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Template Multimedia Embedded Content 2017‑06‑21

Id2.16.756.5.30.1.1.10.4.18
ref
ch-palm-
Effective Date2017‑06‑21
Statusrejected RejectedVersion Label2017
Namechpalm_entry_MultimediaEmbeddedContentDisplay NameMultimedia Embedded Content
Description

Multimedia objects (e.g., PDF representations of the CDA document, pictures, Reiber diagrams, electrophoresis, etc.) MAY be integrated into a CDA document, either by reference to external multimedia objects or by means of XML embedding.

This template defines only the embedding of multimedia objects in the CDA document. References to external documents can be created with the ExternalDocument template.

For embedding in XML, the multimedia objects Base-64 must be encoded.

Due to the amount of data, only light objects should be embedded.

Heavy objects should be integrated using links to external documents.

ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.18
LabelCH‑PALM
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.304 CDA ObservationMedia (2005‑09‑07)
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ad1bbr-

Specialization: template 2.16.756.5.30.1.1.10.4.83 Observation Media (DYNAMIC)
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hl7chcda-
Example
XD-LAB Example
<section>
  <text>
    <!-- ... -->
    <renderMultimedia referencedObject="ELECTRO"/>    <!-- ... -->
  </text>
  <entry>
    <!-- ... -->
    <observationMedia classCode="OBS" moodCode="EVN" ID="ELECTRO">
      <value mediaType="image/gif" representation="B64">Here is the inline B64 multimedia content</value>    </observationMedia>
    <!-- ... -->
  </entry>
</section>
Example
Example
<observationMedia ID="pdf1">
  <templateId root="2.16.756.5.30.1.1.10.4.18"/>  <templateId root="2.16.756.5.30.1.1.10.4.83"/>  <id root="2.999" extension="1095634"/>  <languageCode code="en-US"/>  <value xsi:type="ED" mediaType="application/pdf" representation="B64">JVBERi0xL ... 1DQolJUVPRg==</value></observationMedia>
ItemDTCardConfDescriptionLabel
hl7:observationMedia
CH‑PALM
@ID
st1 … 1RKey for the reference to the narrative part of the document (<renderMultimedia referencedObject="the Key..."/>)
hl7:templateId
II1 … 1MCH‑PALM
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.18
hl7:templateId
II1 … 1MCH‑PALM
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.83
hl7:id
II0 … *IDs for this item CAN be filled for traceability.CH‑PALM
@root
uid1 … 1RMUST contain the OID of the system that issued the ID. 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.
@extension
st0 … 1 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:languageCode
CS1 … 1RThe RFC 1766 (ISO-639-1 and ISO 3166) based language in which the multimedia object is written. If it isn't known or not available (e.g. for pictures), use nullFlavor instead.CH‑PALM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
ED1 … 1RThe Base-64 encoded multimedia object.CH‑PALM
@representation
cs1 … 1FB64
 Indicates that the object is Base-64 encoded.
@mediaType
cs1 … 1R Mime type of the multimedia object. According to XD-LAB, only gif, jpeg, png or bmp formats are permitted for laboratory reports (Value-Set Multimedia Embedded Media Types)
 CONF
The value of @mediaType shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.5 Multimedia Embedded Media Types (DYNAMIC)
hl7:entryRelationship
NPThis template defines only the embedding of multimedia objects in the CDA document.CH‑PALM
hl7:reference
NPThis template defines only the embedding of multimedia objects in the CDA document.CH‑PALM