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This page is to be used by 360X Payload Workgroup participants to iterate an implementation guide. Please contact Brett Andriesen if you have any trouble editing this page.
<span id="ig-title">360X Project - Closed Loop Referral - Implementation Guide</span><br /> |
To be included in an informative appendix on possible variations:
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In all cases, the C-CDA SHALL include the reason for referral from the OMG object. It is important for system processing that the Order (referral request) and the associated clinical information (e.g., C-CDA) be related. Four (4) means of relationship were evaluated:
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<Slot name="intendedRecipient"> <ValueList> <Value>Bernstein Clinic^^^^^&1.2.840.114350.1.13.321.1.7.3.688884.100.8&ISO^^^^1.2.840.114350.1.13.321.1.7.3.688884.100.8|</Value> </ValueList> </Slot>
<ns3:SubmitObjectsRequest xmlns:ns3="urn:oasis:names:tc:ebxml-regrep:xsd:lcm:3.0" xmlns:ns4="urn:ihe:iti:xds-b:2007" xmlns="urn:oasis:names:tc:ebxml-regrep:xsd:rim:3.0" xmlns:ns2="urn:oasis:names:tc:ebxml-regrep:xsd:rs:3.0"> <RegistryObjectList> <ExtrinsicObject objectType="urn:uuid:7edca82f-054d-47f2-a032-9b2a5b5186c1" mimeType="text/xml" id="Document01"> <Slot name="creationTime"> <ValueList> <Value>20051224000000</Value> </ValueList> </Slot> <Slot name="languageCode"> <ValueList> <Value>en-us</Value> </ValueList> </Slot> <Slot name="serviceStartTime"> <ValueList> <Value>20041223080000</Value> </ValueList> </Slot> <Slot name="serviceStopTime"> <ValueList> <Value>20041223080100</Value> </ValueList> </Slot> <Slot name="sourcePatientId"> <ValueList> <Value> 998777350^^^&2.16.840.1.113883.13.47&ISO</Value> </ValueList> </Slot> <Slot name="sourcePatientInfo"> <ValueList> <Value> PID-3|998777350^^^&2.16.840.1.113883.13.47&ISO</Value> <Value>PID-5|Jackson^Paul^^^</Value> <Value>PID-7|19620308</Value> <Value>PID-8|M</Value> <Value>PID-11|3754 SAMUEL STREET</Value> </ValueList> </Slot> <Name> <LocalizedString value="Physical"/> </Name> <Description/> <Classification id="cl01" classifiedObject="Document01" classificationScheme="urn:uuid:93606bcf-9494-43ec-9b4e-a7748d1a838d" nodeRepresentation=""> <Slot name="authorPerson"> <ValueList> <Value> |direct@medibridge.net^Richard^Braman^^^^^^&2.16.840.1.113883.13.47&ISO</Value> </ValueList> </Slot> <Slot name="authorInstitution"> <ValueList> <Value>Cleveland Clinic</Value> <Value>Parma Community</Value> </ValueList> </Slot> <Slot name="authorRole"> <ValueList> <Value>Attending</Value> </ValueList> </Slot> <Slot name="authorSpecialty"> <ValueList> <Value>Orthopedic</Value> </ValueList> </Slot> </Classification> <Classification id="cl02" classifiedObject="Document01" classificationScheme="urn:uuid:41a5887f-8865-4c09-adf7-e362475b143a" nodeRepresentation="34133-9"> <Slot name="codingScheme"> <ValueList> <Value>2.16.840.1.113883.6.1</Value> </ValueList> </Slot> <Name> <LocalizedString value="Summarization of patient data"/> </Name> </Classification> <Classification id="cl03" classifiedObject="Document01" classificationScheme="urn:uuid:f4f85eac-e6cb-4883-b524-f2705394840f" nodeRepresentation="N"> <Slot name="codingScheme"> <ValueList> <Value>2.16.840.1.113883.5.25</Value> </ValueList> </Slot> <Name> <LocalizedString xml:lang="en-us" value="Normal" charset="UTF-8"/> </Name> </Classification> <Classification id="cl04" classifiedObject="Document01" classificationScheme="urn:uuid:a09d5840-386c-46f2-b5ad-9c3699a4309d" nodeRepresentation="urn:ihe:pcc:xds-ms:2007"> <Slot name="codingScheme"> <ValueList> <Value>1.3.6.1.4.1.19376.1.2.3</Value> </ValueList> </Slot> <Name> <LocalizedString xml:lang="en-us" value="Medical Summaries" charset="UTF-8"/> </Name> </Classification> <Classification id="cl05" classifiedObject="Document01" classificationScheme="urn:uuid:f33fb8ac-18af-42cc-ae0e-ed0b0bdb91e1" nodeRepresentation="225732001"> <Slot name="codingScheme"> <ValueList> <Value>2.16.840.1.113883.6.96</Value> </ValueList> </Slot> <Name> <LocalizedString value="Hospital-community"/> </Name> </Classification> <Classification id="cl06" classifiedObject="Document01" classificationScheme="urn:uuid:cccf5598-8b07-4b77-a05e-ae952c785ead" nodeRepresentation="HOSP"> <Slot name="codingScheme"> <ValueList> <Value>2.16.840.1.113883.6.96</Value> </ValueList> </Slot> <Name> <LocalizedString value="Hospital"/> </Name> </Classification> <ExternalIdentifier id="ei01" value="998777350^^^&2.16.840.1.113883.13.47&ISO" identificationScheme="urn:uuid:58a6f841-87b3-4a3e-92fd-a8ffeff98427" registryObject="Document01"> <Name> <LocalizedString value="XDSDocumentEntry.patientId"/> </Name> </ExternalIdentifier> <ExternalIdentifier id="ei02" value="2.16.840.1.113883.13.4721367.2005.3.9999.3" identificationScheme="urn:uuid:2e82c1f6-a085-4c72-9da3-8640a32e42ab" registryObject="Document01"> <Name> <LocalizedString value="XDSDocumentEntry.uniqueId"/> </Name> </ExternalIdentifier> </ExtrinsicObject> <RegistryPackage id="SubmissionSet01"> <Slot name="submissionTime"> <ValueList> <Value>20041225235050</Value> </ValueList> </Slot> <Slot name="intendedRecipient"> <ValueList> <!--Value>|john.smith@happyvalleyclinic.nhindirect.org^Smith^John^^^Dr^^^&1.3.6.1.4.1.21367.3100.1&ISO</Value--> <Value> |rbraman@medibridge.net^Smith^John^^^Dr^^^&1.3.6.1.4.1.21367.3100.1&ISO</Value> </ValueList> </Slot> <Name> <LocalizedString value="Physical"/> </Name> <Description> <LocalizedString value="Annual physical"/> </Description> <Classification id="cl08" classifiedObject="SubmissionSet01" classificationScheme="urn:uuid:a7058bb9-b4e4-4307-ba5b-e3f0ab85e12d" nodeRepresentation=""> <Slot name="authorPerson"> <ValueList> <Value>Sherry Dopplemeyer</Value> </ValueList> </Slot> <Slot name="authorInstitution"> <ValueList> <Value>Cleveland Clinic</Value> <Value>Berea Community</Value> </ValueList> </Slot> <Slot name="authorRole"> <ValueList> <Value>Primary Surgon</Value> </ValueList> </Slot> <Slot name="authorSpecialty"> <ValueList> <Value>Orthopedic</Value> </ValueList> </Slot> </Classification> <Classification id="c109" classifiedObject="SubmissionSet01" classificationScheme="urn:uuid:aa543740-bdda-424e-8c96-df4873be8500" nodeRepresentation="History and Physical"> <Slot name="codingScheme"> <ValueList> <Value>Connect-a-thon contentTypeCodes</Value> </ValueList> </Slot> <Name> <LocalizedString value="History and Physical"/> </Name> </Classification> <ExternalIdentifier id="ei03" value="2.16.840.1.113883.13.47.2005.3.9999.34" identificationScheme="urn:uuid:96fdda7c-d067-4183-912e-bf5ee74998a8" registryObject="SubmissionSet01"> <Name> <LocalizedString value="XDSSubmissionSet.uniqueId"/> </Name> </ExternalIdentifier> <ExternalIdentifier id="ei04" value="2.1" identificationScheme="urn:uuid:554ac39e-e3fe-47fe-b233-965d2a147832" registryObject="SubmissionSet01"> <Name> <LocalizedString value="XDSSubmissionSet.sourceId"/> </Name> </ExternalIdentifier> <ExternalIdentifier id="ei05" value="998777350^^^&2.16.840.1.113883.13.47&ISO" identificationScheme="urn:uuid:6b5aea1a-874d-4603-a4bc-96a0a7b38446" registryObject="SubmissionSet01"> <Name> <LocalizedString value="XDSSubmissionSet.patientId"/> </Name> </ExternalIdentifier> </RegistryPackage> <Classification id="cl10" classifiedObject="SubmissionSet01" classificationNode="urn:uuid:a54d6aa5-d40d-43f9-88c5-b4633d873bdd"/> <Association id="as01" targetObject="Document01" sourceObject="SubmissionSet01" associationType="urn:oasis:names:tc:ebxml-regrep:AssociationType:HasMember"> <Slot name="SubmissionSetStatus"> <ValueList> <Value>Original</Value> </ValueList> </Slot> </Association> </RegistryObjectList> </ns3:SubmitObjectsRequest>