Progetto

Supplemento 1 all’allegato 4 OCIP-DFI: cartella di vaccinazione informatizzata RS 816.111

Content

1. Templates .................................................................................................................................................. 3 1.1. CDA Document Level Templates ........................................................................................................ 3 1.1.1. Vaccination document ................................................................................................................. 3 1.2. CDA Header Level Templates ........................................................................................................... 15 1.1.2. CDA author (2.16.756.5.30.1.1.10.2.2) ..................................................................................... 15 1.1.3. CDA custodian (2.16.756.5.30.1.1.10.2.3) ................................................................................ 18 1.1.4. CDA Document Id (2.16.756.5.30.1.1.10.9.3) ........................................................................... 20 1.1.5. CDA Document Language Code ............................................................................................... 20 1.1.6. CDA Document Title (2.16.756.5.30.1.1.10.9.4) ....................................................................... 21 1.1.7. CDA informationRecipient (2.16.756.5.30.1.1.10.2.4)............................................................... 22 1.1.8. CDA legalAuthenticator (2.16.756.5.30.1.1.10.2.5)................................................................... 24 1.1.9. CDA RealmCode (2.16.756.5.30.1.1.10.9.1) ............................................................................ 25 1.1.10. CDA recordTarget (vacd) (2.16.756.5.30.1.127.10.2.13) ...................................................... 26 1.1.11. CDA relatedDocument2 (2.16.756.5.30.1.127.10.2.16) ........................................................ 29 1.1.12. CDA SetId VersionNumber (2.16.756.5.30.1.1.10.9.7) ......................................................... 30 1.1.13. CDA TypeId (2.16.756.5.30.1.1.10.9.2)................................................................................. 31 1.1.14. Data Enterer (2.16.756.5.30.1.1.10.2.7) ................................................................................ 32 1.1.15. Insurance (2.16.756.5.30.1.1.10.2.15) .................................................................................. 33 1.3. CDA Section Level Templates........................................................................................................... 35 1.1.16. Active Problems (2.16.756.5.30.1.127.10.3.2) ...................................................................... 35 1.1.17. Allergies and Other Adverse Reactions (2.16.756.5.30.1.127.10.3.4) .................................. 37 1.1.18. Coded Results (2.16.756.5.30.1.127.10.3.5) ........................................................................ 39 1.1.19. Comment (2.16.756.5.30.1.127.10.3.9)................................................................................. 41 1.1.20. History of Past Illness (2.16.756.5.30.1.127.10.3.3) ............................................................. 43 1.1.21. Immunization Recommendations (2.16.756.5.30.1.127.10.3.8) ........................................... 45 1.1.22. Immunizations (2.16.756.5.30.1.127.10.3.1) ......................................................................... 46 1.1.23. Laboratory Speciality Section (2.16.756.5.30.1.127.10.3.6) ................................................. 49 1.1.24. Pregnancy History (2.16.756.5.30.1.127.10.3.7) ................................................................... 51 1.4. CDA Entry Level Templates .............................................................................................................. 53 1.1.25. Allergies and Intolerances Concern Entry (2.16.756.5.30.1.127.10.4.11) ............................ 53 1.1.26. Allergy and Intolerance Entry (2.16.756.5.30.1.127.10.4.12) ................................................ 56 1.1.27. Annotation Comment Entry (2.16.756.5.30.1.127.10.4.3) ..................................................... 61 1.1.28. Criterion Entry (2.16.756.5.30.1.127.10.4.4) ......................................................................... 63 1.1.29. External Document Entry (2.16.756.5.30.1.127.10.4.20) ...................................................... 64 1.1.30. Gestational age (2.16.756.5.30.1.127.10.4.14) ..................................................................... 67 1.1.31. Immunization Entry (2.16.756.5.30.1.127.10.4.1) ................................................................. 69 1.1.32. Immunization Recommendation Entry (2.16.756.5.30.1.127.10.4.19) .................................. 76 1.1.33. Laboratory Battery Organizer Entry (2.16.756.5.30.1.127.10.4.16) ...................................... 84