hl7:ClinicalDocument
|
|
|
|
|
(cda rtp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.25 Document Realm (DYNAMIC)
|
hl7:realmCode
|
CS |
1 … 1 |
M |
Swiss Realm (CHE) of HL7 CDA. |
CDA‑CH V2 |
@code
|
CONF |
1 … 1 |
F |
CHE |
hl7:typeId
|
II |
1 … 1 |
M |
HL7 CDA R2, 2005 |
(cdartp) |
@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 |
|
(cdartp) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.3 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdartp) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.3 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdartp) |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.1.1 |
hl7:templateId
|
II |
1 … 1 |
M |
|
(cdartp) |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.1.1.3.4.1 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.23 Document Id (DYNAMIC)
|
hl7:id
|
II |
1 … 1 |
M |
A unique identifier for each CDA document instance. |
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
The document's id as Globally Unique Identifier (GUID). |
@extension
|
st |
0 |
NP |
NP/not present |
hl7:code
|
CE |
1 … 1 |
R |
|
CDA‑CODE |
@code
|
CONF |
0 … 1 |
F |
11502-2 |
@codeSystem
|
0 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
@codeSystemName
|
0 … 1 |
F |
LOINC |
@displayName
|
0 … 1 |
F |
LABORATORY REPORT.TOTAL |
| |
Example |
<code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY REPORT.TOTAL"/> |
hl7:title
|
ST |
0 … 1 |
|
(de-CH) The expected titles (at least in English, German, French and Italian) MUST be specified
by the CDA-CH
|
(cdartp) |
hl7:effectiveTime
|
TS.CH.TZ |
1 … 1 |
R |
|
(cdartp) |
hl7:confidentialityCode
|
CE |
1 … 1 |
R |
|
(cdartp) |
@code
|
CONF |
0 … 1 |
F |
R |
@codeSystem
|
0 … 1 |
F |
2.16.840.1.113883.5.25 (Confidentiality) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.22 Document Language (DYNAMIC)
|
hl7:languageCode
|
CS |
1 … 1 |
M |
The RFC 1766 (ISO-639-1 and ISO 3166) based language in which the narrative texts
in this CDA document instance are written.
|
CDA‑CH V2 |
| |
CONF |
|
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.20 Document Set Id and Version Number (DYNAMIC)
|
hl7:setId
|
II |
1 … 1 |
R |
The setId element MUST match the document id of the very first version of that document.
It MUST remain the same for all document versions.
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
The root attribute MUST contain the setId as Globally Unique Identifier (GUID). |
@extension
|
st |
0 |
NP |
NP/not present |
| |
Schematron assert |
role |
 error
|
|
| |
test |
(parent::*/hl7:versionNumber[@value='1'] and @root=parent::*/hl7:id/@root and (@extension=parent::*/hl7:id/@extension
or (not(@extension) and not(parent::*/hl7:id/@extension)))) or (parent::*/hl7:versionNumber[not(@value
='1')] and ((@root=parent::*/hl7:id/@root and @extension and not(@extension=parent::*/hl7:id/@extension))
or(not(@root=parent::*/hl7:id/@root))))
|
|
| |
Message |
The setId MUST be equal with the document id for version 1 and it MUST differ for
all other versions. |
|
hl7:versionNumber
|
INT.NONNEG |
1 … 1 |
R |
The versionNumber element MUST contain the value 1 for the very first version of that
document. For later versions, the version number MUST be increased by 1 each.
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.127.10.2.29 CDA recordTarget (lrtp) (DYNAMIC)
|
hl7:recordTarget
|
|
1 … 1 |
R |
|
(cdartp) |
@typeCode
|
cs |
0 … 1 |
F |
RCT |
@contextControlCode
|
cs |
0 … 1 |
F |
OP |
hl7:patientRole
|
|
1 … 1 |
R |
|
(cdartp) |
@classCode
|
cs |
0 … 1 |
F |
PAT |
hl7:id
|
II |
0 … * |
R |
|
(cdartp) |
 |
|
|
where [not(@root='2.16.756.5.30.1.129.1.1.1')] |
|
|
hl7:id
|
II |
1 … 1 |
M |
|
(cdartp) |
|
|
|
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 |
(de-CH) SOAS-ID
|
hl7:patient
|
|
0 … 1 |
|
|
(cdartp) |
@classCode
|
cs |
0 … 1 |
F |
PSN |
@determinerCode
|
cs |
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
1 … 1 |
R |
|
(cdartp) |
hl7:administrativeGenderCode
|
CE |
1 … 1 |
R |
|
(cdartp) |
| |
CONF |
|
hl7:birthTime
|
TS |
1 … 1 |
R |
|
(cdartp) |
| Included |
|
|
from 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
|
hl7:author
|
|
1 … * |
R |
Information about the author of a CDA document, section or entry. An author MAY be
a person or a device.
|
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.9.23 |
hl7:functionCode
|
CE |
1 … 1 |
R |
The functionCode MUST be taken from the Swiss EPR Value-Set for author roles. See
FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), Appendix 3: Metadata,
Section 2.1.
If the desired functionCode is not available in the Swiss EPR Value-Set for author
roles, nullFlavor='NAV' MUST be used. In this case, the originalText element MUST
contain the description of the role.
Translations to other vocabularies are allowed.
|
CDA‑CH V2 |
@nullFlavor
|
st |
0 … 1 |
F |
NAV |
@code
|
cs |
0 … 1 |
|
|
@codeSystem
|
oid |
0 … 1 |
F |
2.16.840.1.113883.6.96 |
@codeSystemName
|
st |
0 … 1 |
F |
SNOMED CT |
@displayName
|
st |
0 … 1 |
|
|
| |
CONF |
|
| |
Example |
Patient <functionCode code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Patient"/> |
| |
Example |
Nurse <functionCode code="106292003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Professional nurse"/> |
| |
Example |
Home helper <functionCode nullFlavor="NAV">
<originalText>Home helper</originalText></functionCode> |
| |
Example |
Laboratory technician <functionCode nullFlavor="NAV">
<originalText>Laboratory technician</originalText> <translation code="3212" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO-08" displayName="Medical and pathology laboratory technicians"/></functionCode> |
| |
Schematron assert |
role |
error
|
|
| |
test |
(@code and @codeSystem) or (@nullFlavor='NAV') |
|
| |
Message |
Either a code with its code system or nullFlavor='NAV' is required. |
|
| |
Schematron assert |
role |
error
|
|
| |
test |
not(@nullFlavor) or (hl7:originalText) |
|
| |
Message |
Other Caregivers description MUST be declared in the originalText element in case
of nullFlavor. |
|
hl7:translation
|
|
0 … * |
|
A translation of the code to another coding system (e.g. ISCO-08: 2.16.840.1.113883.2.9.6.2.7) |
CDA‑CH V2 |
@code
|
cs |
1 … 1 |
R |
|
@codeSystem
|
oid |
1 … 1 |
R |
|
@codeSystemName
|
st |
1 … 1 |
R |
|
@displayName
|
st |
1 … 1 |
R |
|
hl7:time
|
TS.CH.TZ |
1 … 1 |
R |
Timestamp of the authorship. |
CDA‑CH V2 |
hl7:assignedAuthor
|
|
1 … 1 |
R |
|
CDA‑CH V2 |
| |
Schematron assert |
role |
error
|
|
| |
test |
not(assignedAuthoringDevice/softwareName) or (representedOrganization) |
|
| |
Message |
For device authors the element representedOrganization is REQUIRED. |
|
hl7:id
|
II |
1 … 1 |
R |
The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be
declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared.
|
CDA‑CH V2 |
@nullFlavor
|
cs |
0 … 1 |
F |
NAV |
| |
Temporarily unknown, will be filled later. |
@root
|
cs |
0 … 1 |
F |
2.51.1.3 |
| |
OID for GS1 GLN. |
@extension
|
st |
0 … 1 |
|
The GS1 GLN. |
| |
Schematron assert |
role |
error
|
|
| |
test |
(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') |
|
| |
Message |
Either the GS1 GLN or nullFlavor='NAV' is REQUIRED |
|
hl7:id
|
II |
0 … * |
|
Other ids are allowed. |
CDA‑CH V2 |
@root
|
cs |
1 … 1 |
R |
The OID of the system that issued the id. OIDs of code systems, which are published
in a public OID registry are REQUIRED. Others are NOT ALLOWED.
|
@extension
|
st |
0 … 1 |
|
Contains the ID itself. The ID MUST be unique within the system that issued the ID. |
hl7:addr
|
AD |
0 … * |
|
The author's address.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
|
CDA‑CH V2 |
hl7:telecom
|
TEL |
0 … * |
|
The author's means of communication (phone, eMail, ...). |
CDA‑CH V2 |
| Choice |
1 … 1 |
|
Elements to choose from:
|
hl7:assignedPerson
|
|
0 … 1 |
|
The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
|
CDA‑CH V2 |
hl7:assignedAuthoringDevice
|
|
0 … 1 |
|
The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
|
CDA‑CH V2 |
hl7:representedOrganization
|
|
0 … 1 |
|
The author's organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.7 Data Enterer (DYNAMIC)
|
hl7:dataEnterer
|
|
0 … 1 |
|
Information about the person that entered information in this CDA document. It SHALL
be declared, when data recorded in this document has been entered by a person other
than the author but only when this is relevant for some reason.
|
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.7 |
hl7:time
|
TS.CH.TZ |
0 … 1 |
|
Timestamp of the data input. |
CDA‑CH V2 |
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.3 Custodian (DYNAMIC)
|
hl7:custodian
|
|
1 … 1 |
R |
The organization in whose name this CDA document has been created (corresponds to
the sender of a letter).
|
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.3 |
hl7:assignedCustodian
|
|
1 … 1 |
R |
|
CDA‑CH V2 |
hl7:representedCustodianOrganization
|
|
1 … 1 |
R |
|
CDA‑CH V2 |
hl7:id
|
II |
1 … * |
M |
The custodian's id. |
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
The OID of the system that issued the id. OIDs of code systems, which are published
in a public OID registry are REQUIRED. Others are NOT ALLOWED.
|
@extension
|
st |
0 … 1 |
|
Contains the ID itself. The ID MUST be unique within the system that issued the ID. |
hl7:name
|
ON |
1 … 1 |
R |
The custodian's name. |
CDA‑CH V2 |
hl7:telecom
|
TEL |
0 … * |
|
The custodian's means of communication (phone, eMail, ...). |
CDA‑CH V2 |
hl7:addr
|
AD |
0 … * |
|
The custodian's address(es).
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.4 Recipient - informationRecipient (DYNAMIC)
|
hl7:informationRecipient
|
|
1 … * |
R |
A recipient of this CDA document (corresponds to the addressee of a letter - person
or organization).
Recipient types:
- The main recipient of the document is indicated by typeCode 'PRCP' (primary recipient).
Note: Since it makes no sense to create a CDA document without doing it for someone,
in Switzerland at least one recipient MUST be declared. If the document is created
for the user's own needs, the user itself or its organization will be the primary
recipient.
- Other recipients (copy to; Cc) are indicated with typeCode, TRC '(secondary recipient).
|
CDA‑CH V2 |
@typeCode
|
cs |
0 … 1 |
|
The main recipient of the document is indicated by typeCode 'PRCP' (primary recipient).
This is the default value used when the attribute is not present.
Other recipients (copy to; Cc) are indicated with typeCode, TRC '(secondary recipient).
Note: Since it makes no sense to create a CDA document without doing it for someone,
in Switzerland at least one recipient MUST be declared. If the document is created
for the user's own needs, the user itself or its organization will be the primary
recipient.
|
| |
CONF |
|
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.4 |
hl7:intendedRecipient
|
|
1 … 1 |
R |
|
CDA‑CH V2 |
hl7:id
|
II |
0 … * |
R |
The recipient's identification(s). |
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
The OID of the system that issued the id. OIDs of code systems, which are published
in a public OID registry are REQUIRED. Others are NOT ALLOWED.
|
@extension
|
st |
0 … 1 |
|
Contains the ID itself. The ID MUST be unique within the system that issued the ID. |
hl7:addr
|
AD |
0 … * |
|
The recipient's address(es).
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
|
CDA‑CH V2 |
hl7:telecom
|
TEL |
0 … * |
|
The recipient's means of communication (phone, eMail, ...). |
CDA‑CH V2 |
hl7:informationRecipient
|
|
0 … 1 |
|
The addressee person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
|
CDA‑CH V2 |
hl7:receivedOrganization
|
|
0 … 1 |
|
The addressee organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.5 Legal Authenticator (DYNAMIC)
|
hl7:legalAuthenticator
|
|
0 … 1 |
|
Information about the legal authenticator of a CDA document. A legal authenticator
MUST be a person.
|
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.5 |
hl7:time
|
TS.CH.TZ |
1 … 1 |
R |
Timestamp of the signature. |
CDA‑CH V2 |
hl7:signatureCode
|
CS |
1 … 1 |
R |
|
CDA‑CH V2 |
@code
|
cs |
1 … 1 |
F |
S |
@codeSystem
|
oid |
0 |
NP |
NP/not present |
@codeSystemName
|
st |
0 |
NP |
NP/not present |
@displayName
|
st |
0 |
NP |
NP/not present |
| |
CONF |
|
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.6 Authenticator (DYNAMIC)
|
hl7:authenticator
|
|
0 … * |
|
Information about an authenticator of a CDA document. An authenticator MUST be a person. |
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.6 |
hl7:time
|
TS.CH.TZ |
1 … 1 |
R |
Timestamp of the signature. |
CDA‑CH V2 |
hl7:signatureCode
|
CS |
1 … 1 |
R |
|
CDA‑CH V2 |
@code
|
cs |
1 … 1 |
F |
S |
@codeSystem
|
oid |
0 |
NP |
NP/not present |
@codeSystemName
|
st |
0 |
NP |
NP/not present |
@displayName
|
st |
0 |
NP |
NP/not present |
| |
CONF |
|
hl7:assignedEntity
|
|
1 … 1 |
R |
Contains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)
|
CDA‑CH V2 |
| Included |
|
|
from 1.3.6.1.4.1.19376.1.3.3.1.6 Ordering Provider (DYNAMIC)
|
hl7:participant
|
|
|
|
Referral Ordering Physician |
(cdartp) |
@typeCode
|
cs |
1 … 1 |
F |
REF |
hl7:templateId
|
II |
1 … 1 |
|
|
(cdartp) |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.3.1.6 |
hl7:time
|
IVL_TS |
1 … 1 |
R |
This element represents the date and time the order was placed. Time MAY be present. |
(cdartp) |
hl7:associatedEntity
|
|
1 … 1 |
|
|
(cdartp) |
hl7:addr
|
AD |
1 … * |
R |
The address of this person (referral ordering physician) SHALL be present. |
(cdartp) |
hl7:telecom
|
TEL |
1 … * |
R |
The telecom of this person (referral ordering physician) SHALL be present. |
(cdartp) |
| |
Schematron assert |
role |
error
|
|
| |
test |
not(hl7:assignedPerson) or hl7:assignedPerson/hl7:name |
|
| |
Message |
The <name> sub-element SHALL be present when <assignedPerson> present. |
|
hl7:associatedPerson
|
|
0 … 1 |
R |
|
(cdartp) |
hl7:scopingOrganization
|
|
0 … 1 |
|
|
(cdartp) |
| Included |
0 … 1 |
|
from 2.16.756.5.30.1.1.10.2.16 Order Reference - inFulfillmentOf (DYNAMIC)
|
hl7:inFulfillmentOf
|
|
0 … 1 |
|
Reference to one or more orders which led to the creation of this CDA document. It
SHALL be declared, when the order reference is relevant for some reason.
|
CDA‑CH V2 |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.16 |
hl7:order
|
|
1 … 1 |
R |
|
CDA‑CH V2 |
hl7:id
|
II |
1 … * |
R |
Order number. |
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
Either the same GUID (order id) or the same OID (order issuing system) as the order
itself.
|
@extension
|
st |
0 … 1 |
|
Contains the order ID itself. The ID MUST be unique within the system that issued
the ID.
|
hl7:documentationOf
|
|
1 … 1 |
R |
(de-CH) Die Fallunterscheidung der untersuchten Person resp. der Geltungsbereich des Befundes
(Leichenspender, Lebendspender, Organempfänger) wird im CDA Header mit dem documentationOf
Element dokumentiert.
|
(cdartp) |
| |
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 |
|
(cdartp) |
hl7:code
|
CE |
1 … 1 |
M |
|
(cdartp) |
| |
CONF |
|
| Included |
|
|
from 2.16.756.5.30.1.1.10.2.13 Document Replacement - relatedDocument (DYNAMIC)
(de-CH)
Für die Korrektur falsch übermittelter Werte muss ein neues Dokument erstellt werden,
welches das frühere Dokument ersetzt. Beim Verarbeiten des neuen Dokuments werden
sämtliche Werte aus dem zu ersetzenden Dokument als veraltet interpretiert (gelöscht
oder als gelöscht resp. als veraltet markiert). Alle Werte im neuen Dokument werden
als gültig markiert. Werte, die nur im alten Dokument enthalten waren sind gelöscht.
Werte, die in beiden Dokumenten vorhanden sind werden mit dem Inhalt des neuen Dokuments
überschrieben. Werte, die nur im neuen Dokument enthalten sind werden neu erfasst.
Die Verbindung zum zu ersetzenden Dokument MUSS lauten:
ClinicalDocument/relatedDocument/@typeCode="RPLC"
parentDocument/id: ID des referenzierten Dokuments (ClinicalDocument/id)
ClinicalDocument/setId: MUSS identisch sein mit dem zu ersetzenden Dokument.
ClinicalDocument/versionNumber/@value: Muss gegenüber dem zu ersetzenden Dokument
um 1 erhöht werden.
|
hl7:relatedDocument
|
|
0 … * |
|
Relationship to another CDA-CH V2 based document that is replaced by the current one.
Notes: For correction of wrong information, a new document that replaces the earlier document
MUST be created. The new document corrects previously incorrect information. This
also applies to the case where information in the CDA header has been corrected (e.g.,
if the original document has been issued to the wrong patient). While processing the
new document at the recipient, all values from the previous document MUST be interpreted
as deprecated (deleted/marked as deleted/deprecated) and all values in the new document
MUST be marked as valid:
- Values that were only contained in the previous document have to be treated as deleted.
- Values that are present in both documents are overwritten with the contents of the
new document.
- Values that are only contained in the new document are to be added.
|
CDA‑CH V2 |
@typeCode
|
cs |
1 … 1 |
F |
RPLC |
| |
Indicates that it is a relationship to another document that needs to be replaced. |
hl7:templateId
|
II |
1 … 1 |
M |
|
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.2.13 |
hl7:parentDocument
|
|
1 … 1 |
R |
Relationship to the document that needs to be replaced. |
CDA‑CH V2 |
hl7:id
|
II |
1 … 1 |
M |
The id of the document to be replaced MUST be declared. |
CDA‑CH V2 |
@root
|
uid |
1 … 1 |
R |
The id (GUID) of the document to be replaced. |
@extension
|
st |
0 |
NP |
NP/not present |
hl7:setId
|
II |
1 … 1 |
M |
The setId of the document to be replaced MUST be declared. |
CDA‑CH V2 |
@extension
|
st |
0 |
NP |
NP/not present |
@root
|
uid |
1 … 1 |
R |
The setId (GUID) of the document to be replaced and MUST be identical with the content
of the setId of the current document.
|
| |
Schematron assert |
role |
error
|
|
| |
test |
(@root=/hl7:ClinicalDocument/hl7:id/@root) and not(@extension) and not(/hl7:ClinicalDocument/hl7:id/@extension) |
|
| |
Message |
ClinicalDocument/setId: MUST be identical to the one of the replaced document |
|
hl7:versionNumber
|
INT |
1 … 1 |
M |
The version number of the document to be replaced. |
CDA‑CH V2 |
| |
Schematron assert |
role |
error
|
|
| |
test |
@value > /hl7:ClinicalDocument/hl7:versionNumber/@value |
|
| |
Message |
ClinicalDocument/versionNumber: MUST be higher than the one of the replaced document |
|
| Included |
|
|
from 2.16.840.1.113883.10.12.114 CDA Authorization (DYNAMIC)
|
hl7:authorization
|
|
0 … * |
|
|
(cdartp) |
@typeCode
|
|
0 … 1 |
F |
AUTH |
hl7:consent
|
|
1 … 1 |
|
|
(cdartp) |
@classCode
|
|
0 … 1 |
F |
CONS |
@moodCode
|
|
0 … 1 |
F |
EVN |
hl7:id
|
II |
0 … * |
|
|
(cdartp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdartp) |
@codeSystem
|
CONF |
0 … 1 |
F |
2.16.840.1.113883.5.4 (Act Code) |
hl7:statusCode
|
CS |
1 … 1 |
R |
|
(cdartp) |
@code
|
CONF |
0 … 1 |
F |
completed |
| Included |
|
|
from 2.16.840.1.113883.10.12.113 CDA componentOf (DYNAMIC)
|
hl7:componentOf
|
|
0 … 1 |
|
|
(cdartp) |
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:encompassingEncounter
|
|
1 … 1 |
|
|
(cdartp) |
@classCode
|
|
0 … 1 |
F |
ENC |
@moodCode
|
|
0 … 1 |
F |
EVN |
hl7:id
|
II |
0 … * |
|
|
(cdartp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdartp) |
| |
CONF |
|
hl7:effectiveTime
|
IVL_TS |
1 … 1 |
R |
|
(cdartp) |
hl7:dischargeDispositionCode
|
CE |
0 … 1 |
|
|
(cdartp) |
| |
CONF |
| shall be drawn from concept domain "EncounterDischargeDisposition" |
|
hl7:responsibleParty
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(cdartp) |
@typeCode
|
|
0 … 1 |
F |
RESP |
hl7:encounterParticipant
|
|
0 … * |
|
|
(cdartp) |
@typeCode
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
hl7:time
|
IVL_TS |
0 … 1 |
|
|
(cdartp) |
hl7:assignedEntity
|
|
1 … 1 |
|
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(cdartp) |
hl7:location
|
|
0 … 1 |
|
|
(cdartp) |
@typeCode
|
|
0 … 1 |
F |
LOC |
hl7:healthCareFacility
|
|
1 … 1 |
|
|
(cdartp) |
@classCode
|
|
0 … 1 |
F |
SDLOC |
hl7:id
|
II |
0 … * |
|
|
(cdartp) |
hl7:code
|
CE |
0 … 1 |
|
|
(cdartp) |
| |
CONF |
|
hl7:location
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.317 CDA Place (DYNAMIC)
|
(cdartp) |
hl7:serviceProviderOrganization
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)
|
(cdartp) |
hl7:component
|
|
1 … 1 |
R |
|
(cdartp) |
@contextConductionInd
|
bl |
0 … 1 |
F |
true |
hl7:structuredBody
|
|
1 … 1 |
R |
|
(cdartp) |
hl7:component
|
|
0 … * |
R |
(de-CH) Blutgruppe
Contains 2.16.756.5.30.1.127.10.3.11 Blutgruppe Section (DYNAMIC)
|
(cdartp) |
|
|
|
where [hl7:section [hl7:templateId [@root = '2.16.756.5.30.1.127.10.3.11'] and 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 |
F |
true |
hl7:component
|
|
0 … * |
R |
(de-CH) Vitalzeichen
Contains 2.16.756.5.30.1.127.10.3.13 Coded Vital Signs Section (lrtp) (DYNAMIC)
|
(cdartp) |
|
|
|
where [hl7:section [hl7:templateId [@root = '2.16.840.1.113883.10.20.1.16'] and hl7:templateId
[@root = '1.3.6.1.4.1.19376.1.5.3.1.3.25'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2']]] |
|
|
@contextConductionInd
|
bl |
0 … 1 |
F |
true |
hl7:component
|
|
0 … * |
R |
(de-CH) Laborbefund
Contains 2.16.756.5.30.1.127.10.3.12 Laborbefund Section (lrtp) (DYNAMIC)
|
(cdartp) |
|
|
|
where [hl7:section [hl7:templateId [@root = '2.16.756.5.30.1.127.10.3.12'] and hl7:templateId
[@root = '1.3.6.1.4.1.19376.1.3.3.2.1']]] |
|
|
@contextConductionInd
|
bl |
0 … 1 |
F |
true |
| |
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
Document Realm (2017)