ClinicalDocument/recordTarget SHALL be present and SHALL conform to the Human Patient,
Non-Human Subject or Human Patient with Non-Human Subject templates defined below.
There are three varieties of laboratory reports:
Human (patient): The document reports laboratory observations produced on specimens
collected exclusively from the patient.
Non-Human Subject: The document reports laboratory observations produced on specimens
collected from a non-human material (e.g. water, milk…) or living subject (e.g. animal).
Human (patient) paired with Non-Human Subject: The document reports laboratory observations
produced on a non-human specimen with a relationship to a human patient, (e.g. peanut
butter eaten by a patient, a ferret that bit a patient).
Non-Human Subject
When the subject of the observations in the report is a sample exclusively taken
from a non-human subject, such as an animal, a lake, soil or other environmental element,
the following SHALL be present.
<templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/> - The templateId element identifies
this recordTarget as a non-human subject of laboratory testing. The templateId SHALL
have root="1.3.6.1.4.1.19376.1.3.3.1.2".
<id/> - /patientRole/id SHALL be present and SHALL represent the id of the non-human
subject.
<patient@nullFlavor/> - The recordTarget/patientRole SHALL have a patient sub-element
and its nullFlavor SHALL be set to "OTH". This indicates that other information pertaining
to the non-human subject can be found in the body of the document.
<structuredBody> mark-up - In addition to the elements specified in the CDA header
for the non-human subject, this non-human subject SHALL be represented in a Subject
element in level 3 entries in the structuredBody as described in template Non-Human
Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1.
Classification
CDA Header Level Template
Open/Closed
Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
In addition to the elements specified in the CDA header for the non-human subject,
this non-human subject SHALL be represented in a Subject element in level 3 entries
in the structuredBody.
hl7:patientRole
1 … 1
R
(chpalm_header_RecordTargetNonHumanSubject)
@classCode
cs
0 … 1
F
PAT
hl7:id
II
1 … *
R
(chpalm_header_RecordTargetNonHumanSubject)
@extension
st
1 … 1
R
MUST contain the actual number of non-human material. The number MUST be unique within
the system that issued the number.
@root
uid
1 … 1
R
MUST contain the OID of the system that issued the number. 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.
hl7:patient
1 … 1
(chpalm_header_RecordTargetNonHumanSubject)
@classCode
cs
0 … 1
F
PSN
@determinerCode
cs
0 … 1
F
INSTANCE
@nullFlavor
cs
1 … 1
F
OTH
Indicates that there are laboratory tests for this non-human material in the CDA Body.