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ref Template  BC Attachment

Id 2.16.840.1.113883.3.1818.10.4.1 Effective Date valid from 2017‑03‑30 04:17:59
Status draft Draft Version Label
Name BCAttachment Display Name BC Attachment
Description

The Attachments template is used to reference any external file within the context of a part of the patient’s record (e.g. lab results, x-ray images, etc.). There are many use cases where clinical content may not be incorporated discretely into the EMR system, but linked to the relevant record through the attachment mechanism.

When an external file is attached to the patient’s medical record there are certain meta data regarding that file that must be captured and communicated with the file to ensure that the context of the external file in relation to the medical record is maintained. This meta data may include the date the attachment is  received, its title and author. The addition of keywords may also be used to facilitate searching, filtering and sorting attachments within the EMR. Additionally, the EMR may provide the ability for the user to add notes or observations regarding the attachment for future reference.

The Attachment itself may be embedded into the CDA document; or, more commonly referenced as an external document located within the message wrapper, a recognized file system, or at a web location. Refer to the EncapsulatedData template for details on the transmission of attached files.  

Context Parent nodes of template element with id 2.16.840.1.113883.3.1818.10.4.1
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 30 templates, Uses 3 templates
Used by Template id as Name Version
2.16.840.1.113883.3.1818.10.3.1 Containment draft BC Advance Directives Observation 2017‑04‑02 05:27:12
2.16.840.1.113883.3.1818.10.2.2.1 link draft BC CDA E2E Advance Directives Section with Entries 2017‑04‑02 17:19:14
2.16.840.1.113883.3.1818.10.1.3 link draft BC CDA E2E Patient Chart Transfer 2017‑04‑04 12:36:54
2.16.840.1.113883.3.1818.10.1.6 link draft BC CDA E2E Structured Referral 2017‑04‑04 15:16:39
2.16.840.1.113883.3.1818.10.1.7 link draft BC CDA E2E Structured Consult Report 2017‑04‑04 13:59:01
2.16.840.1.113883.3.1818.10.3.13 Containment draft BC Medical Imaging Observation 2017‑04‑03 02:39:51
2.16.840.1.113883.3.1818.10.2.18.1 link draft BC CDA E2E Medical Imaging Results with Entries 2017‑04‑03 06:29:48
2.16.840.1.113883.3.1818.10.1.1 link draft BC CDA E2E EMR Conversion 2016‑11‑18 18:04:46
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:48:26
2.16.840.1.113883.3.1818.10.1.2 link draft BC CDA E2E Generic Episodic Document 2017‑04‑04 13:39:16
2.16.840.1.113883.3.1818.10.3.14 Containment draft BC Order Event 2017‑04‑03 03:39:13
2.16.840.1.113883.3.1818.10.2.20.1 link draft BC CDA E2E Orders Section with Entries 2017‑04‑03 06:42:07
2.16.840.1.113883.3.1818.10.3.19 Containment draft BC Unclassified Documents Organizer 2017‑04‑03 05:37:49
2.16.840.1.113883.3.1818.10.2.27.1 link draft BC CDA E2E Unclassified Documents with Entries 2017‑04‑03 04:40:14
2.16.840.1.113883.3.1818.10.3.2 Containment draft BC Alert Observation 2017‑04‑02 05:53:46
2.16.840.1.113883.3.1818.10.2.3.1 link draft BC CDA E2E Alerts with Entries 2017‑04‑02 17:41:14
2.16.840.1.113883.3.1818.10.3.9 Containment draft BC Encounter Event 2017‑04‑02 22:14:30
2.16.840.1.113883.3.1818.10.2.12.1 link draft BC CDA E2E Encounter History with Entries 2017‑04‑03 06:02:54
2.16.840.1.113883.3.1818.10.4.18 Containment draft BC Outcome Observation 2017‑04‑01 07:16:29
2.16.840.1.113883.3.1818.10.3.15 link draft BC Problem List Observation 2017‑04‑03 05:02:09
2.16.840.1.113883.3.1818.10.2.17.1 link draft BC CDA E2E Medical History with Entries 2017‑04‑03 06:26:26
2.16.840.1.113883.3.1818.10.2.21.1 link draft BC CDA E2E Problem List with Entries 2017‑04‑03 06:46:55
2.16.840.1.113883.3.1818.10.3.6 link draft BC Care History Event 2017‑04‑02 19:19:38
2.16.840.1.113883.3.1818.10.2.15.1 link draft BC CDA E2E Investigative Procedure History with Entries 2017‑04‑03 06:15:04
2.16.840.1.113883.3.1818.10.2.25.1 link draft BC CDA E2E Surgical Procedure with Entries 2017‑04‑03 06:37:21
2.16.840.1.113883.3.1818.10.2.26.1 link draft BC CDA E2E Treatment History with Entries 2017‑04‑03 06:29:46
2.16.840.1.113883.3.1818.10.4.25 Containment draft BC Result Component Observation 2017‑04‑02 02:07:20
2.16.840.1.113883.3.1818.10.4.26 link draft BC Result Organizer 2017‑04‑02 04:32:43
2.16.840.1.113883.3.1818.10.3.12 link draft BC Laboratory Observation 2017‑04‑03 02:19:26
2.16.840.1.113883.3.1818.10.2.16.1 link draft BC CDA E2E Lab Results with Entries 2017‑04‑03 06:21:54
Uses Template id as Name Version
2.16.840.1.113883.3.1818.10.4.3 Containment draft BC Comment Observation DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.4 Containment draft BC Date Observation DYNAMIC
2.16.840.1.113883.3.1937.777.17.10.5 Containment draft BC Encapsulated Data DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:observation
1 … 1 M CONF‑1205
treetree @classCode
cs 1 … 1 F OBS CONF‑1206
treetree @moodCode
cs 1 … 1 F EVN CONF‑1207
treetree hl7:templateId
II 1 … 1 M CONF‑1205
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.3.1818.10.4.1
treetree hl7:templateId
II 1 … 1 R CONF‑1205
treeblank treetree @root
uid 1 … 1 F 2.16.840.1.113883.10.12.303
treetree hl7:id
II 1 … 1 M CONF‑1208
treetree hl7:code
CD CNE 1 … 1 M CONF‑1209
treeblank treetree @code
CONF 1 … 1 F ATTACH
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.3.3068.10.6.3 (ObservationType-CA-Pending)
treeblank treetree @displayName
1 … 1 F Attachment
treeblank treetree @codeSystemName
1 … 1 F ObservationType-CA-Pending
treetree hl7:text
ED 0 … 1 CONF‑1212
treetree hl7:effectiveTime
IVL_TS 1 … 1 R CONF‑1210
treetree hl7:value
CD 1 … 1 R CONF‑1211
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.3.3068.10.8.14 AttachmentObservationType (DYNAMIC)
treetree hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1818.10.4.3 BC Comment Observation (DYNAMIC) CONF‑1213
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.3']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treetree hl7:entryRelationship
0 … 1 R Contains 2.16.840.1.113883.3.1937.777.17.10.4 BC Date Observation (DYNAMIC) CONF‑1214
treeblank where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.4']] [hl7:templateId [@root='2.16.840.1.113883.10.12.303']]]
treetree hl7:entryRelationship
0 … * R Contains 2.16.840.1.113883.3.1937.777.17.10.5 BC Encapsulated Data (DYNAMIC) CONF‑1215
treeblank where [hl7:observationMedia [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.5']] [hl7:templateId [@root='2.16.840.1.113883.10.12.304']]]