hl7:ClinicalDocument
|
|
|
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.1 CDA RealmCode (DYNAMIC)
|
hl7:realmCode
|
CS |
1 … 1 |
R |
|
(cdachlrtp) |
@code
|
CONF |
1 … 1 |
F |
CHE |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.2 CDA TypeId (DYNAMIC)
|
hl7:typeId
|
II |
1 … 1 |
R |
|
(cdachlrtp) |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.1.3 |
@extension
|
st |
1 … 1 |
F |
POCD_HD000040 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdachlrtp) |
@root
|
|
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.3 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdachlrtp) |
@root
|
|
1 … 1 |
F |
2.16.756.5.30.1.1.1.1 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdachlrtp) |
@root
|
|
1 … 1 |
F |
2.16.756.5.30.1.1.1.1.3.4.1 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.3 CDA Document Id (DYNAMIC)
|
hl7:id
|
II |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:code
|
CE |
1 … 1 |
R |
|
(cdachlrtp) |
@code
|
CONF |
1 … 1 |
F |
18717-9 |
@codeSystem
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
| |
Example |
<code code="18717-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BLOOD BANK STUDIES"/> |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.4 CDA Document Title (DYNAMIC)
|
hl7:title
|
ST |
0 … 1 |
|
|
(cdachlrtp) |
hl7:effectiveTime
|
TS.CH.TZ |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:confidentialityCode
|
CE |
1 … 1 |
R |
|
(cdachlrtp) |
@code
|
CONF |
1 … 1 |
F |
R |
@codeSystem
|
1 … 1 |
F |
2.16.840.1.113883.5.25 (Confidentiality) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.5 CDA Document Language Code (DYNAMIC)
|
hl7:languageCode
|
CS |
0 … 1 |
|
|
(cdachlrtp) |
| |
CONF |
|
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.7 CDA SetId VersionNumber (DYNAMIC)
|
hl7:setId
|
II |
1 … 1 |
R |
|
(cdachlrtp) |
| |
Example |
<setId extension="807563C2-5146-11D5-A672-00B0D022E945" root="2.16.756.5.30.1.1.1.1"/> |
hl7:versionNumber
|
INT.NONNEG |
1 … 1 |
R |
|
(cdachlrtp) |
| |
Example |
<versionNumber value="1"/> |
| Included |
|
|
from 2.16.756.5.30.1.127.10.2.29 CDA recordTarget (lrtp) (DYNAMIC)
|
hl7:recordTarget
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
RCT |
@contextControlCode
|
cs |
0 … 1 |
F |
OP |
hl7:patientRole
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
PAT |
hl7:id
|
II |
0 … * |
R |
|
(cdachlrtp) |
 |
|
|
where [not(@root='2.16.756.5.30.1.129.1.1.1')] |
|
|
hl7:id
|
II |
1 … 1 |
M |
|
(cdachlrtp) |
|
|
|
where [@root='2.16.756.5.30.1.129.1.1.1'] |
|
|
@root
|
|
1 … 1 |
F |
2.16.756.5.30.1.129.1.1.1 |
@extension
|
|
1 … 1 |
R |
|
hl7:patient
|
|
0 … 1 |
|
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
PSN |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:administrativeGenderCode
|
CE |
1 … 1 |
R |
|
(cdachlrtp) |
| |
CONF |
|
hl7:birthTime
|
TS |
1 … 1 |
R |
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.2 CDA author (DYNAMIC)
|
hl7:author
|
|
1 … * |
R |
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
AUT |
@contextControlCode
|
cs |
0 … 1 |
F |
OP |
hl7:functionCode
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
| |
Constraint |
|
| |
CONF |
|
| |
Example |
<code nullFlavor="OTH">
<originalText> SPITEX Haushaltshilfe</originalText></code> |
hl7:time
|
TS |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:assignedAuthor
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
ASSIGNED |
hl7:id
|
II |
1 … * |
R |
|
(cdachlrtp) |
| |
Example |
<id extension="123.71.332.115" root="2.16.756.5.31"/> |
| |
Example |
<id extension="123456" root=" 2.16.756.5.30.1.399.2.8"/> |
hl7:code
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
@codeSystem
|
CONF |
1 … 1 |
F |
2.16.840.1.113883.5.111 |
hl7:addr
|
AD |
0 … * |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … * |
|
|
(cdachlrtp) |
| Choice |
0 … 1 |
|
Elements to choose from:
|
hl7:assignedPerson
|
|
|
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.10 CDA Person (DYNAMIC)
|
@classCode
|
cs |
0 … 1 |
F |
PSN |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
1 … * |
R |
|
(cdachlrtp) |
hl7:representedOrganization
|
|
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.11 CDA Organization (DYNAMIC)
|
@classCode
|
cs |
0 … 1 |
F |
ORG |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:name
|
ON |
1 … 1 |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … * |
|
|
(cdachlrtp) |
hl7:addr
|
AD |
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.7 Data Enterer (DYNAMIC)
|
hl7:dataEnterer
|
|
0 … 1 |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
ENT |
@contextControlCode
|
cs |
0 … 1 |
F |
OP |
hl7:time
|
TS |
0 … 1 |
|
|
(cdachlrtp) |
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 CDA AssignedEntity (DYNAMIC)
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.3 CDA custodian (DYNAMIC)
|
hl7:custodian
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
CST |
hl7:assignedCustodian
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
ASSIGNED |
hl7:representedCustodianOrganization
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
ORG |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:id
|
II |
1 … * |
M |
|
(cdachlrtp) |
hl7:name
|
ON |
0 … 1 |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … 1 |
|
|
(cdachlrtp) |
hl7:addr
|
AD |
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.4 CDA informationRecipient (DYNAMIC)
|
hl7:informationRecipient
|
|
0 … * |
|
|
(cdachlrtp) |
@typeCode
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
hl7:intendedRecipient
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
hl7:id
|
II |
0 … * |
R |
|
(cdachlrtp) |
hl7:addr
|
AD |
0 … * |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … * |
|
|
(cdachlrtp) |
hl7:informationRecipient
|
|
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.10 CDA Person (DYNAMIC)
|
@classCode
|
cs |
0 … 1 |
F |
PSN |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
1 … * |
R |
|
(cdachlrtp) |
hl7:receivedOrganization
|
|
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.11 CDA Organization (DYNAMIC)
|
@classCode
|
cs |
0 … 1 |
F |
ORG |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:name
|
ON |
1 … 1 |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … * |
|
|
(cdachlrtp) |
hl7:addr
|
AD |
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.5 CDA legalAuthenticator (DYNAMIC)
|
hl7:legalAuthenticator
|
|
0 … 1 |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
LA |
@contextControlCode
|
cs |
0 … 1 |
F |
OP |
hl7:time
|
TS |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:signatureCode
|
CS |
1 … 1 |
R |
|
(cdachlrtp) |
| |
CONF |
|
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 CDA AssignedEntity (DYNAMIC)
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.6 Authenticator (DYNAMIC)
|
hl7:authenticator
|
|
0 … * |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
AUTHEN |
hl7:time
|
TS |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:signatureCode
|
CS |
1 … 1 |
R |
|
(cdachlrtp) |
| |
CONF |
|
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 CDA AssignedEntity (DYNAMIC)
|
(cdachlrtp) |
| Included |
|
|
from 1.3.6.1.4.1.19376.1.3.3.1.6 Ordering Provider (DYNAMIC)
|
hl7:participant
|
|
|
|
|
(cdachlrtp) |
@typeCode
|
|
1 … 1 |
F |
REF |
hl7:templateId
|
II |
1 … 1 |
|
|
(cdachlrtp) |
@root
|
|
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.3.1.6 |
hl7:time
|
IVL_TS |
0 … 1 |
R |
This element represents the date and time the order was placed. Time MAY be present. |
(cdachlrtp) |
hl7:associatedEntity
|
|
1 … 1 |
M |
|
(cdachlrtp) |
@classCode
|
|
1 … 1 |
F |
PROV |
hl7:id
|
II |
1 … 1 |
R |
Unique identifier of this person (referral ordering physician) in the affinity domain
SHALL be present.
|
(cdachlrtp) |
hl7:addr
|
AD |
1 … 1 |
R |
The address of this person (referral ordering physician) SHALL be present. |
(cdachlrtp) |
hl7:telecom
|
TEL.AT |
1 … * |
R |
The telecom of this person (referral ordering physician) SHALL be present. |
(cdachlrtp) |
| |
Schematron assert |
role |
 error
|
|
| |
test |
hl7:assignedPerson/hl7:name |
|
| |
Message |
An <assignedPerson> SHALL be present, the <name> sub-element SHALL be present. |
|
hl7:associatedPerson
|
|
1 … 1 |
R |
Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC)
|
(cdachlrtp) |
hl7:scopingOrganization
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.16 Order reference (DYNAMIC)
|
hl7:inFulfillmentOf
|
|
1 … * |
|
|
(cdachlrtp) |
hl7:order
|
|
1 … 1 |
R |
|
(cdachlrtp) |
hl7:id
|
II |
1 … * |
R |
|
(cdachlrtp) |
@extension
|
st |
1 … 1 |
R |
|
@root
|
uid |
1 … 1 |
R |
|
hl7:documentationOf
|
|
1 … 1 |
R |
|
(cdachlrtp) |
| |
Example |
<documentationOf>
<serviceEvent>
<code code="RECIP" displayName="Recipient" codeSystem="2.16.756.5.30.1.129.1.1.4"/> </serviceEvent></documentationOf> |
| |
Example |
<documentationOf>
<serviceEvent>
<code code="DDON" displayName="Deceased donor" codeSystem="2.16.756.5.30.1.129.1.1.4"/> </serviceEvent></documentationOf> |
hl7:serviceEvent
|
|
1 … 1 |
R |
|
(cdachlrtp) |
hl7:code
|
CE |
1 … 1 |
M |
|
(cdachlrtp) |
| |
CONF |
|
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.9 CDA relatedDocument (DYNAMIC)
|
hl7:relatedDocument
|
|
0 … * |
|
|
(cdachlrtp) |
@typeCode
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
hl7:parentDocument
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
DOCCLIN |
@moodCode
|
cs |
0 … 1 |
F |
EVN |
hl7:id
|
II |
1 … * |
R |
|
(cdachlrtp) |
hl7:code
|
CD |
0 … 1 |
|
|
(cdachlrtp) |
@codeSystem
|
CONF |
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
hl7:text
|
ED |
0 … 1 |
|
|
(cdachlrtp) |
hl7:setId
|
II |
0 … 1 |
|
|
(cdachlrtp) |
hl7:versionNumber
|
INT |
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.12 CDA Authorization (DYNAMIC)
|
hl7:authorization
|
|
0 … * |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
AUTH |
hl7:consent
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
CONS |
@moodCode
|
cs |
0 … 1 |
F |
EVN |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
| |
CONF |
|
hl7:statusCode
|
CS |
1 … 1 |
R |
|
(cdachlrtp) |
@code
|
CONF |
1 … 1 |
F |
completed |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.10 CDA componentOf (DYNAMIC)
|
hl7:componentOf
|
|
0 … 1 |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
COMP |
hl7:encompassingEncounter
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
ENC |
@moodCode
|
cs |
0 … 1 |
F |
EVN |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
| |
CONF |
|
hl7:effectiveTime
|
IVL_TS |
1 … 1 |
R |
|
(cdachlrtp) |
hl7:dischargeDispositionCode
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
| |
CONF |
| shall be drawn from concept domain "EncounterDischargeDisposition" |
|
hl7:responsibleParty
|
|
0 … 1 |
|
Contains 2.16.756.5.30.1.1.10.9.12 CDA AssignedEntity (DYNAMIC)
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
RESP |
hl7:encounterParticipant
|
|
0 … * |
|
|
(cdachlrtp) |
@typeCode
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
hl7:time
|
IVL_TS |
0 … 1 |
|
|
(cdachlrtp) |
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 CDA AssignedEntity (DYNAMIC)
|
(cdachlrtp) |
hl7:location
|
|
0 … 1 |
|
|
(cdachlrtp) |
@typeCode
|
cs |
0 … 1 |
F |
LOC |
hl7:healthCareFacility
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@classCode
|
cs |
0 … 1 |
F |
SDLOC |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdachlrtp) |
| |
CONF |
|
hl7:location
|
|
0 … 1 |
|
Contains 2.16.756.5.30.1.1.10.9.13 CDA Place (DYNAMIC)
|
(cdachlrtp) |
hl7:serviceProviderOrganization
|
|
0 … 1 |
|
|
(cdachlrtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.11 CDA Organization (DYNAMIC)
|
@classCode
|
cs |
0 … 1 |
F |
ORG |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:id
|
II |
0 … * |
|
|
(cdachlrtp) |
hl7:name
|
ON |
1 … 1 |
|
|
(cdachlrtp) |
hl7:telecom
|
TEL |
0 … * |
|
|
(cdachlrtp) |
hl7:addr
|
AD |
0 … 1 |
|
|
(cdachlrtp) |
hl7:component
|
|
1 … 1 |
R |
|
(cdachlrtp) |
@contextConductionInd
|
bl |
1 … 1 |
R |
|
hl7:structuredBody
|
|
1 … 1 |
R |
|
(cdachlrtp) |
hl7:component
|
|
1 … 1 |
M |
Contains 2.16.756.5.30.1.127.10.3.11 Blutgruppe Section (DYNAMIC)
|
(cdachlrtp) |
|
|
|
where [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.127.10.3.11']] [hl7:templateId
[@root='2.16.756.5.30.1.1.1.1.3.4.1'] [@extension='CDA-CH.LRTP.Body.StudiesSummaryL2']]] |
|
|
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:component
|
|
1 … 1 |
M |
Contains 2.16.756.5.30.1.1.10.3.4 Coded Vital Signs Section (DYNAMIC)
|
(cdachlrtp) |
|
|
|
where [hl7:section [hl7:templateId [@root='2.16.840.1.113883.10.20.1.16']] [hl7:templateId
[@root='1.3.6.1.4.1.19376.1.5.3.1.3.25']] [hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2']]] |
|
|
@contextConductionInd
|
bl |
0 … 1 |
|
|
hl7:component
|
|
1 … 1 |
M |
Contains 2.16.756.5.30.1.127.10.3.12 Laborbefund Section (lrtp) (DYNAMIC)
|
(cdachlrtp) |
|
|
|
where [hl7:section [hl7:templateId [@root='2.16.756.5.30.1.127.10.3.12']] [hl7:templateId
[@root='1.3.6.1.4.1.19376.1.3.3.2.1']]] |
|
|
@contextConductionInd
|
bl |
0 … 1 |
|
|
| |
Schematron assert |
role |
error
|
|
| |
test |
count(hl7:component/hl7:section)>0 |
|
| |
Message |
Mindestens eine Section muss im CDA-CH-LRTP Dokument vorhanden sein |
|
Template Laborbefund Transplantationsprozesss
Draft
CDA RealmCode