Template 2.16.756.5.30.1.1.10.4.15 - chpalm_entry

Template Case Identification

2.16.756.5.30.1.1.10.4.15

ref

ch-palm-

Effective Date

2017‑06‑21

Status Under pre-publication review Version Label 2017

Name chpalm_entry_CaseIdentification Display Name Case Identification

Description If an examination belongs to a specific case, this CAN be documented with this element (in the Notification Organizer).

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.15

Label IHE PalM TF3 Rev.8, 6.3.4.9

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 5 templates, Uses 0 templates

Used by	as	Name	Version
2.16.756.5.30.1.1.10.4.13	Containment	Notification Organizer (2017)	2017‑06‑21
2.16.756.5.30.1.1.10.4.4		Laboratory Report Data Processing Entry (2017)	2017‑06‑21
2.16.756.5.30.1.1.10.3.3		Laboratory Speciality Section - coded (2017)	2017‑06‑21
2.16.756.5.30.1.1.10.1.10		General Laboratory Report (2018)	2018‑04‑19
2.16.756.5.30.1.1.10.3.5		Laboratory Report Item Section - coded (2017)	2017‑06‑21

Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.3.1.1.2 (2008‑08‑08)

Example

XD-LAB Example

Item DT Card Conf Description Label

hl7:observation IHE PalM TF3 Rev.8, 6.3.4.9

@classCode cs 1 … 1 F CASE

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.9

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1.1.2

hl7:templateId II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.9

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.15

hl7:id II 1 … * R The number of the case to which the examinations belong in this section MUST be declared. Multiple case numbers CAN be specified. IHE PalM TF3 Rev.8, 6.3.4.9

@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 case identification itself. The case identification MUST be unique within the system that issued the ID.

hl7:code CE 1 … 1 R The type of the case MUST be declared with a code. LOINC (2.16.840.1.113883.6.1) or SNOMED CT (2.16.840.1.113883.6.96) codes or values from the HL7 vocabulary ObservationType (2.16.840.1.113883.1.11.16226) SHOULD be used. IHE PalM TF3 Rev.8, 6.3.4.9

@code cs 1 … 1 R The code MUST be specified.

@codeSystem oid 1 … 1 R The OID of the code system MUST be specified.

@codeSystemName st 1 … 1 R The name of the code system MUST be specified for tracking purposes. However, processing is NOT ALLOWED.

@displayName st 1 … 1 R The displayName of the code MUST be specified for tracking purposes. However, processing is NOT ALLOWED. Instead, a processing system is to display a user readable language translation of the code from the value set.

hl7:statusCode

1 … 1

The status 'completed' means the patient has been associated with the given case number.

The status 'aborted' means the patient was associated with the case number in error.

IHE PalM TF3 Rev.8, 6.3.4.9

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 ActStatusAbortedCompleted (DYNAMIC)

hl7:effectiveTime IVL_TS.CH.TZ 0 … 1 MAY contain the period of validity of the case. IHE PalM TF3 Rev.8, 6.3.4.9

hl7:low TS.CH.TZ 1 … 1 R Start of the period. If it is not known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9

hl7:high TS.CH.TZ 1 … 1 R End of the period. If it is not known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9

hl7:value CE 1 … 1 R A not further specified precision of the case MUST be declared according to XD-LAB with data type 'CE'. If no further precision is known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9

Schematron assert role error

test (@xsi:type='CE' and @code and @codeSystem) or (@nullFlavor='UNK')

Message Either a code with its code system or nullFlavor='UNK' is required.

Template Case Identification