6.7.8 tbd TBD
Chapter PCC FHIR Data Types IHE PCC Profile Used in
6.8.1 PhdQuantity Data Type RPM
6.8.2 PhdTypeCodeableConcept Data Type RPM
6.8.3 tbd TBD
6.8.4 tbd TBD
6.8.5 tbd TBD
6.8.6 tbd TBD
6.8.7 tbd TBD
6.8.8 tbd TBD

Sections, Appendices and Transactions that have been Removed, Deprecated, Withdrawn From Volume 1 and 2

PCC Template Identifiers

Template Identifier Description
1.3.6.1.4.1.19376.1.5.3.1.1 CDA Document Template Identifiers
1.3.6.1.4.1.19376.1.5.3.1.1.1 Medical Document
1.3.6.1.4.1.19376.1.5.3.1.1.2 Medical Summary Template Identifier and XDS-MS formatCode
1.3.6.1.4.1.19376.1.5.3.1.1.3 Referral Summary
1.3.6.1.4.1.19376.1.5.3.1.1.4 Discharge Summary
1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4 History and Physical
1.3.6.1.4.1.19376.1.5.3.1.1.5 PHR Extract
1.3.6.1.4.1.19376.1.5.3.1.1.6 PHR Update
1.3.6.1.4.1.19376.1.5.3.1.1.7 Basic Patient Privacy Consent (BPPC)
1.3.6.1.4.1.19376.1.5.3.1.1.10 Emergency Department Referral (EDR)
1.3.6.1.4.1.19376.1.5.3.1.1.11.2 Antepartum Summary
1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1 Triage Note
1.3.6.1.4.1.19376.1.5.3.1.1.13.1.2 Nursing Note
1.3.6.1.4.1.19376.1.5.3.1.1.13.1.3 Composite Triage and Nursing Note
1.3.6.1.4.1.19376.1.5.3.1.1.13.1.4 ED Physician Note
1.3.6.1.4.1.19376.1.5.3.1.1.16.1.1 Antepartum History and Physical
1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2 Antepartum Laboratory
1.3.6.1.4.1.19376.1.5.3.1.1.16.1.3 Antepartum Education
1.3.6.1.4.1.19376.1.5.3.1.1.18.1.2 Immunization Detail
1.3.6.1.4.1.19376.1.5.3.1.1.19.1 Prehospital Patient Care Report
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.1 Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.2 Subsequent Evaluation Note
1.3.6.1.4.1.19376.1.5.3.1.1.21.1.1 Labor and Delivery Admission History and Physical
1.3.6.1.4.1.19376.1.5.3.1.1.21.1.2 Labor and Delivery Summary
1.3.6.1.4.1.19376.1.5.3.1.1.21.1.3 Maternal Discharge Summary
1.3.6.1.4.1.19376.1.5.3.1.1.21.1.4 Postpartum Visit Summary
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3 e-Nursing Summary
1.3.6.1.4.1.19376.1.5.3.1.1.22.1.1 Newborn Discharge Summary
1.3.6.1.4.1.19376.1.5.3.1.1.23.1.1 Patient Centered Coordination Plan
1.3.6.1.4.1.19376.1.5.3.1.1.23.1.2 Patient Centered Coordination Task
1.3.6.1.4.1.19376.1.5.3.1.1.23.1.3 Patient Centered Coordination Task Report
1.3.6.1.4.1.19376.1.5.3.1.1.24.1 Reconciliation Document
1.3.6.1.4.1.19376.1.5.3.1.1.25.1 Transport Document
1.3.6.1.4.1.19376.1.5.3.1.1.26.1 Patient Care Plan Document
1.3.6.1.4.1.19376.1.5.3.1.1.27.1 Patient Care Plan Document (CCDA version)
1.3.6.1.4.1.19376.1.5.3.1.1.28.1 Routine Interfacility Patient Transport Document
1.3.6.1.4.1.19376.1.5.3.1.1.29.1 Paramedicine Care Summary: Clinical Subset
1.3.6.1.4.1.19376.1.5.3.1.1.30.1 Paramedicine Care Summary: Complete
1.3.6.1.4.1.19376.1.5.3.1.2 CDA Header Template Identifiers
1.3.6.1.4.1.19376.1.5.3.1.2.1 Language Communication
1.3.6.1.4.1.19376.1.5.3.1.2.2 Employer and School Contacts
1.3.6.1.4.1.19376.1.5.3.1.2.3 Healthcare Providers and Pharmacies
1.3.6.1.4.1.19376.1.5.3.1.2.4 Patient Contacts
1.3.6.1.4.1.19376.1.5.3.1.2.4.1 Spouse
1.3.6.1.4.1.19376.1.5.3.1.2.4.2 Natural Father of Fetus
1.3.6.1.4.1.19376.1.5.3.1.2.5 Authorization
1.3.6.1.4.1.19376.1.5.3.1.2.6 Consent Service Events
1.3.6.1.4.1.19376.1.5.3.1.2.7 Related Document
1.3.6.1.4.1.19376.1.5.3.1.2.8 Order Fulfillment
1.3.6.1.4.1.19376.1.5.3.1.3 CDA Section Template Identifiers
Reasons For Care
1.3.6.1.4.1.19376.1.5.3.1.3.1 Reason for Referral
1.3.6.1.4.1.19376.1.5.3.1.3.2 Reason for Referral (coded)
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 Chief Complaint
1.3.6.1.4.1.19376.1.5.3.1.3.3 Hospital Admission Diagnosis
1.3.6.1.4.1.19376.1.5.3.1.1.9.1 Proposed Procedure
1.3.6.1.4.1.19376.1.5.3.1.1.9.2 Estimated Blood Loss
1.3.6.1.4.1.19376.1.5.3.1.1.9.3 Proposed Anesthesia
1.3.6.1.4.1.19376.1.5.3.1.1.9.4 Reason for Procedure
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1.1 Reason for Visit
1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 Mode of Arrival
Other Condition Histories
1.3.6.1.4.1.19376.1.5.3.1.3.4 History of Present Illness
1.3.6.1.4.1.19376.1.5.3.1.3.5 Hospital Course
1.3.6.1.4.1.19376.1.5.3.1.3.6 Active Problems
1.3.6.1.4.1.19376.1.5.3.1.3.7 Discharge Diagnosis
1.3.6.1.4.1.19376.1.5.3.1.3.8 History of Past Illness
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 Encounter Histories
1.3.6.1.4.1.19376.1.5.3.1.3.9 History of Outpatient Visits
1.3.6.1.4.1.19376.1.5.3.1.3.10 History of Inpatient Visits
1.3.6.1.4.1.19376.1.5.3.1.3.11 List of Surgeries
1.3.6.1.4.1.19376.1.5.3.1.3.12 Coded List of Surgeries
1.3.6.1.4.1.19376.1.5.3.1.3.13 Allergies and Other Adverse Reactions
1.3.6.1.4.1.19376.1.5.3.1.3.14 Family Medical History
1.3.6.1.4.1.19376.1.5.3.1.3.15 Coded Family Medical History
1.3.6.1.4.1.19376.1.5.3.1.1.9.5 Pre-procedure Family Medical History
1.3.6.1.4.1.19376.1.5.3.1.3.16 Social History
1.3.6.1.4.1.19376.1.5.3.1.3.17 Functional Status
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.1 Coded Functional Status
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.2 Pain Scale Assessment
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.3 Braden Score Assessment
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.4 Geriatric Depression Scale
1.3.6.1.4.1.19376.1.5.3.1.1.12.2.5 Physical Function
1.3.6.1.4.1.19376.1.5.3.1.3.18 Review of Systems
1.3.6.1.4.1.19376.1.5.3.1.1.9.13 Preprocedure Review of Systems
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1 Hazardous Working Conditions
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 Pregnancy History
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.1 Estimated Delivery Date Section
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5 Medical Devices
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6 Foreign Travel
1.3.6.1.4.1.19376.1.5.3.1.1.9.8 History of Tobacco Use
1.3.6.1.4.1.19376.1.5.3.1.1.9.10 Current Alcohol/Substance Abuse
1.3.6.1.4.1.19376.1.5.3.1.1.9.12 History of Blood Transfusion
1.3.6.1.4.1.19376.1.5.3.1.1.9.14 Anesthesia Risk Review of Systems
1.3.6.1.4.1.19376.1.5.3.1.1.9.46 Implanted Medical Device Review
1.3.6.1.4.1.19376.1.5.3.1.1.9.47 Pregnancy Status Review
1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1 History of Infection
1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1.1.1 Coded History of Infection
1.3.6.1.4.1.19376.1.5.3.1.3.16.1 Coded Social History
1.3.6.1.4.1.19376.1.5.3.1.3.37 Occupational Data for Health
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.2 Prenatal Events
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.3 Labor and Delivery Events
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.4 Newborn Delivery Information
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.7 Postpartum Treatment
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.8 Newborn Status at Maternal Discharge
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.9 Event Outcomes
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1 History of Cognitive Function
1.3.6.1.4.1.19376.1.5.3.1.1.16.2.2 History of Surgical Procedures
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.6 Operation Note Section
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.4 Pain Assessment Panel
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.12 Discharge Status
1.3.6.1.4.1.19376.1.5.3.1.3.37 Occupational Data for Health Section
1.3.6.1.4.1.19376.1.5.3.1.3.38 Mental Status section
1.3.6.1.4.1.19376.1.5.3.1.3.39 Review of systems – EMS section
1.3.6.1.4.1.19376.1.5.3.1.3.40 EMS Injury Incident Description Clinical Section
1.3.6.1.4.1.19376.1.5.3.1.3.41 EMS Scene Clinical Section
1.3.6.1.4.1.19376.1.5.3.1.3.42 EMS Situation Clinical Section
Medications
1.3.6.1.4.1.19376.1.5.3.1.3.19 Medications
1.3.6.1.4.1.19376.1.5.3.1.3.20 Admission Medication History
1.3.6.1.4.1.19376.1.5.3.1.3.21 Medications Administered
1.3.6.1.4.1.19376.1.5.3.1.3.22 Hospital Discharge Medications
1.3.6.1.4.1.19376.1.5.3.1.3.23 Immunizations
Physical Exams
1.3.6.1.4.1.19376.1.5.3.1.3.24 Physical Exam
1.3.6.1.4.1.19376.1.5.3.1.1.9.15 Physical Exam (with subsections)
1.3.6.1.4.1.19376.1.5.3.1.3.26 Hospital Discharge Physical Exam
1.3.6.1.4.1.19376.1.5.3.1.3.25 Vital Signs
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 Coded Vital Signs
1.3.6.1.4.1.19376.1.5.3.1.1.9.16 General Appearance
1.3.6.1.4.1.19376.1.5.3.1.1.9.48 Visible Implanted Medical Devices
1.3.6.1.4.1.19376.1.5.3.1.1.9.17 Integumentary System
1.3.6.1.4.1.19376.1.5.3.1.1.9.18 Head
1.3.6.1.4.1.19376.1.5.3.1.1.9.19 Eyes
1.3.6.1.4.1.19376.1.5.3.1.1.9.20 Ears, Nose, Mouth and Throat
1.3.6.1.4.1.19376.1.5.3.1.1.9.21 Ears
1.3.6.1.4.1.19376.1.5.3.1.1.9.22 Nose
1.3.6.1.4.1.19376.1.5.3.1.1.9.23 Mouth, Throat, and Teeth
1.3.6.1.4.1.19376.1.5.3.1.1.9.24 Neck
1.3.6.1.4.1.19376.1.5.3.1.1.9.25 Endocrine System
1.3.6.1.4.1.19376.1.5.3.1.1.9.26 Thorax and Lungs
1.3.6.1.4.1.19376.1.5.3.1.1.9.27 Chest Wall
1.3.6.1.4.1.19376.1.5.3.1.1.9.28 Breasts
1.3.6.1.4.1.19376.1.5.3.1.1.9.29 Heart
1.3.6.1.4.1.19376.1.5.3.1.1.9.30 Respiratory System
1.3.6.1.4.1.19376.1.5.3.1.1.9.31 Abdomen
1.3.6.1.4.1.19376.1.5.3.1.1.9.32 Lymphatic System
1.3.6.1.4.1.19376.1.5.3.1.1.9.33 Vessels
1.3.6.1.4.1.19376.1.5.3.1.1.9.34 Musculoskeletal System
1.3.6.1.4.1.19376.1.5.3.1.1.9.35 Neurologic System
1.3.6.1.4.1.19376.1.5.3.1.1.9.36 Genitalia
1.3.6.1.4.1.19376.1.5.3.1.1.9.37 Rectum
1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1 Extremeties
1.3.6.1.4.1.19376.1.5.3.1.1.9.15.1 Coded Physical Exam
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.10 Pelvis
1.3.6.1.4.1.19376.1.5.3.1.1.22.1.1.2.1 Admission Physical Exam
Relevant Studies
1.3.6.1.4.1.19376.1.5.3.1.3.27 Results
1.3.6.1.4.1.19376.1.5.3.1.3.28 Coded Results
1.3.6.1.4.1.19376.1.5.3.1.3.29 Hospital Studies Summary
1.3.6.1.4.1.19376.1.5.3.1.3.30 Coded Hospital Studies Summary
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.8 Consultations
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.5 Antenatal Testing and Surveillance
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.5.1 Coded Antenatal Testing and Surveillance
Plans of Care
1.3.6.1.4.1.19376.1.5.3.1.3.31 Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.5 Assessment and Plan
1.3.6.1.4.1.19376.1.5.3.1.3.33 Discharge Diet
1.3.6.1.4.1.19376.1.5.3.1.3.34 Advance Directives
1.3.6.1.4.1.19376.1.5.3.1.3.35 Coded Advance Directives
1.3.6.1.4.1.19376.1.5.3.1.1.9.40 Procedure Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.9.45 Procedure Care Plan Status Report
1.3.6.1.4.1.19376.1.5.3.1.1.9.50 Health Maintenance Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.9.41 Health Maintenance Care Plan Status Report
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.1 Provider Orders
1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 Transport Mode
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.11 History of Cognitive Function
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.1 Birth Plan
1.3.6.1.4.1.19376.1.5.3.1.1.18.3.1 Immunization Recommendations
1.3.6.1.4.1.19376.1.5.3.1.1.9.38 Patient Education
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.2 Diet and Nutrition
1.3.6.1.4.1.19376.1.5.3.1.1.20.2.3 Intake and Output
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.1 Goals
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.2 Expected Outcomes
1.3.6.1.4.1.19376.1.5.3.1.1.20.1.3.2.3 Treatment Plan
1.3.6.1.4.1.19376.1.5.3.1.3.36 Coded Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.1 Patient Care Plan
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.2 Hospital Discharge Instructions
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.3 Patient Goals
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.4 Reconciled Plan of Care
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.5 Reconciled Patient Goals
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.6 Reconciled Interventions
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.7 Transport Instructions
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.8 Care Plan Summary
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.9 Encounter Summary
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.10 Active/Planned Medication Summary
1.3.6.1.4.1.19376.1.5.3.1.1.26.1.11 Care Team Section
Procedures Performed
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.11 Procedures and Interventions
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.6 Intravenous Fluids Administered
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.14 EMS Procedures and Interventions Section
Impressions
1.3.6.1.4.1.19376.1.5.3.1.1.9.42 Pre-procedure Impressions
1.3.6.1.4.1.19376.1.5.3.1.1.9.44 Pre-procedure Risk Assessment
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2 Visit Summary Flowsheet Section
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.7 Progress Note
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9 ED Diagnoses
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.2 Acuity Assessment
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4 Assessments
Administrative and Other Information
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7 Payers
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.3 Referral Source
1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 Mode of Arrival
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.10 ED Disposition
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.12 Certification of Medical Necessity
1.3.6.1.4.1.19376.1.5.3.1.1.13.2.13 Transport Reason
1.3.6.1.4.1.19376.1.5.3.1.4 CDA Entry Template Identifiers
1.3.6.1.4.1.19376.1.5.3.1.4.1 Severity
1.3.6.1.4.1.19376.1.5.3.1.4.1.1 Problem Status Observation
1.3.6.1.4.1.19376.1.5.3.1.4.1.2 The template identifier used to identify a health status observation.
1.3.6.1.4.1.19376.1.5.3.1.4.2 The template identifier used to identify a comment on an observation.
1.3.6.1.4.1.19376.1.5.3.1.4.3 The template identifier used to identify instructions in medication order.
1.3.6.1.4.1.19376.1.5.3.1.4.3.1 Medication Fulfillment Instructions
1.3.6.1.4.1.19376.1.5.3.1.4.4 The template identifier used to identify references to external documents.
1.3.6.1.4.1.19376.1.5.3.1.4.4.1 Internal References
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.
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.
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.
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.
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.
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.
1.3.6.1.4.1.19376.1.5.3.1.4.12 Immunizations
1.3.6.1.4.1.19376.1.5.3.1.4.7.3 Supply Entry
1.3.6.1.4.1.19376.1.5.3.1.4.7.2 Product Entry
1.3.6.1.4.1.19376.1.5.3.1.4.13 Simple Observations
1.3.6.1.4.1.19376.1.5.3.1.4.13.1 Vital Signs Organizer
1.3.6.1.4.1.19376.1.5.3.1.4.13.2 Vital Signs Observation
1.3.6.1.4.1.19376.1.5.3.1.4.15 Family History Organizer
1.3.6.1.4.1.19376.1.5.3.1.4.13.3 Family History Observation
1.3.6.1.4.1.19376.1.5.3.1.4.13.4 Social History Observation
1.3.6.1.4.1.19376.1.5.3.1.4.13.5 Pregnancy Observation
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.1 Estimated Delivery Date Observation
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.3.2 Antepartum Visit Summary Battery
1.3.6.1.4.1.19376.1.5.3.1.4.13.7 Advance Directive Observation
1.3.6.1.4.1.19376.1.5.3.1.4.13.6 Blood Type Observation
1.3.6.1.4.1.19376.1.5.3.1.4.14 Encounters
1.3.6.1.4.1.19376.1.5.3.1.4.16 Update Entry
1.3.6.1.4.1.19376.1.5.3.1.4.19 Procedure Entry
1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1 Transport
1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2 Intended Encounter Disposition
1.3.6.1.4.1.19376.1.5.3.1.4.17 Coverage Entry
1.3.6.1.4.1.19376.1.5.3.1.4.18 Payer Entry
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.1 Pain Score Observation
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.2 Braden Score Observation
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.3 Braden Score Component
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.4 Geriatric Depression Score Observation
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.5 Geriatric Depression Score Component
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.7 Survey Panel
1.3.6.1.4.1.19376.1.5.3.1.1.12.3.6 Survey Observation
1.3.6.1.4.1.19376.1.5.3.1.1.13.3.1 Acuity
1.3.6.1.4.1.19376.1.5.3.1.1.13.3.2 Intravenous Fluids Administered
1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4 Nursing Assessments Battery
1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10 Antenatal Testing and Surveillance Battery
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).
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.
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.
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.
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.
1.3.6.1.4.1.19376.1.5.3.1.4.21 The template identifier for a <substanceAdministration> event that records delayed start medication component information in subordinate <substanceAdministration> events.
1.3.6.1.4.1.19376.1.5.3.1.1.25.1.4.1 Patient Transfer
1.3.6.1.4.1.19376.1.5.3.1.4.20 Occupational Data for Health Organizer
1.3.6.1.4.1.19376.1.5.3.1.4.20.1 Employment Status Organizer Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.2 Usual Occupation and Industry Organizer Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.3 History of Occupation Organizer Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.4 Employment Status Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.5 Usual Occupation and Industry Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.6 Past and Present Occupation Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.7 Work Schedule Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.8 Weekly Work Hours Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.9 Usual Occupation Duration Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.10 Usual Industry Duration Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.11 Weekly Work Days Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.12 Past and Present Industry Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.13 Job Employment Type Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.14 Usual Occupation Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.20.15 Usual Industry Observation Entry
1.3.6.1.4.1.19376.1.5.3.1.4.22 Pregnancy Status Review Organizer
1.3.6.1.4.1.19376.1.5.3.1.4.22.1 Pregnancy Status Review Observation
1.3.6.1.4.1.19376.1.5.3.1.4.23 Medical Necessity Entry
1.3.6.1.4.1.19376.1.5.3.1.4.24 Note Activity Entry
1.3.6.1.4.1.19376.1.5.3.1.4.25 Mental status Observation
1.3.6.1.4.1.19376.1.5.3.1.4.26 Last Oral Intake
1.3.6.1.4.1.19376.1.5.3.1.4.27 Last known well
1.3.6.1.4.1.19376.1.5.3.1.5 Workflow Template Identifiers
1.3.6.1.4.1.19376.1.5.3.1.5.1 eReferral Workflow (XBeR-WD)
1.3.6.1.4.1.19376.1.5.3.1.5.2 Telehome Monitoring Workflow (XTHM-WD)
1.3.6.1.4.1.19376.1.5.3.1.5.3 Tumour Board Workflow (XTB-WD)
1.3.6.1.4.1.19376.1.5.3.1.5.4 EHDI Workflow (EHDI)
1.3.6.1.4.1.19376.1.5.3.1.5.6 Cross-Enterprise Cardiovascular Heart Team Workflow (XCHT-WD)
1.3.6.1.4.1.19376.1.5.3.1.5.5 Mutliple Content View (MCV)
1.3.6.1.4.1.19376.1.5.3.1.5.5.1 Narrative Formatting Option
1.3.6.1.4.1.19376.1.5.3.1.5.5.2 Entry Reference Tagging Option

Volume 2, Appendices

Chapter Description
A Examples
B Validating CDA Documents
C Extensions to CDA Release 2.0
D Profile Mappings

URN other than FormatCode

Code Value Definition
urn:ihe:pcc:qedm:2017:document-provenance-policy The Provenance resource is representing data (Provenance.target) that has been sourced from XDS or MHD accessible Documents.

See Also

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