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Template Laborbefund Transplantationsprozesss 2016‑07‑02

Id2.16.756.5.30.1.127.10.1.3Effective Date2016‑07‑02
Statusretired RetiredVersion Label
NamecdachlrtpDisplay NameLaborbefund Transplantationsprozesss
Description(de-CH) Laborbefund im Transplantationsprozesss
ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 5 concepts
IdNameData Set
hl7chcda-dataelement-239draft Health facility draft CDA-CH V2 2017
ref
hl7chcda-
hl7chcda-dataelement-238draft Identifier draft CDA-CH V2 2017
ref
hl7chcda-
hl7chcda-dataelement-47draft addressInformation draft CDA-CH V2 2017
ref
hl7chcda-
psr-dataelement-48draft Ordering Provider draft APSR 2.0
ref
psr-
psr-dataelement-78draft Clinician draft APSR 2.0
ref
psr-
Used by / Uses
Used by 0 transactions and 0 templates, Uses 21 templates
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.3.1.6Includeactive Ordering Provider (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.2IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.3Includeactive Custodian (2020)DYNAMIC
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
2.16.756.5.30.1.1.10.2.12IncludeDYNAMIC
2.16.756.5.30.1.1.10.2.16Includeactive Order Reference - inFulfillmentOf (2017)DYNAMIC
2.16.756.5.30.1.1.10.3.4Containmentactive Vital Signs Section - coded (2016)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
2.16.756.5.30.1.127.10.2.29Includedraft CDA recordTarget (lrtp)DYNAMIC
2.16.756.5.30.1.127.10.3.11Containmentdraft Blutgruppe SectionDYNAMIC
2.16.756.5.30.1.127.10.3.12Containmentdraft Laborbefund Section (lrtp)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Example
Example
<ClinicalDocument>
  <realmCode code="CHE"/>  <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3"/>  <templateId root="2.16.756.5.30.1.1.1.1"/>  <templateId root="2.16.756.5.30.1.1.1.1.3.4.1"/>  <id extension="A68AF3DB-5A1D-4C6C-85FA-2816E723DEF4" root="2.16.756.5.30.1.1.1.1.3.4.1"/>  <code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY REPORT.TOTAL"/>  <title>Laborbefund im Transplantationsprozess</title>  <effectiveTime value="20140116"/>  <confidentialityCode code="R" codeSystem="2.16.840.1.113883.5.25"/>  <languageCode code="de-CH"/>  <setId extension="CD3AFF99-8956-44EF-A882-B160AAAFBF2A" root="2.16.756.5.30.1.1.1.1.3.4.1"/>  <versionNumber value="1"/>  <recordTarget>
    <!-- .. -->
  </recordTarget>
  <author>
    <!-- .. -->
  </author>
  <custodian>
    <!-- .. -->
  </custodian>
  <informationRecipient typeCode="PRCP">
    <!-- .. -->
  </informationRecipient>
  <documentationOf>
    <!-- .. -->
  </documentationOf>
  <component>
    <structuredBody>
      <!-- .. -->
    </structuredBody>
  </component>
</ClinicalDocument>
ItemDTCardConfDescriptionLabel
hl7:ClinicalDocument
cdachlrtp
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 … 1Mcdachlrtp
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3
hl7:templateId
II1 … 1Mcdachlrtp
@root
uid1 … 1F2.16.756.5.30.1.1.1.1
hl7:templateId
II1 … 1Mcdachlrtp
@root
uid1 … 1F2.16.756.5.30.1.1.1.1.3.4.1
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 … 1RCDA‑dotsCODE
@code
CONF0 … 1F11502-2
@codeSystem
0 … 1F2.16.840.1.113883.6.1
@codeSystemName
0 … 1FLOINC
@displayName
0 … 1FLABORATORY REPORT.TOTAL
 Example<code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY REPORT.TOTAL"/>
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 … 1Rcdachlrtp
hl7:confidentialityCode
CE1 … 1Rcdachlrtp
@code
CONF0 … 1FR
@codeSystem
0 … 1F2.16.840.1.113883.5.25
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 2.16.756.5.30.1.127.10.2.29 CDA recordTarget (lrtp) (DYNAMIC)
hl7:recordTarget
1 … 1RCDARdotslrtp
@typeCode
cs0 … 1FRCT
@contextControlCode
cs0 … 1FOP
hl7:patientRole
1 … 1RCDARdotslrtp
@classCode
cs0 … 1FPAT
hl7:id
II0 … *RCDARdotslrtp
where [not(@root='2.16.756.5.30.1.129.1.1.1')]
hl7:id
II1 … 1MCDARdotslrtp
where [@root='2.16.756.5.30.1.129.1.1.1']
@root
uid1 … 1F2.16.756.5.30.1.129.1.1.1
@extension
st1 … 1R(de-CH) SOAS-ID
hl7:patient
0 … 1CDARdotslrtp
@classCode
cs0 … 1FPSN
@determinerCode
cs0 … 1FINSTANCE
hl7:name
PN1 … 1RCDARdotslrtp
hl7:administrativeGenderCode
CE1 … 1RCDARdotslrtp
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
hl7:birthTime
TS1 … 1RCDARdotslrtp
Included from 2.16.756.5.30.1.1.10.2.2 (DYNAMIC)
 Include
alertError: Cannot find template "2.16.756.5.30.1.1.10.2.2" (DYNAMIC)
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 2.16.756.5.30.1.1.10.2.3 Custodian (DYNAMIC)
hl7:custodian
1 … 1RThe organization in whose name this CDA document has been created (corresponds to the sender of a letter).CDA‑CH V2
hl7:templateId
II1 … 1MCDA‑CH V2
@root
uid1 … 1F2.16.756.5.30.1.1.10.2.3
hl7:assignedCustodian
1 … 1RCDA‑CH V2
hl7:representedCustodianOrganization
1 … 1RCDA‑CH V2
hl7:id
II1 … *MThe custodian's id.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:name
ON1 … 1RThe custodian's name.CDA‑CH V2
hl7:telecom
TEL0 … 1The custodian's means of communication (phone, eMail, ...).CDA‑CH V2
hl7:addr
AD0 … 1The custodian's address(es).
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑CH V2
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
 
target
hl7chcda-dataelement-238draft Identifier draft CDA-CH V2 2017
ref
hl7chcda-
@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
 
target
hl7chcda-dataelement-47draft addressInformation draft CDA-CH V2 2017
ref
hl7chcda-
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
 
target
hl7chcda-dataelement-239draft Health facility draft CDA-CH V2 2017
ref
hl7chcda-
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 1.3.6.1.4.1.19376.1.3.3.1.6 Ordering Provider (DYNAMIC)
hl7:participant
Referral Ordering PhysicianOrdedotsider
 
target
psr-dataelement-48draft Ordering Provider draft APSR 2.0
ref
psr-
psr-dataelement-78draft Clinician draft APSR 2.0
ref
psr-
@typeCode
cs1 … 1FREF
hl7:templateId
II1 … 1Ordedotsider
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.6
hl7:time
IVL_TS1 … 1RThis element represents the date and time the order was placed. Time MAY be present.Ordedotsider
hl7:associatedEntity
1 … 1Ordedotsider
hl7:addr
AD1 … *RThe address of this person (referral ordering physician) SHALL be present.Ordedotsider
hl7:telecom
TEL1 … *RThe telecom of this person (referral ordering physician) SHALL be present.Ordedotsider
 Schematron assertrolered error 
 testnot(hl7:assignedPerson) or hl7:assignedPerson/hl7:name 
 MessageThe <name> sub-element SHALL be present when <assignedPerson> present. 
hl7:associatedPerson
0 … 1ROrdedotsider
hl7:scopingOrganization
0 … 1Ordedotsider
Included0 … 1 from 2.16.756.5.30.1.1.10.2.16 Order Reference - inFulfillmentOf (DYNAMIC)
hl7:inFulfillmentOf
0 … 1Reference 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.
hl7:documentationOf
1 … 1R(de-CH) Die Fallunterscheidung der untersuchten Person resp. der Geltungsbereich des Befundes (Leichenspender, Lebendspender, Organempfänger) wird im CDA Header mit dem documentationOf Element dokumentiert.cdachlrtp
 Example<documentationOf>
  <serviceEvent>
    <code code="RECIP" displayName="Recipient" codeSystem="2.16.756.5.30.1.129.1.1.4"/>  </serviceEvent>
</documentationOf>
 Example<documentationOf>
  <serviceEvent>
    <code code="DDON" displayName="Deceased donor" codeSystem="2.16.756.5.30.1.129.1.1.4"/>  </serviceEvent>
</documentationOf>
hl7:serviceEvent
1 … 1Rcdachlrtp
hl7:code
CE1 … 1Mcdachlrtp
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.11.20 Geltungsbereich des Befundes (DYNAMIC)
Included from 2.16.756.5.30.1.1.10.2.9 (DYNAMIC)
(de-CH)
Für die Korrektur falsch übermittelter Werte muss ein neues Dokument erstellt werden, welches das frühere Dokument ersetzt. Beim Verarbeiten des neuen Dokuments werden sämtliche Werte aus dem zu ersetzenden Dokument als veraltet interpretiert (gelöscht oder als gelöscht resp. als veraltet markiert). Alle Werte im neuen Dokument werden als gültig markiert. Werte, die nur im alten Dokument enthalten waren sind gelöscht. Werte, die in beiden Dokumenten vorhanden sind werden mit dem Inhalt des neuen Dokuments überschrieben. Werte, die nur im neuen Dokument enthalten sind werden neu erfasst.
Die Verbindung zum zu ersetzenden Dokument MUSS lauten:
ClinicalDocument/relatedDocument/@typeCode="RPLC"
parentDocument/id: ID des referenzierten Dokuments (ClinicalDocument/id)
ClinicalDocument/setId: MUSS identisch sein mit dem zu ersetzenden Dokument.
ClinicalDocument/versionNumber/@value: Muss gegenüber dem zu ersetzenden Dokument um 1 erhöht werden.
 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 … 1Rcdachlrtp
@contextConductionInd
bl0 … 1Ftrue
hl7:structuredBody
1 … 1Rcdachlrtp
hl7:component
0 … 1R(de-CH) Blutgruppe
Contains 2.16.756.5.30.1.127.10.3.11 Blutgruppe Section (DYNAMIC)
cdachlrtp
@contextConductionInd
bl0 … 1Ftrue
hl7:component
0 … 1R(de-CH) Vitalzeichen
Contains 2.16.756.5.30.1.1.10.3.4 Vital Signs Section - coded (DYNAMIC)
cdachlrtp
@contextConductionInd
bl0 … 1Ftrue
hl7:component
0 … 1R(de-CH) Laborbefund
Contains 2.16.756.5.30.1.127.10.3.12 Laborbefund Section (lrtp) (DYNAMIC)
cdachlrtp
@contextConductionInd
bl0 … 1Ftrue
 Schematron assertrolered error 
 testcount(hl7:component/hl7:section)>0 
 MessageMindestens eine Section muss im CDA-CH-LRTP Dokument vorhanden sein