TransferSummary
Transfer Summary
activeC-CDA on FHIR1.2.0resource129 key elements
This profile describes constraints for a Transfer Summary. The Transfer Summary standardizes critical information for exchange of information between providers of care when a patient moves between health care settings. Standardization of information used in this form will promote interoperability; create information suitable for reuse in quality measurement, public health, research, and for reimbursement.
Metadata
hl7.org/fhir- Canonical URL
- http://hl7.org/fhir/us/ccda/StructureDefinition/Transfer-Summary
- ID
- Transfer-Summary
- Type
- Base Definition
- US-Realm-Header
- Derivation
- constraint
Mandatory and Must-Support Elements
Elements with cardinality > 0 or marked as Must Support (S)
| Path | Card. | Type | Flags | Description |
|---|---|---|---|---|
| type | S | Transfer Summary | ||
| event | 1..1 | S1+ | event | |
| :allergies_and_intolerances_section | 1..1 | S1+ | Allergies and Intolerances Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Allergies and adverse reactions | ||
| section.text | S1+ | text | ||
| :allergies_and_intolerances_entry | Reference | S | ||
| :medications_section | 1..1 | S1+ | Medications Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | History of medication use | ||
| section.text | S1+ | text | ||
| :medications_entry | Reference | S | ||
| :problem_section | 1..1 | S1+ | Problem Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Problem list | ||
| section.text | S1+ | text | ||
| :problem_entry | Reference | S | ||
| :results_section | 1..1 | S1+ | Results Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Relevant diagnostic tests and laboratory data | ||
| section.text | S1+ | text | ||
| :results_entry | Reference | S | ||
| :vital_signs_section | 1..1 | S1+ | Vital Signs Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Vital signs | ||
| section.text | S1+ | text | ||
| :vital_signs_entry | Reference | S | ||
| :reason_for_referral_section | 1..1 | S1+ | Reason for Referral Section | |
| section.title | S1+ | title | ||
| section.code | S | code | ||
| section.text | S1+ | text | ||
| :reason_for_referral_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :advance_directives_section | S | Advance Directives Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Advance directives | ||
| section.text | S1+ | text | ||
| :advance_directive_entry | Reference | S | ||
| :discharge_diagnosis_section | 1..1 | S1+ | Discharge Diagnosis Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Hospital discharge diagnosis | ||
| section.text | S1+ | text | ||
| section.entry | S | entry | ||
| :discharge_diagnosis_entry | Reference | S | ||
| :social_history_section | 1..1 | S1+ | Social History Section | |
| section.title | S1+ | title | ||
| section.code | S1+ | Social history | ||
| section.text | S1+ | text | ||
| :social_history_entry | Reference | S | Smoking status | |
| :procedures_section | S | Procedures Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | History of procedures | ||
| section.text | S1+ | text | ||
| :procedures_entry | Reference | S | ||
| :nutrition_section | S | Nutrition Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Diet and nutrition | ||
| section.text | S1+ | text | ||
| :nutrition_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :mental_status_section | S | Mental Status Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Mental status | ||
| section.text | S1+ | text | ||
| :mental_status_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :history_of_present_illness_section | S | History of Present Illness Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | This section contains only human readable content | ||
| :functional_status_section | S | Functional Status Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Functional status assessment | ||
| section.text | S1+ | text | ||
| :functional_status_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :assessment_section | S | Assessment Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | This section contains only human readable content | ||
| :admission_medications_section | S | Admission Medications Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Medications on admission | ||
| section.text | S1+ | text | ||
| :admission_medications_entry | Reference | S | ||
| :encounters_section | S | Encounters Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Encounters | ||
| section.text | S1+ | text | ||
| :encounters_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :general_status_section | S | General Status Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | This section contains only human readable content | ||
| :immunizations_section | S | Immunizations Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | History of immunization | ||
| section.text | S1+ | text | ||
| :immunizations_entry | Reference | S | ||
| :medical_equipment_section | S | Medical Equipment Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Medical equipment | ||
| section.text | S1+ | text | ||
| :medical_equipment_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :past_medical_history_section | S | Past Medical History Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | text | ||
| :past_medical_history_entry | Reference | S | ||
| :payers_section | S | Payers Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | text | ||
| :payers_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :plan_of_treatment_section | S | Plan of Treatment Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | Plan of treatment | ||
| section.text | S1+ | text | ||
| :family_history_section | S | Family History Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | History of family member diseases | ||
| section.text | S1+ | text | ||
| :family_history_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
| :admission_diagnosis_section | S | Admission Diagnosis Section | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | text | ||
| :admission_diagnosis_entry | Reference | S | ||
| :assessment_and_plan_section | S | Assessment and Plan Section. This section represents the clinicianâs conclusions and working assumptions that will guide treatment of the patient. The Assessment and Plan Section may be combined or separated to meet local policy requirements. | ||
| section.title | S1+ | title | ||
| section.code | S1+ | code | ||
| section.text | S1+ | text | ||
| :assessment_and_plan_entry | Reference | S | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. |