Intervention Counseling

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 7/2/2020
  • SDWG: 7/9/2020

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.21.2.3:2015-08-01
  • 2.16.840.1.113883.10.20.22.4.131:2015-08-0
  • 2.16.840.1.113883.10.20.22.4.12:2014-06-09
  • 2.16.840.1.113883.10.20.22.4.119

Reference to full CDA sample:

  • Problems in empty CCD

Validation location

Comments

  • This example illustrates an intervention section, with an intervention act wrapping a procedure activity act.
  • The example task force approved this to provide a parallel example to how QRDA communicates interventions. Some systems may choose to include this in the procedure section.

Custodian

  • Brett Marquard, brett@waveoneassociates.com (GitHub: brettmarquard)

Keywords

  • procedure activity act, intervention

Permalink

 

Example: download example view on GitHub 

<section>
    <templateId root="2.16.840.1.113883.10.20.21.2.3" extension="2015-08-01"/>
    <code code="62387-6" displayName="Interventions Provided" codeSystem="2.16.840.1.113883.6.1"
        codeSystemName="LOINC"/>
    <title>Interventions Section</title>
    <text>
        <table>
            <thead>
                <tr>
                    <th>Description</th>
                    <th>Date and Time (Range)</th>
                    <th>Status</th>
                </tr>
            </thead>
            <tbody>
                <tr ID="Procedure1">
                    <td ID="ProcedureDesc1">Individual Counseling For Medical Nutrition </td>
                    <td>29 Mar 2014 10:45am</td>
                    <td>Completed</td>
                </tr>
            </tbody>
        </table>
    </text>
    <entry typeCode="DRIV">
        <!-- Act should be used for care of the patient that cannot be classified as a procedure or observation (e.g. wound dressing change, counseling) -->
        <!-- Intervention Act -->
        <act classCode="ACT" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.22.4.131" extension="2015-08-01"/>
            <id root="85fa4b62-e3a9-4385-b064-fe04cca35adb"/>
            <code code="362956003" codeSystem="2.16.840.1.113883.6.96"
                codeSystemName="SNOMED CT" displayName="Intervention"/>
            <statusCode code="completed"/>
            <entryRelationship typeCode="REFR">
                <!-- The following act is one intervention - Nutrition education -->
                <!-- Procedure Activity Act -->
                <act classCode="ACT" moodCode="EVN">
                    <templateId root="2.16.840.1.113883.10.20.22.4.12"/>
                    <templateId root="2.16.840.1.113883.10.20.22.4.12" extension="2014-06-09"/>
                    <id root="9c0f070c-2e9e-4be1-a5b5-ff6d0f68123c"/>
                    <code code="61310001" codeSystem="2.16.840.1.113883.6.96"
                        displayName="Nutrition education" codeSystemName="SNOMED-CT">
                        <originalText>
                            <reference value="#ProcedureDesc1"/>
                        </originalText>
                        <translation code="97802" codeSystem="2.16.840.1.113883.6.12"
                            displayName="Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes" codeSystemName="CPT"/>
                        <translation code="S9470" codeSystem="2.16.840.1.113883.6.13"
                            displayName="Nutritional counseling, diet" codeSystemName="HCPCS"/>
                        <!-- For some activities, ICD-9 and ICD-10 procedure codes may not apply (e.g. nutritional counseling). ICD-9 and ICD-10 diagnosis codes translate and shown below-->
                        <translation code="V65.3" codeSystem="2.16.840.1.113883.6.103"
                            displayName="Dietary surveillance and counseling"
                            codeSystemName="ICD-9 Diagnosis"/>
                        <translation code="Z71.3" codeSystem="2.16.840.1.113883.6.90"
                            displayName="Dietary counseling and surveillance"
                            codeSystemName="ICD-10 Diagnosis"/>
                    </code>
                    <text>
                        <reference value="#Procedure1"/>
                    </text>
                    <statusCode code="completed"/>
                    <effectiveTime value="20140329104513-0500"/>
                </act>
            </entryRelationship>
        </act>
    </entry>
</section>

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