United States Health Information Knowledgebase


Healthcare Provider

Definition:Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. These entries contain the healthcare providers involved in the current or pertinent historical care of the patient. See the HL7 Continuity of Care Document Section 3.17 for constraints applicable to these data elements. If no healthcare providers are supplied, the reason shall be supplied as free text in the narrative block (e.g., No Providers, Provider Unknown, etc.).
CDA Data Location HITSP Data Element Identifier and Name O/R Additional Specification
/cda:ClinicalDocument/cda:documentationOf/ cda:serviceEvent/cda:performer Provider R2/Y
cda:time 4.01 - Date Range R/N
cda:functionCode/@code 4.02 - Provider Role Coded R2/N
cda:functionCode/cda:originalText 4.03 - Provider Role Free Text R2/N
cda:assignedEntity Provider Entity R/N
cda:id 4.10 - National Provider ID R2/N
cda:code/@code 4.04 - Provider Type R2/N
cda:addr 4.05 - Provider Address R2/Y
cda:telecom 4.06 - Provider Phone / Email / URL R2/Y
cda:assignedPerson/cda:name 4.07 - Provider Name R2/N
cda:representedOrganization/cda:name 4.08 - Provider's Organization Name R2/Y
sdtc:patient/sdtc:id 4.09 - Provider's Patient ID R2/N

Optionality Legend: “R” for Required, “R2” for Required if known, “O” for Optional and Repeat = “Y” for Yes or “N” for No

Healthcare Provider Example

<!-- These examples assume the default namespace is 'urn:hl7-org:v3' --> <documentationOf>
<serviceEvent classCode="PCPR">
<effectiveTime><low value="19650120"/><high value="20070209"/></effectiveTime>
<performer typeCode="PRF">
<templateId root='2.16.840.1.113883.'/>
<templateId root=''/>
<functionCode code='CP' displayName='Consulting Provider' codeSystem='2.16.840.1.113883.12.443' codeSystemName='Provider Role'/>
<originalText>Consulting Provider</originalText>
<low value=''/>
<high value=""/>
<id root='2.16.840.1.113883.4.6 ' extension="NationalProviderID"/>
<code code='200000000X ' displayName='Allopathic and Osteopathic Physicians' codeSystem='2.16.840.1.113883.6.101' codeSystemName='ProviderCodes'/>
<sdtc:patient> <sdtc:id root='78A150ED-B890-49dc-B716-5EC0027B3983' extension='MedicalRecordNumber'/> </sdtc:patient>

Section ID Constraint ID Definition Healthcare Provider Constraints Not Provided
C83-[DE-4-CDA-1] A CDA Document SHALL declare conformance for the Healthcare Provider entry by including a <templateID> element with the root attribute set to the value 2.16.840.1.113883.
C83-[DE-4-CDA-2] All healthcare providers entries SHALL declare conformance to the IHE Healthcare Providers and Pharmacies specification by including a <templateID> element with the root attribute set to the value Provider Healthcare providers are encoded as shown above. This is reflected in the <serviceEvent classCode='PCPR'> element in the example below. The value 'PCPR' is required, and is a code meaning "provision of care". Provider Role Not Provided
C154-[DE-4.02-1] Provider role SHALL be coded as specified in HITSP/C80 section Provider Role National Provider Identifier Not Provided
C83-[DE-4.10-CDA-1] The extension attribute SHALL contain the National Provider Identifier.
C83-[DE-4.10-CDA-2] The root attribute SHALL contain the value 2.16.840.1.113883.4.6 to indicate that this identifier is the provider's assigned NPI. Provider Type Not Provided
C154-[DE-4.04-1] Provider type SHALL be coded as specified in HITSP/C80 section Provider Type Provider Address Not Provided
C154-[DE-4.05-1] The state part of an address SHALL in the United States be recorded using HITSP/C80 Section State
C154-[DE-4.05-2] The postal code part of an address in the United States SHALL be recorded using HITSP/C80 Section Postal Code
C154-[DE-4.05-3] The country part of an address SHALL be recorded using HITSP/C80 Section Country
C32-[CT1--6] Healthcare Provider See HITSP/C83 Section Healthcare Provider
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