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Direct Address


Approval Status

  • Approval Status: Approved
  • Example Task Force: 11/2/2017
  • SDWG: 11/30/2017

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.22.1.1:2015-08-01

Reference to full CDA sample:

  • Representation of Direct Trust Addresses for Patients and Covered Entities

Validation location

  • https://sitenv.org/sandbox-ccda/ccda-validator

Comments

  • This demonstrates a patient with a Patient DirectTrust Address and a Provider Organization with a Covered Entity DirectTrust Address.

Custodian

  • Lisa Nelson

Keywords

  • recordTarget, patient, provider organization, identifiers

Permalink

Links

 

Example: download example view on GitHub

<?xml version="1.0"?><?xml-stylesheet type='text/xsl' href=''?>

<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
 xmlns="urn:hl7-org:v3" xmlns:mif="urn:hl7-org:v3/mif" xmlns:voc="urn:hl7-org:v3/voc"
 xmlns:sdtc="urn:hl7-org:sdtc">
    <realmCode code="US"/>
    <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
    <templateId root="2.16.840.1.113883.10.20.22.1.1"/>
    <templateId root="2.16.840.1.113883.10.20.22.1.2"/>
    <id root="2.16.840.1.113883.3.109" extension="bf6b3a62-4293-47b4-9f14-c8829a156f4b"/>
    <code code="34133-9" displayName="SUMMARIZATION OF EPISODE NOTE"
        codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
    <title>Continuity of Care Document (C-CDA)</title>
    <effectiveTime value="20170528150200-0400"/>
    <confidentialityCode code="N" displayName="Normal Sharing" codeSystem="2.16.840.1.113883.5.25"
        codeSystemName="HL7 Confidentiality"/>
    <languageCode code="en-US"/>
    <recordTarget>
        <patientRole>
            <!-- Here is a public id that has an external meaning based on a root OID that is publically identifiable. --> 
            <!-- root="1.3.6.1.4.1.41179.2.4" is the assigningAutorityName for 
                    Direct Trust's Patient/Consumer addresses "DT.org PATIENT" -->
            <id root="1.3.6.1.4.1.41179.2.4" extension="lisarnelson@direct.myphd.us" 
                assigningAutorityName="DT.org PATIENT"/>
            <!-- More ids may be used. -->
            <!-- Here is the patient's MRN at RVHS  -->
            <id root="2.16.840.1.113883.1.111.12345" extension="12345-0828"
                assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
            <addr>
                <streetAddressLine>1 Happy Valley Road</streetAddressLine>
                <city>Westerly</city>
                <state>RI</state>
                <postalCode>02891</postalCode>
                <country nullFlavor="UNK"/>
            </addr>
            <telecom use="WP" value="tel:+1-4013482345"/>
            <telecom use="HP" value="tel:+1-4016412345"/>
            <telecom value="mailto:lisanelson@gmail.com"/>
            <telecom value="mailto:lisarnelson@direct.myphd.us"/>
            <patient>
                <name use="L">
                    <family>Nelson</family>
                    <given qualifier="CL">Lisa</given>
                </name>
                <administrativeGenderCode code="F" displayName="Female"
                    codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender"/>
                <birthTime value="19620828"/>
                <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2"
                    codeSystemName="HL7 MaritalStatus"/>
                <raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238"
                    codeSystemName="CDC Race and Ethnicity"/>
                <ethnicGroupCode code="2186-5" displayName="Not Hispanic or Latino"
                    codeSystem="2.16.840.1.113883.6.238" codeSystemName="CDC Race and Ethnicity"/>
                <languageCommunication>
                    <templateId root="2.16.840.1.113883.3.88.11.32.2"/>
                    <languageCode code="eng"/>
                    <preferenceInd value="true"/>
                </languageCommunication>
            </patient>
            <providerOrganization>
                <!-- This is a public id where the root is registered to indicate the National Provider ID -->
                <id root="2.16.840.1.113883.4.6" extension="1417947383"
                    assigningAuthorityName="National Provider ID"/>
                <!-- This is a public id where the root indicates this is a Provider Direct Address. -->
                <!-- root="1.3.6.1.4.1.41179.2.1" is the assigningAutorityName for 
                    Direct Trust's Covered Entity addresses "DT.org CE" -->
                <id root="1.3.6.1.4.1.41179.2.1" extension="rvhs@rvhs.direct.md" assigningAutorityName="DT.org CE (Covered Entity)"/>
                <!-- By including a root OID attribute for a healthcare organization, you can use this information to 
                indicate a patient's MRN id at that organization.-->
                <id root="2.16.840.1.113883.1.111.12345" 
                    assigningAuthorityName="River Valley Health Services local patient Medical Record Number" />
                <name>River Valley Health Services</name>
                <telecom use="WP" value="tel:+1-4015394321"/>
                <telecom use="WP" value="mailto:rvhs@rvhs.direct.md"/>
                <addr>
                    <streetAddressLine>823 Main Street</streetAddressLine>
                    <city>River Valley</city>
                    <state>RI</state>
                    <postalCode>028321</postalCode>
                    <country>US</country>
                </addr>
            </providerOrganization>
        </patientRole>
    </recordTarget>
    ...
    <component>
        <structuredBody>
         ... 
        </structuredBody>
    </component>
</ClinicalDocument>
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