Id2.16.840.1.113883.3.1937.777.21.10.1Gültigkeit ab2018‑05‑17 14:49:30
Statusretired ObsoletVersions-Label2017
NameHumanpatientrecordtargetBezeichnungHuman Patient
Beschreibung
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).

Human Patient

In accordance with the HL7 CDA R2 standard and further constrained by this specification, XD-LAB requires the presence of name, addr and telecom for all entities in the document including the human patient. Additionally, the following SHALL be present.
  • An optional templateId with root="1.3.6.1.4.1.19376.1.3.3.1.1" - The templateId element identifies this recordTarget as a human patient.
  • id - The patientRole/id SHALL be present.
  • administrativeGenderCode - The patientRole/patient/administrativeGenderCode SHALL be present.
  • birthTime - The patientRole/patient/birthTime SHALL be present.
KlassifikationCDA Header Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
BeziehungSpezialisierung: Template 1.3.6.1.4.1.19376.1.3.3.1.1 Human Patient (2017‑06‑07)
ref
XDLAB-

Spezialisierung: Template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-
Beispiel
Human Patient Example a
<recordTarget typeCode="RCT">
  <patientRole classCode="PAT">
    <id extension="sw54321" root="1.3.6.1.4.1.19376.1.3.4"/>    <addr>
      <streetAddressLine>1313 Mockingbird Lane</streetAddressLine>      <city>Janesville</city>      <state>WI</state>      <postalCode>53545</postalCode>      <country>USA</country>    </addr>    <telecom value="tel: 608-555-5555"/>    <patient classCode="PSN">
      <name>
        <family>Winters</family>        <given>Shelly</given>      </name>      <administrativeGenderCode code="F"/>      <birthTime value="19401213000000.0000-0500"/>    </patient>  </patientRole></recordTarget>
Beispiel
Human Patient Example b: In the event a unit of information about the patient is not known or has been de-identified, the use of nullFlavor is appropriate
<recordTarget typeCode="RCT">
  <patientRole classCode="PAT">
    <id extension="sw54321" root="1.3.6.1.4.1.19376.1.3.4"/>    <addr>
      <streetAddressLine nullFlavor="MSK"/>      <!-- masked value -->
      <city nullFlavor="MSK"/>      <!-- masked value -->
      <state nullFlavor="MSK"/>      <!-- masked value -->
      <postalCode>53545</postalCode>      <country>USA</country>    </addr>    <telecom nullFlavor="UNK"/>    <!-- unknown value -->
    <patient classCode="PSN">
      <name nullFlavor="MSK"/>      <!-- masked value -->
      <administrativeGenderCode code="F"/>      <birthTime value="19401213000000.0000-0500"/>    </patient>  </patientRole></recordTarget>
ItemDTKardKonfBeschreibungLabel
hl7:recordTarget
1 … *RHumadotsrget
hl7:patientRole
1 … 1RHumadotsrget
hl7:id
II1 … *RHumadotsrget
hl7:patient
1 … 1Humadotsrget
hl7:id
II0 … 1Humadotsrget
hl7:administrativeGenderCode
CE1 … 1RHumadotsrget
hl7:birthTime
IVL_TS.CH.TZ1 … 1RHumadotsrget