Item | DT | Card | Conf | Description | Label |
---|
hl7:ClinicalDocument
| | | | | XeHLport |
hl7:realmCode
| CS | 0 … 1 | R | This attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question. This element should not be used for identifying the originating country.
| XeHLport |
| Example | Example for a French extension <realmCode code="FR"/> |
hl7:typeId
| II | 1 … 1 | M | This element is a technology-neutral explicit reference to the standard CDA R2. It SHALL be present and valued as follows: ClinicalDocument/typeId@root = "2.16.840.1.113883.1.3" (which is the OID for HL7 Registered models); ClinicalDocument.typeId@extension = "POCD_HD000040" (which is the unique identifier for the CDA, Release Two Hierarchical Description). | XeHLport |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.1.3 |
@extension
| st | 1 … 1 | F | POCD_HD000040 |
hl7:templateId
| II | 1 … 1 | M | This element is identifying the set of constraints applied to the CDA R2 standard by this specification of a laboratory report. | XeHLport |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.33 |
hl7:templateId
| II | 1 … 1 | M | This element is identifying the set of constraints applied to the CDA R2 standard by this specification of a laboratory report. | XeHLport |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.3 |
| Compliance to IHE XD-LAB template |
hl7:id
| II | 1 … 1 | M | ClinicalDocument/Id SHALL be present. It represents the unique instance identifier of the clinical document. The combination of the root and extension attributes SHALL provide a globally unique identifier, in accordance with CDA R2, without further constraints. | XeHLport |
| Example | Example using the extension attribute <id root="1.3.6.1.4.1.19376.1.3.4" extension="abc2"/> |
| Example | Example without the extension attribute <!-- In this case the OID populated in the root attribute is the unique instance identifier itself (The OID in this example is constructed from the OID dedicated to all examples in IHE LAB TF: 1.3.6.1.4.1.19376.1.3.4)--> <id root="1.3.6.1.4.1.19376.1.3.4.1232669"/> |
hl7:code
| CE.IPS | 1 … 1 | M | ClinicalDocument/code SHALL be present. | XeHLport |
@code
| CONF | 1 … 1 | F | 11502-2 |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.6.1 |
@codeSystemName
| 1 … 1 | F | LOINC |
hl7:title
| ST | 1 … 1 | M | Narrative title of the document, usually shown to the user.
| XeHLport |
xeh:documentStatus
| CE.IPS (required) | 0 … 1 | | | XeHLport |
| CONF | |
hl7:effectiveTime
| TS.IPS.TZ | 1 … 1 | M | ClinicalDocument/effectiveTime SHALL be present. It contains the creation date & time of the laboratory report as an electronic document. In case this is a new revision replacing a previous version (identified in parentDocument), this is the date & time of the new revision. | XeHLport |
| Example | <effectiveTime value="20080624131933.0000-0500"/> |
hl7:confidentialityCode
| CE.IPS | 1 … 1 | R | | XeHLport |
| CONF | |
hl7:languageCode
| CS | 1 … 1 | R | Document Language Code
| XeHLport |
| Constraint | The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted
|
| CONF | |
| Example | Example of a report authored in American English <languageCode code="en-US"/> |
| Example | Example of a report authored in French <languageCode code="fr-FR"/> |
hl7:setId
| II | 1 … 1 | M | This attribute “represents an identifier that is common across all document revisions”. In the case this instance is generated as result of one or more transformations (translation/transcoding) the setId is supposed to remain unchanged across all those transformations. | XeHLport |
| Example | <setId root="1.3.6.1.4.1.19376.1.3.4" extension="abc2"/> |
hl7:versionNumber
| INT | 1 … 1 | M | An integer value used to version successive replacement documents.
| XeHLport |
Choice | 1 … 1 | | The base XD-LAB report template covers 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, etc.) 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).
This template limits the choice to Human subjects. Elements to choose from: |
Included | 0 … 1 | R | from 2.16.840.1.113883.2.51.10.9 XeH CDA recordTarget (DYNAMIC)
Human (patient): The document reports laboratory observations produced on specimens collected exclusively from the patient. All persons (including the patient) and organizations mentioned in the document SHALL provide elements name, addr and telecom. |
hl7:recordTarget
| | 0 … 1 | R | | XeHCrget |
@typeCode
| cs | 0 … 1 | F | RCT |
@contextControlCode
| cs | 0 … 1 | F | OP |
| Example | <recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole classCode="PAT"> <id root="1.2.3.999" extension="__example only__"/> <addr> <streetAddressLine>HSE M CASSAR STR</streetAddressLine> <city>ISLA</city> <country>MT</country> </addr> <telecom use="HP" value="tel:+356124567891"/> <telecom use="WP" value="mailto:elif@foo.too.mt"/> <patient> <name> <family>BORG</family> <given>TANIA</given> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/> <birthTime value="19430130"/> <!-- Optional guardian information ; see example below--> <!-- Optional languageCommunication information see example below --> </patient> </patientRole></recordTarget> |
hl7:patientRole
| | 1 … 1 | M | | XeHCrget |
@classCode
| cs | 0 … 1 | F | PAT |
hl7:id
| II | 1 … * | R | Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number) | XeHCrget |
hl7:addr
| AD.IPS | 1 … * | R | The patient address. | XeHCrget |
| Constraint | When used for cross-border exchange the country address part has to be provided. |
Included | | | from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. |
| Schematron assert | role | error | |
| test | @nullFlavor or hl7:* | |
| Message | If addr is not nullflavored at least one sub element has to be provided | |
hl7:streetAddressLine
| ADXP | 0 … * | C | Subject's or Organization's Street Address Line | IPSAress |
| Schematron assert | role | error | |
| test | hl7:streetAddressLine and (hl7:city or hl7:postalCode) | |
| Message | If the address line is included either the city or the zip code has to be provided | |
hl7:city
| ADXP | 0 … 1 | C | Subject's or Organization's City | IPSAress |
hl7:postalCode
| ADXP | 0 … 1 | C | Subject's or Organization's Postal Code | IPSAress |
hl7:state
| ADXP | 0 … 1 | C | Subject's or Organization's State or Province | IPSAress |
hl7:country
| ADXP | 0 … 1 | C | Subject's Country. | IPSAress |
| Constraint | The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300 DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. |
hl7:telecom
| TEL | 1 … * | R | Patient’s telecom information : e.g. telephone number, e-mail address. | XeHCrget |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
|
| Example | <telecom use="HP" value="tel:+356124567891"/> |
| Example | <telecom use="WP" value="mailto:elif@foo.too.mt"/> |
| Example | <telecom nullFlavor="NI"/> |
hl7:patient
| | 1 … 1 | M | | XeHCrget |
@classCode
| cs | 0 … 1 | F | PSN |
@determinerCode
| cs | 0 … 1 | F | INSTANCE |
| Example | Japanese example (Person Name) <patient> <name use="IDE"> <family>木村</family> <given>通男</given> </name> <name use="SYL"> <family>きむら</family> <given>みちお</given> </name> <name use="ABC"> <family>KIMURA</family> <given>MICHIO</given> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/> <birthTime nullFlavor="UNK"/></patient> |
hl7:name
| PN | 1 … * | M | Patient Name | XeHCrget |
| Constraint | The Alphabetic representation of the name SHALL be always provided |
hl7:family
| | 1 … * | R | Patient's Family Name/Surname | XeHCrget |
hl7:given
| | 1 … * | R | Patient's Given Name | XeHCrget |
hl7:administrativeGenderCode
| CE.IPS | 1 … 1 | R | Patient's Gender | XeHCrget |
@nullFlavor
| cs | 0 … 1 | F | UNK |
| CONF | |
| Example | <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"> <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode> |
hl7:birthTime
| TS | 1 … 1 | R | Patient's Date of Birth. The patient date of birth may be a partial date such as only the year. | XeHCrget |
hl7:guardian
| | 0 … * | R | The guardians of a patient.
Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact. | XeHCrget |
@classCode
| cs | 1 … 1 | F | GUARD |
| Example | <guardian classCode="GUARD"> <code code="AUNT" displayName="tante" codeSystem="2.16.840.1.113883.5.111"/> <addr nullFlavor="NI"/> <telecom use="MC" value="tel:+33-12345678"/> <guardianPerson> <name> <family>Curie</family> <given>Marie</given> </name> </guardianPerson></guardian> |
hl7:code
| CD.IPS | 0 … 1 | R | The relationship between the patient and the guardian or other contact may be recorded in the element. | XeHCrget |
| CONF | |
hl7:addr
| AD.IPS | 1 … * | R | | XeHCrget |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
|
Included | | | from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. |
| Schematron assert | role | error | |
| test | @nullFlavor or hl7:* | |
| Message | If addr is not nullflavored at least one sub element has to be provided | |
hl7:streetAddressLine
| ADXP | 0 … * | C | Subject's or Organization's Street Address Line | IPSAress |
| Schematron assert | role | error | |
| test | hl7:streetAddressLine and (hl7:city or hl7:postalCode) | |
| Message | If the address line is included either the city or the zip code has to be provided | |
hl7:city
| ADXP | 0 … 1 | C | Subject's or Organization's City | IPSAress |
hl7:postalCode
| ADXP | 0 … 1 | C | Subject's or Organization's Postal Code | IPSAress |
hl7:state
| ADXP | 0 … 1 | C | Subject's or Organization's State or Province | IPSAress |
hl7:country
| ADXP | 0 … 1 | C | Subject's Country. | IPSAress |
| Constraint | The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300 DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. |
hl7:telecom
| TEL | 1 … * | R | Guardian’s telecom information: e.g. telephone number; e-mail address. | XeHCrget |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
|
hl7:guardianPerson
| | 1 … 1 | R | | XeHCrget |
hl7:name
| PN | 1 … * | R | Patient Guardian's Name | XeHCrget |
hl7:family
| ENXP | 1 … * | R | Patient Guardian's Family Name/Surname | XeHCrget |
hl7:given
| ENXP | 1 … * | R | Patient Guardian's Given Name | XeHCrget |
hl7:languageCommunication
| | 0 … * | R | | XeHCrget |
hl7:languageCode
| CS | 1 … 1 | R | Patient’s language | XeHCrget |
| Constraint | The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted |
| CONF | |
| Example | British English <languageCode code="en-GB"/> |
| Example | Amurdak (Australia) <languageCode code="amg-AU"/> |
| Schematron assert | role | error | |
| test | matches(@code,'[a-z]{2,3}-[A-Z]{2,3}') | |
| Message | The language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code) | |
Included | | NP | from 1.3.6.1.4.1.19376.1.3.3.1.2 Non-Human Subject (DYNAMIC)
Non-Human Subject: The document reports laboratory observations produced on specimens collected from a non-human material (e.g., water, milk, etc.) or living subject (e.g., animal). |
hl7:recordTarget
| | 1 … * | NP | | Nonhrget |
@typeCode
| cs | 0 … 1 | F | RCT |
@contextControlCode
| cs | 0 … 1 | F | OP |
hl7:templateId
| II | 1 … 1 | M | | Nonhrget |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.3.1.2 |
hl7:patientRole
| | 1 … 1 | R | | Nonhrget |
@classCode
| cs | 0 … 1 | F | PAT |
hl7:id
| II | 1 … * | R | | Nonhrget |
hl7:patient
| | 1 … 1 | | | Nonhrget |
@classCode
| cs | 0 … 1 | F | PSN |
@determinerCode
| cs | 0 … 1 | F | INSTANCE |
@nullFlavor
| cs | 1 … 1 | F | OTH |
Included | 0 … 1 | R | from 2.16.840.1.113883.2.51.10.53 XeH CDA recordTarget with non-human Subject (DYNAMIC)
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). |
hl7:recordTarget
| | 0 … 1 | R | | XeHCject |
@typeCode
| cs | 0 … 1 | F | RCT |
@contextControlCode
| cs | 0 … 1 | F | OP |
| Example | <recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole classCode="PAT"> <id root="1.2.3.999" extension="__example only__"/> <addr> <streetAddressLine>HSE M CASSAR STR</streetAddressLine> <city>ISLA</city> <country>MT</country> </addr> <telecom use="HP" value="tel:+356124567891"/> <telecom use="WP" value="mailto:elif@foo.too.mt"/> <patient> <name> <family>BORG</family> <given>TANIA</given> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/> <birthTime value="19430130"/> <!-- Optional guardian information ; see example below--> <!-- Optional languageCommunication information see example below --> </patient> </patientRole></recordTarget> |
hl7:templateId
| II | 1 … 1 | R | | XeHCject |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.3.1.3 |
| IHE XD-LAB Human Patient with Non-Human Subject template |
hl7:patientRole
| | 1 … 1 | M | | XeHCject |
@classCode
| cs | 0 … 1 | F | PAT |
hl7:id
| II | 1 … * | R | Patient Identifiers: Primary Patient Identifier (Regional/National Health Id), Secondary Patient Identifier (Social/Insurance Number) | XeHCject |
hl7:addr
| AD.IPS | 1 … * | R | The patient address. | XeHCject |
| Constraint | When used for cross-border exchange the country address part has to be provided. |
Included | | | from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. |
| Schematron assert | role | error | |
| test | @nullFlavor or hl7:* | |
| Message | If addr is not nullflavored at least one sub element has to be provided | |
hl7:streetAddressLine
| ADXP | 0 … * | C | Subject's or Organization's Street Address Line | IPSAress |
| Schematron assert | role | error | |
| test | hl7:streetAddressLine and (hl7:city or hl7:postalCode) | |
| Message | If the address line is included either the city or the zip code has to be provided | |
hl7:city
| ADXP | 0 … 1 | C | Subject's or Organization's City | IPSAress |
hl7:postalCode
| ADXP | 0 … 1 | C | Subject's or Organization's Postal Code | IPSAress |
hl7:state
| ADXP | 0 … 1 | C | Subject's or Organization's State or Province | IPSAress |
hl7:country
| ADXP | 0 … 1 | C | Subject's Country. | IPSAress |
| Constraint | The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300 DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. |
hl7:telecom
| TEL | 1 … * | R | Patient’s telecom information : e.g. telephone number, e-mail address. | XeHCject |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
|
| Example | <telecom use="HP" value="tel:+356124567891"/> |
| Example | <telecom use="WP" value="mailto:elif@foo.too.mt"/> |
| Example | <telecom nullFlavor="NI"/> |
hl7:patient
| | 1 … 1 | M | | XeHCject |
@classCode
| cs | 0 … 1 | F | PSN |
@determinerCode
| cs | 0 … 1 | F | INSTANCE |
| Example | Japanese example (Person Name) <patient> <name use="IDE"> <family>木村</family> <given>通男</given> </name> <name use="SYL"> <family>きむら</family> <given>みちお</given> </name> <name use="ABC"> <family>KIMURA</family> <given>MICHIO</given> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1" displayName="Male"/> <birthTime nullFlavor="UNK"/></patient> |
hl7:name
| PN | 1 … * | M | Patient Name | XeHCject |
| Constraint | The Alphabetic representation of the name SHALL be always provided |
hl7:family
| | 1 … * | R | Patient's Family Name/Surname | XeHCject |
hl7:given
| | 1 … * | R | Patient's Given Name | XeHCject |
hl7:administrativeGenderCode
| CE.IPS | 1 … 1 | R | Patient's Gender | XeHCject |
@nullFlavor
| cs | 0 … 1 | F | UNK |
| CONF | |
| Example | <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"> <translation code="2" codeSystem="2.16.840.1.113883.3.129.1.2.21" codeSystemName="Cinsiyet" displayName="Kadın"/></administrativeGenderCode> |
hl7:birthTime
| TS | 1 … 1 | R | Patient's Date of Birth. The patient date of birth may be a partial date such as only the year. | XeHCject |
hl7:guardian
| | 0 … * | R | The guardians of a patient.
Other patient contacts are described using the /ClinicalDocument/participant structure. The <associatedEntity> element defines the type of contact. | XeHCject |
@classCode
| cs | 1 … 1 | F | GUARD |
| Example | <guardian classCode="GUARD"> <code code="AUNT" displayName="tante" codeSystem="2.16.840.1.113883.5.111"/> <addr nullFlavor="NI"/> <telecom use="MC" value="tel:+33-12345678"/> <guardianPerson> <name> <family>Curie</family> <given>Marie</given> </name> </guardianPerson></guardian> |
hl7:code
| CD.IPS | 0 … 1 | R | The relationship between the patient and the guardian or other contact may be recorded in the element. | XeHCject |
| CONF | |
hl7:addr
| AD.IPS | 1 … * | R | | XeHCject |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present.
|
Included | | | from 2.16.840.1.113883.10.22.11 IPS Address (DYNAMIC) |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | SHALL NOT have mixed content except for white space If there is no information, the nullFlavor attribute shall have a value of 'NI' and no address parts shall be present, otherwise there shall be no nullFlavor attribute, and at least one of the address parts listed below shall be present. |
| Schematron assert | role | error | |
| test | @nullFlavor or hl7:* | |
| Message | If addr is not nullflavored at least one sub element has to be provided | |
hl7:streetAddressLine
| ADXP | 0 … * | C | Subject's or Organization's Street Address Line | IPSAress |
| Schematron assert | role | error | |
| test | hl7:streetAddressLine and (hl7:city or hl7:postalCode) | |
| Message | If the address line is included either the city or the zip code has to be provided | |
hl7:city
| ADXP | 0 … 1 | C | Subject's or Organization's City | IPSAress |
hl7:postalCode
| ADXP | 0 … 1 | C | Subject's or Organization's Postal Code | IPSAress |
hl7:state
| ADXP | 0 … 1 | C | Subject's or Organization's State or Province | IPSAress |
hl7:country
| ADXP | 0 … 1 | C | Subject's Country. | IPSAress |
| Constraint | The content of this element SHALL be selected EITHER from ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300 DYNAMIC OR MAY be selected from ISO Country Alpha-3 2.16.840.1.113883.1.11.171 DYNAMIC, IF the country is not specified in ValueSet ISO Country Alpha-2 urn:oid:2.16.840.1.113883.1.11.20300. |
hl7:telecom
| TEL | 1 … * | R | Guardian’s telecom information: e.g. telephone number; e-mail address. | XeHCject |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@nullFlavor
| cs | 0 … 1 | F | NI |
| Constraint | If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.
|
hl7:guardianPerson
| | 1 … 1 | R | | XeHCject |
hl7:name
| PN | 1 … * | R | Patient Guardian's Name | XeHCject |
hl7:family
| ENXP | 1 … * | R | Patient Guardian's Family Name/Surname | XeHCject |
hl7:given
| ENXP | 1 … * | R | Patient Guardian's Given Name | XeHCject |
hl7:languageCommunication
| | 0 … * | R | | XeHCject |
hl7:languageCode
| CS | 1 … 1 | R | Patient’s language | XeHCject |
| Constraint | The two characters form SHALL be used when available; otherwise the three characters representation SHALL be adopted |
| CONF | |
| Example | British English <languageCode code="en-GB"/> |
| Example | Amurdak (Australia) <languageCode code="amg-AU"/> |
| Schematron assert | role | error | |
| test | matches(@code,'[a-z]{2,3}-[A-Z]{2,3}') | |
| Message | The language code SHALL be in the form nn-CC or nnn-CCC, in accordance with BCP 47 (e.g. nn is the ISO language code; CC is ISO country code) | |
Included | 1 … * | R | from 2.16.840.1.113883.2.51.10.5 XeH CDA author (DYNAMIC)
The laboratory report can be authored by a software system or by a person or by both. The author/time element carries the date&time the laboratory report was produced.
|
hl7:author
| | 1 … * | R | | XeHCthor |
@typeCode
| cs | 0 … 1 | F | AUT |
@contextControlCode
| cs | 0 … 1 | F | OP |
| Example | <author> <time value="201212290600+0100"/> <assignedAuthor> <id root="2.16.840.1.113883.2.9.4.3.2" extension="RSSMRA00A01F205F" assigningAuthorityName="Ministero Economia e Finanze"/> <addr use="WP"> <streetAddressLine>Viale della Cristallina 3</streetAddressLine> <city>Bologna</city> <state>BO</state> <postalCode>40121</postalCode> <country>IT</country> </addr> <telecom use="WP" value="tel:+39-051-34343434"/> <assignedPerson> <name> <given>Paolo</given> <family>Rossi</family> </name> </assignedPerson> </assignedAuthor> <representedOrganization> <!-- template 'IPS CDA Organization' (dynamic) --> </representedOrganization></author> |
hl7:functionCode
| CE.IPS | 0 … 1 | R | Function of the author (e.g. "Physician on duty", ...). Binding of this element is left open and needs to be set according to project policies. | XeHCthor |
hl7:time
| TS.IPS.TZ | 1 … 1 | R | The author/time element represents the start time of the author’s participation in the creation of the clinical document. | XeHCthor |
| Example | <time value="201212290600+0100"/> |
hl7:assignedAuthor
| | 1 … 1 | R | | XeHCthor |
@classCode
| cs | 0 … 1 | F | ASSIGNED |
hl7:id
| II | 1 … * | R | Author Identifier(s)
in case the author is a device, the UDI Device Identifier MAY be specified as a second id element. | XeHCthor |
@nullFlavor
| cs | 0 … 1 | | |
hl7:code
| CE.IPS (extensible) | 0 … 1 | R | A code, which identifies the profession/competence/specialty of the author when it is a person. | XeHCthor |
| CONF | |
| Example | <code code="221" codeSystem="2.16.840.1.113883.2.9.6.2.7" codeSystemName="ISCO" displayName="Medical doctors"/> |
hl7:addr
| AD.IPS | 1 … * | R | | XeHCthor |
| Example | <addr use="WP"> <streetAddressLine>Viale della Cristallina 3</streetAddressLine> <city>Bologna</city> <state>BO</state> <postalCode>40121</postalCode> <country>IT</country></addr> |
hl7:telecom
| TEL.IPS | 1 … * | R | | XeHCthor |
@use
| set_cs | 0 … 1 | | |
| CONF | |
@value
| st | 0 … 1 | | |
| Example | <telecom use="WP" value="tel:+39-051-34343434"/> |
| Example | <telecom nullFlavor="NI"/> |
Choice | 1 … 1 | | Elements to choose from: |
hl7:assignedPerson
| | 0 … 1 | C | | XeHCthor |
@classCode
| cs | 0 … 1 | F | PSN |
@determinerCode
| cs | 0 … 1 | F | INSTANCE |
hl7:name
| PN | 1 … * | R | Name of the person (e.g. the Healthcare Professional) authoring this document | XeHCthor |
| Example | <name> <given>John</given> <family>Español Smith</family></name> |
hl7:family
| | 1 … * | R | | XeHCthor |
hl7:given
| | 1 … * | R | | XeHCthor |
hl7:assignedAuthoringDevice
| | 0 … 1 | C | Contains 2.16.840.1.113883.2.51.10.90 XeH CDA Device (DYNAMIC) | XeHCthor |
| Example | <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE"> <softwareName displayName="Turriano"/></assignedAuthoringDevice> |
hl7:representedOrganization
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHCthor |
Included | 0 … 1 | | from 2.16.840.1.113883.2.51.10.7 XeH CDA dataEnterer (DYNAMIC) Represents the participant who has transformed a dictated note into text.
|
hl7:dataEnterer
| | 0 … 1 | R | | XeHCerer |
hl7:time
| TS.IPS.TZ | 1 … 1 | R | Time of entering the data into the originating system | XeHCerer |
hl7:assignedEntity
| | 0 … 1 | R | Represents the participant who has transformed a dictated note into text. A person entering the data into the originating system. | XeHCerer |
hl7:id
| | 0 … * | R | Unique identification of the data enterer | XeHCerer |
hl7:addr
| AD.IPS | 1 … * | R | | XeHCerer |
hl7:telecom
| TEL.IPS | 1 … * | R | | XeHCerer |
hl7:assignedPerson
| | 1 … 1 | R | | XeHCerer |
@classCode
| cs | 0 … 1 | F | PSN |
@determinerCode
| cs | 0 … 1 | F | INSTANCE |
hl7:name
| PN | 1 … * | M | Name of the data enterer | XeHCerer |
| Example | <name> <given>John</given> <family>Español Smith</family></name> |
hl7:family
| | 1 … * | R | Family Name/Surname | XeHCerer |
hl7:given
| | 1 … * | R | Given Name | XeHCerer |
hl7:representedOrganization
| | 0 … 1 | R | Organization the data enterer is acting for Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHCerer |
Included | 1 … 1 | R | from 2.16.840.1.113883.2.51.10.6 XeH CDA custodian (DYNAMIC)
It represents the organization that is in charge of maintaining the laboratory report. |
hl7:custodian
| | 1 … 1 | R | | XeHCdian |
@typeCode
| cs | 0 … 1 | F | CST |
| Example | <custodian typeCode="CST"> <assignedCustodian classCode="ASSIGNED"> <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE"> <!-- template 'IPS CDA Organization' (dynamic) --> </representedCustodianOrganization> </assignedCustodian></custodian> |
hl7:assignedCustodian
| | 1 … 1 | R | | XeHCdian |
@classCode
| cs | 0 … 1 | F | ASSIGNED |
hl7:representedCustodianOrganization
| | 1 … 1 | R | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHCdian |
Included | 0 … * | | from 2.16.840.1.113883.2.51.10.14 XeH Information Recipient (DYNAMIC)
The informationRecipient/intendedRecipient element can be multiple. It introduces an intended recipient of the laboratory report, other than the Ordering Provider (described as a referrer participant). These elements carry the list of the originally intended recipients of the laboratory report, i.e., those who were known at the time the report was created and published for sharing.
|
hl7:informationRecipient
| | 0 … * | | | XeHIient |
hl7:templateId
| II | 1 … 1 | M | | XeHIient |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.14 |
hl7:templateId
| II | 1 … 1 | M | | XeHIient |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1937.99.61.67.10.15 |
hl7:templateId
| II | 0 … * | R | | XeHIient |
hl7:intendedRecipient
| | 1 … 1 | R | | XeHIient |
hl7:id
| II | 0 … * | R | | XeHIient |
hl7:addr
| AD | 1 … * | R | | XeHIient |
hl7:telecom
| TEL | 1 … * | R | | XeHIient |
hl7:informationRecipient
| | 0 … 1 | | Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) | XeHIient |
hl7:receivedOrganization
| | 0 … 1 | | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHIient |
Included | 0 … 1 | R | from 2.16.840.1.113883.2.51.10.8 XeH CDA legalAuthenticator (DYNAMIC)
This element carries the person who has legally authenticated the report, and the organization represented by this person. The sub-element time carries the date&time this legal authentication took place. The sub-element signatureCode carries the “signed” (S) status If this entity happens also to be one of the validators of the laboratory results in the report, it SHALL also be documented as a validator. |
hl7:legalAuthenticator
| | 0 … 1 | R | | XeHCator |
| Example | <legalAuthenticator> <time value="20111013150937-0800"/> <signatureCode code="S"/> <assignedEntity> <id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/> <assignedPerson> <name> <given>John</given> <family>Español Smith</family> </name> </assignedPerson> <representedOrganization> <name>Healthcare Facility's name</name> <addr> <country>NL</country> <streetName>Duinweg</streetName> <houseNumber>23</houseNumber> <postalCode>7364 RX</postalCode> <city>Amsterdam</city> </addr> </representedOrganization> </assignedEntity></legalAuthenticator> |
hl7:time
| TS.IPS.TZ | 1 … 1 | M | Time of signing the document | XeHCator |
hl7:signatureCode
| CS | 1 … 1 | R | Signature code | XeHCator |
@code
| CONF | 0 … 1 | F | S |
hl7:assignedEntity
| | 0 … 1 | R | The entity that is responsible for the legal authentication of the CDA document | XeHCator |
hl7:id
| | 1 … * | R | Unique identification of legal authenticator | XeHCator |
hl7:code
| CE.IPS (preferred) | | | A code, which identifies the profession/competence/specialty of the author when it is a person.
| XeHCator |
| CONF | |
hl7:addr
| AD.IPS | 1 … * | R | | XeHCator |
hl7:telecom
| TEL.IPS | 1 … * | R | | XeHCator |
hl7:assignedPerson
| | 1 … 1 | R | Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) | XeHCator |
hl7:representedOrganization
| | 1 … 1 | M | Organization the legal authenticator is acting for Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHCator |
Included | 1 … * | R | from 2.16.840.1.113883.2.51.10.44 XeH Results Validator (DYNAMIC)
When present it represents the clinical expert who performed the clinical validation (see the entries “validator” and “clinical expert” in the glossary in LAB TF-1:1.11) of the report or of a subset of its results, also called the validator. There MAY be more than one validator of the report. All the validators SHALL appear in the report header as authenticator elements AND, in the case of multiple validators, each individual validator SHALL be associated with the particular sections of the report he or she validated. In this case, the validator of a section SHALL also appear in the entry this section is derived from. |
| Constraint | A Laboratory Report SHALL contain a Result Validator IF KNOWN. A Laboratory Report with sdtc:statusCode set to "final" (or a later stage) SHALL always contain a Result Validator. |
hl7:authenticator
| | 1 … * | R | | XeHCator |
@typeCode
| cs | 1 … 1 | F | AUTHEN |
hl7:templateId
| II | 1 … 1 | M | | XeHCator |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.3.1.5 |
hl7:time
| TS | 1 … 1 | R | | XeHCator |
hl7:signatureCode
| CS | 1 … 1 | R | | XeHCator |
hl7:assignedEntity
| | 1 … 1 | R | | XeHCator |
@classCode
| cs | 0 … 1 | F | ASSIGNED |
hl7:id
| II | 1 … * | R | | XeHCator |
hl7:code
| CE.IPS (preferred) | 0 … 1 | R | A code, which identifies the profession/competence/specialty of the author when it is a person.
| XeHCator |
| CONF | |
hl7:addr
| AD | 1 … * | R | | XeHCator |
hl7:telecom
| TEL | 1 … * | R | | XeHCator |
| Schematron assert | role | error | |
| test | not(hl7:assignedPerson) or hl7:assignedPerson/hl7:name | |
| Message | the <name/> sub-element of <assignedPerson/> SHALL be present. | |
hl7:assignedPerson
| | 0 … 1 | R | Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) | XeHCator |
hl7:representedOrganization
| | 0 … 1 | R | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHCator |
Included | 0 … 1 | R | from 2.16.840.1.113883.2.51.10.48 XeH Ordering Provider (DYNAMIC)
In particular, when the ordering provider of the order (or group of orders) fulfilled by this laboratory report is present in the CDA, it SHALL be documented as a participant with the attribute typeCode valued “REF” (referrer). |
hl7:participant
| | 0 … 1 | R | Referral Ordering Physician | XeHOider |
@typeCode
| cs | 1 … 1 | F | REF |
hl7:templateId
| II | 1 … 1 | | | XeHOider |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.3.1.6 |
hl7:templateId
| II | 1 … 1 | | | XeHOider |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.48 |
hl7:time
| IVL_TS | 1 … 1 | R | This element represents the date and time the order was placed. Time MAY be present. | XeHOider |
hl7:associatedEntity
| | 1 … 1 | | | XeHOider |
hl7:code
| CE.IPS (preferred) | 0 … 1 | | A code, which identifies the profession/competence/specialty of the author when it is a person.
| XeHOider |
| CONF | |
hl7:addr
| AD | 1 … * | R | The address of this person (referral ordering physician) SHALL be present. | XeHOider |
hl7:telecom
| TEL | 1 … * | R | The telecom of this person (referral ordering physician) SHALL be present. | XeHOider |
hl7:associatedPerson
| | 0 … 1 | R | Contains 2.16.840.1.113883.2.51.10.73 XeH CDA Person (DYNAMIC) | XeHOider |
hl7:scopingOrganization
| | 0 … 1 | | Contains 2.16.840.1.113883.10.22.9.1 IPS CDA Organization (DYNAMIC) | XeHOider |
Included | 0 … 1 | R | from 2.16.840.1.113883.2.51.10.11 XeH inFulfillmentOf (DYNAMIC)
It represents the Placer Order or the Placer Group that was fulfilled, the id of which is carried by inFulfillmentOf/order/id. |
hl7:inFulfillmentOf
| | 0 … 1 | R | | XeHintOf |
@typeCode
| cs | 0 … 1 | F | FLFS |
hl7:order
| | 1 … 1 | R | | XeHintOf |
@classCode
| cs | 0 … 1 | F | ACT |
@moodCode
| cs | 1 … 1 | F | RQO |
hl7:id
| II | 1 … * | R | Identifier of the order
| XeHintOf |
hl7:code
| CE | 0 … 1 | | Type of order | XeHintOf |
hl7:priorityCode
| CE | 0 … 1 | | | XeHintOf |
| CONF | |
Included | 0 … * | | from 2.16.840.1.113883.2.51.10.47 XeH Lab DocumentationOf (DYNAMIC) Reference to the ServiceEvent(s) based on which this document has been created.
|
hl7:documentationOf
| | 0 … * | R | There SHALL be exactly one documentationOf/serviceEvent element present for each Laboratory Specialty Section in the CDA Body of the report.
The code of the serviceEvent SHALL be exactly the same as the code of the referred Laboratory Specialty Section (see below) | XeHLonOf |
hl7:serviceEvent
| | 1 … 1 | R | | XeHLonOf |
hl7:code
| CE.IPS | 1 … 1 | R | Service Event code | XeHLonOf |
| Constraint | This code SHALL be set to exact the same code, as the code of the Laboratory Specialty section this serviceEvent element refers to.
|
| CONF | |
hl7:effectiveTime
| IVL_TS | 0 … 1 | | Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate. | XeHLonOf |
lab:statusCode
| CS | 0 … 1 | | This Laboratory Report Content Module can express both final and non-final reports. To distinguish between the two, the statusCode element has been added to the documentationOf/serviceEvent element. A non-final report is a report documenting a serviceEvent, which is in the status "active". This sub-element serviceEvent/statusCode is optional. When it is not present the serviceEvent is assumed to be in the status "completed". | XeHLonOf |
| CONF | |
hl7:performer
| | 0 … * | | Laboratory Performer template in the CDA header Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMIC) | XeHLonOf |
Included | 0 … 2 | R | from 2.16.840.1.113883.10.22.2.7 IPS CDA relatedDocument (DYNAMIC)
A reference to a ParentDocument representing the source of a document revision, addenda, or transformation.
|
| Constraint | A conformant CDA document can have:
- a single relatedDocument with typeCode "APND"; OR
- a single relatedDocument with typeCode "RPLC"; OR
- a single relatedDocument with typeCode "XFRM"; OR
- a combination of two relatedDocuments with typeCodes "XFRM" and "RPLC"; OR
- a combination of two relatedDocuments with typeCodes "XFRM" and "APND".
No other combinations are allowed.
|
hl7:relatedDocument
| | 0 … 2 | R | | IPSCment |
@typeCode
| cs | 1 … 1 | R | |
| CONF | |
hl7:parentDocument
| | 1 … 1 | R | | IPSCment |
@classCode
| cs | 0 … 1 | F | DOCCLIN |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:id
| II | 1 … * | R | | IPSCment |
hl7:code
| CD.IPS | 0 … 1 | R | | IPSCment |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.6.1 |
hl7:text
| ED | 0 … 1 | R | | IPSCment |
hl7:setId
| II | 0 … 1 | R | | IPSCment |
hl7:versionNumber
| INT | 0 … 1 | R | | IPSCment |
Included | 0 … 1 | | from 2.16.840.1.113883.2.51.10.71 XeH Lab ComponentOf (DYNAMIC)
It describes the encounter during which the reported lab observations were ordered. When present the encounter : - is identified with an id element: encompassingEncounter/id
- have an effective time that represents the time interval (possibly still running, e.g., an inpatient current stay) of the encounter or a point in time at which the encounter took place (e.g., an outpatient consultation): encompassingEncounter/ effectiveTime
The encounter can provide any number of encounter participants (encompassingEncounter/encounterParticipant/assignedEntity). The encounter could precise the patient location during this encounter. This is the healthcare facility in which the patient was located when the reported lab test observations were ordered: encompassingEncounter/location/healthCareFacility. This healthcare facility can be represented as a physical place (e.g., room, floor, building, office) or as an organization (e.g., service, department, team) or both: healthCareFacility/location, healthCareFacility/serviceProviderOrganization. |
hl7:componentOf
| | 0 … 1 | | | XeHLntOf |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:templateId
| II | 1 … 1 | M | | XeHLntOf |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.71 |
hl7:encompassingEncounter
| | 1 … 1 | R | | XeHLntOf |
@classCode
| cs | 0 … 1 | F | ENC |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:id
| II | 1 … * | R | Identifier of the encounter (e.g. identifier of the hospital stay) | XeHLntOf |
hl7:code
| CE (extensible) | 0 … 1 | | Code describing the kind of clinical encounter during which the documented act(s) or ServiceEvent occurred.
| XeHLntOf |
| CONF | |
hl7:effectiveTime
| IVL_TS | 1 … 1 | R | | XeHLntOf |
hl7:low
| IVXB_TS | 1 … 1 | R | Start date time of the encounter (e.g. date of admission) | XeHLntOf |
hl7:high
| IVXB_TS | 1 … 1 | R | End date time of the encounter (e.g. date of discharge)
| XeHLntOf |
hl7:responsibleParty
| | 0 … 1 | | The provider (person or organization) who has primary responsibility for the encounter. The responsible provider is not necessarily present in an encounter, but is accountable for the action through the power to delegate, and the duty to review actions with the performing participant.
When the responsible party is an organization, the responsible party is reflected by the presence of a scoping Organization, without a playing entity. Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | XeHLntOf |
@typeCode
| cs | 0 … 1 | F | RESP |
hl7:location
| | 0 … 1 | | The location where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)
The setting of an encounter (e.g. cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) can be expressed in HealthCareFacility.code. Note that setting and physical location are not the same. | XeHLntOf |
@typeCode
| cs | 0 … 1 | F | LOC |
hl7:healthCareFacility
| | 1 … 1 | R | | XeHLntOf |
@classCode
| cs | 0 … 1 | F | SDLOC |
hl7:id
| II | 0 … * | | | XeHLntOf |
hl7:code
| CE | 0 … 1 | | | XeHLntOf |
| CONF | |
hl7:location
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.317 CDA Place (DYNAMIC) | XeHLntOf |
hl7:serviceProviderOrganization
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) | XeHLntOf |
hl7:component
| | 1 … 1 | M | | XeHLport |
hl7:structuredBody
| | 1 … 1 | R | | XeHLport |
Choice | 1 … * | | Content Modules for CDA Sections (Level 2) A laboratory report SHALL have a structuredBody. This body is organized as a tree of up to two levels of sections, delivering the human-readable content of the report: Top level sections represent laboratory specialties. A top level section SHALL contain either one text block carrying all the text results produced for this specialty along with a single Laboratory Data Processing Entry or a set of Laboratory Report Item Sections. In the first case the specialty section happens to also be a leaf section. In the latter case, each (second level) leaf section contained in the (top level) specialty section represents a Report Item: i.e., a battery, a specimen study (especially in microbiology), or an individual test. In addition, any leaf section SHALL contain a single Laboratory Data Processing Entry containing the observations of that section in a machine-readable format. Elements to choose from: |
hl7:component
| | 0 … * | R | Variant 1: section with text and entry Contains 2.16.840.1.113883.2.51.10.34 XeH Laboratory Specialty Section, Variant 1 (DYNAMIC) | XeHLport |
hl7:component
| | 0 … * | R | Variant 2: section with one to many subsections "Laboratory Report Item" Contains 2.16.840.1.113883.2.51.10.54 XeH Laboratory Specialty Section, Variant 2 (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Narrative expression of comments accompanying the report, such as suggestions for evaluation, technical notes from the laboratory, etc. Examples:
Suggestion: "This result should be evaluated in relation to the patient's medical history and clinical condition." Technical note: "A list of accredited examination(s) is available at www.laboratory.com."
Contains 2.16.840.1.113883.2.51.10.58 XeH Annotation Comment (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Reason for referral, as derived from the order if available. Should include one or more diagnoses which were the basis of the referral or the question of the laboratory assignment, e.g. suspected diagnosis.
Note: Other diagnosis, problems or conditions relevant for the laboratory examination interpretation, should be provided in section "XeH Problems"
Contains 2.16.840.1.113883.2.51.10.94 XeH Coded Reason for Referral Section (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Other diagnosis, problems or conditions, relevant for the laboratory examination interpretation, as derived from the order if available.
Contains 2.16.840.1.113883.2.51.10.23 XeH Problems Section (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Vital signs relevant for the laboratory examination interpretation, as derived from the order if available. Contains 2.16.840.1.113883.2.51.10.82 XeH Vital Signs Section (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Pregnancy information, as derived from the order if available.
Contains 2.16.840.1.113883.10.22.3.11 IPS History of Pregnancy Section (DYNAMIC) | XeHLport |
hl7:component
| | 0 … 1 | | Optional information on sources of reimbursement of the performed laboratory tests Contains 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7 IHE Payers section (DYNAMIC) | XeHLport |