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active Template  Human Patient with Non-Human Subject - subject Containment

Id 2.16.756.5.30.1.1.10.4.6
ref
ch-palm-
 		Effective Date 2019‑08‑20
Status active Active Version Label 2019
Name chpalm_entry_HumanPatientWithNonHumanSubject Display Name Human Patient with Non-Human Subject - subject Containment
Description
If, in a part of the document, certain laboratory observations for a human patient base on a sample of a non-human material (e.g., food eaten by the patient or an animal that has bitten the patient), it MUST be declared using this element in the CDA body.
The non-human subject SHALL also be represented in the CDA header by using the IHE template "Non-Human Subject" (1.3.6.1.4.1.19376.1.3.3.1.2).
Other parts of the document may contain laboratory observations that base on other samples (including samples taken from the patient).
In addition, the IHE recordTarget template "Human Patient with Non-Human Subject" (1.3.6.1.4.1.19376.1.3.3.1.3) MUST be used in the CDA header.
Context Sibling nodes of template element with id 2.16.756.5.30.1.1.10.4.6
Label IHE PalM TF3 Rev.10, 6.3.4.4
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 10 templates, Uses 1 template
Used by as Name Version
cdachlrep-transaction-2 Transaction pending CDA-CH-LREP - General Laboratory Report (2018) 2018‑03‑06 18:38:46
2.16.756.5.30.1.1.10.4.118 Containment active Laboratory Report Data Processing Entry (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.3.76 link active Laboratory Report Item Section - coded (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.3.77 link active Laboratory Speciality Section - coded (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.1.10 link active General Laboratory Report (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.4.17 Containment active Laboratory Isolate Organizer (2019) 2019‑08‑20
2.16.756.5.30.1.1.10.4.19 Containment active Laboratory Battery Organizer (2019) 2019‑08‑20
2.16.756.5.30.1.1.10.4.3 Containment active Laboratory Observation (2020) 2019‑08‑20
notice Circular reference found with 2.16.756.5.30.1.1.10.4.3, please check
2.16.756.5.30.1.1.10.4.11 link active Specimen Collection (2019) 2019‑08‑20
2.16.756.5.30.1.1.10.4.85 link active Laboratory Isolate Organizer - Pathogen Detection (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.4.87 link active Laboratory Battery Organizer - Antibiogram (2020) 2020‑06‑26
Uses as Name Version
2.16.756.5.30.1.1.10.9.49 Include active Original Text Reference (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.320 CDA Subject (Body) (2005‑09‑07)
ref
ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMIC)
ref
XDLAB-
Example
XD-LAB example
<subject>
  <templateId root="2.16.756.5.30.1.1.10.4.6"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3.1.3.1"/>  <relatedSubject>
    <code code="18998007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Ferret species">
      <qualifier>
        <name code="105590001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Substance"/>        <value code="39866004" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Animal"/>      </qualifier>    </code>    <addr>
      <streetAddressLine>304 Portola Road</streetAddressLine>      <city>San Jose</city>      <state>CA</state>      <postalCode>95120</postalCode>      <country>USA</country>    </addr>  </relatedSubject></subject>
Example
Cheese eaten by the patient
<subject>
  <templateId root="2.16.756.5.30.1.1.10.4.6"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3.1.3.1"/>  <relatedSubject>
    <code code="102264005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Cheese">
      <qualifier>
        <name code="105590001" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Substance"/>        <value code="226760005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Dairy foods"/>      </qualifier>    </code>    <addr>
      <streetAddressLine>Tante Emma Laden</streetAddressLine>      <streetAddressLine>Einkaufstrasse 99</streetAddressLine>      <postalCode>999</postalCode>      <city>Musterhausen</city>    </addr>  </relatedSubject></subject>
Item DT Card Conf Description Label
hl7:templateId
 		II 1 … 1 M IHE PalM TF3 Rev.10, 6.3.4.4
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.6
hl7:templateId
 		II 1 … 1 M IHE PalM TF3 Rev.10, 6.3.4.4
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.3.1.3.1
hl7:relatedSubject
 		1 … 1 R IHE PalM TF3 Rev.10, 6.3.4.4
hl7:code
 		CE 1 … 1 R The type of the non-human subject (animal species, food, material from nature, etc.) MUST be declared using 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. If no vocabulary is available, nullFlavor='OTH' including an originalText element MUST be used. In this case, the attributes @code, @codeSystem and @codeSystemName are NOT ALLOWED. IHE PalM TF3 Rev.10, 6.3.4.4
@nullFlavor
 		cs 0 … 1 F OTH
  If no vocabulary is available, nullFlavor='ASKU' including a displayName MUST be used.
@code
 		cs 0 … 1   The code MUST be specified.
@codeSystem
 		oid 0 … 1   The OID of the code system MUST be specified.
@codeSystemName
 		st 0 … 1   The name of the code system MUST be specified for tracking purposes. However, processing is NOT ALLOWED.
@displayName
 		st 0 … 1   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.
Included 0 … 1 C from 2.16.756.5.30.1.1.10.9.49 Original Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.
hl7:originalText
 		ED 0 … 1 C CDA‑CH V2
hl7:reference
 		TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] CDA‑CH V2
@value
 		1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding <content/> element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
  Schematron assert role red error  
  test parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text()  
  Message The originalText content MUST be identical to the narrative text for this reference.  
  Schematron assert role red error  
  test (@code and @codeSystem) or (@nullFlavor='OTH' and hl7:originalText)  
  Message Either a code with its code system or nullFlavor='OTH' with an originalText element is required.  
hl7:addr
 		AD 1 … 1 R The address is where the material was located, from which the sample was taken. If it is not known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.10, 6.3.4.4
  Schematron assert role red error  
  test not(@nullFlavor) or (@nullFlavor='UNK')  
  Message If the address is not known, nullFavor='UNK' MUST be used.