| Consolidated CCD | Template Type | Number | Header/Section Contents from CDAR2_IG_IHE_CONDOL_R1_U1_2012MAY.DOCX |
Requirements | MIECHV Data Elements | LPH HIE Workgroup Demographic Elements | PH-DOCS | CHAMP | CareFacts |
| Document Header | |||||||||
| Header | 2.2.1 | RecordTarget/patientRole[1] | |||||||
| Note: content elements in bold are required elements of the CDA/CCD | id | This patientRole SHALL contain at least one [1..*] id | ID for Public Health Software or other personal health record | patient_id | client_number | ClientID | |||
| Note: MIECHV data elements with an asterisk should not be accessible by MDH MIECHV staff | addr (more than one set of addr values may be used)[2] |
This patientRole SHALL contain at least one [1..*] addr SHALL be a conformant US Realm Address (AD.US.FIELDED) |
-- NI (No Information in MIECHV, but does exist in Public Health Software - required for other applications) | ||||||
| @use | SHOULD contain @use, which SHALL be selected from ValueSet PostalAddressUse | Home or Mailing | PADDRESS_NAME | ||||||
| StreetAddressLine | SHALL contain at least one and not more than four [1..4] | address | PADDRESS_LINE PADDRESS_UNIT |
address_1 address_2 |
ClientAddressLine1 | ||||
| type_of_home (As used in CDA is different from workgroup discussed: re: need set description of values: age of home, built pefore 1978, etc.) | housing_type | ||||||||
| geocode_home_address | |||||||||
| city | SHALL contain exactly one [1..1] | city | PADDRESS_CITY | city | ClientCity | ||||
| county | PADDRESS_COUNTY | ClientCountySC | |||||||
| state | SHOULD contain exactly one [1..1] state State is required if the country is US. If country is not specified, it's assumed to be US. |
state | PADDRESS_STATE | state_code | ClientState | ||||
| postalCode | SHOULD contain exactly one [1..1] PostalCode is required if the country is US. If country is not specified, it's assumed to be US. |
zip | PADDRESS_ZIP5 PADDRESS_ZIP4 |
zip_code | |||||
| country | SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet CountryValueSet | ||||||||
| telecom | This
patientRole SHALL contain at least one
[1..*] telecom Such telecoms SHOULD contain @use |
-- NI (No Information in MIECHV, but does exist in Public Health Software) | |||||||
| @use | SHOULD contain @use, which SHALL be selected from ValueSet Telecom Use (US Realm Header) | Type of phone | |||||||
| value | |||||||||
| @use | Type of phone | CLIENT_PHONE_DESC1 | |||||||
| value | CLIENT_PHONE1 CLIENT_PHONE_EXT1 |
home_phone | ClientPhone | ||||||
| @use | Type of phone | CLIENT_PHONE_DESC2 | |||||||
| value | CLIENT_PHONE2 CLIENT_PHONE_EXT2 |
cell_phone | |||||||
| @use | Type of phone | CLIENT_PHONE_DESC3 | |||||||
| value | CLIENT_PHONE3 CLIENT_PHONE_EXT3 |
work_phone | |||||||
| @use | Type of email address | ||||||||
| value | CLIENT_EMAIL | ||||||||
| @use | Type of email address | ||||||||
| value | |||||||||
| Header | 2.2.1.1 | Patient[3] | |||||||
| Name[4] | SHALL contain exactly one [1..1] name | ||||||||
| prefix | MAY contain zero or more [0..*] prefix | prefix | |||||||
| given | SHALL contain at least one [1..*] given | Fname (char)* | first_name | CLIENT_FIRST_NAME | First_name | ClientFirstName | |||
| given qualifer="IN" | The second occurrence of given (given[2]) if provided, SHALL include middle name or middle initial | Minitial (char)* | middle_name | CLIENT_MIDDLE_NAME | Middle_initial | ClientMiddleInitial | |||
| family | SHALL contain exactly one [1..1] family | Lname (char)* | last_name | CLIENT_LAST_NAME | Last_name | ClientLastName | |||
| suffix | suffix | ||||||||
| administrativeGenderCode | SHALL contain exactly one [1..1] | Gender | gender | CLIENT_SEX | gender | ClientGenderSC | |||
| birthTime |
SHALL contain exactly one [1..1] birthTime a. SHALL be precise to year (CONF:5299). b. SHOULD be precise to day <birthTime value="19541125"/> |
Dbirth | date of birth | CLIENT_BIRTHDATE | Born_on | ClientBirthDate | |||
| maritalStatusCode | SHOULD
contain zero or one [0..1] SHALL be selected from ValueSet HL7 Marital Status |
-- NI | marital_status | marital_status | ClientMaritalStatusSC | ||||
| religious AffiliationCode | MAY contain zero or one [0..1] SHALL be selected from ValueSet HL7 Religious Affiliation |
-- NI | AdmitReligionSC? | ||||||
| raceCode | MAY contain zero or one [0..1] SHALL be selected from ValueSet Race |
Race | race | RACE_CODE | race | ClientPrimaryRaceSC | |||
| sdtc:raceCode (Secondary race Code) |
MAY contain zero or one [0..1] | ||||||||
| ethnicGroupCode | MAY contain zero or one [0..1] SHALL be selected from ValueSet HITSP Ethnicity Value Set |
Ethnicity (Yes=Hispanic) | ethnicity | ETHNICITY_CODE | ethnicity | ClientEthnicitySC | |||
| MIECHV PrimaryKey? | |||||||||
| ID* (MIECHV identifier for individual in other applications such as ETO) | |||||||||
| 2.2.1.2 | Guardian | -- NI | |||||||
| code | |||||||||
| addr | |||||||||
| telecom | |||||||||
| guardianPerson | |||||||||
| name | |||||||||
| 2.2.1.3 | Birthplace | MAY contain zero or one [0..1] | -- NI | ||||||
| place | SHALL contain exactly one [1..1] | ||||||||
| addr | SHALL contain exactly one [1..1] | ||||||||
| @use | SHOULD contain @use, which SHALL be selected from ValueSet PostalAddressUse | ||||||||
| StreetAddressLine | SHALL contain at least one and not more than four [1..4] | ||||||||
| city | SHALL contain exactly one [1..1] | ||||||||
| state | If country is US, this addr SHALL contain exactly one [1..1] state | ||||||||
| postalCode | MAY contain zero or one [0..1] | ||||||||
| country | SHOULD contain zero or one [0..1] country, which SHALL be selected from ValueSet CountryValueSet | ||||||||
| 2.2.1.4 | LanguageCommunication | SHOULD contain zero or more [0..*] languageCommunication |
language_spoken language_written Interpreter needed |
||||||
| languageCode | SHALL contain exactly one [1..1] selected from ValueSet Language |
PrimLang | LANGUAGE_CODE | language_1 | ClientPrimarySpokenLanguageS | ||||
| modeCode | MAY contain zero or one [0..1] selected from ValueSet HL7 LanguageAbilityMode |
||||||||
| proficiencyLevelCode | SHOULD contain zero or one [0..1] selected from ValueSet LanguageAbilityProficiency |
||||||||
| preferenceInd | MAY contain zero or one [0..1] | ||||||||
| 2.2.9 Participant (Support) | |||||||||
| Header | 2.2.1.5 ProviderOrganizati | ||||||||
| Header | 2.2.2 Author | ||||||||
| 2.2.3 DataEnterer | |||||||||
| 2.2.4 Informant | |||||||||
| 2.2.5 Custodian (of document) | |||||||||
| Header | 2.2.6 InformationRecipient | ||||||||
| 2.2.7 LegalAuthenticator | |||||||||
| 2.2.8 Authenticator | |||||||||
| 2.2.10 InFulfillmentOf | |||||||||
| 2.2.11 DocumentationOf/ serviceEvent | |||||||||
| 2.2.12 Authorization/consent | |||||||||
| 2.2.13 ComponentOf | |||||||||