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Template Author 2016‑06‑21 14:02:11

Id1.3.6.1.4.1.19376.1.8.1.4.2Effective Date2016‑06‑21 14:02:11
Statusdraft DraftVersion Label2.0
NameCDAAuthorIHEDisplay NameAuthor
Description
Template CDA author (prototype, directly derived from POCD_RM000040 MIF).

This Content Module is usable in the CDA header, in a <section> and at various depths of an <entry>.
It describes an author having contributed to the document wholly or to a portion of it (e.g., a section, an observation, a group of observations).

A given document or any delimited portion of it may have more than one author.
An author MAY be a person or a device (manufactured device or software system). In both cases the scoping organization MAY be described.
LabelPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
ClassificationTemplate type not specified
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 4 concepts
IdNameData Set
psr-dataelement-4draft Pathologist draft APSR 2.0
psr-dataelement-18draft Address draft APSR 2.0
psr-dataelement-79draft Device draft APSR 2.0
psr-dataelement-5draft Name draft APSR 2.0
Used by / Uses
Used by 1 transaction and 33 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.2.6.60.6.4.2Transactiondraft CDA Document Anatomic Pathology Structured Report 2015 (2.0)2015‑10‑23 10:32:36
1.3.6.1.4.1.19376.1.3.10.3.1Includedraft Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.3.10.4.1linkdraft Specimen Procedure Step (2.0)2016‑07‑08 13:20:59
1.3.6.1.4.1.19376.1.3.10.4.2Containmentdraft UICC/AJCC TNM Staging and Grading Observation (2.0)2014‑05‑13 15:45:13
1.3.6.1.4.1.19376.1.3.10.4.3linkdraft ICD-O-3 Typing and Grading Observation (2.0)2015‑11‑29 17:03:18
1.3.6.1.4.1.19376.1.3.10.4.4Containmentdraft Assessment Scales Observation for Scoring Systems (2.0)2016‑10‑06 13:12:00
1.3.6.1.4.1.19376.1.3.10.4.5Containmentdraft Update Information Organizer (2.0)2017‑11‑14 15:22:14
1.3.6.1.4.1.19376.1.3.10.9.22Containmentdraft Specimen Container in Procedure Step (2.0)2016‑07‑29 12:09:33
1.3.6.1.4.1.19376.1.3.10.9.25Containmentdraft TNM T-Observation (2.0)2014‑12‑02 15:54:17
1.3.6.1.4.1.19376.1.3.10.9.26linkdraft TNM N-Observation (2.0)2014‑12‑02 16:34:50
1.3.6.1.4.1.19376.1.3.10.9.27Containmentdraft TNM M-Observation (2.0)2014‑12‑02 16:32:30
1.3.6.1.4.1.19376.1.3.10.9.28Containmentdraft TNM Grading (2.0)2015‑11‑15 13:01:18
1.3.6.1.4.1.19376.1.3.10.9.29Containmentdraft TNM R-status (2.0)2015‑06‑30 13:38:30
1.3.6.1.4.1.19376.1.3.10.9.30Containmentdraft TNM a (2.0)2015‑06‑22 15:13:46
1.3.6.1.4.1.19376.1.3.10.9.31Containmentdraft TNM r (2.0)2015‑06‑22 17:38:42
1.3.6.1.4.1.19376.1.3.10.9.32Containmentdraft TNM y (2.0)2015‑06‑22 17:28:17
1.3.6.1.4.1.19376.1.3.10.9.33Containmentdraft TNM Serum tumor markers (2.0)2015‑11‑06 14:28:44
1.3.6.1.4.1.19376.1.3.10.9.34Containmentdraft TNM Lymphatic Invasion (2.0)2015‑11‑16 14:01:58
1.3.6.1.4.1.19376.1.3.10.9.35Containmentdraft TNM Venous Invasion (2.0)2015‑11‑16 13:40:28
1.3.6.1.4.1.19376.1.3.10.9.36Containmentdraft TNM Perineural Invasion (2.0)2015‑11‑11 16:13:40
1.3.6.1.4.1.19376.1.3.10.9.37Containmentdraft TNM Number of nodes (2.0)2014‑12‑02 16:48:36
1.3.6.1.4.1.19376.1.3.10.9.42linkdraft Assessment Scoring System APSR 2.0 (2.0)2016‑10‑10 11:33:36
1.3.6.1.4.1.19376.1.3.10.9.43Containmentdraft Assessment Scoring Item APSR 2.0 (2.0)2016‑10‑11 10:26:17
1.3.6.1.4.1.19376.1.8.1.1.1Includedraft Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1Includedraft Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2Includedraft Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3Includedraft Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4linkdraft Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5linkdraft Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
1.3.6.1.4.1.19376.1.8.1.2.6Includedraft Procedure Steps Section (2.0)2014‑05‑13 19:33:12
1.3.6.1.4.1.19376.1.8.1.2.7Includecancelled Report Textual Summary Section (2.0)2016‑06‑13 17:54:42
1.3.6.1.4.1.19376.1.8.1.3.6Containmentdraft Problem Organizer (2.0)2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.8.1.4.9Containmentdraft AP Observation Entry (2.0)2014‑05‑14 17:09:54
1.3.6.1.4.1.19376.1.8.1.4.10Containmentdraft Embedded Image2016‑06‑22 16:08:01
Uses as NameVersion
2.16.840.1.113883.10.12.151Includeactive CDA Organization2005‑09‑07
2.16.840.1.113883.10.12.152Includeactive CDA Person2005‑09‑07
RelationshipAdaptation: template 2.16.840.1.113883.10.12.102 CDA author (DYNAMIC)
ref
ad1bbr-
Example
example from use case #1, author is a person
<author>
  <templateId root="1.3.6.1.4.1.19376.1.8.1.4.2"/>  <time value="20100104131933-0500"/>  <assignedAuthor classCode="ASSIGNED">
    <id root="1.3.6.1.4.1.19376.1.8.9.3" extension="801234567897"/>    <addr nullFlavor="MSK"/>    <telecom value="tel:+33-602030499"/>    <assignedPerson classCode="PSN" determinerCode="INSTANCE">
      <name>
        <given>Marcel</given>        <family>Pathologist</family>        <suffix>Ph D</suffix>      </name>    </assignedPerson>    <representedOrganization>
      <id root="1.3.6.1.4.1.19376.1.8.9.4" extension="1120456789"/>      <name>CANCER INSTITUTE</name>      <telecom nullFlavor="MSK"/>      <addr nullFlavor="MSK"/>    </representedOrganization>  </assignedAuthor></author>
Example
author is a device
<author typeCode="AUT">
  <assignedAuthor classCode="ASSIGNED">
    <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
      <code>...</code>    </assignedAuthoringDevice>  </assignedAuthor></author>
ItemDTCardConfDescriptionLabel
hl7:author
0 … *RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
 
target
psr-dataelement-4draft Pathologist draft APSR 2.0
psr-dataelement-79draft Device draft APSR 2.0
@typeCode
cs1 … 1FAUT
 Example
author is a person
<author typeCode="AUT" contextControlCode="OP">
  <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">
    <!-- ... -->
  </assignedAuthor></author>
hl7:templateId
1 … 1MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
@root
uid1 … 1F1.3.6.1.4.1.19376.1.8.1.4.2
hl7:time
TS1 … 1MThe authoring time is the date & time that this author contributed to the document. It SHALL be provided.PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
hl7:assignedAuthor
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
@classCode
cs0 … 1FASSIGNED
hl7:id
II1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
hl7:addr
AD1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
 
target
psr-dataelement-18draft Address draft APSR 2.0
hl7:telecom
TEL1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
Choice1 … 1
The author is either an assigned person or an authoring device.
Elements to choose from:
  • hl7:assignedPerson
  • hl7:assignedAuthoringDevice
hl7:assignedPerson
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
 
target
psr-dataelement-5draft Name draft APSR 2.0
Included1 … 1R from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
The name(s) SHALL be given.
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … 1RCDAPerson
hl7:assignedAuthoringDevice
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
@classCode
cs0 … 1FDEV
@determinerCode
cs0 … 1FINSTANCE
hl7:manufacturerModelName
SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
hl7:softwareName
SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
hl7:code
CE0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
hl7:representedOrganization
0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
 Example
represented organization for author as a device
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name></representedOrganization>
Included0 … 1 from 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07)
The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given.
@classCode
cs0 … 1FORG
@determinerCode
cs0 … 1FINSTANCE
hl7:id
II0 … 1CDAOdotstion
hl7:name
ON0 … 1CDAOdotstion
hl7:telecom
TEL0 … 1CDAOdotstion
hl7:addr
AD0 … 1CDAOdotstion
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