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CDA Structured Text

CDA Structured Text. CDA Structured Text. CDA Structured Text. Classes involved in structured text & coded entries. CDA Structured Text. Crossed out classes are NonXMLBody – used as an alternative to the text section e.g. a . pdf file

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CDA Structured Text

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  1. CDA Structured Text

  2. CDA Structured Text

  3. CDA Structured Text Classes involved in structured text & coded entries

  4. CDA Structured Text • Crossed out classes are • NonXMLBody – used as an alternative to the text section e.g. a .pdf file • CodedEntry Choice – used to carry coded clinical statements in support of text section

  5. CDA Structured Text • Classes needed for adding a text section

  6. CDA Structured Text <structuredBodyclassCode="DOCBODY"moodCode="EVN"> <componenttypeCode="COMP"contextConductionInd="true"> <sectionclassCode="DOCSECT"moodCode="EVN"> <id root="7AFDCAD6-1CE3-45A6-A176-DDAC27F46C87"/> <componenttypeCode="COMP"contextConductionInd="true"> <npfitlc:contentId root="2.16.840.1.113883.2.1.3.2.4.18.16 extension="COCD_TP146229GB01#Section1"/> • An XML fragment (Generic CDA) covering these 5 classes

  7. CDA Structured Text • NonCodedCDA only has one TextSection template choice

  8. Up to 6 levels of nesting allowed in this template • (h1 – h6)

  9. CDA Structured Text • Each Section class has the same attributes • Each component class has the same attributes • Multiple sections allowed within other sections (e.g. 0..* section2 allowed under a section1) • Author class allowed at Section 1 only (& applies to all sub-sections). Next slide looks at Author choice

  10. CDA Structured Text • Author choice • These templates are the same as used in the Document Author participation

  11. CDA Structured Text Only use the author participation If the author of a section is NOT the same as the document author If an author is specified for a text section, it also applies to all sub-sections

  12. CDA Structured Text

  13. CDA Structured Text <sectionclassCode="DOCSECT"moodCode="EVN"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="COCD_TP146229GB01#Section1"/> <id root="E27F4264-C005-4BC3-BFA1-57C3E64B3099"/> <title>Admission Details</title> <text> <contentstyleCode="bold">Method of Admission: </content>Elective<br/> <contentstyleCode="bold">Source of Admission: </content>General Practitioner referral (routine) </text> </section>

  14. CDA Structured Text For a Section1 (every section1 or h1 is a new instance of the template <componenttypeCode="COMP"contextConductionInd="true"> <npfitlc:contentId root="2.16.840.1.113883.2.1.3.2.4.18.16“ extension="COCD_TP146229GB01#Section1"/> For other sections <componenttypeCode="COMP"contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2“ extension="COCD_TP146229GB01#component1"/>

  15. CDA Structured Text • <text> • Format of the text governed by a schema (NarrativeBlock.xsd) • Enforces formatting of the text sections (i.e. what tags can be used where) • The narrative block schema and narrative block pack was shown at this point. The schema and pack shows the structured text tags, and rules for structured text tags.

  16. CDA Structured Text Example. At this point the presentation ClinicalDocumentToStructuredText.pptx was shown

  17. CDA Structured Text -END-

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