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active Template  Original Representation Section - coded

Id 2.16.756.
Effective Date 2018‑04‑18
Other versions this id:
Status active Active Version Label 2017
Name cdach_section_OriginalRepresentationCoded Display Name Original Representation Section - coded

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.


  • 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.
Label CDA‑CH V2
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as Name Version
2.16.756. Containment active Observation Media (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
  <templateId root="2.16.756."/>  <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">
    <!-- template 2.16.756. 'Observation Media' -->
Item DT Card Conf Description Label
Contains the original representation of the current CDA document as it has been seen by the legal authenticator while signing. CDA‑CH V2
II 1 … 1 M CDA‑CH V2
uid 1 … 1 F 2.16.756.
II 0 … 1 An ID for this section MAY be filled for traceability. CDA‑CH V2
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 ( are REQUIRED. Others are NOT ALLOWED.
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
CE 1 … 1 M CDA‑CH V2
CONF 1 … 1 F 55108-5
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
1 … 1 F LOINC
1 … 1 F Clinical presentation
ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Original Darstellung'
  • [fr]: 'Représentation originale'
  • [it]: 'Rappresentazione originale'
  • [en]: 'Original representation'
  Variable let Name languageCode  
  Value substring(ancestor::hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Original Darstellung')  
  Message The German title must read 'Original Darstellung'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Représentation originale')  
  Message The French title must read 'Représentation originale'  
  Schematron assert role red error  
  test not($languageCode='it') or (text()='Rappresentazione originale')  
  Message The Italian title must read 'Rappresentazione originale'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Original representation')  
  Message The English title must read 'Original representation'  
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
1 … 1 M CDA‑CH V2
1 … 1 R The reference to the corrsponding observationMedia element.
1 … 1 M Contains 2.16.756. Observation Media (DYNAMIC) CDA‑CH V2
st 1 … 1 F DRIV
  Schematron assert role red error  
  test hl7:text/hl7:renderMultiMedia/@referencedObject=hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.']/@ID  
  Message The referenced multimedia object MUST be declared in an entry of the same section.  
  Schematron assert role red error  
  test hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.']/hl7:value/@mediaType='application/pdf'  
  Message The referenced multimedia object MUST have the mime type set tp 'application/pdf'.