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Template Non-Human Subject (recordTarget) 2017‑03‑16 11:28:46

Id2.16.756.5.30.1.1.10.2.26
ref
ch-palm-
Effective Date2017‑03‑16 11:28:46
Statusdraft DraftVersion Label2017
Namechpalm_header_RecordTargetNonHumanSubjectDisplay NameNon-Human Subject (recordTarget)
Description
ClinicalDocument/recordTarget SHALL be present and SHALL conform to the Human Patient, Non-Human Subject or Human Patient with Non-Human Subject templates defined below. There are three varieties of laboratory reports:
  • Human (patient): The document reports laboratory observations produced on specimens collected exclusively from the patient.
  • Non-Human Subject: The document reports laboratory observations produced on specimens collected from a non-human material (e.g. water, milk…) or living subject (e.g. animal).
  • Human (patient) paired with Non-Human Subject: The document reports laboratory observations produced on a non-human specimen with a relationship to a human patient, (e.g. peanut butter eaten by a patient, a ferret that bit a patient).

Non-Human Subject

When the subject of the observations in the report is a sample exclusively taken from a non-human subject, such as an animal, a lake, soil or other environmental element, the following SHALL be present.
  • <templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/> - The templateId element identifies this recordTarget as a non-human subject of laboratory testing. The templateId SHALL have root="1.3.6.1.4.1.19376.1.3.3.1.2".
  • <id/> - /patientRole/id SHALL be present and SHALL represent the id of the non-human subject.
  • <patient@nullFlavor/> - The recordTarget/patientRole SHALL have a patient sub-element and its nullFlavor SHALL be set to "OTH". This indicates that other information pertaining to the non-human subject can be found in the body of the document.
  • <structuredBody> mark-up - In addition to the elements specified in the CDA header for the non-human subject, this non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody as described in template Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1.
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.3.1.2 Non-Human Subject (2008‑08‑08)
ref
XDLAB-
Example
Non-Human Subject Example
<recordTarget typeCode="RCT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/>  <patientRole classCode="PAT">
    <id extension="66373839" root="1.3.6.1.4.1.19376.1.3.4"/>    <patient nullFlavor="OTH"/>  </patientRole></recordTarget>
ItemDTCardConfDescriptionLabel
hl7:recordTarget
1 … *RNon-Human Subject.chpadotsject
hl7:templateId
II1 … 1Mchpadotsject
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.2
 Schematron assertrolered error 
 test//hl7:templateId[@root='1.3.6.1.4.1.19376.1.3.3.1.2.1'] 
 MessageIn addition to the elements specified in the CDA header for the non-human subject, this non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody. 
hl7:patientRole
1 … 1Rchpadotsject
@classCode
cs0 … 1FPAT
hl7:id
II1 … *Rchpadotsject
@extension
st1 … 1RMUST contain the actual number of non-human material. The number MUST be unique within the system that issued the number.
@root
uid1 … 1RMUST contain the OID of the system that issued the number. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
hl7:patient
1 … 1chpadotsject
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
@nullFlavor
cs1 … 1FOTH
 Indicates that there are laboratory tests for this non-human material in the CDA Body.