3.0 Appendix

The following sections include relevant materials referenced throughout this document.

A listing of all HITSP Constraints defined within this document.

A listing of all HITSP Template identifiers defined within this document.

3.1 HITSP Constraints Defined in this Document

C84-[CT1-20] Implementations of this Component SHALL support the Consultation Note Content Modules as defined by Health Level Seven (HL7) Implementation Guide for CDA Release 2: Consultation Note. Implementation SHALL also support the HITSP constraints specified in Table 2-3

C84-[CT1-21] Implementations of this Component SHALL use the document type code: 11488-4 Consultation Note

C84-[CT1-22] Implementations of this Component SHALL contain a structuredBody element

C84-[CT1-23] inFulfillmentOf/order/id SHALL contain the order identifier of the referring physician referral request order

C84-[CT2-16] Implementations of this Component SHALL support the History and Physical Content Modules as defined by Health Level Seven (HL7) Implementation Guide for CDA Release 2: History and Physical (H&P) Notes. Implementation shall also support the HITSP constraints specified in Table 2-4.

C84-[CT2-17] Implementations of this Component SHALL use the document type code: 34117-2 History & Physical

C84-[CT2-18] Implementations of this Component SHALL contain a structuredBody element

C84-[CT2-19] When used to respond to a request for consultation, the inFulfillmentOf/order/id SHALL contain the order identifier of the referring physician referral request order

C84-[CT1-1] See HITSP/C83 Section 2.2.1.3 Problem List Section

C84-[CT1-2] See HITSP/C83 Section 2.2.1.16 Advance Directives Section

C84-[CT1-3] See HITSP/C83 Section 2.2.1.2 Allergies and Other Adverse Reactions Section

C84--[CT1-4] See HITSP/C83 Section 2.2.1.12 Medications Section

C84--[CT1-5] See HITSP/C83 Section 2.2.1.25 Family History Section

C84--[CT1-6] See HITSP/C83 Section 2.2.1.9 Functional Status Section

C84--[CT1-7] See HITSP/C83 Section 2.2.1.7 History of Present Illness Section

C84--[CT1-8] See HITSP/C83 Section 2.2.1.17 Immunizations Section

C84--[CT1-9] See HITSP/C83 Section 2.2.1.8 List of Surgeries Section

C84--[CT1-10] See HITSP/C83 Section 2.2.2.1 Personal Information

C84--[CT1-11] See HITSP/C83 Section 2.2.1.1 Payers Section

C84--[CT1-12] See HITSP/C83 Section 2.2.1.18 Physical Examination Section

C84--[CT1-13] See HITSP/C83 Section 2.2.1.24 Plan of Care Section

C84--[CT1-14] See HITSP/C83 Section 2.2.1.6 Reason for Referral Section

C84--[CT1-15] See HITSP/C83 Section 2.2.1.22 Diagnostic Results Section

C84--[CT1-16] See HITSP/C83 Section 2.2.1.4 History of Past Illness Section

C84--[CT1-17] See HITSP/C83 Section 2.2.1.20 Review of Systems Section

C84--[CT1-18] See HITSP/C83 Section 2.2.1.26 Social History Section

C84--[CT1-19] See HITSP/C83 Section 2.2.1.19 Vital Signs Section

[C84-[CT2-1] See HITSP/C83 Section 2.2.1.2 Allergies and Other Adverse Reactions Section

[C84-[CT2-2] See HITSP/C83 Section 2.2.1.23 Assessment and Plan Section

[C84-[CT2-3] See HITSP/C83 Section 2.2.1.5 Chief Complaint Section

[C84-[CT2-4] See HITSP/C83 Section 2.2.1.12 Medications Section

[C84-[CT2-5] See HITSP/C83 Section 2.2.1.25 Family History Section

[C84-[CT2-6] See HITSP/C83 Section 2.2.1.7 History of Present Illness Section

[C84-[CT2-7] See HITSP/C83 Section 2.2.1.17 Immunizations Section

[C84-[CT2-8] See HITSP/C83 Section 2.2.2.1 Personal Information

[C84-[CT2-9] See HITSP/C83 Section 2.2.1.18 Physical Examination Section

[C84-[CT2-10] See HITSP/C83 Section 2.2.1.3 Problem List Section

[C84-[CT2-11] See HITSP/C83 Section 2.2.1.8 List of Surgeries Section

[C84-[CT2-12] See HITSP/C83 Section 2.2.1.22 Diagnostic Results Section

[C84-[CT2-13] See HITSP/C83 Section 2.2.1.4 History of Past Illness Section

[C84-[CT2-14] See HITSP/C83 Section 2.2.1.20 Review of Systems Section

[C84-[CT2-15] See HITSP/C83 Section 2.2.1.26 Social History Section

3.2 Template Identifiers

2.16.840.1.113883.3.88.11.84.1 HITSP/C84 Consultation Note

2.16.840.1.113883.3.88.11.84.2 HITSP/C84 History and Physical Note

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