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ref Template  Case Identification

Id 2.16.756.5.30.1.1.10.4.15
ref
ch-palm-
 		Effective Date 2017‑06‑21
Status pending Under pre-publication review Version Label 2017
Name chpalm_entry_CaseIdentification Display Name Case Identification
Description If an examination belongs to a specific case, this CAN be documented with this element (in the Notification Organizer).
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.15
Label IHE PalM TF3 Rev.8, 6.3.4.9
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 7 templates, Uses 0 templates
Used by as Name Version
2.16.756.5.30.1.1.10.4.13 Containment pending Notification Organizer (2017) 2017‑06‑21
2.16.756.5.30.1.1.10.4.4 link pending Laboratory Report Data Processing Entry (2017) 2017‑06‑21
2.16.756.5.30.1.1.10.3.3 link pending Laboratory Speciality Section - coded (2017) 2017‑06‑21
2.16.756.5.30.1.1.10.1.17 link pending Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 link pending Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 link pending Vaccination Record (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.3.5 link pending Laboratory Report Item Section - coded (2017) 2017‑06‑21
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.3.1.1.2 (2008‑08‑08)
Example
XD-LAB Example
<observation classCode="CASE" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.1.1.2"/>  <templateId root="2.16.756.5.30.1.1.10.4.15"/>  <id root="1.3.6.1.4.1.19376.1.3.4" extension="SALM_83747"/>  <code code="416341003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Case Started"/>  <statusCode code="completed"/>  <effectiveTime value="20080408000000.0000-0400"/>  <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Salmonella"/></observation>
Item DT Card Conf Description Label
hl7:observation
 IHE PalM TF3 Rev.8, 6.3.4.9
@classCode
 cs 1 … 1 F CASE
@moodCode
 cs 1 … 1 F EVN
hl7:templateId
 II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.9
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1.1.2
hl7:templateId
 II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.9
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.4.15
hl7:id
 II 1 … * R The number of the case to which the examinations belong in this section MUST be declared. Multiple case numbers CAN be specified. IHE PalM TF3 Rev.8, 6.3.4.9
@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 case identification itself. The case identification MUST be unique within the system that issued the ID.
hl7:code
 CE 1 … 1 R The type of the case MUST be declared with 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. IHE PalM TF3 Rev.8, 6.3.4.9
@code
 cs 1 … 1 R The code MUST be specified.
@codeSystem
 oid 1 … 1 R The OID of the code system MUST be specified.
@codeSystemName
 st 1 … 1 R The name of the code system MUST be specified for tracking purposes. However, processing is NOT ALLOWED.
@displayName
 st 1 … 1 R 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.
hl7:statusCode
 CS 1 … 1 M

The status 'completed' means the patient has been associated with the given case number.

The status 'aborted' means the patient was associated with the case number in error.

 IHE PalM TF3 Rev.8, 6.3.4.9
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 ActStatusAbortedCompleted (DYNAMIC)
hl7:effectiveTime
 IVL_TS.CH.TZ 0 … 1 MAY contain the period of validity of the case. IHE PalM TF3 Rev.8, 6.3.4.9
hl7:low
 TS.CH.TZ 1 … 1 R Start of the period. If it is not known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9
hl7:high
 TS.CH.TZ 1 … 1 R End of the period. If it is not known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9
hl7:value
 CE 1 … 1 R A not further specified precision of the case MUST be declared according to XD-LAB with data type 'CE'. If no further precision is known, nullFavor='UNK' MUST be used. IHE PalM TF3 Rev.8, 6.3.4.9
  Schematron assert role red error  
  test (@xsi:type='CE' and @code and @codeSystem) or (@nullFlavor='UNK')  
  Message Either a code with its code system or nullFlavor='UNK' is required.