StructureDefinition-2.16.840.1.113883.10.20.22.1.2

Sourcehl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.1.2
canonicalhttp://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.2
version2.1
statusactive
publisherHealth Level Seven
nameContinuityofCareDocumentCCD
titleContinuity of Care Document (CCD)
date2023-08-24T14:33:15+00:00
descriptionThis document type was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0. The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care. The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the ServiceEvent is constrained to "PCPR". This means it does not function to report new ServiceEvents associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered. More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative documents in this guide.
jurisdictionsus
fhirVersion5.0.0
kindlogical
abstractfalse
sdTtypehttp://hl7.org/cda/stds/core/StructureDefinition/ClinicalDocument
derivationconstraint
basehttp://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.1.1
Usages(none)
Name Flags Card. Type Description & Constraints doco
. . ClinicalDocument USRealmHeaderV4 XML Namespace: urn:hl7-org:v3
This logical model cannot be the target of a reference
. . . Slices for templateId 1 .. Slice: Unordered, Open by value:root, value:extension
. . . . templateId:primary 1..1
. . . . . root 1..1 Required Pattern: 2.16.840.1.113883.10.20.22.1.2
. . . . . extension 1..1 Required Pattern: 2015-08-01
. . . code 1..1
. . . . code 1..1 Required Pattern: 34133-9
. . . . codeSystem 1..1 Required Pattern: 2.16.840.1.113883.6.1
. . . author 1..*
. . . . assignedAuthor C 1..1 1198-8456: Such assignedAuthors **SHALL** contain (exactly one [1..1] assignedPerson) or (exactly one [1..1] assignedAuthoringDevice and exactly one [1..1] representedOrganization) (CONF:1198-8456).
1198-8457: If assignedAuthor has an associated representedOrganization with no assignedPerson or assignedAuthoringDevice, then the value for “ClinicalDocument/author/assignedAuthor/id/@NullFlavor” **SHALL** be “NA” “Not applicable” 2.16.840.1.113883.5.1008 NullFlavor STATIC (CONF:1198-8457).
. . . documentationOf 1..1 The documentationOf relationship in a Continuity Care Document contains the representation of providers who are wholly or partially responsible for the safety and well-being of a subject of care.
. . . . serviceEvent 1..1 The main activity being described by a CCD 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). NOTE: Implementations originating a CCD should take care to discover what the episode of care being summarized is. For example, when a patient fills out a form providing relevant health history, the episode of care being documented might be from birth to the present.
. . . . . classCode 1..1 Fixed Value: PCPR
. . . . . effectiveTime 1..1
. . . . . . low 1..1
. . . . . . high 1..1
. . . . . performer 0..* The serviceEvent/performer 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 1..1 Fixed Value: PRF
. . . . . . assignedEntity ..1 SG 20230709: Illegal constraint - base has min = 1 (deleted min=0)
. . . . . . . id C 1..* 1198-32466: If this assignedEntity is an assignedPerson, the assignedEntity/id **SHOULD** contain zero or one [0..1] @root="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-32466).
. . . . . . . assignedPerson 0..1
. . . component 1..1
. . . . structuredBody 1..1
. . . . . Slices for component 1 .. Slice: Unordered, Open by profile:section
. . . . . . component:allergies 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:medications 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:problems 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:procedures 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:results 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:advDirectives 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:encounters 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:famHistory 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:functionalStatus 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:immunizations 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:medEquipment 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:payers 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:planOfTreatment 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:socialHist 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:vitalSigns 1..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:mentalStatus 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section
. . . . . . component:nutrition 0..1
. . . . . . . section 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Section

doco Documentation for this format

Produced 08 Sep 2023