Acknowledgments This guide was developed through the joint efforts of the Massachusetts Health Information Exchange (MASS HIE), participants in the Improving Massachusetts Post-Acute Care Transfers (IMPACT) project, the Massachusetts Long-Term and Post-Acute Care (MASS LTPAC) community, and Lantana Consulting Group. It was produced under a project sponsored by the Massachusetts Technology Collaborative. The co-editors appreciate the support and collaboration of Dr. Lawrence Garber, Medical Director for Informatics at the Reliant Medical Group, Dr. Terrence O’Malley, Medical Director for Care Services at Partners HealthCare, Massachusetts General Hospital, and the Longitudinal Coordination of Care (LCC) Long Term Post-Acute Care (LTPAC) Transition Sub-Workgroup of the Standards and Interoperability (S&I) Framework. The conformance requirements included here for review were generated from the Trifolia Workbench template repository—developed initially for the Centers for Disease Control and Prevention (CDC) and released by Lantana Consulting Group under an open source license. This guide uses content from Health Level Seven (). HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Use of this material is governed by HL7's IP Compliance Policy (). This guide contains content from SNOMED CT® (). SNOMED CT is a registered trademark of the International Health Terminology Standard Development Organisation (IHTSDO). This guide contains content from LOINC® (). The LOINC table, LOINC codes, and LOINC panels and forms file are copyright © 1995-2012, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license at . Acute
Table : Payers Tab of the MASS HIE Mapping Spreadsheet (excerpt) Data element unique ID Data Element Type CDA Section CDA Template XPath ([context]/XPath) Notes [CDA Body] CDA /ClinicalDocument/component/ structuredBody Payer Information 7 IDE Payers Payers Section [CDA Body] //component/section/templateId [@root="2.16.840.1.113883.10.20 .22.2.18"] [Coverage Activity] CDA Payers Coverage Activity [Payers Section] .113883.10.20.22.4.60"] A Coverage Activity groups the policy and authorization acts within a Payers Section to order the payment sources. [Policy Activity] CDA Payers Policy Activity [Coverage Activity] //entryRelationship[@typeCode= "COMP"]/act/templateId[@root= "2.16.840.1.113883.10.20.22.4.61"] A policy activity represents the policy or program providing the coverage. Standard Insurance Data set 7.1 [Payer Performer] CDA Payers Policy Activity [Policy Activty] //performer/templateId[@root= "2.16.840.1.113883.10.20.22.4.87"] Insurance Name SID Payers Policy Activity [Payer Performer] //assignedEntity/represented Organization/name Insurance Phone # SID Payers Policy Activity [Payer Performer] //assignedEntity/telecom Insurance Group # SID Payers Policy Activity [Policy Activty] //id This id is a unique identifier for the policy or program providing the coverage Insurance Type SID Payers Policy Activity [Policy Activty] //code See IG for allowed codes. Each column contains specific information: Data element: This column is the description of the IMPACT data element and related CDA element. uniqueID: The numbers in this column correspond to the numbers on the “1-Merged Final Dataset (10-20)” in the spreadsheet.
This manufacturedMaterial SHALL contain exactly one [1..1] code, which SHALL be selected from ValueSet Medication Clinical Drug Name Value Set 2.16.840.1.113883.3.88.12.80.17 DYNAMIC (CONF:7412). This code SHOULD contain zero or one [0..1] originalText (CONF:7413). The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:15986). The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15987). This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15988). This code MAY contain zero or more [0..*] translation (CONF:7414). Translations can be used to represent generic product name, packaged product code, etc (CONF:16875). MAY contain zero or one [0..1] manufacturerOrganization (CONF:7416). Figure : Medication Information (IMPACT) example <manufacturedProduct classCode="MANU"> <!-- ** Medication Information ** --> <templateId root="2.16.840.1.113883.10.20.22.4.23"/> <id root="2a620155-9d11-439e-92b3-5d9815ff4ee8"/> <!-- Name of Medication (Generic) --> <manufacturedMaterial> <code code="219483" codeSystem="2.16.840.1.113883.6.88" displayName="Proventil HFA"> </code> </manufacturedMaterial> </manufacturedProduct> Medication Supply Order [supply: templateId 2.16.840.1.113883.10.20.22.4.17 (open)] Table 148: Medication Supply Order Contexts Used By: Contains Entries: (optional) (optional) (optional) This template records the intent to supply a patient with medications.
SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.27" (CONF:10527). SHALL contain at least one [1..*] id (CONF:7300). SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Vital Sign Result Value Set 2.16.840.1.113883.3.88.12.80.62 DYNAMIC (CONF:7301). SHOULD contain zero or one [0..1] text (CONF:7302). The text, if present, SHOULD contain zero or one [0..1] reference (CONF:15943). The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:15944). This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:15945). SHALL contain exactly one [1..1] statusCode (CONF:7303). This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: ActStatus 2.16.840.1.113883.5.14 STATIC) (CONF:19119). SHALL contain exactly one [1..1] effectiveTime (CONF:7304). SHALL contain exactly one [1..1] value with @xsi:type="PQ" (CONF:7305). MAY contain zero or one [0..1] interpretationCode (CONF:7307). MAY contain zero or one [0..1] methodCode (CONF:7308). MAY contain zero or one [0..1] targetSiteCode (CONF:7309). MAY contain zero or one [0..1] author (CONF:7310).