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1. A new document type must be addressed for HCER Document
2. It has to be decided which type of Audit Message will be used for logging this action

CDA-related guidelines

Taken from https://service.projectplace.com/pp/pp.cgi/r844355914

Template id:

 <!-- conforms to epSOS HCER requirements -->
 <templateId root="1.3.6.1.4.1.12559.11.10.1.3.1.1.4"/>

<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="34133-9" displayName="Summarization of Episode Note"/>

    <author>
        <time value="20120519234435+0300"/>
        <assignedAuthor classCode="ASSIGNED">
            <id root="1.3.6.1.4.1.28284.6.2.4.32"/>
            <assignedPerson>
                <name>
                    <given>Patient Summary</given>
                    <family>Fetcher</family>
                </name>
            </assignedPerson>
            <representedOrganization>
                <id root="1.3.6.1.4.1.28284.6.2.4.1" extension="90009016"/>
                <name>Eesti E-Tervise SA</name>
                <telecom use="WP" value="tel:+3726943900"/>
                <telecom use="WP" value="mailto:e-tervis@e-tervis.ee"/>
                <addr>
                    <country>EE</country>
                    <city>Tallinn</city>
                    <postalCode>10134</postalCode>
                    <streetAddressLine>Uus-Tatari 25 / Veerenni 13</streetAddressLine>
                    <state nullFlavor="NI"/>
                </addr>
            </representedOrganization>
        </assignedAuthor>
    </author>

The same data is stored in documentationOf section. In addition to that, values of <low> and <high> elements must be editable. Default values: current time.

    <documentationOf>
        <serviceEvent classCode="PCPR">
            <effectiveTime>
                <low value="20120519234435+0300"/>
                <high value="20120619234435+0300"/>
            </effectiveTime>
            <performer typeCode="PRF">
                <functionCode code="222" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="epSOSHealthcareProfessionalRoles" displayName="Nursing and midwifery professionals"/>
                <assignedEntity>
                    <id root="1.3.6.1.4.1.28284.6.2.4.32"/>
                    <assignedPerson>
                        <name>
                            <given>Patient Summary</given>
                            <family>Fetcher</family>
                        </name>
                    </assignedPerson>
                </assignedEntity>
            </performer>
        </serviceEvent>
    </documentationOf>