Template 2.16.756.5.30.1.1.10.3.45 - cdach_section

Template Original Representation Section - coded

2.16.756.5.30.1.1.10.3.45

ref

hl7chcda-

Effective Date

2020‑07‑14 12:28:51

Other versions this id:

cdach_section_OriginalRepresentationCoded as of 2018‑04‑18

Status

Draft

Version Label

2017

Name

cdach_section_OriginalRepresentationCoded

Display Name

Original Representation Section - coded

Description

This section MAY be used to provide the original representation of the current CDA document as it has been seen by the legal authenticator while signing.

Notes:

This template doesn't require PDF/A but keep in mind that only PDF/A contains all necessary information that allows to identically display the PDF on different machines.
To ensure that digital data remains legible in the long term, PDF/A (but not PDF) is mentioned in the allowed list of archival formats for the Swiss Federal Archives.
The certification requirements according to the Swiss EPR (EPRA) require PDF/A-1 oder PDF/A-2.
Following the recommendations of CDA-CH V2 (2017), embedding the original representation in PDF/A-1a format is therefore strongly recommended.

Context

Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.45

Label

CDA‑CH V2

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 6 transactions and 7 templates, Uses 1 template

Used by	as	Name	Version
cdachemed-transaction-4	Transaction	Medication Prescription document	2018‑04‑04 15:33:29
cdachemed-transaction-9	Transaction	Medication Treatment Plan document	2019‑12‑12 14:11:31
cdachemed-transaction-5	Transaction	Medication Dispense document	2018‑04‑04 15:35:51
cdachemed-transaction-6	Transaction	Pharmaceutical Advice document	2018‑04‑04 15:36:35
cdachemed-transaction-7	Transaction	Medication List document	2018‑04‑04 15:37:19
cdachemed-transaction-8	Transaction	Medication Card document	2018‑04‑04 15:42:50
2.16.756.5.30.1.1.10.1.9	Include	CDA-CH v2.1 - structuredBody (2020)	2019‑10‑17 15:22:41
2.16.756.5.30.1.1.10.1.13	Containment	Medication List document (2020)	2018‑01‑22 15:17:26
2.16.756.5.30.1.1.10.1.3	Containment	Medication Card document (2020)	2016‑05‑13
2.16.756.5.30.1.1.10.1.4	Containment	Medication Prescription document (2020)	2016‑05‑21
2.16.756.5.30.1.1.10.1.5	Containment	Medication Dispense document (2020)	2016‑05‑21
2.16.756.5.30.1.1.10.1.6	Containment	Pharmaceutical Advice document (2020)	2016‑05‑21
2.16.756.5.30.1.1.10.1.7	Containment	Medication Treatment Plan document (2020)	2017‑04‑12 13:57:31
Uses	as	Name	Version
2.16.756.5.30.1.1.10.4.83	Containment	Observation Media (2017)	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)

ref

ad1bbr-

Example

<section>
  <templateId root="2.16.756.5.30.1.1.10.3.45"/>  <code code="55108-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical presentation"/>  <title>Original representation</title>  <text>

Representation of the original view which has been signed by the legal authenticator:    <br/>    <renderMultiMedia referencedObject="pdf1"/>  </text>  <languageCode/>  <entry typeCode="DRIV">
    
  </entry></section>

Item	DT	Card	Conf	Description	Label
hl7:section				Contains the original representation of the current CDA document as it has been seen by the legal authenticator while signing.	CDA‑CH V2
hl7:templateId	II	1 … 1	M		CDA‑CH V2
@root	uid	1 … 1	F	2.16.756.5.30.1.1.10.3.45
hl7:id	II	0 … 1		An ID for this section MAY be filled for traceability.	CDA‑CH V2
@root	uid	1 … 1	R	MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension	st	0 … 1		Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code	CE	1 … 1	M		CDA‑CH V2
@code	CONF	1 … 1	F	55108-5
@codeSystem		1 … 1	F	2.16.840.1.113883.6.1 (LOINC)
@codeSystemName		1 … 1	F	LOINC
@displayName		1 … 1	F	Clinical presentation
hl7:title	ST	1 … 1	M	Fixed human readable title of this section. [ge]: 'Original Darstellung' [fr]: 'Représentation originale' [it]: 'Rappresentazione originale' [en]: 'Original representation'	CDA‑CH V2
	Variable let	Name	languageCode
	Variable let	Value	substring(ancestor::hl7:ClinicalDocument/hl7:languageCode/@code,1,2)
	Schematron assert	role	error
		test	not($languageCode='ge') or (text()='Original Darstellung')
		Message	The German title must read 'Original Darstellung'
	Schematron assert	role	error
		test	not($languageCode='fr') or (text()='Représentation originale')
		Message	The French title must read 'Représentation originale'
	Schematron assert	role	error
		test	not($languageCode='it') or (text()='Rappresentazione originale')
		Message	The Italian title must read 'Rappresentazione originale'
	Schematron assert	role	error
		test	not($languageCode='en') or (text()='Original representation')
		Message	The English title must read 'Original representation'
hl7:text	SD.TEXT	1 … 1	M	MUST contain the reference (renderMultiMedia/@referencedObject) to the corrsponding observationMedia (embedded PDF) that shows the original representation signed by the legal authenticator.	CDA‑CH V2
hl7:renderMultiMedia		1 … 1	M		CDA‑CH V2
@referencedObject		1 … 1	R	The reference to the corrsponding observationMedia element.
hl7:entry		1 … 1	M	Contains 2.16.756.5.30.1.1.10.4.83 Observation Media (DYNAMIC)	CDA‑CH V2
@typeCode	st	1 … 1	F	DRIV
	Schematron assert	role	error
		test	hl7:text/hl7:renderMultiMedia/@referencedObject=hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.5.30.1.1.10.4.83']/@ID
		Message	The referenced multimedia object MUST be declared in an entry of the same section.
	Schematron assert	role	error
		test	hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.5.30.1.1.10.4.83']/hl7:value/@mediaType='application/pdf'
		Message	The referenced multimedia object MUST have the mime type set tp 'application/pdf'.

Template Original Representation Section - coded