-
Notifications
You must be signed in to change notification settings - Fork 13
/
CareTeamCoded
394 lines (394 loc) · 18 KB
/
CareTeamCoded
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
<!-- File courtesy of Emma Jones of Allscripts -->
<component>
<structuredBody>
<component>
<section>
<!--NEW Care Teams Section Template ID and extension-->
<templateId root="2.16.840.1.113883.10.20.22.2.500" extension="2019-08-01"/>
<code code="86744-0" codeSystem="2.16.840.1.113883.6.1"/>
<title>Care Teams</title>
<text>
<table>
<tbody>
<tr>
<td>Inpatient Diabetes Care Team<br/>
<content ID="_4eab0e52-dd7d-4285-99eb-72d32ddb195c">Uncontrolled Diabetes</content>
</td>
<td>Active<br/>
October 19, 2018
</td>
<td>Good Day Hospital<br/>
763 Horseshoe Rd<br/>
Gotham, OR 98764<br/>
+1(814)788-8000
</td>
</tr>
<tr>
<td colspan="3"><content ID="_322877c7-14e1-4ef6-beee-040c945c5f44">This hospital is the patient preferred hospital for diabetes care</content></td>
</tr>
<tr>
<td>CareTeam Members</td>
<td>Dr. Henry Seven (Active)<br/>
Primary Care Provider<br/>
Internist<br/>
<content ID="_4d2eaeef-7eb4-468f-ba96-35e3ab7f4aee">Performs annual patient visits</content><br/>
October 18, 2019
</td>
<td>Good Day clinic<br/>
1000 New Bern Ave<br/>
Raleigh, NC 27610<br/>
+1-(919)555-8000
</td>
</tr>
<tr>
<td></td>
<td colspan="2"><content ID="_a7c75a30-ddb6-4da6-83c7-fb58aa3731ee">Dr Seven wants to increase patient visits to every three months</content></td>
</tr>
<tr>
<td></td>
<td>Mary Smith (Inactive)<br/>
Caregiver<br/>
Aunt<br/>
October 2018 - December 22, 2018
</td>
<td>
+1-(919)555-8000
</td>
</tr>
<tr>
<td></td>
<td colspan="2"><content ID="_322877c7-14e1-4ef6-beee-040c945c5f449985666312">Ms. Smith assist with ADLs. Ms. Smith moved away and no longer cares for the patient. Ms. Smith preferred to be called via her cell phone number (919) 121-4567</content></td>
</tr>
</tbody>
</table>
</text>
<!--Care Team Organizer-->
<entry>
<organizer classCode="CLUSTER" moodCode="EVN">
<!--NEW Care Team Organizer Entry Template ID and extension-->
<templateId root="2.16.840.1.113883.10.20.22.4.500" extension="2019-08-01"/>
<id root="1.1.1.1.1.1"/>
<code code="86744-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Team"/>
<!--Care Team Status - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933/expansion-->
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201810181426-0500"/>
</effectiveTime>
<!--author creating/updating the care team information-->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20190104"/>
<assignedAuthor>
<id extension="99999999" root="2.16.840.1.113883.4.6"/>
<code code="207Q00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Health Care Provider Taxonomy" displayName="Family Medicine"/>
<telecom use="WP" value="tel:555-555-1002"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<!-- This participant is the Care Team Lead (1..1)-->
<!-- Care Team Lead is also in the first care team member act in the list of care team member acts-->
<participant typeCode="PPRF">
<!--<This id matches at least one of the member's id in the Care Team Member act template>-->
<participantRole>
<id root="1.5.5.5.5.5.5"/>
</participantRole>
</participant>
<!-- This participant is the Care Team's Organization (0..1)-->
<participant typeCode="LOC">
<participantRole>
<id root="1.3.3.3.3.3"/>
<addr use="WP">
<streetAddressLine>763 Horseshoe Rd</streetAddressLine>
<city>Raleigh</city>
<state>NC</state>
<postalCode>27610</postalCode>
</addr>
<telecom use="WP" value="tel:+1(814)788-8000"/>
<playingEntity classCode="PLC">
<name>Good Day Hospital</name>
</playingEntity>
</participantRole>
</participant>
<!--Care Team Organizer Components-->
<!-- Care Team Encounter Act [0..1] - This is the encounter that caused the existance of the Care Team-->
<component>
<encounter classCode="ENC" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
<templateId root="2.16.840.1.113883.10.20.22.4.49"/>
<id root="1.4.4.4.4.4.4"/>
<code code="99223" displayName="Under New or Established Patient Initial Hospital Inpatient Care ServicescodeSystem" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT-4"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201810081426-0500"/>
<high value="201810181826-0500"/>
</effectiveTime>
<participant typeCode="LOC">
<participantRole classCode="SDLOC">
<templateId root="2.16.840.1.113883.10.20.22.4.32"/>
<code code="1061-1" displayName="Inpatient medical/surgical ward" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HealthcareServiceLocation">
</code>
<addr>
<streetAddressLine>763 Horseshoe Rd</streetAddressLine>
<city>Raleigh</city>
<state>NC</state>
<postalCode>27610</postalCode>
</addr>
<telecom value="tel:+1-(814)788-8000"/>
<playingEntity classCode="PLC">
<name>Good Day Hospital</name>
</playingEntity>
</participantRole>
</participant>
</encounter>
</component>
<!-- Care Team Members Acts (1..*). The first member component is the Care Team lead -->
<!-- #1 Care Team Member Act - This component is a care team member who is a provider -->
<component>
<act classCode="PCPR" moodCode="EVN">
<templateId root="1.2.3.4.5.6.2"/>
<id root="1.5.5.5.5.5.5"/>
<code code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Team Information"/>
<!--Care Team Member Status - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933/expansion-->
<statusCode code="active"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201810081426-0500"/>
</effectiveTime>
<!--Attributes about the provider member - specialty, name, address, telecom-->
<participant typeCode="PRF">
<!-- This is the provider "specialty" code - NUCC-->
<participantRole>
<code code="207R00000X" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Health Care Provider Taxonomy" displayName="Internal Medicine"/>
<addr>
<streetAddressLine>1188 New Bern Ave</streetAddressLine>
<city>Raleigh</city>
<state>NC</state>
<postalCode>27610</postalCode>
</addr>
<telecom value="tel:+1-(919)555-8000"/>
<playingEntity>
<name>
<family>Seven</family>
<given>Henry</given>
</name>
</playingEntity>
</participantRole>
</participant>
<!-- care team member function on the care team. Uses this value set - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.27/expansion-->
<participant typeCode="IND">
<sdtc:functionCode code="453231000124104" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Primary care provider"/>
<participantRole nullFlavor="NI"/>
</participant>
<!-- this is the organization this care team member belongs to-->
<participant typeCode="LOC">
<participantRole>
<addr>
<streetAddressLine>1188 New Bern Ave</streetAddressLine>
<city>Raleigh</city>
<state>NC</state>
<postalCode>27610</postalCode>
</addr>
<telecom value="tel:+1-(919)555-8000"/>
<playingEntity>
<name>Good Day Clinic</name>
</playingEntity>
</participantRole>
</participant>
<!--Care Team Schedule Observation [0..1] - this is the schedule of when the member participates on the care team-->
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="INT">
<templateId root="1.2.3.4.5.6" extension="TBD"/>
<id root="1.7.8.9.1.0"/>
<code code="57203-2" displayName="Episode Timing" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
<text>
<reference value="#_4d2eaeef-7eb4-468f-ba96-35e3ab7f4aee"/>
</text>
<statusCode code="completed"/>
<value xsi:type="PIVL_TS" institutionSpecified="true" operator="A">
<period value="12" unit="mo"/>
</value>
</observation>
</entryRelationship>
<!--Care Team Member Information - Note Activity that fully describes information about the care team member-->
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
<translation code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Care team information"/>
</code>
<text>
<reference value="#_a7c75a30-ddb6-4da6-83c7-fb58aa3731ee"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="201812201440-0500"/>
<!--Author Participation - author who added this note on the care team member-->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<!-- Time note about the care team member was actually written -->
<time value="20181220083255-0500"/>
<assignedAuthor>
<id root="1.5.5.5.5.5.5"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</act>
</entryRelationship>
</act>
</component>
<!-- #2 Care Team Member Act - This component is a care team member who is a family member -->
<component>
<act classCode="PCPR" moodCode="EVN">
<templateId root="1.2.3.4.5.6.2"/>
<!--this id is the care team member ID and also matches the care team lead ID-->
<id root="2.2.2.2.2.2"/>
<code code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Care Team Information"/>
<!--Care Team Member Status - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933/expansion-->
<!--this care team member is on the team but is inactive-->
<statusCode code="inactive"/>
<effectiveTime xsi:type="IVL_TS">
<low value="201806201426-0500"/>
<high value="201812221426-0500"/>
</effectiveTime>
<!--Attributes about care team member - family relationship, name, address telecom-->
<participant typeCode="PRF">
<participantRole>
<!--uses this value set - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.12.1/expansion-->
<code code="AUNT" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Aunt"/>
<addr>
<streetAddressLine>100 Main St</streetAddressLine>
<city>Portland</city>
<state>OR</state>
<postalCode>97005</postalCode>
</addr>
<telecom value="tel:+1-(919)356-5555"/>
<playingEntity>
<name>
<family>Smith</family>
<given>Mary</given>
</name>
</playingEntity>
</participantRole>
</participant>
<!-- care team member function on the care team. Uses this value set - https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.27/expansion-->
<participant typeCode="IND">
<sdtc:functionCode code="133932002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="caregiver"/>
<participantRole nullFlavor="NI"/>
</participant>
<!--Care Team Member Information - Note Activity that fully describes information about the care team member-->
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
<translation code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Care team information"/>
</code>
<text>
<reference value="#_322877c7-14e1-4ef6-beee-040c945c5f449985666312"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="201812241440-0500"/>
<!--Author Participation - author who added this note on the care team member-->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<!-- Time note about the care team member was actually written -->
<time value="20181204083255-0500"/>
<assignedAuthor>
<id root="1.5.5.5.5.5.5"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</act>
</entryRelationship>
</act>
</component>
<!--Care Team Information Act (0..1) - Note Activity that fully describes information about the care team-->
<component>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.202" extension="2016-11-01"/>
<code code="34109-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Note">
<translation code="85847-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Care team information"/>
</code>
<text>
<reference value="#_322877c7-14e1-4ef6-beee-040c945c5f44"/>
</text>
<statusCode code="completed"/>
<effectiveTime value="201810221426-0500"/>
<!--Author Participation-->
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<!-- Time note about the care team was actually written -->
<time value="201810221426-0500"/>
<!--Author Participation - author who added this note on the care team-->
<assignedAuthor>
<id root="1.5.5.5.5.5.5"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</act>
</component>
<!--Care Team Type Observations (0..*)-->
<!--Care Team Type #1 Encounter-focused-->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.4.5.6.9" extension="TBD"/>
<id root="1.5.8.9.4"/>
<code code="86744-0" displayName="Care Team" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
</code>
<statusCode code="completed"/>
<effectiveTime value="201810221426-0500"/>
<!-- Value selected from Care Team Category ValueSet-->
<value xsi:type="CD" code="27976-2" displayName="Encounter-focused care team" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
<originalText>Ambulatory care team</originalText>
</value>
</observation>
</component>
<!--Care Team Type #2 Condition-focused-->
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.4.5.6.9" extension="TBD"/>
<id root="1.8.7.6.3"/>
<code code="86744-0" displayName="Care Team" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
</code>
<statusCode code="completed"/>
<effectiveTime value="201810221426-0500"/>
<!-- Value selected from Care Team Category ValueSet-->
<value xsi:type="CD" code="27978-8" displayName="Condition-focused care team" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
<originalText>Diabetes care team</originalText>
</value>
</observation>
</component>
<!--Care Team Reason Act (0..*) - reference health concern act, risk concern act, reference any-->
<component>
<!-- This act references a Health Concern, Risk Concern or some other entry present in the document the the Care Team act is related to"-->
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.122"/>
<!-- This id points to an already defined Health Concern in the Health Concerns Section. Text from the referenced health concern is placed in the text of this section -->
<id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c"/>
<!-- The code is nulled to "NP" Not Present" -->
<code nullFlavor="NP"/>
<statusCode code="completed"/>
</act>
</component>
</organizer>
</entry>
</section>
</component>
</structuredBody>
</component>