Template 2.16.756.5.30.1.1.10.2.76 - cdachsmcp_header

Template Patient

Id 2.16.756.5.30.1.1.10.2.76 Effective Date 2017‑09‑08 21:26:32

Status Draft Version Label 2018

Name cdachsmcp_header_Patient Display Name Patient

Description The person or patient for whom the current document was created.

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.2.76

Label CDA‑CH‑SMCP

Classification CDA Header Level Template

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

Associated with

Associated with 14 concepts

Id	Name	Data Set
cdachsmcp-dataelement-25	Field 1.14 (Email)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-20	Field 1.9 (Tel secondaire)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-16	Field 1.5 (Date de naissance)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-13	Field 1.2 (Prénom)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-28	Field 1.17 (Communication en français)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-14	Field 1.3 (Sexe)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-27	Field 1.16 (Religion / Confession)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-12	Field 1.1 (Nom)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-26	Field 1.15 (Langue maternelle)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-21	Field 1.10 (N° AVS)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-19	Field 1.8 (Tel principal)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-18	Field 1.7 (Sans domicile fixe)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-17	Field 1.6 (Adresse du domicile)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-15	Field 1.4 (Etat civil)	DMST v3.1 - Etat de Vaud 7.8 updated

Used by / Uses

Used by 0 transactions and 1 template, Uses 3 templates

Used by	as	Name	Version
2.16.756.5.30.1.1.10.1.11	Include	Social-medical care plan V2 (2018)	2017‑08‑24 18:00:03
Uses	as	Name	Version
2.16.756.5.30.1.1.10.9.35	Containment	Address Information Compilation - eCH-0010 (2017)	DYNAMIC
2.16.756.5.30.1.1.10.2.85	Containment	Mother Tongue (2018)	DYNAMIC
2.16.756.5.30.1.1.10.2.86	Containment	French Communication (2018)	DYNAMIC

Relationship Specialization: template 2.16.756.5.30.1.1.10.2.1 (DYNAMIC)
Specialization: template 2.16.840.1.113883.10.12.101 (2005‑09‑07)

Example

Sample patient

<recordTarget> <templateId root="2.16.756.5.30.1.1.10.2.76"/> <templateId root="2.16.756.5.30.1.1.10.2.1"/> <patientRole> <id extension="898989" root="2.999"/> <addr use="HP"> <streetName>Leidensweg</streetName> <houseNumber>10</houseNumber> <postalCode>9876</postalCode> <city>Specimendorf</city> <country>CH</country> </addr> <telecom use="HP" value="tel:+41.32.685.12.34"/> <telecom use="PUB" value="mailto:sesuna.tigrinja@sampledomain.ch"/> <patient> <name> <given>Sesuna</given> <family>Tigrinja</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="20000404"/> </patient> <providerOrganization> <id extension="7608888888888" root="1.3.88"/> <name>Gruppenpraxis CH, Dr. med. Allzeit Bereit</name> </providerOrganization> </patientRole></recordTarget>

Item DT Card Conf Description Label

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

hl7:templateId II 1 … 1 M CDA-SMCP

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.2.76

hl7:templateId II 1 … 1 M CDA-SMCP

@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-SMCP

Schematron assert role error

test hl7:telecom[starts-with(@value,"tel:") and @use='HP']

Message The patient's primary telephone number is required.

hl7:id II 1 … 1 R The patient's SSN MUST be declared. CDA-SMCP

@root uid 1 … 1 F 2.16.756.5.32

MUST contain the OID of the Swiss SSN.

@extension st 1 … 1 R MUST contain the SSN itself.


	cdachsmcp-dataelement-21	Field 1.10 (N° AVS)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:id II 0 … * Other patient identifications SHALL be declared, if known. CDA-SMCP

@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 1 … 1 R MUST contain the patient number itself. The number MUST be unique within the system that has issued the number.

hl7:addr AD 1 … 1 R The patient's home address MUST be declared.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC) CDA-SMCP


	cdachsmcp-dataelement-17	Field 1.6 (Adresse du domicile)	DMST v3.1 - Etat de Vaud 7.8 updated

@nullFlavor cs 0 … 1 F NI


	cdachsmcp-dataelement-18	Field 1.7 (Sans domicile fixe)	DMST v3.1 - Etat de Vaud 7.8 updated

@use set_cs 1 … 1 F HP

Schematron assert role error

test not(@nullFlavor='NI') or (@use='HP')

Message Either a valid home address or @nullFlavor="NI" (homeless) is required.

hl7:addr AD 0 … * Other patient addresses CAN be declared if this is helpful for the recipient.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC) CDA-SMCP

hl7:telecom TEL 1 … * R Means of communication of the patient (phone, eMail, ...). CDA-SMCP


cdachsmcp-dataelement-25	Field 1.14 (Email)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-20	Field 1.9 (Tel secondaire)	DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-19	Field 1.8 (Tel principal)	DMST v3.1 - Etat de Vaud 7.8 updated

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

hl7:name PN 1 … * R The patient's name MUST be declared. CDA-SMCP

hl7:family ENXP 1 … 1 R The patient's family name. CDA-SMCP


	cdachsmcp-dataelement-12	Field 1.1 (Nom)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:given ENXP 1 … 1 R The patient's given name. CDA-SMCP


	cdachsmcp-dataelement-13	Field 1.2 (Prénom)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:administrativeGenderCode CE 1 … 1 R The patient's gender according to the Swiss EPR XDS.b metadata. CDA-SMCP


	cdachsmcp-dataelement-14	Field 1.3 (Sexe)	DMST v3.1 - Etat de Vaud 7.8 updated

CONF

The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.25 EprGender (DYNAMIC)

hl7:birthTime TS 1 … 1 R The patient's birthdate MUST be declared. CDA-SMCP


	cdachsmcp-dataelement-16	Field 1.5 (Date de naissance)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:maritalStatusCode CE 0 … 1 The patient's marital status CAN be declared. CDA-SMCP


	cdachsmcp-dataelement-15	Field 1.4 (Etat civil)	DMST v3.1 - Etat de Vaud 7.8 updated

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 MaritalStatus (DYNAMIC)

hl7:religiousAffiliationCode CE 0 … 1 The patient's religion CAN be declared. CDA-SMCP

@nullFlavor cs 1 … 1 F OTH

hl7:originalText ED 1 … 1 R Religion and/or confession of the patient as plain text. CDA-SMCP


	cdachsmcp-dataelement-27	Field 1.16 (Religion / Confession)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:languageCommunication 0 … 1 The patient's mother tonge.
Contains 2.16.756.5.30.1.1.10.2.85 Mother Tongue (DYNAMIC) CDA-SMCP

where [hl7:templateId [@root = '2.16.756.5.30.1.1.10.2.85'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.2.39'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.2.1']]


	cdachsmcp-dataelement-26	Field 1.15 (Langue maternelle)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:languageCommunication 0 … 1 The patient's capabilities in French communication.
Contains 2.16.756.5.30.1.1.10.2.86 French Communication (DYNAMIC) CDA-SMCP

where [hl7:templateId [@root = '2.16.756.5.30.1.1.10.2.86'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.2.39'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.2.1']]


	cdachsmcp-dataelement-28	Field 1.17 (Communication en français)	DMST v3.1 - Etat de Vaud 7.8 updated

hl7:languageCommunication 0 … * Other patient's language skills CAN be declared. CDA-SMCP

hl7:languageCode CS 0 … 1 CDA-SMCP

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)

hl7:modeCode CE 0 … 1 CDA-SMCP

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)

hl7:proficiencyLevelCode CE 0 … 1 CDA-SMCP

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)

hl7:preferenceInd BL 0 … 1 CDA-SMCP

Template Patient