Template 1.3.6.1.4.1.12559.11.10.1.3.1.1.10 - eHDSIOrCDMedicalImagingReport

Template eHDSI OrCD Medical Imaging Report

Id 1.3.6.1.4.1.12559.11.10.1.3.1.1.10 Effective Date 2020‑11‑30 16:12:00

Status Active Version Label

Name eHDSIOrCDMedicalImagingReport Display Name eHDSI OrCD Medical Imaging Report

Description

eHDSI OrCD Medical Imaging Report

One of the authorized Original Clinical Documents. The Original Clinical Document is attached in unstructed format in the body. The coded header contains metadata related to the document.

Context Pathname /

Classification CDA Document Level Template

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

Used by / Uses

Used by 0 transactions and 0 templates, Uses 8 templates

Uses	as	Name	Version
2.16.840.1.113883.3.1937.777.11.10.110	Include	eHDSI Id	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.108	Include	eHDSI SetId	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.100	Include	eHDSI RecordTarget	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.102	Include	eHDSI Author	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.104	Include	eHDSI Custodian	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.109	Include	eHDSI LegalAuthenticator	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.105	Include	eHDSI DocumentationOf	DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.107	Include	eHDSI RelatedDocument	DYNAMIC

XML overview

Scenario	Transaction	Transaction
OrCD Medical Imaging Report	Request OrCD Medical Imaging Report/Return OrCD Medical Imaging Report	Return OrCD Medical Imaging Report of country A	HTML (Transaction) HTML (Data Set) XML

Item DT Card Conf Description Label

hl7:ClinicalDocument R CDA header (eHDort)

Schematron assert role error

test not(@xsi:schemaLocation)

Message While the XML Schema Language allows a schema location to be associated with an XML document by including a schemaLocation attribute associated with the http://www.w3.org/2001/XMLSchema-instance namespace, this is explicitly PROHIBITED by [ITS§1.4], and thus by the CDA standard.

hl7:realmCode CS 0 … 1 R (eHDort)

hl7:typeId

II.EPSOS

1 … 1

The clinical document typeId identifies the constraints imposed by CDA R2 on the content, essentially acting as a version identifier.

The @root and @extension values of this element are specified as shown in the example below.

(eHDort)

@root uid 1 … 1 F 2.16.840.1.113883.1.3

@extension st 1 … 1 F POCD_HD000040

Example <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>

hl7:templateId II 1 … 1 M eHDSI OrCD Medical Imaging Report (eHDort)

@root uid 1 … 1 F 1.3.6.1.4.1.12559.11.10.1.3.1.1.10

Included 1 … 1 M from 2.16.840.1.113883.3.1937.777.11.10.110 eHDSI Id (DYNAMIC)

hl7:id

1 … 1

Unique identifier of this instance of the clinical document.

Following attributes can be used to uniquely identify the instance:

@root: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. Required if @nullFlavor is not present.
@extension: An optional character string as a unique identifier within the scope of the identifier root.

The @root attribute must be a UID. The allowable formats and values and procedures of this data type are strictly controlled by HL7. At this time, user-assigned identifiers may be certain character representations of ISO Object Identifiers (OID) and DCE Universally Unique Identifiers (UUID).

UUIDs SHALL be represented in the form XXXXXXXX-XXXX-XXXX-XXXX-XXXXXXXXXXXX, where each X is a character from the set [0-9a-zA-Z].
OIDs SHALL be represented in dotted decimal notation, where each decimal number is either 0, or starts with a nonzero digit. More formally, an OID SHALL be in the form [0-2](\.(0|[1-9][0-9]*))*.

R1.11.3


	epsos-dataelement-176	Identification	epSOS Data Set

Example <id extension="a621" root="2.16.840.1.113883.3.1937.777.11.9999"/>

hl7:code CV.EPSOS 1 … 1 M Determines the document type "eHDSI OrCD Medical Imaging Report" R1.11.6

@displayName 1 … 1 R

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.54 eHDSIMedicalImagingReportType (DYNAMIC)

Example <code code="18748-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnostic imaging study"/>

hl7:title ST 1 … 1 M ClinicalDocument/title is used for display purposes. R1.11.7

Example <title>eHDSI OrCD Medical Imaging Report Maria Bakker November 30, 2020</title>

hl7:effectiveTime

TS.EPSOS.TZ

1 … 1

The creation time of the original Medical Image Report.

if the embedded document is a print of an existing electronic report, it is the creation time of the Medical Image Report the pdf is generated from.

R1.11.1

Example <effectiveTime value="20201130161200+0200"/>

hl7:confidentialityCode CE.EPSOS 1 … 1 R ClinicalDocument/confidentialityCode shall be present in accordance with the HL7 CDA R2 standard. R1.11.8

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.31 eHDSIConfidentiality (DYNAMIC)

Example <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>

hl7:languageCode

1 … 1

Document Language Code

The language code SHALL be in the form nn-CC.
The nn portion SHALL be an ISO-639-1 language code in lower case.
The CC portion SHALL be an ISO-3166 country code in upper case.

R.11.10

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.6 eHDSILanguage (DYNAMIC)

Example <languageCode code="en-GB"/>

Schematron assert role error

test matches(@code,'[a-z]{2}-[A-Z]{2}')

Message The language code SHALL be in the form nn-CC (where nn is ISO-639-1 language code and CC is ISO-3166 country code)

Included 0 … 1 from 2.16.840.1.113883.3.1937.777.11.10.108 eHDSI SetId (DYNAMIC)

hl7:setId

0 … 1

This identifier is used to link together different versions of the same document: the CDA L3 document, the CDA PDF embedded document and the version in the national infrastructure.

(eHDort)

hl7:versionNumber 0 … 1 R (eHDort)

Included 1 … 1 M from 2.16.840.1.113883.3.1937.777.11.10.100 eHDSI RecordTarget (DYNAMIC)

hl7:recordTarget 1 … 1 M (eHDort)


	epsos-dataelement-5	Patient Data	epSOS Data Set

@typeCode cs 0 … 1 F RCT

@contextControlCode cs 0 … 1 F OP

hl7:patientRole 1 … 1 M (eHDort)


	epsos-dataelement-26	Contact Information	epSOS Data Set

@classCode cs 0 … 1 F PAT

hl7:id II.EPSOS 1 … * R Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number) R1.4 / R1.4.1 / R1.4.2


epsos-dataelement-235	Other Identifier	epSOS Data Set
epsos-dataelement-7	National Health Care patient ID (country of affiliation)	epSOS Data Set
epsos-dataelement-234	National Health Care patient ID (country of treatment)	epSOS Data Set
epsos-dataelement-6	Identification	epSOS Data Set

hl7:addr AD.EPSOS 1 … 1 R The patient address element is required. 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. R1.5


	epsos-dataelement-27	Address	epSOS Data Set

@nullFlavor cs 0 … 1 F NI

hl7:streetAddressLine 0 … * R Patient's Number of Street/Patient's Number of Street R1.5.1 / R1.5.2


epsos-dataelement-51	Street	epSOS Data Set
epsos-dataelement-52	Number of Street	epSOS Data Set

hl7:city 0 … 1 R Patient's City R1.5.3


	epsos-dataelement-55	City	epSOS Data Set

hl7:postalCode 0 … 1 R Patient's Postal Code R1.5.4


	epsos-dataelement-53	Postal Code	epSOS Data Set

hl7:state 0 … 1 R Patient's State or Province R1.5.5


	epsos-dataelement-56	State or Province	epSOS Data Set

hl7:country 0 … 1 R Patient's Country. When used addr.country it is always bound to the eHDSICountry value set R1.5.6


	epsos-dataelement-54	Country	epSOS Data Set

Constraint The content of this element SHALL be selected from ValueSet eHDSICountry urn:oid:1.3.6.1.4.1.12559.11.10.1.3.1.42.4

hl7:telecom TEL 1 … * R Patient’s telephone number / Patient e-mail address. The patient telephone or e-mail element is required. 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 Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements. R1.6.1 / R1.6.2


epsos-dataelement-28	Telephone No	epSOS Data Set
epsos-dataelement-300	Telecom	epSOS Data Set
epsos-dataelement-29	Email	epSOS Data Set

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

hl7:patient 1 … 1 M (eHDort)


	epsos-dataelement-8	Personal Information	epSOS Data Set

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … * M Patient Name R1.1


	epsos-dataelement-9	Full Name	epSOS Data Set

hl7:family 1 … * M Patient's Family Name/Surname R1.1.1


	epsos-dataelement-13	Family Name/Surname	epSOS Data Set

hl7:prefix 0 … * R Patient's Prefix R1.1.2


	epsos-dataelement-263	Prefix	epSOS Data Set

Constraint If the attribute qualifier is used for this element it should be derived from epSOSEntityNamePartQualifier 2.16.840.1.113883.5.43

hl7:given 1 … * M Patient's Given Name R1.1.3


	epsos-dataelement-12	Given name	epSOS Data Set

hl7:administrativeGenderCode CE.EPSOS 1 … 1 R Patient's Gender R1.2


	epsos-dataelement-11	Gender	epSOS Data Set

@nullFlavor cs 0 … 1 F UNK

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.34 eHDSIAdministrativeGender (DYNAMIC)

hl7:birthTime TS 1 … 1 M Patient's Date of Birth. The patient date of birth may be a partial date such as only the year. R1.3


	epsos-dataelement-10	Date of Birth	epSOS Data Set

hl7:guardian

0 … *

The guardians of a patient shall be recorded in the <guardian> element beneath the /ClinicalDocument/recordTarget/patientRole/patient XML - <patient> element. Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact.

The relationship between the patient and the guardian or other contact should be recorded in the <code> element. The code attribute is required and comes from the HL7 PersonalRelationshipRoleType vocabulary (eHDSIPersonalRelationship value set).

The address of the guardian or other contact should be present, and shall be represented, as any other address would be in CDA.

The phone number of the guardian or other contact should be present, and shall be represented, as any other phone number would be in CDA.

The name of the guardian or other contact shall be present, and shall be represented, as any other name would be in CDA.

R1.7.A

@classCode cs 1 … 1 F GUARD

@nullFlavor cs 0 … 1 Use nullFlavor if unknown or if no information is applicable

Example <guardian classCode="GUARD">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.2.4"/> <addr>
<streetAddressLine>2222 Home Street</streetAddressLine> <city>London</city> <state>London</state> <postalCode>A1B 2C3</postalCode> <country>UK</country> </addr> <telecom value="tel:+452070256161"/> <telecom value="mailto:jsmith@myprovider.co.uk"/> <guardianPerson>
<name>
<given>John</given> <family>Español Smith</family> </name> </guardianPerson></guardian>

hl7:templateId II.EPSOS 1 … 1 M Template id for IHE PCC Patient Contacts R1.7.A

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.2.4

hl7:addr AD.EPSOS 1 … 1 R The guardian’s address element is required. 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 R1.7.A

@nullFlavor cs 0 … 1 F NI

hl7:streetAddressLine 0 … * R Guardian's Number of Street/Guardian's Number of Street R1.7.3.2

hl7:city 0 … 1 R Guardian's City R1.7.3.3

hl7:postalCode 0 … 1 R Guardian's Postal Code R1.7.3.4

hl7:state 0 … 1 R Guardian's State or Province R1.7.3.5

hl7:country 0 … 1 R Guardian's Country. When used addr.country it is always bound to the eHDSICountry value set R1.7.3.6

Constraint The content of this element SHALL be selected from ValueSet eHDSICountry urn:oid:1.3.6.1.4.1.12559.11.10.1.3.1.42.4

hl7:telecom TEL 1 … * R Guardian’s telephone number / Patient e-mail address. The guardian telephone or e-mail element is required. 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 Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements. R1.7.4.2


	epsos-dataelement-39	Telephone No	epSOS Data Set

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

hl7:guardianPerson 1 … 1 R R1.7.A


	epsos-dataelement-34	Contact Person/legal guardian	epSOS Data Set

hl7:name PN 1 … * R Patient Guardian's Name IHE PCC


	epsos-dataelement-36	Full Name	epSOS Data Set

Choice

2 … *

Elements to choose from:

hl7:family
hl7:given

hl7:family 1 … * R Patient Guardian's Family Name/Surname R1.7.A.1


	epsos-dataelement-38	Family Name/Surname	epSOS Data Set

hl7:given 1 … * R Patient Guardian's Given Name R1.7.A.2


	epsos-dataelement-37	Given Name	epSOS Data Set

hl7:languageCommunication 0 … * R This element is derived from the IHE template LanguageCommunication (1.3.6.1.4.1.19376.1.5.3.1.2.1), however this template does not need the element preferenceInd because the language is already said to be the "preferred language". (eHDort)

hl7:languageCode

1 … 1

Patient’s preferred language

The language code SHALL be in the form nn-CC.
The nn portion SHALL be an ISO-639-1 language code in lower case derived by the Value Set eHDSILanguage.
The CC portion SHALL be an ISO-3166 country code in upper case derived by the value Set eHDSICountry.

R1.7

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.6 eHDSILanguage (DYNAMIC)

Example <languageCode code="en-GB"/>

Schematron assert role error

test matches(@code,'[a-z]{2}-[A-Z]{2}')

Message The language code SHALL be in the form nn-CC where nn is ISO-639-1 eHDSILanguage and CC is ISO-3166 eHDSICountry

Included 1 … * M from 2.16.840.1.113883.3.1937.777.11.10.102 eHDSI Author (DYNAMIC)

hl7:author 1 … * M (eHDort)


	epsos-dataelement-67	Author	epSOS Data Set

@typeCode cs 0 … 1 F AUT

@contextControlCode cs 0 … 1 F OP

hl7:functionCode CE.EPSOS 0 … 1 R R1.10.6


	epsos-dataelement-180	Author Role	epSOS Data Set

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 eHDSIHealthcareProfessionalRole (DYNAMIC)

hl7:time TS.EPSOS.TZ 1 … 1 R The author/time element represents the start time of the author’s participation in the creation of the clinical document. The author/time element SHALL be present. (eHDort)

hl7:assignedAuthor 1 … 1 M (eHDort)

@classCode cs 0 … 1 F ASSIGNED

hl7:id II.EPSOS 1 … * R Identification of the Healthcare Practitioner that is the author of this document or identification of an authoring device which generated this document. R1.10.5


	epsos-dataelement-22	Author Identification	epSOS Data Set

@nullFlavor cs 0 … 1 F NA

hl7:code CE.EPSOS 0 … 1 R HP Specialty R1.10.7

hl7:addr AD.EPSOS 1 … * R IHE PCC

hl7:telecom TEL.EPSOS 1 … * R Telephone or e-mail <telecom> element is required.

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.

Attribute @value SHALL contain a URI if element telecom is used. The URI scheme SHALL be one of URLScheme. IHE PCC / R1.10.8 / R1.10.8.1 / R1.10.8.2

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

Choice

1 … 1

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice containing template 2.16.840.1.113883.3.1937.777.11.10.129 eHDSI Device (DYNAMIC)

hl7:assignedPerson 0 … 1 C (eHDort)

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … 1 R HP Name IHE PCC


	epsos-dataelement-19	Author Full Name	epSOS Data Set

Example <name>
<given>John</given> <family>Español Smith</family></name>

hl7:family 1 … * M HP Family Name/Surname R1.10.1


	epsos-dataelement-21	Family Name/Surname	epSOS Data Set

hl7:given 1 … * M HP Given Name R1.10.2


	epsos-dataelement-20	Given Name	epSOS Data Set

hl7:prefix 0 … * R HP Prefix R1.10.3


	epsos-dataelement-273	Prefix	epSOS Data Set

hl7:suffix 0 … * R HP Suffix R1.10.4


	epsos-dataelement-274	Suffix	epSOS Data Set

hl7:assignedAuthoringDevice 0 … 1 C Contains 2.16.840.1.113883.3.1937.777.11.10.129 eHDSI Device (DYNAMIC) (eHDort)

hl7:representedOrganization 1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 eHDSI Organization (DYNAMIC) R1.10.9


	epsos-dataelement-23	Author Healthcare Facility	epSOS Data Set

Included 1 … 1 M from 2.16.840.1.113883.3.1937.777.11.10.104 eHDSI Custodian (DYNAMIC)

hl7:custodian 1 … 1 M This elements r epresents the organization that is in charge of maintaining the document. (eHDort)

@typeCode cs 0 … 1 F CST

hl7:assignedCustodian 1 … 1 R (eHDort)

@classCode cs 0 … 1 F ASSIGNED

hl7:representedCustodianOrganization 1 … 1 R (eHDort)

@classCode cs 0 … 1 F ORG

@determinerCode cs 0 … 1 F INSTANCE

hl7:id II.EPSOS 1 … 1 R Custodian organization Id (eHDort)

@nullFlavor cs 0 … 1

hl7:name ON 1 … 1 R Custodian organization Name (eHDort)

@nullFlavor cs 0 … 1

hl7:telecom

TEL

1 … 1

Custodian organization Telecom

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.

Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements.

(eHDort)

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

Example <telecom use="WP" value="tel:+45 20 7025 6161"/>

hl7:addr AD.EPSOS 1 … 1 R Custodian Organization Address (eHDort)

Schematron assert role error

test @nullFlavor or hl7:*

Message If addr is not nullflavored at least one sub element has to be provided

hl7:streetAddressLine 0 … * R Street/Number of Street (eHDort)

hl7:city 0 … 1 R City (eHDort)

hl7:postalCode 0 … 1 R Postal Code (eHDort)

hl7:state 0 … 1 R State or Province (eHDort)

hl7:country 1 … 1 R Country. When used addr.country it is always bound to the eHDSICountry value set. (eHDort)

Constraint The content of this element SHALL be selected from ValueSet eHDSICountry urn:oid:1.3.6.1.4.1.12559.11.10.1.3.1.42.4

Included 0 … 1 from 2.16.840.1.113883.3.1937.777.11.10.109 eHDSI LegalAuthenticator (DYNAMIC)

hl7:legalAuthenticator 0 … 1 R The person taking responsibility for the medical content of the document. In Spain this is the regional authority in healthcare. This regional authority healthcare organization will send this to the NCP. The definition of the legal authenticator may vary accoriding to the rules set up in the framework agreement particular to each state. It may be a person or a regional authority, or an NCP. R1.11.9

hl7:time TS.EPSOS.TZ 1 … 1 M Time of signing the document R1.11.9

hl7:signatureCode CS 1 … 1 R Signature code R1.11.9

@code CONF 0 … 1 F S

hl7:assignedEntity 1 … 1 M The regional authority that is responsible for the legal authentication of the CDA document R1.11.9

hl7:id 1 … 1 M Unique identification of legal authenticator R1.11.9

hl7:addr AD.EPSOS 1 … * R IHE PCC

hl7:telecom

TEL

1 … *

Legal Authenticator's Telecom

Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements.

R1.10.9.4 / R1.10.9.4.1 / R1.10.9.4.2

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

Example <telecom use="WP" value="tel:+45 20 7025 6161"/><telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/>

hl7:assignedPerson 1 … 1 R IHE PCC

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … 1 R HP Name IHE PCC

Example <name>
<given>John</given> <family>Español Smith</family></name>

hl7:family 1 … * M HP Family Name/Surname R1.10.1

hl7:given 1 … * M HP Given Name R1.10.2

hl7:prefix 0 … * R HP Prefix R1.10.3

hl7:suffix 0 … * R HP Suffix R1.10.4

hl7:representedOrganization 1 … 1 M Contains 2.16.840.1.113883.3.1937.777.11.10.111 eHDSI Organization (DYNAMIC) R1.11.9

Included 0 … 1 from 2.16.840.1.113883.3.1937.777.11.10.105 eHDSI DocumentationOf (DYNAMIC)

hl7:documentationOf 0 … 1 R (eHDort)

@typeCode cs 1 … 1 F DOC

hl7:serviceEvent 1 … 1 R (eHDort)

@classCode cs 1 … 1 F ACT

@moodCode cs 1 … 1 F EVN

hl7:id II.EPSOS 0 … * R (eHDort)

hl7:code CE.EPSOS 0 … 1 R (eHDort)

hl7:effectiveTime IVL_TS 0 … 1 R (eHDort)

hl7:low TS R (eHDort)

hl7:high

Please note that with this element we don't specify any document authoring time, but when the episode of care documented by this CDA ended.

For a summary document, there is only one service event, describing the provision of care over a period of time. All information represented in the document must have occurred within the time period specified in serviceEvent/effectiveTime. Therefore this elements represents also the last effective date when the summary content has been updated (even if it may happen that this instance of the CDA has been authored later..).

As for the eP and eD the last update of the document is better represented by authoring time.

Please refers to the template "eHDSI Patient Summary" in the element description at ClinicalDocument.effectiveTime "Relevant times for the Patient Summary" for further details

R1.11.2


	epsos-dataelement-66	Date of Last Update	epSOS Data Set

hl7:performer 0 … * R R1.10

@typeCode cs 1 … 1 R

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19601 x_ServiceEventPerformer (DYNAMIC)

hl7:functionCode CE.EPSOS 0 … 1 R R1.10.6

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 eHDSIHealthcareProfessionalRole (DYNAMIC)

hl7:time IVL_TS 0 … 1 R R1.10

hl7:assignedEntity 1 … 1 R R1.10

hl7:id II.EPSOS 1 … * R HP ID number R1.10.5

hl7:code CE.EPSOS 0 … 1 R HP Specialty R1.10.7

hl7:addr AD.EPSOS 1 … * R IHE PCC

hl7:telecom

TEL

1 … *

Assigned Entity's Telecom

Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements.

R1.10.8 / R1.10.8.1 / R1.10.8.2

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 eHDSITelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

hl7:assignedPerson 0 … 1 R R1.10

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … 1 R HP Name IHE PCC

Example <name>
<given>John</given> <family>Español Smith</family></name>

Choice

2 … *

Elements to choose from:

hl7:family
hl7:given
hl7:prefix
hl7:suffix

hl7:family 1 … * R HP Family Name/Surname R1.10.1

hl7:given 1 … * R HP Given Name R1.10.2

hl7:prefix 0 … * R HP Prefix R1.10.3

hl7:suffix 0 … * R HP Suffix R1.10.4

hl7:representedOrganization 1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 eHDSI Organization (DYNAMIC) R1.10.9

Included 0 … 1 from 2.16.840.1.113883.3.1937.777.11.10.107 eHDSI RelatedDocument (DYNAMIC)

hl7:relatedDocument 0 … 1 R (eHDort)

@typeCode cs 1 … 1 F XFRM

hl7:parentDocument 1 … 1 R (eHDort)

@classCode cs 0 … 1 F DOCCLIN

@moodCode cs 0 … 1 F EVN

hl7:id II.EPSOS 1 … * R Identifier of the national version of the document. (eHDort)

hl7:code CD.EPSOS 0 … 1 R (eHDort)

@codeSystem CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)

hl7:text ED 0 … 1 R (eHDort)

hl7:setId II.EPSOS 0 … 1 R (eHDort)

hl7:versionNumber INT 0 … 1 R (eHDort)

hl7:component 1 … 1 M (eHDort)

hl7:nonXMLBody 1 … 1 M (eHDort)

@classCode cs 1 … 1 F DOCBODY

@moodCode cs 1 … 1 F EVN

hl7:text 1 … 1 M This element is used in this template to embed the PDF representation of the original document produced in the Country of Affiliation (Country A). The reference element shall never be used for this template. (eHDort)

@mediaType cs 1 … 1 F application/pdf

@representation cs 1 … 1 F B64

Constraint The encoding rules of the pdf, including the allowed pdf formats, SHALL be the same defined by the IHE XDS-SD profile

hl7:reference NP (eHDort)

Template eHDSI OrCD Medical Imaging Report