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retired 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
Other versions this id:
Status retired Retired 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 active eHDSI Id DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.108 Include active eHDSI SetId DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.100 Include active eHDSI RecordTarget DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.102 Include active eHDSI Author DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.104 Include active eHDSI Custodian DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.109 Include active eHDSI LegalAuthenticator DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.105 Include active eHDSI DocumentationOf DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.107 Include active eHDSI RelatedDocument DYNAMIC
XML overview
XML overview
Scenario doublearrow Transaction Transaction
Item DT Card Conf Description Label
hl7:ClinicalDocument
R CDA header (eHDdotsort)
  Schematron assert role red 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 (eHDdotsort)
hl7:typeId
II.EPSOS 1 … 1 M 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.

(eHDdotsort)
@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
(eHDdotsort)
@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
II 1 … 1 M

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
  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 M

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
CS 1 … 1 M

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 red 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 R

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.

(eHDdotsort)
hl7:versionNumber
0 … 1 R (eHDdotsort)
Included 1 … 1 M from 2.16.840.1.113883.3.1937.777.11.10.100 eHDSI RecordTarget (DYNAMIC)
hl7:recordTarget
1 … 1 M (eHDdotsort)
@typeCode
cs 0 … 1 F RCT
@contextControlCode
cs 0 … 1 F OP
hl7:patientRole
1 … 1 M (eHDdotsort)
@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
 
target
ehdsi-dataelement-250 draft Regional/National Health Identifier draft eHDSI Data Set
ehdsi-dataelement-356 draft Regional/National Health ID (Country of Affiliation) draft eHDSI Data Set
ehdsi-dataelement-170 draft National Healthcare Patient identifier (Country of Affiliation) draft eHDSI Data Set
ehdsi-dataelement-313 draft Social/Insurance Number draft eHDSI Data Set
ehdsi-dataelement-239 draft Social/Insurance Number draft eHDSI Data Set
ehdsi-dataelement-353 draft Insurance Number draft eHDSI Data Set
ehdsi-dataelement-316 draft Regional/National Health Identifier draft eHDSI Data Set
ehdsi-dataelement-167 draft Insurance Number draft eHDSI 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
@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
 
target
ehdsi-dataelement-342 draft Street draft eHDSI Data Set
ehdsi-dataelement-157 draft Street draft eHDSI Data Set
ehdsi-dataelement-156 draft Number of Street draft eHDSI Data Set
ehdsi-dataelement-341 draft Number of Street draft eHDSI Data Set
hl7:city
0 … 1 R Patient's City R1.5.3
 
target
ehdsi-dataelement-155 draft City draft eHDSI Data Set
ehdsi-dataelement-340 draft City draft eHDSI Data Set
hl7:postalCode
0 … 1 R Patient's Postal Code R1.5.4
 
target
ehdsi-dataelement-154 draft Postal Code draft eHDSI Data Set
ehdsi-dataelement-339 draft Postal Code draft eHDSI Data Set
hl7:state
0 … 1 R Patient's State or Province R1.5.5
 
target
ehdsi-dataelement-153 draft State or Province draft eHDSI Data Set
ehdsi-dataelement-338 draft State or Province draft eHDSI 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
 
target
ehdsi-dataelement-152 draft Country draft eHDSI Data Set
ehdsi-dataelement-337 draft Country draft eHDSI 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
 
target
ehdsi-dataelement-150 draft Telephone No draft eHDSI Data Set
ehdsi-dataelement-148 draft E-mail draft eHDSI 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 (eHDdotsort)
@classCode
cs 0 … 1 F PSN
@determinerCode
cs 0 … 1 F INSTANCE
hl7:name
PN 1 … * M Patient Name R1.1
hl7:family
1 … * M Patient's Family Name/Surname R1.1.1
 
target
ehdsi-dataelement-246 draft Family Name/Surname draft eHDSI Data Set
ehdsi-dataelement-309 draft Family Name/Surname draft eHDSI Data Set
ehdsi-dataelement-163 draft Family Name/Surname draft eHDSI Data Set
ehdsi-dataelement-349 draft Family Name/Surname draft eHDSI Data Set
hl7:prefix
0 … * R Patient's Prefix R1.1.2
  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
 
target
ehdsi-dataelement-164 draft Given Name draft eHDSI Data Set
ehdsi-dataelement-247 draft Given Name draft eHDSI Data Set
ehdsi-dataelement-310 draft Given Name draft eHDSI Data Set
ehdsi-dataelement-350 draft Given Name draft eHDSI Data Set
hl7:administrativeGenderCode
CE.EPSOS 1 … 1 R Patient's Gender R1.2
 
target
ehdsi-dataelement-244 draft Gender draft eHDSI Data Set
ehdsi-dataelement-159 draft Gender Code draft eHDSI Data Set
ehdsi-dataelement-307 draft Gender draft eHDSI Data Set
ehdsi-dataelement-344 draft Gender Code draft eHDSI 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
 
target
ehdsi-dataelement-161 draft Date of Birth draft eHDSI Data Set
ehdsi-dataelement-346 draft Date of Birth draft eHDSI Data Set
ehdsi-dataelement-242 draft Date of Birth draft eHDSI Data Set
hl7:guardian
0 … * R

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 R1.7dots.3.2
hl7:city
0 … 1 R Guardian's City R1.7dots.3.3
hl7:postalCode
0 … 1 R Guardian's Postal Code R1.7dots.3.4
hl7:state
0 … 1 R Guardian's State or Province R1.7dots.3.5
hl7:country
0 … 1 R Guardian's Country. When used addr.country it is always bound to the eHDSICountry value set R1.7dots.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. R1.7dots.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
hl7:guardianPerson
1 … 1 R R1.7.A
hl7:name
PN 1 … * R Patient Guardian's Name IHE PCC
Choice 2 … * Elements to choose from:
  • hl7:family
  • hl7:given
hl7:family
1 … * R Patient Guardian's Family Name/Surname R1.7.A.1
hl7:given
1 … * R Patient Guardian's Given Name R1.7.A.2
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". (eHDdotsort)
hl7:languageCode
CS 1 … 1 R 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 red 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 (eHDdotsort)
 
target
ehdsi-dataelement-125 draft Author and Organisation draft eHDSI Data Set
@typeCode
cs 0 … 1 F AUT
@contextControlCode
cs 0 … 1 F OP
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
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. (eHDdotsort)
hl7:assignedAuthor
1 … 1 M (eHDdotsort)
 
target
ehdsi-dataelement-123 draft Nature of the Patient Summary draft eHDSI Data Set
@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
 
target
ehdsi-dataelement-303 draft HP Identifier draft eHDSI 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
0 … 1 C (eHDdotsort)
@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
 
target
ehdsi-dataelement-299 draft Family Name/Surname draft eHDSI Data Set
hl7:given
1 … * M HP Given Name R1.10.2
 
target
ehdsi-dataelement-300 draft Given Name draft eHDSI Data Set
hl7:prefix
0 … * R HP Prefix R1.10.3
hl7:suffix
0 … * R HP Suffix R1.10.4
hl7:assignedAuthoringDevice
0 … 1 C Contains 2.16.840.1.113883.3.1937.777.11.10.129 eHDSI Device (DYNAMIC) (eHDdotsort)
hl7:representedOrganization
1 … 1 R Contains 2.16.840.1.113883.3.1937.777.11.10.111 eHDSI Organization (DYNAMIC) R1.10.9
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.
(eHDdotsort)
@typeCode
cs 0 … 1 F CST
hl7:assignedCustodian
1 … 1 R (eHDdotsort)
@classCode
cs 0 … 1 F ASSIGNED
hl7:representedCustodianOrganization
1 … 1 R (eHDdotsort)
@classCode
cs 0 … 1 F ORG
@determinerCode
cs 0 … 1 F INSTANCE
hl7:id
II.EPSOS 1 … 1 R Custodian organization Id (eHDdotsort)
@nullFlavor
cs 0 … 1  
hl7:name
ON 1 … 1 R Custodian organization Name
(eHDdotsort)
@nullFlavor
cs 0 … 1  
hl7:telecom
TEL 1 … 1 R

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.

(eHDdotsort)
@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 (eHDdotsort)
  Schematron assert role red 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
(eHDdotsort)
hl7:city
0 … 1 R City
(eHDdotsort)
hl7:postalCode
0 … 1 R Postal Code
(eHDdotsort)
hl7:state
0 … 1 R State or Province
(eHDdotsort)
hl7:country
1 … 1 R Country. When used addr.country it is always bound to the eHDSICountry value set.
(eHDdotsort)
  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
 
target
ehdsi-dataelement-176 draft Responsible of the ePrescription Data/Author Organization draft eHDSI Data Set
ehdsi-dataelement-327 draft Responsible of the Original Clinical Document/Author Organization draft eHDSI Data Set
ehdsi-dataelement-127 draft Legal Authenticator draft eHDSI Data Set
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 … * R

Legal Authenticator's 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.

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 (eHDdotsort)
 
target
ehdsi-dataelement-324 draft Documentation Of draft eHDSI Data Set
ehdsi-dataelement-129 draft Documentation Of draft eHDSI Data Set
@typeCode
cs 1 … 1 F DOC
hl7:serviceEvent
1 … 1 R (eHDdotsort)
@classCode
cs 1 … 1 F ACT
@moodCode
cs 1 … 1 F EVN
hl7:id
II.EPSOS 0 … * R (eHDdotsort)
hl7:code
CE.EPSOS 0 … 1 R (eHDdotsort)
hl7:effectiveTime
IVL_TS 0 … 1 R (eHDdotsort)
hl7:low
TS R (eHDdotsort)
hl7:high
TS R

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
 
target
ehdsi-dataelement-120 draft Date of Last Update draft eHDSI 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 … * R

Assigned Entity's 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.

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 (eHDdotsort)
 
target
ehdsi-dataelement-321 draft Related Document draft eHDSI Data Set
ehdsi-dataelement-131 draft Related Document draft eHDSI Data Set
ehdsi-dataelement-174 draft Related Document draft eHDSI Data Set
@typeCode
cs 1 … 1 F XFRM
hl7:parentDocument
1 … 1 R (eHDdotsort)
@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.
(eHDdotsort)
hl7:code
CD.EPSOS 0 … 1 R (eHDdotsort)
@codeSystem
CONF 0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:text
ED 0 … 1 R (eHDdotsort)
hl7:setId
II.EPSOS 0 … 1 R (eHDdotsort)
hl7:versionNumber
INT 0 … 1 R (eHDdotsort)
hl7:component
1 … 1 M (eHDdotsort)
hl7:nonXMLBody
1 … 1 M (eHDdotsort)
@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. (eHDdotsort)
@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 (eHDdotsort)