The documentationOf relationship in an International Patient Summary contains the representation of providers who are wholly or partially responsible for the safety and well-being of a subject of care.
The main activity being described by a IPS is the provision of healthcare over a period of time. This is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range).
For example if the IPS is generated by a GP based on information recorded in his/her EHR-S, then the low value should represent the date when the treatment relationship between the patient and the GP started; and the high value the date of the latest care event.
Klassifikation
CDA Header Level Template
Offen/Geschlossen
Offen (auch andere als die definierten Elemente sind erlaubt)
The documentationOf relationship in an International Patient Summary contains the representation of providers who are wholly or partially responsible for the safety and well-being of a subject of care.
@typeCode
cs
0 … 1
F
DOC
Beispiel
<documentationOf> <serviceEventclassCode="PCPR"> <effectiveTime> <lownullFlavor="NI"/><highvalue="20110308"/></effectiveTime><performertypeCode="PRF"> <!-- See example below --> </performer></serviceEvent></documentationOf>
hl7:serviceEvent
1 … 1
R
The main activity being described by a IPS is the provision of healthcare over a period of time. This is shown by setting the value of serviceEvent/@classCode to “PCPR” (care provision) and indicating the duration over which care was provided in serviceEvent/effectiveTime. Additional data from outside this duration may also be included if it is relevant to care provided during that time range (e.g., reviewed during the stated time range).
For example if the IPS is generated by a GP based on information recorded in his/her EHR-S, then the low value should represent the date when the treatment relationship between the patient and the GP started; and the high value the date of the latest care event.
@classCode
cs
1 … 1
F
PCPR
@moodCode
cs
1 … 1
F
EVN
hl7:id
II
0 … *
R
hl7:effectiveTime
IVL_TS
1 … 1
R
hl7:low
TS
1 … 1
R
hl7:high
TS
1 … 1
R
hl7:performer
0 … *
R
It represents the healthcare providers involved in the current or pertinent historical care of the patient. Preferably, the patient’s key healthcare providers would be listed, particularly their primary physician and any active consulting physicians, therapists, and counselors
@typeCode
cs
1 … 1
R
CONF
Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)
Beispiel
<performertypeCode="PRF"> <assignedEntity> <idassigningAuthorityName="MEF"displayable="false"extension="DVLMMG57R07F205G"root="2.16.840.1.113883.2.9.4.3.2"/><codecode="221"codeSystem="2.16.840.1.113883.2.9.6.2.7"codeSystemName="ISCO"displayName="Medical doctors"> <translationcodeSystem="2.16.840.1.113883.2.9.5.1.111"code="MMG"displayName="Medico di Medicina Generale"/></code><addrnullFlavor="NI"/><telecomnullFlavor="NI"/><assignedPerson> <name> <family>DVALUNO</family><given>MMG</given></name></assignedPerson><representedOrganization> <idassigningAuthorityName="A.S.L. DELLA PROVINCIA DI LECCO"extension="030305"root="2.16.840.1.113883.2.9.4.1.1"/><name>A.S.L. DELLA PROVINCIA DI LECCO</name><telecomnullFlavor="NI"/><addr> <state>LECCO</state><city>LECCO</city><country>IT</country><postalCode>23900</postalCode><streetAddressLine>CORSO CARLO ALBERTO,120</streetAddressLine></addr></representedOrganization></assignedEntity></performer>
hl7:functionCode
CE.IPS
0 … 1
R
hl7:time
IVL_TS.IPS.TZ
0 … 1
R
hl7:assignedEntity
1 … 1
M
hl7:id
II
1 … *
R
Healthcare provider ID number
hl7:code
CE.IPS (extensible)
0 … 1
R
It describes the professional role of the healthcare provider involved in the current or pertinent historical care of the patient.
CONF
Der Wert von @code SOLLTE gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.53 IPS Healthcare Professional Roles (DYNAMIC)
hl7:addr
AD.IPS
1 … *
R
hl7:telecom
TEL.IPS
1 … *
R
hl7:assignedPerson
0 … 1
Eingefügt
von 2.16.840.1.113883.10.22.9.3 IPS CDA Person (DYNAMIC)