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Template CDA recordTarget 2013‑07‑10

Id1.2.276.0.76.10.2001Effective Date2013‑07‑10
Statusactive ActiveVersion Label
NameHeaderRecordTargetDisplay NameCDA recordTarget
Description
de-DE Das recordTarget repräsentiert die Person, über die dokumentiert wird. recordTarget umfasst neben der Identifikation und dem Namen, Geschlecht, Adressen etc. auch optionale Zusatzangaben wie zum Beispiel Geburtsort und Sprachfähigkeiten.
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 16 transactions and 20 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.2.6.60.12.4.2Transactiondraft de-DE Erzeugung-Live-Daten-Dokument2017‑01‑23 14:46:04
2.16.840.1.113883.3.1937.777.26.4.2Transactiondraft de-DE Konsilbeauftragung2019‑08‑15 23:12:45
2.16.840.1.113883.3.1937.777.26.4.4Transactiondraft de-DE Konsilrückfrage2019‑08‑15 23:18:54
2.16.840.1.113883.3.1937.777.26.4.5Transactiondraft de-DE Zusätzliche Angaben zum Konsil2019‑08‑15 23:20:08
2.16.840.1.113883.3.1937.777.26.4.7Transactiondraft de-DE Konsiliarbericht2019‑08‑15 23:27:29
2.16.840.1.113883.3.1937.777.26.4.8Transactiondraft de-DE Konsilabschluss2019‑08‑16 15:02:41
2.16.840.1.113883.3.1937.777.54.4.2Transactiondraft de-DE CDA-Dokument Einweisungsbrief2020‑07‑10 20:14:25
2.16.840.1.113883.2.6.60.10.41Transactiondraft de-DE CDA-Dokument Arztbrief Plus2017‑02‑01
2.16.840.1.113883.3.1937.99.61.36.4.2Transactiondraft de-DE Initial2018‑01‑26 12:49:54
2.16.840.1.113883.3.1937.99.61.34.4.2Transactiondraft de-DE ePflegebericht erstellen2018‑02‑26 07:09:20
2.16.840.1.113883.2.6.60.10.40Transactiondraft de-DE CDA-Dokument Arztbrief 2014/20152014‑08‑25
2.16.840.1.113883.2.6.60.12.4.4Transactiondraft de-DE Erzeugung-Überleitungsdokument2017‑03‑09 12:24:04
2.16.840.1.113883.3.1937.99.61.39.4.54Transactiondraft de-DE Erstellung eines Psychosomatisch-psychotherapeutischen Arztbriefs2020‑10‑06 10:00:48
2.16.840.1.113883.3.1937.777.35.4.2Transactiondraft de-DE Elektronischen Impfpass Bearbeiten2019‑05‑28 19:36:47
2.16.840.1.113883.3.1937.99.61.44.4.2Transactiondraft de-DE Vitalzeichenbericht2018‑04‑06 15:22:04
2.16.840.1.113883.3.1937.777.26.4.11Transactiondraft de-DE Bereitstellung Patientendaten2020‑04‑16 19:39:57
1.2.276.0.76.3.1.85.200.77.10.47Includecancelled eWundbericht (fehlerhafte Anlage ohne Basistemplate)2016‑01‑27 14:55:40
1.2.276.0.76.3.1.135.8.10.1Includecancelled Test 12015‑12‑02 11:47:17
1.2.276.0.76.10.1013Includedraft Arztbrief 2014/2015 (v2.02)2014‑08‑25
1.2.276.0.76.10.1020Includedraft Arztbrief Plus (v3.00)2017‑02‑01
1.2.276.0.76.10.1022Includedraft Live-Daten-CDA Dokument2017‑01‑23
1.2.276.0.76.10.1023Includedraft Überleitungs-CDA Dokument2017‑03‑14
1.2.276.0.76.10.1026Includedraft Entlassmanagement Brief (v1.1)2017‑07‑13
1.2.276.0.76.10.1033Includeretired Arztbrief Psychotraumatologie ambulant/stationär (v1.0)2019‑06‑02
1.2.276.0.76.10.1033Includedraft Arztbrief Psychotraumatologie ambulant/stationär (v2.0)2020‑12‑18
1.2.276.0.76.10.1034Includedraft eEinweisungsbrief (v1.0)2020‑06‑18
1.2.276.0.76.10.1035Includedraft Dermatologisches Konsil2020‑02‑17 14:18:24
1.2.276.0.76.10.1036Includedraft Dermatologisches Konsil Patientendaten2020‑04‑16 19:14:02
2.16.840.1.113883.2.6.60.12.10.113Includedraft Überleitungs-CDA (ambulant-stationär)2018‑04‑04 17:10:48
2.16.840.1.113883.2.6.60.13.10.1Includedraft Genetischer Befundbericht2018‑08‑09 17:52:59
2.16.840.1.113883.3.1937.99.61.34.10.1Includeactive Patientenbezogener pflegerischer Verlegungs- oder Entlassungsbericht 2017/2018 (1.0)2017‑09‑21 11:31:42
2.16.840.1.113883.3.1937.99.61.34.10.28Includecancelled PflegerischerEntlassungsbericht (v1)2018‑04‑18 14:01:46
2.16.840.1.113883.3.1937.99.61.44.10.8Includedraft CDA ClinicalDocument (with StructuredBody)2018‑04‑06 15:17:28
2.16.840.1.113883.3.1937.777.26.10.16Includedraft Nephrologische Konsilanfrage2018‑08‑02 12:52:50
2.16.840.1.113883.3.1937.777.35.10.63Includedraft CDA Elektronischer Impfpass2019‑05‑24 15:49:11
2.16.840.1.113883.3.1937.777.36.10.2Includedraft eWundbericht (0.9)2019‑05‑27 07:26:53
Uses as NameVersion
1.2.276.0.76.10.90030Includeactive PersonennameDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (DYNAMIC)
ref
ad1bbr-
Example
Standard-Beispiel
<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <id root="2.16.840.1.113883.3.37.6.2.23.3" extension="12345"/>    <addr use="HP">
      <streetName>Musterstraße</streetName>      <houseNumber>15</houseNumber>      <postalCode>50825</postalCode>      <city>Köln</city>    </addr>    <telecom use="HP" value="tel:+49(221)7812220"/>    <patient classCode="PSN" determinerCode="INSTANCE">
      <name>
        <given>Marie</given>        <family>Müller</family>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>      <birthTime value="19700924"/>      <birthplace>
        <place>
          <addr>
            <city>Köln</city>          </addr>        </place>      </birthplace>    </patient>  </patientRole></recordTarget>
Example
Maximal-Beispiel
<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <id root="2.16.840.1.113883.3.37.6.2.23.3" extension="12345"/>    <id root="1.2.276.0.76.4.8" extension="8003004447"/>    <addr use="HP">
      <streetName>Musterstraße</streetName>      <houseNumber>15</houseNumber>      <postalCode>50825</postalCode>      <city>Köln</city>    </addr>    <telecom use="HP" value="tel:+49(221)7812220"/>    <telecom use="HP" value="mailto:MuellerMar@gmx.de"/>    <patient classCode="PSN" determinerCode="INSTANCE">
      <name>
        <given>Marie</given>        <family>Müller</family>      </name>      <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>      <birthTime value="19700924"/>      <!-- Familienstand des Patienten -->
      <maritalStatusCode code="M" displayName="Married" codeSystem="2.16.840.1.113883.5.2" codeSystemName="HL7 MaritalStatusCode"/>      <!-- Religionszugehörigkeit des Patienten-->
      <religiousAffiliationCode code="1077" displayName="Protestant" codeSystem="2.16.840.1.113883.5.1076"/>      <!-- Vormund/Sachwalter des Patienten -->
      <guardian>
        <addr use="HP">
          <streetName>Musterstraße</streetName>          <houseNumber>15</houseNumber>          <postalCode>50825</postalCode>          <city>Köln</city>        </addr>        <telecom use="HP" value="..."/>        <guardianPerson>
          <name>
            <given>Marius</given>            <family>Müller</family>          </name>        </guardianPerson>      </guardian>      <birthplace>
        <place>
          <addr>
            <city>Köln</city>          </addr>        </place>      </birthplace>      <languageCommunication>
        <languageCode code="EN"/>        <modeCode code="ESP"/>        <proficiencyLevelCode code="G"/>        <preferenceInd value="true"/>      </languageCommunication>    </patient>  </patientRole></recordTarget>
Example
Minimal-Beispiel
<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <id root="2.16.840.1.113883.3.37.6.2.23.3" extension="12345"/>  </patientRole></recordTarget>
ItemDTCardConfDescriptionLabel
hl7:recordTarget
Headdotsrget
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
 Example<recordTarget typeCode="RCT" contextControlCode="OP">
  <patientRole classCode="PAT">
    <!-- ... -->
  </patientRole></recordTarget>
hl7:patientRole
1 … 1Headdotsrget
@classCode
cs0 … 1FPAT
 Example<patientRole classCode="PAT">
  <id extension="186245" root="1.2.276.0.76.3.1.139.3.871"/>  <patient classCode="PSN" determinerCode="INSTANCE">
    <!-- ... -->
  </patient></patientRole>
hl7:id
II1 … *Headdotsrget
 Example<id extension="6245" root="2.16.840.1.113883.3.933"/><id extension="1543627549" root="1.2.276.0.76.4.1"/>
hl7:addr
AD0 … *de-DE Adresse des PatientenHeaddotsrget
 Example<addr use="HP">
  <streetName>Dorfstraße</streetName>  <houseNumber>54</houseNumber>  <postalCode>51371</postalCode>  <city>Leverkusen</city></addr>
hl7:telecom
TEL0 … *de-DE Kontaktdaten des PatientenHeaddotsrget
 Example<telecom use="H" value="tel:+4930140400"/><telecom use="MC" value="tel:+492211234567"/><telecom value="mailto:herberthannes.mustermann@provider.de"/>
hl7:patient
0 … 1Headdotsrget
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
 Example<patient classCode="PSN" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>  <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>  <birthTime value="19541223"/></patient>
Included1 … 1M from 1.2.276.0.76.10.90030 Personenname (DYNAMIC)
hl7:name
PN1 … 1Mde-DE Die Reihenfolge der Namensbestandteile soll der typischen Schreibweise entsprechen. Zu beachten ist, dass prefix- und suffix-Elemente mit einem Leerzeichen enden müssen, wenn sie nicht unmittelbar an den folgenden Namensbestandteil anschließen sollen.
Persdotsname
 Example
Dr. med. Sine Johanna Gräfin von Oberberg
<name>
  <prefix qualifier="AC">Dr. med. </prefix>  <given>Sine Johanna</given>  <prefix qualifier="NB">Gräfin </prefix>  <prefix qualifier="VV">von </prefix>  <family>Oberberg</family></name>
 Example
Prof. Dr. med. Dr. rer. nat. Fritz Julius Karl Freiherr von und zu Rathenburg vor der Isar, MdB
<name>
  <prefix qualifier="AC">Prof. Dr. med. Dr. rer. nat. </prefix>  <given>Fritz</given>  <given>Julius</given>  <given>Karl</given>  <prefix qualifier="NB">Freiherr </prefix>  <prefix qualifier="VV">von und zu </prefix>  <family>Rathenburg vor der
Isar</family>  <suffix>, MdB</suffix></name>
hl7:prefix
ENXP0 … *de-DE TitelPersdotsname
where [@qualifier='AC']
@qualifier
set_cs1 … 1FAC
hl7:given
ENXP0 … *de-DE VornamePersdotsname
hl7:prefix
ENXP0 … *de-DE NamenszusatzPersdotsname
where [@qualifier='NB']
@qualifier
set_cs1 … 1FNB
hl7:prefix
ENXP0 … *de-DE VorsatzwortPersdotsname
where [@qualifier='VV']
@qualifier
set_cs1 … 1FVV
hl7:family
ENXP0 … *de-DE NachnamePersdotsname
hl7:suffix
ENXP0 … *de-DE SuffixPersdotsname
hl7:administrativeGenderCode
CE1 … 1Rde-DE Geschlecht (administrativ) des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 Administrative Gender (HL7 V3) (DYNAMIC)
 Example<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
hl7:birthTime
TS.DATE.MIN1 … 1Rde-DE Geburtsdatum des PatientenHeaddotsrget
 Example<birthTime value="19491224"/>
hl7:maritalStatusCode
CE0 … 1de-DE Familienstand des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12212 Marital Status (DYNAMIC)
 Example<maritalStatusCode code="S" displayName="Never Married" codeSystem="2.16.840.1.113883.5.2"/>
hl7:religiousAffiliationCode
CE0 … 1de-DE Religionszugehörigkeit des PatientenHeaddotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19185 Religious Affiliation (DYNAMIC)
 Example<religiousAffiliationCode code="1077" displayName="Protestant" codeSystem="2.16.840.1.113883.5.1076"/>
hl7:raceCode
NPde-DE darf nicht verwendet werdenHeaddotsrget
hl7:ethnicGroupCode
NPde-DE darf nicht verwendet werdenHeaddotsrget
hl7:guardian
0 … *de-DE Vormund/Sachwalter des PatientenHeaddotsrget
hl7:addr
AD0 … 1Headdotsrget
hl7:telecom
TEL0 … *Headdotsrget
Choice1 … 1Elements to choose from:
  • hl7:guardianPerson
  • hl7:guardianOrganization
hl7:guardianPerson
Headdotsrget
hl7:name
PN1 … 1MHeaddotsrget
hl7:guardianOrganization
Headdotsrget
hl7:name
ON1 … 1MHeaddotsrget
hl7:birthplace
0 … 1de-DE Geburtsort des PatientenHeaddotsrget
 Example<birthplace>
  <place>
    <addr>Hamburg</addr>  </place></birthplace>
hl7:place
1 … 1MHeaddotsrget
hl7:addr
AD1 … 1MHeaddotsrget
hl7:languageCommunication
0 … *Headdotsrget
hl7:languageCode
CS0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:modeCode
CE0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12249 LanguageAbilityMode (DYNAMIC)
hl7:proficiencyLevelCode
CE0 … 1Headdotsrget
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.12199 LanguageAbilityProficiency (DYNAMIC)
hl7:preferenceInd
BL0 … 1Headdotsrget