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pending Template  Original Representation Section - coded

Id 2.16.756.5.30.1.1.10.3.45 Effective Date 2018‑04‑18
Status pending Under pre-publication review Version Label 2017
Name cdach_section_OriginalRepresentationCoded Display Name Original Representation Section - coded
Description

This section MAY be used to provide the original representation of the current CDA document as it has been seen by the legal authenticator while signing.

Notes:

  • This template doesn't require PDF/A but keep in mind that only PDF/A contains all necessary information that allows to identically display the PDF on different machines.
  • To ensure that digital data remains legible in the long term, PDF/A (but not PDF) is mentioned in the allowed list of archival formats for the Swiss Federal Archives.
  • The certification requirements according to the Swiss EPR (EPRA) require PDF/A-1 oder PDF/A-2.
  • Following the recommendations of CDA-CH V2 (2017), embedding the original representation in PDF/A-1a format is therefore strongly recommended.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.45
Label CDA‑CH V2
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.14 Include active CDA-CH v2.0 - structuredBody enhanced (2018) 2018‑04‑18
Uses as Name Version
2.16.756.5.30.1.1.10.4.83 Containment pending Observation Media (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.45"/>  <code code="55108-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical presentation"/>  <title>Original representation</title>  <text>
    
Representation of the original view which has been signed by the legal authenticator:    <br/>    <renderMultiMedia referencedObject="pdf1"/>  </text>  <languageCode/>  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.83 'Observation Media' -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 Contains the original representation of the current CDA document as it has been seen by the legal authenticator while signing. CDA‑CH V2
hl7:templateId
 II 1 … 1 M CDA‑CH V2
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.45
hl7:id
 II 0 … 1 An ID for this section MAY be filled for traceability. CDA‑CH V2
@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 ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
 CE 1 … 1 M CDA‑CH V2
@code
 CONF 1 … 1 F 55108-5
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Clinical presentation
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Original Darstellung'
  • [fr]: 'Représentation originale'
  • [it]: 'Rappresentazione originale'
  • [en]: 'Original representation'
 CDA‑CH V2
  Variable let Name languageCode  
  Value substring(ancestor::hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Original Darstellung')  
  Message The German title must read 'Original Darstellung'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Représentation originale')  
  Message The French title must read 'Représentation originale'  
  Schematron assert role red error  
  test not($languageCode='it') or (text()='Rappresentazione originale')  
  Message The Italian title must read 'Rappresentazione originale'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Original representation')  
  Message The English title must read 'Original representation'  
hl7:text
 SD.TEXT 1 … 1 M MUST contain the reference (renderMultiMedia/@referencedObject) to the corrsponding observationMedia (embedded PDF) that shows the original representation signed by the legal authenticator. CDA‑CH V2
hl7:renderMultiMedia
 1 … 1 M CDA‑CH V2
@referencedObject
 1 … 1 R The reference to the corrsponding observationMedia element.
hl7:entry
 1 … 1 M Contains 2.16.756.5.30.1.1.10.4.83 Observation Media (DYNAMIC) CDA‑CH V2
treeblank where [@typeCode='DRIV'] [hl7:observationMedia [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.83']]]
@typeCode
 st 1 … 1 F DRIV
  Schematron assert role red error  
  test hl7:text/hl7:renderMultiMedia/@referencedObject=hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.5.30.1.1.10.4.83']/@ID  
  Message The referenced multimedia object MUST be declared in an entry of the same section.  
  Schematron assert role red error  
  test hl7:entry/hl7:observationMedia[hl7:templateId/@root='2.16.756.5.30.1.1.10.4.83']/hl7:value/@mediaType='application/pdf'  
  Message The referenced multimedia object MUST have the mime type set tp 'application/pdf'.