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Template Meldepflichtiger Laborbefund 2016‑05‑01

Id2.16.756.5.30.1.127.10.1.2Effective Date2016‑05‑01
Statusdraft DraftVersion Label
NamecdachlrphDisplay NameMeldepflichtiger Laborbefund
Description(de-CH) Meldepflichtiger Laborbefund
ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 0 templates, Uses 20 templates
Used by as NameVersion
2.16.756.5.30.1.127.77.3.4.2Transactiondraft (de-CH) Meldepflichtiger Laborbefund2016‑05‑01
Uses as NameVersion
2.16.756.5.30.1.1.10.2.4Includeactive Recipient - informationRecipient (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.5Includeactive Legal Authenticator (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.6Includeactive Authenticator (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.7Includeactive Data Enterer (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.9IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.10IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.11IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.12IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.16Includeactive Order Reference - inFulfillmentOf (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.1IncludeDYNAMIC
2.16.756.5.30.1.1.10.9.2IncludeDYNAMIC
2.16.756.5.30.1.1.10.9.3IncludeDYNAMIC
2.16.756.5.30.1.1.10.9.4IncludeDYNAMIC
2.16.756.5.30.1.1.10.9.5IncludeDYNAMIC
2.16.756.5.30.1.1.10.9.7IncludeDYNAMIC
2.16.756.5.30.1.127.10.2.17Includedraft CDA recordTarget (lrph)DYNAMIC
2.16.756.5.30.1.127.10.2.18Includedraft CDA custodian (lrph)DYNAMIC
2.16.756.5.30.1.127.10.2.19Includedraft CDA author (lrph)DYNAMIC
2.16.756.5.30.1.127.10.2.20Includereview CDA participant Auftraggebender ArztDYNAMIC
2.16.756.5.30.1.127.10.3.10Containmentdraft BefundartDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Example
Example
<ClinicalDocument>
  <realmCode code="CH"/>  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <!-- Parent Templates -->
  <!-- IHE Laboratory Report Summary Specification (IHE XD-LAB) -->
  <templateId root="1.3.6.1.4.1.19376.1.3.3"/>  <!-- CDA-CH -->
  <templateId root="2.16.756.5.30.1.1.1.1"/>  <!-- Laboratory Reports for Public Health V1 - (CDA-CH-LRPH) -->
  <templateId root="2.16.756.5.30.1.1.1.1.3.3.1"/>  <id extension="9DF2F81F-A879-4E7B-B6E1-3BE2EB29A8F8" root="2.16.756.5.30.1.1.1.1.3.3.1"/>  <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" displayName="MICROBIOLOGY STUDIES"/>  <title>Meldepflichtiger Laborbefund</title>  <effectiveTime value="20121123"/>  <confidentialityCode code="R" codeSystem="2.16.840.1.113883.5.25"/>  <languageCode code="de-CH"/>  <setId extension="9DF2F81F-A879-4E7B-B6E1-3BE2EB29A8F8" root="2.16.756.5.30.1.1.1.1.3.3.1"/>  <versionNumber value="1"/>  <recordTarget>
    <!-- .. -->
  </recordTarget>  <author>
    <!-- .. -->
  </author>  <custodian>
    <!-- .. -->
  </custodian>  <informationRecipient typeCode="PRCP">
    <!-- .. -->
  </informationRecipient>  <participant typeCode="REF">
    <!-- .. -->
  </participant>  <component>
    <structuredBody>
      <!-- .. -->
    </structuredBody>  </component></ClinicalDocument>
ItemDTCardConfDescriptionLabel
hl7:ClinicalDocument
cdachlrph
Included from 2.16.756.5.30.1.1.10.9.1 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.1" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.9.2 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.2" (DYNAMIC)
hl7:templateId
II1 … 1Mcdachlrph
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3
hl7:templateId
II1 … 1Mcdachlrph
@root
uid1 … 1F2.16.756.5.30.1.1.1.1
hl7:templateId
II1 … 1Mcdachlrph
@root
uid1 … 1F2.16.756.5.30.1.1.1.1.3.3.1
Included from 2.16.756.5.30.1.1.10.9.3 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.3" (DYNAMIC)
hl7:code
CE1 … 1Rcdachlrph
@code
CONF0 … 1F18725-2
@codeSystem
0 … 1F2.16.840.1.113883.6.1
 Example<code code="18725-2" codeSystem="2.16.840.1.113883.6.1" displayName="MICROBIOLOGY STUDIES"/>
Included from 2.16.756.5.30.1.1.10.9.4 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.4" (DYNAMIC)
hl7:effectiveTime
TS.CH.TZ1 … 1Rcdachlrph
hl7:confidentialityCode
CE1 … 1Rcdachlrph
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 x_BasicConfidentialityKind (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.9.5 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.5" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.9.7 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.7" (DYNAMIC)
Included from 2.16.756.5.30.1.127.10.2.17 CDA recordTarget (lrph) (DYNAMIC)
hl7:recordTarget
1 … 1RCDARdotslrph
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
hl7:patientRole
1 … 1RCDARdotslrph
@classCode
cs0 … 1FPAT
hl7:id
II0 … *CCDARdotslrph
hl7:addr
AD0 … *CDARdotslrph
hl7:telecom
TEL0 … *CDARdotslrph
hl7:patient
0 … 1CDARdotslrph
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN0 … *CDARdotslrph
hl7:administrativeGenderCode
CE0 … 1CDARdotslrph
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS0 … 1CDARdotslrph
Included from 2.16.756.5.30.1.127.10.2.19 CDA author (lrph) (DYNAMIC)
hl7:author
1 … 1MCDAadotslrph
@typeCode
cs0 … 1FAUT
hl7:functionCode
CE0 … 1CDAadotslrph
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.1 epSOSHealthcareProfessionalRoles (DYNAMIC)
hl7:time
TS.DATE.MIN1 … 1MCDAadotslrph
hl7:assignedAuthor
1 … 1MCDAadotslrph
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … 1RCDAadotslrph
hl7:addr
AD0 … *CDAadotslrph
hl7:telecom
TEL0 … *CDAadotslrph
hl7:assignedAuthoringDevice
1 … 1MCDAadotslrph
@classCode
cs0 … 1FDEV
@determinerCode
cs0 … 1FINSTANCE
hl7:softwareName
SC1 … 1MCDAadotslrph
hl7:representedOrganization
0 … 1CDAadotslrph
Included from 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotstion
hl7:name
ON0 … *CDAOdotstion
hl7:telecom
TEL0 … *CDAOdotstion
hl7:addr
AD0 … *CDAOdotstion
hl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassCDAOdotstion
hl7:asOrganizationPartOf
0 … 1CDAOdotstion
@classCode
cs0 … 1FPART
hl7:id
II0 … *RCDAOdotstion
hl7:code
CE0 … 1CDAOdotstion
 CONF
shall be drawn from concept domain "RoleCode"
hl7:statusCode
CS0 … 1CDAOdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1CDAOdotstion
hl7:wholeOrganization
0 … 1CDAOdotstion
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … *CDAOdotstion
hl7:name
ON0 … *CDAOdotstion
hl7:telecom
TEL0 … *CDAOdotstion
hl7:addr
AD0 … *CDAOdotstion
hl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassCDAOdotstion
 Schematron assertrolered error 
 testhl7:addr[*] 
 MessageAdresse MUSS angegeben werden 
 Schematron assertrolered error 
 testhl7:telecom[@value[starts-with(., 'tel:')]] 
 MessageTel. Nummer MUSS angegeben werden 
 Schematron assertrolered error 
 testhl7:telecom[@value[starts-with(., 'fax:')]] 
 MessageFaxnummer MUSS angegeben werden 
Included from 2.16.756.5.30.1.1.10.2.7 Data Enterer (DYNAMIC)
hl7:dataEnterer
0 … 1Information about the person that entered information in this CDA document. It SHALL be declared, when data recorded in this document has been entered by a person other than the author but only when this is relevant for some reason.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.7
hl7:time
TS.CH.TZ0 … 1Timestamp of the data input.CDA‑CH V2
hl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)CDA‑CH V2
Included from 2.16.756.5.30.1.127.10.2.18 CDA custodian (lrph) (DYNAMIC)
hl7:custodian
1 … 1RCDAcdotslrph
@typeCode
cs0 … 1FCST
hl7:assignedCustodian
1 … 1RCDAcdotslrph
@classCode
cs0 … 1FASSIGNED
hl7:representedCustodianOrganization
1 … 1RCDAcdotslrph
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II1 … *RCDAcdotslrph
hl7:name
ON0 … 1CDAcdotslrph
hl7:telecom
TEL0 … 1CDAcdotslrph
hl7:addr
AD0 … 1CDAcdotslrph
Included from 2.16.756.5.30.1.1.10.2.4 Recipient - informationRecipient (DYNAMIC)
hl7:informationRecipient
1 … *R A recipient of this CDA document (corresponds to the addressee of a letter - person or organization).

Recipient types:
  • The main recipient of the document is indicated by typeCode 'PRCP' (primary recipient).
    Note: Since it makes no sense to create a CDA document without doing it for someone, in Switzerland at least one recipient MUST be declared. If the document is created for the user's own needs, the user itself or its organization will be the primary recipient.

  • Other recipients (copy to; Cc) are indicated with typeCode, TRC '(secondary recipient).
CDA‑CH V2
@typeCode
cs0 … 1 The main recipient of the document is indicated by typeCode 'PRCP' (primary recipient). This is the default value used when the attribute is not present.
Other recipients (copy to; Cc) are indicated with typeCode, TRC '(secondary recipient).
Note: Since it makes no sense to create a CDA document without doing it for someone, in Switzerland at least one recipient MUST be declared. If the document is created for the user's own needs, the user itself or its organization will be the primary recipient.
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19366 x_InformationRecipient (DYNAMIC)
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.4
hl7:intendedRecipient
1 … 1RCDA‑CH V2
hl7:id
II0 … *RThe recipient's identification(s).CDA‑CH V2
@root
uid1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
@extension
st0 … 1 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:addr
AD0 … *The recipient's address(es).
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)		CDA‑CH V2
hl7:telecom
TEL0 … *The recipient's means of communication (phone, eMail, ...).CDA‑CH V2
hl7:informationRecipient
0 … 1The addressee person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)		CDA‑CH V2
hl7:receivedOrganization
0 … 1The addressee organization.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)		CDA‑CH V2
Included from 2.16.756.5.30.1.1.10.2.5 Legal Authenticator (DYNAMIC)
hl7:legalAuthenticator
0 … 1Information about the legal authenticator of a CDA document. A legal authenticator MUST be a person.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.5
hl7:time
TS.CH.TZ1 … 1RTimestamp of the signature.CDA‑CH V2
hl7:signatureCode
CS1 … 1RCDA‑CH V2
@code
cs1 … 1FS
@codeSystem
oid0NPNP/not present
@codeSystemName
st0NPNP/not present
@displayName
st0NPNP/not present
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)CDA‑CH V2
Included from 2.16.756.5.30.1.1.10.2.6 Authenticator (DYNAMIC)
hl7:authenticator
0 … *Information about an authenticator of a CDA document. An authenticator MUST be a person.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.6
hl7:time
TS.CH.TZ1 … 1RTimestamp of the signature.CDA‑CH V2
hl7:signatureCode
CS1 … 1RCDA‑CH V2
@code
cs1 … 1FS
@codeSystem
oid0NPNP/not present
@codeSystemName
st0NPNP/not present
@displayName
st0NPNP/not present
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
hl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)CDA‑CH V2
Included from 2.16.756.5.30.1.127.10.2.20 CDA participant Auftraggebender Arzt (DYNAMIC)
hl7:participant
de-DE Referral Ordering PhysicianCDApdotsArzt
where [@typeCode='REF']
@typeCode
cs1 … 1FREF
hl7:templateId
II1 … 1CDApdotsArzt
@root
uid1 … 1F2.16.756.5.30.1.127.10.2.20
hl7:templateId
II1 … 1CDApdotsArzt
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.6
hl7:time
IVL_TS1 … 1RCDApdotsArzt
@nullFlavor
cs1 … 1FNASK
hl7:associatedEntity
1 … 1MCDApdotsArzt
@classCode
cs1 … 1FPROV
hl7:id
II0 … 1R(de-CH) IdentifikationCDApdotsArzt
hl7:addr
AD0 … *R(de-CH) AdresseCDApdotsArzt
hl7:telecom
TEL0 … *R(de-CH) Tel. Nummer, FaxnummerCDApdotsArzt
@use
set_cs1 … 1FPUB
hl7:associatedPerson
1 … 1R(de-CH) Element <associatedPerson> mit Subelement <name> MUSS angegeben werden.CDApdotsArzt
Included from 2.16.756.5.30.1.1.10.9.10 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.10" (DYNAMIC)
 Schematron assertrolered error 
 testhl7:name[*] or string-length(hl7:name/text())>0 
 MessageName MUSS angegeben werden 
hl7:scopingOrganization
0 … 1(de-CH) Organisation mit Subelement <name> und <addr> KÖNNEN angegeben werden.CDApdotsArzt
Included from 2.16.756.5.30.1.1.10.9.11 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.9.11" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.2.16 Order Reference - inFulfillmentOf (DYNAMIC)
(de-CH) Die Angabe der Auftragsnummer ist bedingt erforderlich. Sobald ein Labor (Primärlabor) einen Auftrag an ein Sekundärlabor erteilt, SOLLEN alle Meldungen, welche basierend auf diesem Auftrag an das BAG gemeldet werden, die Auftragsnummer des Primärlabors enthalten - sofern diese dem Sekundärlabor durch das Primärlabor bekanntgegeben worden sind. Alle anderen Meldungen KÖNNEN die Auftragsnummer enthalten.

Deklaration Auftragsnummer: ClinicalDocument/inFulfillmentOf/order
  • id/@root: OID des Auftragsnummernkreises des Labors
  • id/@extension: Laboreigene Auftragsnummer
hl7:inFulfillmentOf
0 … *Reference to one or more orders which led to the creation of this CDA document. It SHALL be declared, when the order reference is relevant for some reason.CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.16
hl7:order
1 … 1RCDA‑CH V2
hl7:id
II1 … *ROrder number.CDA‑CH V2
@root
uid1 … 1REither the same GUID (order id) or the same OID (order issuing system) as the order itself.
@extension
st0 … 1 Contains the order ID itself. The ID MUST be unique within the system that issued the ID.
Included from 2.16.756.5.30.1.1.10.2.11 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.2.11" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.2.9 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.2.9" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.2.12 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.2.12" (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.2.10 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.2.10" (DYNAMIC)
hl7:component
1 … 1Rcdachlrph
@contextConductionInd
bl1 … 1R
hl7:structuredBody
1 … 1Rcdachlrph
hl7:component
1 … 1MContains 2.16.756.5.30.1.127.10.3.10 Befundart (DYNAMIC)cdachlrph
@contextConductionInd
bl0 … 1