Difference between revisions of "170.314(b)(2) Transitions of care"
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== Ambulatory Setting == | == Ambulatory Setting == | ||
| − | This section contains test data to be used as an illustration of 170.314(b)(2) in the ambulatory setting. The data contained within this document are intended to provide a patient record to be formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012) and subsequently transmitted. | + | This section contains test data to be used as an illustration of 170.314(b)(2) in the ambulatory setting. The data contained within this document are intended to provide a patient record to be formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012) and subsequently transmitted. |
| + | |||
| + | '''TD170.314(b)(2) – 1: Ambulatory ''' | ||
| + | |||
| + | Mr. Adam Everyman is a 50-year-old White male with a history of asthma controlled by albuterol for breakthrough. He presented at Get Well Clinic on August 15, 2012 with a one day history of increased difficulty breathing. Nancy Nightingale, RN, took Mr. Everyman’s vital signs after which Dr. Samir Khan saw him. Dr. Khan diagnosed Mr. Everyman with costal chondritis. He was instructed to take over-thecounter analgesic medication as needed and was referred to Dr. Penny Puffer, a pulmonologist, for pulmonary function tests. | ||
| + | |||
| + | F) Problems - [http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force#Active_Problem Representative Active Problem Example] | ||
| + | *Costal Chondritis, [SNOMED CT: 64109004], Start: 8/15/2012, Active | ||
| + | *Asthma, [SNOMED-CT: 195967001], 9/25/2011, Active | ||
| + | G) Procedures - [http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force#No_Information_Problems_Section Representative Example with No Problems Section] | ||
| + | *None | ||
| + | H) Vital Signs - [http://wiki.hl7.org/index.php?title=CDA_Example_Task_Force#Panel_of_Vital_Signs_in_Mixed_Metric.2FImperial_Units Representative Vital Signs Example] | ||
| + | *Height: 70 in. | ||
| + | *Weight: 195 lbs | ||
| + | *Blood Pressure: Select systolic (140-160)/Select diastolic (90-100) mmHg | ||
| + | *BMI: 28 | ||
| + | I) [https://github.com/benjaminflessner/HL7-C-CDA-Task-Force-Examples/blob/master/Results%20CO2%20Example.xml Laboratory Tests and Values/Results] | ||
| + | *CO2, [LOINC: 2028-9], Select (23-29) mmol/L, 8/15/2012 | ||
| + | J) [https://github.com/brettmarquard/HL7-C-CDA-Task-Force-Examples/blob/master/Influenza_Immunization_Complete.xml Immunizations] | ||
| + | *Influenza virus vaccine, [CVX: 88], 8/15/2010, Completed | ||
| + | K) [https://github.com/LisaRNelson/LRN_HL7_CDA_Examples/blob/master/20150629%20Care%20Plan%20Goals-Instructions-Section.xml Care Plan (Goals and Instructions)] | ||
| + | *Goal: weight loss, [SNOMED CT: 289169006], | ||
| + | *Instructions: diet and exercise counseling provided during visit | ||
| + | *Goal: asthma management, [SNOMED CT: 406162001] | ||
| + | *Instructions: resources and instructions provided during visit | ||
| + | L) [https://github.com/LisaRNelson/LRN_HL7_CDA_Examples/blob/master/Encounter%20Diagnosis%20snippet.xml Encounter Diagnosis] | ||
| + | *Costal Chondritis, [SNOMED-CT: 64109004], Start: 8/15/2012, Active | ||
| + | M) [https://github.com/jddamore/HL7-Task-Force-Examples/blob/master/FUNCTIONAL_No_Impairment.xml Functional and Cognitive Status] | ||
| + | *No impairment, [SNOMED-CT: 66557003], 8/15/2012, Active | ||
| + | N) [https://github.com/gecole/HL7-Task-Force-Examples/blob/master/ReferralToC170.314b2Ambulatory.xml Referral] | ||
| + | *Pulmonary function tests, Dr. Penny Puffer, Tel: 555-555-1049, 1047 Healthcare Drive, Portland, OR 97005, Scheduled date: Test date + 2 days | ||
== Inpatient Setting == | == Inpatient Setting == | ||
This section contains test data to be used as an illustration of 170.314(b)(2) in the inpatient setting. The data contained within this section are intended to provide a patient record formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012). | This section contains test data to be used as an illustration of 170.314(b)(2) in the inpatient setting. The data contained within this section are intended to provide a patient record formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012). | ||
Revision as of 14:31, 16 September 2015
This page is a one stop location to find all the examples to support the 170.314(b)(2) Transitions of care testing scenarios.
Ambulatory Setting
This section contains test data to be used as an illustration of 170.314(b)(2) in the ambulatory setting. The data contained within this document are intended to provide a patient record to be formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012) and subsequently transmitted.
TD170.314(b)(2) – 1: Ambulatory
Mr. Adam Everyman is a 50-year-old White male with a history of asthma controlled by albuterol for breakthrough. He presented at Get Well Clinic on August 15, 2012 with a one day history of increased difficulty breathing. Nancy Nightingale, RN, took Mr. Everyman’s vital signs after which Dr. Samir Khan saw him. Dr. Khan diagnosed Mr. Everyman with costal chondritis. He was instructed to take over-thecounter analgesic medication as needed and was referred to Dr. Penny Puffer, a pulmonologist, for pulmonary function tests.
F) Problems - Representative Active Problem Example
- Costal Chondritis, [SNOMED CT: 64109004], Start: 8/15/2012, Active
- Asthma, [SNOMED-CT: 195967001], 9/25/2011, Active
G) Procedures - Representative Example with No Problems Section
- None
H) Vital Signs - Representative Vital Signs Example
- Height: 70 in.
- Weight: 195 lbs
- Blood Pressure: Select systolic (140-160)/Select diastolic (90-100) mmHg
- BMI: 28
I) Laboratory Tests and Values/Results
- CO2, [LOINC: 2028-9], Select (23-29) mmol/L, 8/15/2012
- Influenza virus vaccine, [CVX: 88], 8/15/2010, Completed
K) Care Plan (Goals and Instructions)
- Goal: weight loss, [SNOMED CT: 289169006],
- Instructions: diet and exercise counseling provided during visit
- Goal: asthma management, [SNOMED CT: 406162001]
- Instructions: resources and instructions provided during visit
- Costal Chondritis, [SNOMED-CT: 64109004], Start: 8/15/2012, Active
M) Functional and Cognitive Status
- No impairment, [SNOMED-CT: 66557003], 8/15/2012, Active
N) Referral
- Pulmonary function tests, Dr. Penny Puffer, Tel: 555-555-1049, 1047 Healthcare Drive, Portland, OR 97005, Scheduled date: Test date + 2 days
Inpatient Setting
This section contains test data to be used as an illustration of 170.314(b)(2) in the inpatient setting. The data contained within this section are intended to provide a patient record formatted according to the Consolidated CDA IG (HL7 Implementation Guide for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 Draft Standard for Trial Use July 2012).
