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Merge pull request #113 from onc-healthit/develop
mrege develop into master for SITE 3.1.49 release
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,280 @@ | ||
| <!-- --> | ||
| <!-- CCDA Header Transition of Care --> | ||
| <!-- --> | ||
| <!-- <?xml-stylesheet type='text/xsl' href='http://www.powersoftmd.com/CCDAXSL/PowerSoftMDCED.xsl'?> --> | ||
| <?xml-stylesheet type='text/xsl' href='http://www.powersoftmd.com/CCDAXSL/GenericCDA.xsl'?> | ||
| <ClinicalDocument xmlns="urn:hl7-org:v3" | ||
| xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" | ||
| xmlns:sdtc="urn:hl7-org:sdtc" xmlns:cda="urn:hl7-org:v3" | ||
| xmlns:voc="urn:hl7-org:v3/voc"> | ||
| <templateId extension="IMPL_CDAR2_LEVEL1" | ||
| root="2.16.840.1.113883.10" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.1" | ||
| extension="2015-08-01" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.1" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.2" | ||
| extension="2015-08-01" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.2" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.15" | ||
| extension="2015-08-01" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.1.15" /> | ||
| <component> | ||
| <structuredBody> | ||
| <templateId extension="IMPL_CDAR2_LEVEL1" | ||
| root="2.16.840.1.113883.10" /> | ||
| <!-- ******************************************************** --> | ||
| <!-- Privacy and Security Markings Section --> | ||
| <!-- ******************************************************** --> | ||
| <component> | ||
| <!-- Privacy and Security Markings Section --> | ||
| <section> | ||
| <!-- Privacy Markings section template --> | ||
| <templateId root="2.16.840.1.113883.3.3251.1.5" | ||
| assigningAuthorityName="HL7 Security" /> | ||
| <code code="57017-6" codeSystem="2.16.840.1.113883.6.1" | ||
| codeSystemName="LOINC" displayName="Privacy policy Organization" /> | ||
| <title>Security and Privacy Prohibitions</title> | ||
| <text> | ||
| Section Author: Dr. Davis Albert, Neighborhood Physicians Practice | ||
| <br /> | ||
| PROHIBITION ON REDISCLOSURE OF CONFIDENTIAL INFORMATION: | ||
| <br /> | ||
| This notice accompanies a disclosure of information concerning a | ||
| client in alcohol/drug treatment, made | ||
| to you with the consent of such client. This information has been | ||
| disclosed to you from records protected | ||
| by federal confidentiality rules (42 C.F.R. Part 2). The federal | ||
| rules prohibit you from making any | ||
| further disclosure of this information unless further disclosure is | ||
| expressly permitted by the written | ||
| consent of the person to whom it pertains or as otherwise permitted by 42 | ||
| C.F.R. Part 2. A general | ||
| authorization for the release of medical or other information is NOT sufficient | ||
| for this purpose. The | ||
| federal rules restrict any use of the information to criminally | ||
| investigate or prosecute any alcohol or | ||
| drug abuse patient. | ||
| </text> | ||
| <confidentialityCode code="R" | ||
| codeSystem="2.16.840.1.113883.5.25" | ||
| codeSystemName="HL7 Confidentiality" /> | ||
| <author> | ||
| <!-- Mandatory Document Author for DS4P --> | ||
| <templateId root="2.16.840.1.113883.3.3251.1.2" | ||
| assigningAuthorityName="HL7 Security" /> | ||
| <time value="20150622" /> | ||
| <assignedAuthor> | ||
| <!-- Mandatory Document Provenance - assigned author for DS4P --> | ||
| <templateId root="2.16.840.1.113883.3.3251.1.3" | ||
| assigningAuthorityName="HL7 Security" /> | ||
| <!-- auhorId --> | ||
| <id extension="111111" root="2.16.840.1.113883.4.6" /> | ||
| <code code="200000000X" codeSystem="2.16.840.1.113883.6.101" | ||
| displayName="Allopathic & Osteopathic Physicians" /> | ||
| <addr> | ||
| <streetAddressLine>2472 Rocky place</streetAddressLine> | ||
| <city>Beaverton</city> | ||
| <state>OR</state> | ||
| <postalCode>97006</postalCode> | ||
| <country>US</country> | ||
| </addr> | ||
| <telecom use="WP" value="tel:+1(555)-555-1002" /> | ||
| <assignedPerson> | ||
| <!-- AuthorProviderName --> | ||
| <name> | ||
| <prefix>Dr.</prefix> | ||
| <family>Albert</family> | ||
| <given>Davis</given> | ||
| </name> | ||
| </assignedPerson> | ||
| <!-- added representedOrganization for CCD requirements when we do | ||
| NOT have an assignedPerson -db --> | ||
| <!-- Consol Continuity of Care Document (CCD) (V3) SHALL contain at | ||
| least one [1..*] author, where its type is Author (CONF:1198-9442) each SHALL | ||
| contain exactly one [1..1] assignedAuthor, where (CONF:1198-9443) assignedAuthor | ||
| SHALL contain exactly one [1..1] assignedPerson and/or exactly one [1..1] | ||
| representedOrganization (CONF:1198-8456) --> | ||
| <representedOrganization> | ||
| <id root="2.16.840.1.113883.19.5" /> | ||
| <name>Neighborhood Physicians Practice</name> | ||
| </representedOrganization> | ||
| </assignedAuthor> | ||
| </author> | ||
| <entry typeCode="COMP"> | ||
| <!-- Privacy Marking Entry to indicate the precise/computable security | ||
| obligations and refrains --> | ||
| <templateId root="2.16.840.1.113883.3.3251.1.9" | ||
| assigningAuthorityName="HL7 Security" /> | ||
| <organizer classCode="CLUSTER" moodCode="EVN"> | ||
| <!-- Privacy Annotations are organized using template "2.16.840.1.113883.3.3251.1.4" --> | ||
| <templateId root="2.16.840.1.113883.3.3251.1.4" | ||
| assigningAuthorityName="HL7 Security" /> | ||
| <statusCode code="active" /> | ||
|
|
||
| <component typeCode="COMP"> | ||
| <observation classCode="OBS" moodCode="EVN"> | ||
| <!-- Security Observation --> | ||
| <templateId root="2.16.840.1.113883.3.445.21" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <!-- Refrain Policy Code template --> | ||
| <templateId root="2.16.840.1.113883.3.445.23" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <code code="SECCONOBS" | ||
| codeSystem="2.16.840.1.113883.1.11.20457" | ||
| displayName="Security Classification" | ||
| codeSystemName="HL7 SecurityObservationTypeCodeSystem" /> | ||
| <!-- Value set constraint "2.16.840.1.113883.1.11.20446" --> | ||
| <!-- old invalid value -dbDS4P --> | ||
| <!-- <value xsi:type="CE" code="NORDSLCD" codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValueCodeSystem" displayName="Prohibition | ||
| on redisclosure without patient consent directive"> <originalText>Prohibition | ||
| on redisclosure without patient consent directive</originalText> </value> --> | ||
| <!-- new correct value -db --> | ||
| <value xsi:type="CE" code="NOAUTH" | ||
| codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValue" | ||
| displayName="Prohibition on redisclosure without patient consent directive"> | ||
| <originalText>Prohibition on redisclosure without patient | ||
| consent directive</originalText> | ||
| </value> | ||
| </observation> | ||
| </component> | ||
|
|
||
| <component typeCode="COMP"> | ||
| <observation classCode="OBS" moodCode="EVN"> | ||
| <!-- Security Observation --> | ||
| <templateId root="2.16.840.1.113883.3.445.21" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <!-- Refrain Policy Code template --> | ||
| <templateId root="2.16.840.1.113883.3.445.23" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <code code="SECCONOBS" | ||
| codeSystem="2.16.840.1.113883.1.11.20457" | ||
| displayName="Security Classification" | ||
| codeSystemName="HL7 SecurityObservationTypeCodeSystem" /> | ||
| <!-- Value set constraint "2.16.840.1.113883.1.11.20446" --> | ||
| <!-- old invalid value -dbDS4P --> | ||
| <!-- <value xsi:type="CE" code="NORDSLCD" codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValueCodeSystem" displayName="Prohibition | ||
| on redisclosure without patient consent directive"> <originalText>Prohibition | ||
| on redisclosure without patient consent directive</originalText> </value> --> | ||
| <!-- new correct value -db --> | ||
| <value xsi:type="CE" code="NOAUTH" | ||
| codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValue" | ||
| displayName="Prohibition on redisclosure without patient consent directive"> | ||
| <originalText>Prohibition on redisclosure without patient | ||
| consent directive</originalText> | ||
| </value> | ||
| </observation> | ||
| </component> | ||
|
|
||
|
|
||
| <component typeCode="COMP"> | ||
| <observation classCode="OBS" moodCode="EVN"> | ||
| <!-- Security Observation --> | ||
| <templateId root="2.16.840.1.113883.3.445.21" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <!-- Refrain Policy Code template --> | ||
| <templateId root="2.16.840.1.113883.3.445.23" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <code code="SECCONOBS" | ||
| codeSystem="2.16.840.1.113883.1.11.20457" | ||
| displayName="Security Classification" | ||
| codeSystemName="HL7 SecurityObservationTypeCodeSystem" /> | ||
| <!-- Value set constraint "2.16.840.1.113883.1.11.20446" --> | ||
| <!-- old invalid value -dbDS4P --> | ||
| <!-- <value xsi:type="CE" code="NORDSLCD" codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValueCodeSystem" displayName="Prohibition | ||
| on redisclosure without patient consent directive"> <originalText>Prohibition | ||
| on redisclosure without patient consent directive</originalText> </value> --> | ||
| <!-- new correct value -db --> | ||
| <value xsi:type="CE" code="NOINTEGRATE" | ||
| codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValue" | ||
| displayName="Prohibition on redisclosure without patient consent directive"> | ||
| <originalText>Prohibition on redisclosure without patient | ||
| consent directive</originalText> | ||
| </value> | ||
| </observation> | ||
| </component> | ||
|
|
||
|
|
||
| <component typeCode="COMP"> | ||
| <observation classCode="OBS" moodCode="EVN"> | ||
| <!-- Security Observation --> | ||
| <templateId root="2.16.840.1.113883.3.445.21" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <!-- Refrain Policy Code template --> | ||
| <templateId root="2.16.840.1.113883.3.445.23" | ||
| assigningAuthorityName="HL7 CBCC" /> | ||
| <code code="SECCONOBS" | ||
| codeSystem="2.16.840.1.113883.1.11.20457" | ||
| displayName="Security Classification" | ||
| codeSystemName="HL7 SecurityObservationTypeCodeSystem" /> | ||
| <!-- Value set constraint "2.16.840.1.113883.1.11.20446" --> | ||
| <!-- old invalid value -dbDS4P --> | ||
| <!-- <value xsi:type="CE" code="NORDSLCD" codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValueCodeSystem" displayName="Prohibition | ||
| on redisclosure without patient consent directive"> <originalText>Prohibition | ||
| on redisclosure without patient consent directive</originalText> </value> --> | ||
| <!-- new correct value -db --> | ||
| <value xsi:type="CE" code="NOCOLLECT" | ||
| codeSystem="2.16.840.1.113883.5.1063" | ||
| codeSystemName="SecurityObservationValue" | ||
| displayName="Prohibition on redisclosure without patient consent directive"> | ||
| <originalText>Prohibition on redisclosure without patient | ||
| consent directive</originalText> | ||
| </value> | ||
| </observation> | ||
| </component> | ||
|
|
||
| </organizer> | ||
| </entry> | ||
| </section> | ||
| </component> | ||
|
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|
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|
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|
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| <component> | ||
| <section xmlns="urn:hl7-org:v3"> | ||
| <templateId root="2.16.840.1.113883.10.20.22.2.21.1" | ||
| extension="2015-08-01" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.2.21" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.2.21" | ||
| extension="2015-08-01" /> | ||
| <code code="42348-3" codeSystem="2.16.840.1.113883.6.1" | ||
| codeSystemName="LOINC" displayName="Advance Directives" /> | ||
| <entry> | ||
| <observation classCode="OBS" moodCode="EVN"> | ||
| <templateId root="2.16.840.1.113883.10.20.22.4.48" | ||
| extension="2015-08-01" /> | ||
| <templateId root="2.16.840.1.113883.10.20.22.4.48" /> | ||
| <code codeSystem="2.16.840.1.113883.6.96" | ||
| codeSystemName="SNOMEDCT" /> | ||
| <statusCode code="completed" /> | ||
| </observation> | ||
| <organizer classCode="CLUSTER" moodCode="EVN"> | ||
| <templateId root="2.16.840.1.113883.10.20.22.4.108" | ||
| extension="2015-08-01" /> | ||
| <code code="45473-6" codeSystem="2.16.840.1.113883.6.1" | ||
| codeSystemName="LOINC" | ||
| displayName="Advance directive - living will" /> | ||
| <statusCode code="completed" /> | ||
| </organizer> | ||
| </entry> | ||
| </section> | ||
| </component> | ||
|
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| </structuredBody> | ||
| </component> | ||
| </ClinicalDocument> |