Template 2.16.756.5.30.1.1.10.2.58 - cdachlrep_header

Template Human Patient - recordTarget

Id 2.16.756.5.30.1.1.10.2.58 Effective Date 2018‑04‑19

Status Under pre-publication review Version Label 2018

Name cdachlrep_header_Patient Display Name Human Patient - recordTarget

Description

Patient (Human Patient).

Patient identifiers

The id (patient identification number) can be declared multiple times. If multiple identifications are known, all known IDs should be specified. For laboratory reports, all IDs specified by the ordering system are to be returned. This allows the receiver to assign its internal patient identification. 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.

Pseudonymization

In special cases, the demographic data of the patient need not be transmitted or they need to be pseudonymized (e.g., results of genetic or forensic toxicology). The affected values must be replaced by a nullFlavor of type "MSK" (masked), in order to shield the data.

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.2.58

Label CDA‑CH‑LREP

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 1 template

Used by	as	Name	Version
2.16.756.5.30.1.1.10.1.10	Include	General Laboratory Report (2018)	2018‑04‑19
Uses	as	Name	Version
2.16.756.5.30.1.1.10.9.35	Containment	Address Information Compilation - eCH-0010 (2017)	DYNAMIC

Relationship Specialization: template 2.16.840.1.113883.10.12.101 (2005‑09‑07)

Example

Pseudonymization with initials

<recordTarget> <templateId root="2.16.756.5.30.1.1.10.2.58"/> <templateId root="2.16.756.5.30.1.1.10.2.1"/> <patientRole> <id nullFlavor="MSK"/> <addr nullFlavor="MSK"/> <telecom nullFlavor="MSK"/> <patient> <name nullFlavor="MSK"> <family>(only first letter)</family> <given>(only first letter)</given> </name> <administrativeGenderCode nullFlavor="MSK"/> <birthTime nullFlavor="MSK"/> </patient> </patientRole></recordTarget>

Item DT Card Conf Description Label

hl7:recordTarget 1 … * R Patient (Human Patient). CDA-LREP

hl7:templateId II 1 … 1 M CDA-LREP

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.2.58

hl7:templateId II 1 … 1 M CDA-LREP

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.2.1

hl7:patientRole 1 … 1 R Exactly one patient MUST be declared. CDA-LREP

hl7:id II 1 … * R At least one patient identification MUST be declared. CDA-LREP

@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 patient number itself. The number MUST be unique within the system that has issued the number.

hl7:addr AD 1 … * R All persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC) CDA-LREP

hl7:telecom TEL 1 … * R All persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom. CDA-LREP

hl7:patient 1 … 1 R Exactly one patient MUST be declared. CDA-LREP

hl7:name PN 1 … * R All persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom. CDA-LREP

hl7:administrativeGenderCode CE 1 … 1 R The sex of the patient MUST be indicated according to XD-LAB. CDA-LREP

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)

hl7:birthTime TS 1 … 1 R The date of birth of the patient MUST be given according to XD-LAB. CDA-LREP

Template Human Patient - recordTarget