2.16.840.1.113883.10.22.2.1

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1 Template IPSCDArecordTarget

1.1 Aktuelle Version

Id	2.16.840.1.113883.10.22.2.1	Gültigkeit ab	2021‑09‑02 12:10:24
Status	Entwurf	Versions-Label	2021
Name	IPSCDArecordTarget	Bezeichnung	IPS CDA recordTarget
Beschreibung The recordTarget records the administrative and demographic data of the patient whose health information is described by the clinical document; each recordTarget must contain at least one patientRole element.
Klassifikation	CDA Header Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit	Assoziiert mit 9 Konzepte Id Name Datensatz hl7ips-data​element-100  Telecoms  CEN/TC 251 prEN 17269 hl7ips-data​element-135  Patient’s preferred language  CEN/TC 251 prEN 17269 hl7ips-data​element-162  Address  CEN/TC 251 prEN 17269 hl7ips-data​element-2.1  Patient Attributes  CEN/TC 251 prEN 17269 hl7ips-data​element-202  Healthcare related Identifiers  CEN/TC 251 prEN 17269 hl7ips-data​element-3  Patient's name  CEN/TC 251 prEN 17269 hl7ips-data​element-4  Administrative gender  CEN/TC 251 prEN 17269 hl7ips-data​element-5  Date of birth  CEN/TC 251 prEN 17269 hl7ips-data​element-7  Insurance identifier  CEN/TC 251 prEN 17269
Benutzt	Benutzt 1 Template Benutzt als Name Version 2.16.840.1.113883.10.22.11 Inklusion IPS Address (STU1) DYNAMIC
Beziehung	Version: Template 2.16.840.1.113883.10.22.2.1 IPS CDA recordTarget (2020‑07‑14 16:56:08) ref hl7ips- Adaptation: Template 2.16.840.1.113883.3.1937.777.11.10.100 epSOS CDA recordTarget (2013‑12‑20) ref epsos- Adaptation: Template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07) ref ad1bbr-
Beispiel	Beispiel <recordTarget typeCode="RCT" contextControlCode="OP">   <patientRole classCode="PAT">     <id root="1.2.3.999" extension="__example only__"/>    <addr>       <streetAddressLine>HSE M CASSAR STR</streetAddressLine>      <city>ISLA</city>      <country>MT</country>    </addr>    <telecom use="HP" value="tel:+356124567891"/>    <telecom use="WP" value="mailto:elif@foo.too.mt"/>    <patient>       <name>         <family>BORG</family>        <given>TANIA</given>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>      <birthTime value="19430130"/>      <!-- Optional guardian information ; see example below-->       <!-- Optional languageCommunication information see example below -->     </patient>  </patientRole></recordTarget>
Item DT Kard Konf Beschreibung Label hl7:recordTarget 1 … * R @typeCode cs 0 … 1 F RCT @context​Control​Code cs 0 … 1 F OP   Beispiel <recordTarget typeCode="RCT" contextControlCode="OP">   <patientRole classCode="PAT">     <id root="1.2.3.999" extension="__example only__"/>    <addr>       <streetAddressLine>HSE M CASSAR STR</streetAddressLine>      <city>ISLA</city>      <country>MT</country>    </addr>    <telecom use="HP" value="tel:+356124567891"/>    <telecom use="WP" value="mailto:elif@foo.too.mt"/>    <patient>       <name>         <family>BORG</family>        <given>TANIA</given>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>      <birthTime value="19430130"/>      <!-- Optional guardian information ; see example below-->       <!-- Optional languageCommunication information see example below -->     </patient>  </patientRole></recordTarget> hl7:patientRole 1 … 1 M   hl7ips-data​element-2.1  Patient Attributes  CEN/TC 251 prEN 17269 @classCode cs 0 … 1 F PAT hl7:id II 1 … * R Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number)   hl7ips-data​element-202  Healthcare related Identifiers  CEN/TC 251 prEN 17269 hl7ips-data​element-7  Insurance identifier  CEN/TC 251 prEN 17269 hl7:addr AD.IPS 1 … * R The patient address.   hl7ips-data​element-162  Address  CEN/TC 251 prEN 17269   Constraint When used for cross-border exchange the country address part has to be provided. Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) @use set_cs 0 … 1     CONF Der Wert von @use MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01) @nullFlavor cs 0 … 1 F NI   Constraint SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.   Schematron assert role  error     test @nullFlavor or hl7:*     Meldung If addr is not nullflavored at least one sub element has to be provided   hl7:streetAddressLine ADXP 0 … * C Subject's or Organization's Street Address Line   Schematron assert role  error     test hl7:streetAddressLine and (hl7:city or hl7:postalCode)     Meldung If the address line is included either the city or the zip code has to be provided   hl7:city ADXP 0 … 1 C Subject's or Organization's City hl7:postalCode ADXP 0 … 1 C Subject's or Organization's Postal Code hl7:state ADXP 0 … 1 C Subject's or Organization's State or Province hl7:country ADXP 0 … 1 C Subject's Country.   Constraint The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. hl7:telecom TEL 1 … * R Patient’s telecom information : e.g. telephone number, e-mail address.    hl7ips-data​element-100  Telecoms  CEN/TC 251 prEN 17269 @use set_cs 0 … 1     CONF Der Wert von @use MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.   Beispiel <telecom use="HP" value="tel:+356124567891"/>   Beispiel <telecom use="WP" value="mailto:elif@foo.too.mt"/>   Beispiel <telecom nullFlavor="NI"/> hl7:patient 1 … 1 M @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE   Beispiel Japanese example (Person Name) <patient>   <name use="IDE">     <family>木村</family>    <given>通男</given>  </name>  <name use="SYL">     <family>きむら</family>    <given>みちお</given>  </name>  <name use="ABC">     <family>KIMURA</family>    <given>MICHIO</given>  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/>  <birthTime nullFlavor="UNK"/></patient> hl7:name PN 1 … * M Patient Name   hl7ips-data​element-3  Patient's name  CEN/TC 251 prEN 17269   Constraint The Alphabetic representation of the name SHALL be always provided hl7:family 1 … * R Patient's Family Name/Surname hl7:given 1 … * R Patient's Given Name hl7:administrative​Gender​Code CE.IPS 1 … 1 R Patient's Gender   hl7ips-data​element-4  Administrative gender  CEN/TC 251 prEN 17269 @nullFlavor cs 0 … 1 F UNK   CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)   Beispiel <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female">   <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode> hl7:birthTime TS 1 … 1 R Patient's Date of Birth. The patient date of birth may be a partial date such as only the year.   hl7ips-data​element-5  Date of birth  CEN/TC 251 prEN 17269 hl7:guardian 0 … * R The guardians of a patient. Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact. @classCode cs 1 … 1 F GUARD   Beispiel <guardian classCode="GUARD">   <code code="AUNT" displayName="tante" codeSystem="2.16.840.1.113883.5.111"/>  <addr nullFlavor="NI"/>  <telecom use="MC" value="tel:+33-12345678"/>  <guardianPerson>     <name>       <family>Curie</family>      <given>Marie</given>    </name>  </guardianPerson></guardian> hl7:code CD.IPS 0 … 1 R The relationship between the patient and the guardian or other contact may be recorded in the element.    CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19563 PersonalRelationshipRoleType (DYNAMIC) hl7:addr AD.IPS 1 … * R   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. Eingefügt von 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) @use set_cs 0 … 1     CONF Der Wert von @use MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.10637 PostalAddressUse (2005‑05‑01) @nullFlavor cs 0 … 1 F NI   Constraint SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.   Schematron assert role  error     test @nullFlavor or hl7:*     Meldung If addr is not nullflavored at least one sub element has to be provided   hl7:streetAddressLine ADXP 0 … * C Subject's or Organization's Street Address Line   Schematron assert role  error     test hl7:streetAddressLine and (hl7:city or hl7:postalCode)     Meldung If the address line is included either the city or the zip code has to be provided   hl7:city ADXP 0 … 1 C Subject's or Organization's City hl7:postalCode ADXP 0 … 1 C Subject's or Organization's Postal Code hl7:state ADXP 0 … 1 C Subject's or Organization's State or Province hl7:country ADXP 0 … 1 C Subject's Country.   Constraint The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300  DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. hl7:telecom TEL 1 … * R Guardian’s telecom information: e.g. telephone number; e-mail address.  @use set_cs 0 … 1     CONF Der Wert von @use MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.201 TelecommunicationAddressUse (DYNAMIC) @nullFlavor cs 0 … 1 F NI   Constraint If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present. hl7:guardian​Person 1 … 1 R hl7:name PN 1 … * R Patient Guardian's Name hl7:family ENXP 1 … * R Patient Guardian's Family Name/Surname hl7:given ENXP 1 … * R Patient Guardian's Given Name hl7:language​Communication 0 … * R hl7:language​Code CS 1 … 1 R Patient’s language   hl7ips-data​element-135  Patient’s preferred language  CEN/TC 251 prEN 17269   Constraint The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted   CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.4.642.3.21 All Languages (DYNAMIC)   Beispiel British English <languageCode code="en-GB"/>   Beispiel Amurdak (Australia) <languageCode code="amg-AU"/>   Schematron assert role  error     test matches(@code,'[a-z]{2,3}-[A-Z]{2,3}')     Meldung The language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code)

1.2 Zusammenstellung aller Versionen dieses Templates

• 2021-09-02 12:10:24 (In Entwicklung)