Template ID |
TBD |
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Reference(s) |
HL7 Continuity Of Care Document |
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Base Template (IS-A) |
Continuity of Care Document |
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Document Code |
LOINC: 34133-9 (SUMMARIZATION OF EPISODE NOTE) |
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XDS Format Code |
IHE Format Code: urn:ad:ohie:ccd+:2014Change this to CCD |
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XDS Type Code |
LOINC: 34133-9 |
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Description |
The Continuity of Care Document+ template is an OpenHIE specific document template which encapsulates the constraints of HL7 CCD adding additional sections to represent a more complete view of the patient. |
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Expected Sections |
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Section |
Template ID |
Reference |
Visit Summary Flow sheet |
1.3.6.1.4.1.19376.1.5.3.1.1.11.2.2.2 |
3.3.2.5 |
History of Surgical Procedures |
1.3.6.1.4.1.19376.1.5.3.1.1.16.2.2 |
|
Coded Antenatal Testing and Surveillance |
1.3.6.1.4.1.19376.1.5.3.1.1.21.2.5.1 |
3.3.2.4 |
Allergies and Other Adverse Reactions |
1.3.6.1.4.1.19376.1.5.3.1.3.13 |
3.3.2.3 |
Medications |
1.3.6.1.4.1.19376.1.5.3.1.3.19 |
3.3.2.12 |
Care Plan |
1.3.6.1.4.1.19376.1.5.3.1.3.31 |
|
Advance Directives |
1.3.6.1.4.1.19376.1.5.3.1.3.34 or 1.3.6.1.4.1.19376.1.5.3.1.3.35 |
3.3.2.2 |
Problems |
1.3.6.1.4.1.19376.1.5.3.1.3.6 |
3.3.2.1 |
Vital Signs |
1.3.6.1.4.1.19376.1.5.3.1.3.25 or 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 |
3.3.2.17 |
Family History |
1.3.6.1.4.1.19376.1.5.3.1.3.14 or 1.3.6.1.4.1.19376.1.5.3.1.3.15 |
3.3.2.9 |
Social History |
1.3.6.1.4.1.19376.1.5.3.1.3.16 or 1.3.6.1.4.1.19376.1.5.3.1.3.16.1 |
3.3.2.15 |
Results |
1.3.6.1.4.1.19376.1.5.3.1.3.27 or 1.3.6.1.4.1.19376.1.5.3.1.3.28 |
3.3.2.7 |
History of Present Illness |
1.3.6.1.4.1.19376.1.5.3.1.3.4 |
|
History of Past Illness |
1.3.6.1.4.1.19376.1.5.3.1.3.8 |
3.3.2.10 |
Pregnancy History |
1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 |
3.3.2.14 |
Immunizations |
1.3.6.1.4.1.19376.1.5.3.1.3.23 |
3.3.2.11 |
Procedures |
2.16.840.1.113883.10.20.1.12 |
3.3.2.15 |
OpenSHR Implementation Notes |
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Additional Constraints |
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Notes |
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Specification |
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<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" classCode="DOCCLIN" moodCode="EVN"> |
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