Back To Index  <<  Back To Templates

ref Template  [4] Dane autoryzacyjne związane z refundacją leków

Id 2.16.840.1.113883.3.4424.13.10.4.69 Effective Date valid from 2018‑04‑26
Status active Active Version Label 1.2.3
Name plCdaDrugPrescriptionAuthorizationActivityEntry Display Name [4] Dane autoryzacyjne związane z refundacją leków
Description Szablon CDA dla danych autoryzacyjnych związanych z refundacją leków
Context Parent nodes of template element with id 2.16.840.1.113883.3.4424.13.10.4.69
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 6 templates, Uses 2 templates
Used by as Name Version
2.16.840.1.113883.3.4424.13.10.4.60 Containment active [4] Publiczne ubezpieczenie zdrowotne (1.2.3) 2018‑04‑26
2.16.840.1.113883.3.4424.13.10.4.51 link active [4] Dane o uprawnieniach i płatnikach (1.2.3) 2018‑04‑26
2.16.840.1.113883.3.4424.13.10.3.69 link active [3] Sekcja danych ubezpieczeniowych (1.2.3) 2018‑04‑26
2.16.840.1.113883.3.4424.13.10.2.28 link active [2] Treść dokumentu skierowania (1.2.3) 2018‑04‑26
2.16.840.1.113883.3.4424.13.10.1.4 link active [1] Dokument skierowania (1.2.3) 2018‑04‑26
2.16.840.1.113883.3.4424.13.10.4.61 Containment active [4] Upradnienia dodatkowe publicznego ubezpieczenie zdrowotnego (1.2.3) 2018‑04‑26
Uses as Name Version
2.16.840.1.113883.3.4424.13.10.4.15 Containment active [4] Dane podmiotu związanego z fragmentem treści dokumentu (1.2.3) DYNAMIC
2.16.840.1.113883.3.4424.13.10.4.68 Containment active [4] Pozycja komentarza (1.2.3) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.3.4424.13.10.4.53 (2017‑04‑26)
Item DT Card Conf Description Label
hl7:act
(plCdotstry)
@classCode
cs 1 … 1 R
  CONF
@classCode shall be "ACT"
@moodCode
cs 1 … 1 R
  CONF
@moodCode shall be "EVN"
@negationInd
bl 0 … 1  
hl7:templateId
II 1 … 1 M (plCdotstry)
treeblank where [@root='2.16.840.1.113883.3.4424.13.10.4.53']
@root
1 … 1 F 2.16.840.1.113883.3.4424.13.10.4.69
hl7:templateId
II 1 … 1 M (plCdotstry)
treeblank where [@root='2.16.840.1.113883.10.20.1.19']
@root
1 … 1 F 2.16.840.1.113883.10.20.1.19
hl7:id
II 1 … * (plCdotstry)
hl7:code
CD 1 … 1 R (plCdotstry)
  CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED 0 … 1 (plCdotstry)
hl7:statusCode
CS 0 … 1 (plCdotstry)
  CONF
The value of @code shall be drawn from value set ActStatus ActStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS 0 … 1 (plCdotstry)
hl7:priorityCode
CE 0 … 1 (plCdotstry)
  CONF
The value of @code shall be drawn from value set ActPriority ActPriority (DYNAMIC)
hl7:languageCode
CS 0 … 1 (plCdotstry)
  CONF
The value of @code shall be drawn from value set HumanLanguage HumanLanguage (DYNAMIC)
hl7:subject
0 … 1 Contains 2.16.840.1.113883.3.4424.13.10.4.15 [4] Dane podmiotu związanego z fragmentem treści dokumentu (DYNAMIC) (plCdotstry)
treeblank where [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.4.15']]
hl7:entryRelationship
1 … * M (plCdotstry)
@typeCode
1 … 1 F SUBJ
@contextConductionInd
bl 0 … 1  
@inversionInd
bl 0 … 1  
@negationInd
bl 0 … 1  
hl7:sequenceNumber
INT 0 … 1 (plCdotstry)
hl7:seperatableInd
BL 0 … 1 (plCdotstry)
hl7:substanceAdministration
(plCdotstry)
@classCode
cs 1 … 1 R
  CONF
@classCode shall be "SBADM"
@moodCode
cs 1 … 1 R
  CONF
@moodCode shall be "PRMS"
hl7:id
II 1 … * R (plCdotstry)
hl7:consumable
1 … 1 M (plCdotstry)
hl7:manufacturedProduct
1 … 1 M (plCdotstry)
hl7:manufacturedMaterial
1 … 1 M (plCdotstry)
@nullFlavor
cs 1 … 1 F NA
hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.4424.13.10.4.68 [4] Pozycja komentarza (DYNAMIC) (plCdotstry)
treeblank where [hl7:act [hl7:code [(@code='48767-8' and @codeSystem='2.16.840.1.113883.6.1')]]]
@typeCode
cs 1 … 1 R
  CONF
The value of @typeCode shall be drawn from value set x_ActRelationshipEntryRelationship x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl 0 … 1  
@inversionInd
bl 0 … 1  
@negationInd
bl 0 … 1  
hl7:sequenceNumber
INT 0 … 1 (plCdotstry)
hl7:seperatableInd
BL 0 … 1 (plCdotstry)