Item | DT | Card | Conf | Description | Label |
---|
hl7:ClinicalDocument
| | | M | | CONF:2, CONF:2.8 |
@classCode
| cs | 1 … 1 | F | DOCCLIN | CONF:6 |
@moodCode
| cs | 1 … 1 | F | EVN | CONF:7 |
| Constraint | SHALL be a ClinicalDocument element from the urn:hl7-org:v3 namespace
|
hl7:realmCode
| CS | 1 … 1 | M | | CONF:4 |
@code
| CONF | 1 … 1 | F | CA-BC |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.5.1124 |
@displayName
| 1 … 1 | F | Canada (British Columbia) |
hl7:typeId
| II | 1 … 1 | M | | CONF:2, CONF:2.8 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.1.3 | CONF:3.10 |
@extension
| st | 1 … 1 | F | POCD_HD000040 | CONF:3.11 |
hl7:templateId
| II | 1 … 1 | M | | CONF:5 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1818.10.7.1 |
hl7:templateId
| II | 2 … 2 | M | | CONF:5.78 |
@root
| uid | 1 … 1 | F | 2.16.840.1.113883.3.1818.10.1.7.1 |
hl7:id
| II | 1 … 1 | M | | CONF:8, CONF:8.29 |
hl7:code
| CE | 1 … 1 | M | | CONF:4566 |
@code
| CONF | 1 … 1 | F | 11488-4 |
@codeSystem
| 1 … 1 | F | 2.16.840.1.113883.6.1 |
@displayName
| 1 … 1 | F | Consult Report |
@codeSystemName
| 1 … 1 | F | LOINC |
hl7:title
| ST | 0 … 1 | | | CONF:2, CONF:2.8 |
hl7:effectiveTime
| TS | 1 … 1 | R | | CONF:2, CONF:2.8 |
hl7:confidentialityCode
| CE | 1 … 1 | R | | CONF:2, CONF:2.8 |
| CONF | |
hl7:languageCode
| CS | 0 … 1 | | | CONF:2, CONF:2.8 |
| CONF | |
hl7:setId
| II | 0 … 1 | | | CONF:2, CONF:2.8 |
hl7:versionNumber
| INT | 0 … 1 | | | CONF:2, CONF:2.8 |
Included | 1 … * | R | from 2.16.840.1.113883.3.51.60.1.3 BC CDA recordTarget (DYNAMIC) |
hl7:recordTarget
| | 1 … * | R | | CONF0047 |
@typeCode
| cs | 1 … 1 | F | RCT | CONF0507 |
@contextControlCode
| cs | 1 … 1 | F | OP |
hl7:patientRole
| | 1 … 1 | M | | CONF0047 |
@classCode
| cs | 1 … 1 | F | PAT | CONF0508 |
hl7:id
| II | 1 … * | R | | CONF0048 |
hl7:addr
| AD.CA | 0 … * | | | CONF0051 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF0052 |
hl7:patient
| | 1 … 1 | M | | CONF0053 |
@classCode
| cs | 1 … 1 | F | PSN | CONF0509 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:name
| PN.CA | 1 … * | M | | CONF0054 |
hl7:administrativeGenderCode
| CE (required) | 1 … 1 | M | | CONF0055 |
| CONF | |
hl7:birthTime
| TS | 1 … 1 | M | | CONF0056 |
hl7:languageCommunication
| | 0 … * | | | CONF0057 |
hl7:languageCode
| CS | 0 … 1 | | | CONF0057 |
| CONF | |
hl7:modeCode
| CE | 0 … 1 | | | CONF0057 |
| CONF | |
hl7:proficiencyLevelCode
| CE | 0 … 1 | | | CONF0057 |
| CONF | |
hl7:preferenceInd
| BL | 0 … 1 | | | CONF0057 |
Included | 1 … * | R | from 2.16.840.1.113883.3.51.60.1.4 BC CDA author (DYNAMIC) |
hl7:author
| | 1 … * | M | | CONF0058 |
@typeCode
| cs | 1 … 1 | F | AUT | CONF0510 |
@contextControlCode
| cs | 1 … 1 | F | OP | CONF0510 |
hl7:time
| TS | 1 … 1 | M | | CONF‑BC0059, CONF‑BC0060 |
| Constraint | The author/time.valueSHALL be precise to the day and SHOULD be precise to the minute. If more precise than the day, SHALL include a time zone offset. This represents the date/time that the clinical document was dictated by the assignedPerson. In instances where the clinical document is authored by an assignedAuthoringDevice , this date/time represents the time that the document was created by the device. (e.g. ECG auto-interpretation) |
hl7:assignedAuthor
| | 1 … 1 | M | | CONF0061 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF0511 |
hl7:id
| II | 1 … * | M | | CONF‑BC0062, CONF‑BC0063, CONF‑BC0064 |
| Constraint | If the author is a Provider, the id elements SHALL conform to section 4.2.1.3.
If the author is a not a Provider, assignedAuthor/id MAY be a locally assigned identifier |
hl7:code
| CE | 0 … 1 | | | CONF0061 |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.5.111 |
hl7:addr
| AD.CA | 0 … * | | | CONF0061 |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF0061 |
Choice | 0 … 1 | | Elements to choose from:- hl7:assignedPerson
- hl7:assignedAuthoringDevice
|
hl7:assignedPerson
| | 0 … 1 | R | | CONF0065 |
Included | | | from 2.16.840.1.113883.3.51.60.1.5.2 BC CDA Person (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | PSN | CONF0519 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF0519 |
hl7:name
| PN.CA | 1 … * | M | | CONF0100 |
| Constraint | assignedEntity/assignedPerson.name element SHALL conform to the constraints in the common section on names |
hl7:assignedAuthoringDevice
| | 0 … 1 | R | | CONF0065 |
Included | | | from 2.16.840.1.113883.3.51.60.1.21 BC CDA Device (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | DEV |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:code
| CE | 0 … 1 | | | BCCDvice |
| CONF | |
hl7:manufacturerModelName
| SC | 0 … 1 | | | BCCDvice |
hl7:softwareName
| SC | 0 … 1 | | | BCCDvice |
Included | 0 … 1 | | from 2.16.840.1.113883.10.12.103 CDA dataEnterer (DYNAMIC) |
hl7:dataEnterer
| | 0 … 1 | | | CDAderer |
@typeCode
| cs | 0 … 1 | F | ENT |
@contextControlCode
| cs | 0 … 1 | F | OP |
hl7:time
| TS | 0 … 1 | | | CDAderer |
hl7:assignedEntity
| | 1 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAderer |
Included | 0 … * | | from 2.16.840.1.113883.10.12.154 CDA Informant (DYNAMIC) |
hl7:informant
| | 0 … * | | | CDAimant |
@typeCode
| cs | 0 … 1 | F | INF |
@contextControlCode
| cs | 0 … 1 | F | OP |
Choice | 1 … 1 | | Elements to choose from: |
hl7:assignedEntity
| | | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAimant |
hl7:relatedEntity
| | | | Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC) | CDAimant |
Included | 1 … 1 | R | from 2.16.840.1.113883.3.51.60.1.6 BC CDA custodian (DYNAMIC) |
hl7:custodian
| | 1 … 1 | M | | CONF0082 |
@typeCode
| cs | 1 … 1 | F | CST | CONF0083 |
hl7:assignedCustodian
| | 1 … 1 | M | | CONF0084 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF0514 |
hl7:representedCustodianOrganization
| | 1 … 1 | M | | CONF0085 |
@classCode
| cs | 1 … 1 | F | ORG | CONF0515 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF0515 |
hl7:id
| II | 1 … 1 | M | | CONF0086 |
| Constraint | a.If the clinical document is generated from a Health Authority, this id SHALL contain the root OID of the Health Authority, and the facility id shall be used as the extension. b.If the clinical document is generated from an EMR, this id SHALL NOT contain the root OID of a Health Authority or of the BC Ministry of Health. |
hl7:name
| ON | 0 … 1 | | | CONF0087 |
Included | 1 … * | M | from 2.16.840.1.113883.3.51.60.1.5 BC CDA informationRecipient (DYNAMIC) |
hl7:informationRecipient
| | 1 … * | M | | CONF‑BC0070, CONF‑BC0071 |
@typeCode
| cs | 1 … 1 | R | |
| Constraint | informationRecipientSHALL have the attribute typeCode whichSHALL be either “PRCP” (primary recipient) or “TRC” (secondary recipient), from HL7 Value Set x_InformationRecipient.
There SHALL be at least one [1..*] primary recipient (“PRCP”). |
hl7:intendedRecipient
| | 1 … 1 | M | | CONF0072 |
@classCode
| cs | 1 … 1 | F | ASSIGNED | CONF0074 |
hl7:id
| II | 1 … 2 | R | | CONF‑BC0073, CONF‑BC0075, CONF‑BC0076 |
| Constraint | If the informationRecipient is a Provider, the id elements SHALL conform to section 4.2.1.3.
If the informationRecipient is a not a Provider, intendedRecipient/id.extension MAY be a locally assigned identifier
|
hl7:addr
| AD.CA | 0 … * | | | CONF0077 |
| Constraint | If present, intendedRecipient/addr SHALL conform to the restrictions for the described in common elements for addresses. |
hl7:telecom
| TEL.CA.PHONE | 0 … * | | | CONF0078 |
| Constraint | If present, telecomSHALL conform to the restrictions for the pan-Canadian data type flavor TEL.PHONE or TEL.EMAIL |
hl7:informationRecipient
| | 1 … 1 | R | | CONF0072 |
Included | 0 … * | | from 2.16.840.1.113883.3.51.60.1.5.2 BC CDA Person (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | PSN | CONF0519 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE | CONF0519 |
hl7:name
| PN.CA | 0 … * | M | | Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0. |
| CONF0100 |
| Constraint | assignedEntity/assignedPerson.name element SHALL conform to the constraints in the common section on names |
hl7:receivedOrganization
| | 0 … 1 | | | CONF0080 |
Included | 0 … * | | from 2.16.840.1.113883.3.51.60.1.5.1 BC CDA Organization (DYNAMIC) |
@classCode
| cs | 1 … 1 | F | ORG | CONF0533 |
@determinerCode
| cs | 1 … 1 | F | INSTANCE |
hl7:id
| II | 0 … * | M | | Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0. |
| CDAOtion |
hl7:name
| ON | 0 … * | M | | Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0. |
| CONF0534 |
Included | 0 … 1 | | from 2.16.840.1.113883.10.12.106 CDA legalAuthenticator (DYNAMIC) |
hl7:legalAuthenticator
| | 0 … 1 | | | CDAlator |
@typeCode
| cs | 0 … 1 | F | LA |
@contextControlCode
| cs | 0 … 1 | F | OP |
hl7:time
| TS | 1 … 1 | R | | CDAlator |
hl7:signatureCode
| CS | 1 … 1 | R | | CDAlator |
| CONF | |
hl7:assignedEntity
| | 1 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAlator |
Included | 0 … * | | from 2.16.840.1.113883.10.12.107 CDA authenticator (DYNAMIC) |
hl7:authenticator
| | 0 … * | | | CDAaator |
@typeCode
| cs | 0 … 1 | F | AUTHEN |
hl7:time
| TS | 1 … 1 | R | | CDAaator |
hl7:signatureCode
| CS | 1 … 1 | R | | CDAaator |
| CONF | |
hl7:assignedEntity
| | 1 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAaator |
Included | 0 … * | | from 2.16.840.1.113883.10.12.108 CDA participant (DYNAMIC) |
hl7:participant
| | 0 … * | | | CDAppant |
@typeCode
| cs | 1 … 1 | R | |
| CONF | |
@contextControlCode
| cs | 0 … 1 | F | OP |
hl7:functionCode
| CE | 0 … 1 | | | CDAppant |
| CONF | |
hl7:time
| IVL_TS | 0 … 1 | | | CDAppant |
hl7:associatedEntity
| | 1 … 1 | | | CDAppant |
@classCode
| cs | 1 … 1 | R | |
| CONF | |
hl7:id
| II | 0 … * | | | CDAppant |
hl7:code
| CE | 0 … 1 | | | CDAppant |
| CONF | shall be drawn from concept domain "RoleCode" |
|
hl7:addr
| AD | 0 … * | | | CDAppant |
hl7:telecom
| TEL | 0 … * | | | CDAppant |
hl7:associatedPerson
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) | CDAppant |
hl7:scopingOrganization
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) | CDAppant |
Included | 0 … * | | from 2.16.840.1.113883.10.12.109 CDA inFulfillmentOf (DYNAMIC) |
hl7:inFulfillmentOf
| | 0 … * | | | CDAintOf |
@typeCode
| cs | 0 … 1 | F | FLFS |
hl7:order
| | 1 … 1 | | | CDAintOf |
@classCode
| cs | 0 … 1 | F | ACT |
@moodCode
| cs | 1 … 1 | F | RQO |
hl7:id
| II | 1 … * | R | | CDAintOf |
hl7:code
| CE | 0 … 1 | | | CDAintOf |
| CONF | shall be drawn from concept domain "ActCode" |
|
hl7:priorityCode
| CE | 0 … 1 | | | CDAintOf |
| CONF | |
Included | 0 … * | | from 2.16.840.1.113883.10.12.110 CDA documentationOf (DYNAMIC) |
hl7:documentationOf
| | 0 … * | | | CDAdonOf |
@typeCode
| cs | 1 … 1 | F | DOC |
hl7:serviceEvent
| | 1 … 1 | | | CDAdonOf |
@classCode
| cs | 1 … 1 | F | ACT |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CDAdonOf |
hl7:code
| CE | 0 … 1 | | | CDAdonOf |
| CONF | shall be drawn from concept domain "ActCode" |
|
hl7:effectiveTime
| IVL_TS | 0 … 1 | | | CDAdonOf |
hl7:performer
| | 0 … * | | | CDAdonOf |
@typeCode
| cs | 1 … 1 | R | |
| CONF | |
hl7:functionCode
| CE | 0 … 1 | | | CDAdonOf |
| CONF | |
hl7:time
| IVL_TS | 0 … 1 | | | CDAdonOf |
hl7:assignedEntity
| | 1 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAdonOf |
Included | 0 … * | | from 2.16.840.1.113883.10.12.111 CDA relatedDocument (DYNAMIC) |
hl7:relatedDocument
| | 0 … * | | | CDArment |
@typeCode
| cs | 1 … 1 | R | |
| CONF | |
hl7:parentDocument
| | 1 … 1 | | | CDArment |
@classCode
| cs | 0 … 1 | F | DOCCLIN |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:id
| II | 1 … * | R | | CDArment |
hl7:code
| CD | 0 … 1 | | | CDArment |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.6.1 |
hl7:text
| ED | 0 … 1 | | | CDArment |
hl7:setId
| II | 0 … 1 | | | CDArment |
hl7:versionNumber
| INT | 0 … 1 | | | CDArment |
Included | 0 … * | | from 2.16.840.1.113883.10.12.114 CDA Authorization (DYNAMIC) |
hl7:authorization
| | 0 … * | | | CDAation |
@typeCode
| cs | 0 … 1 | F | AUTH |
hl7:consent
| | 1 … 1 | | | CDAation |
@classCode
| cs | 0 … 1 | F | CONS |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CDAation |
hl7:code
| CE | 0 … 1 | | | CDAation |
| CONF | shall be drawn from concept domain "ActCode" |
|
hl7:statusCode
| CS | 1 … 1 | R | | CDAation |
@code
| CONF | 0 … 1 | F | completed |
Included | 0 … 1 | | from 2.16.840.1.113883.10.12.113 CDA componentOf (DYNAMIC) |
hl7:componentOf
| | 0 … 1 | | | CDAcntOf |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:encompassingEncounter
| | 1 … 1 | | | CDAcntOf |
@classCode
| cs | 0 … 1 | F | ENC |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CDAcntOf |
hl7:code
| CE | 0 … 1 | | | CDAcntOf |
| CONF | |
hl7:effectiveTime
| IVL_TS | 1 … 1 | R | | CDAcntOf |
hl7:dischargeDispositionCode
| CE | 0 … 1 | | | CDAcntOf |
| CONF | shall be drawn from concept domain "EncounterDischargeDisposition" |
|
hl7:responsibleParty
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAcntOf |
@typeCode
| cs | 0 … 1 | F | RESP |
hl7:encounterParticipant
| | 0 … * | | | CDAcntOf |
@typeCode
| cs | 1 … 1 | R | |
| CONF | |
hl7:time
| IVL_TS | 0 … 1 | | | CDAcntOf |
hl7:assignedEntity
| | 1 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CDAcntOf |
hl7:location
| | 0 … 1 | | | CDAcntOf |
@typeCode
| cs | 0 … 1 | F | LOC |
hl7:healthCareFacility
| | 1 … 1 | | | CDAcntOf |
@classCode
| cs | 0 … 1 | F | SDLOC |
hl7:id
| II | 0 … * | | | CDAcntOf |
hl7:code
| CE | 0 … 1 | | | CDAcntOf |
| CONF | |
hl7:location
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.317 CDA Place (DYNAMIC) | CDAcntOf |
hl7:serviceProviderOrganization
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) | CDAcntOf |
Included | 1 … 1 | M | from 2.16.840.1.113883.3.51.60.1.11 BC CDA componentOf (DYNAMIC) |
hl7:componentOf
| | 1 … 1 | M | | CDAcntOf |
@typeCode
| cs | 1 … 1 | F | COMP | CONF0528 |
hl7:encompassingEncounter
| | 1 … 1 | R | | CONF0114 |
@classCode
| cs | 1 … 1 | F | ENC | CONF0529 |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:id
| II | 0 … * | | | CONF0114 |
hl7:effectiveTime
| IVL_TS | 1 … 1 | R | | CONF0114 |
hl7:responsibleParty
| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CONF0116 |
@typeCode
| cs | 1 … 1 | F | RESP | CONF0530 |
hl7:encounterParticipant
| | 0 … * | | | CONF0115 |
@typeCode
| cs | 1 … 1 | R | | CONF0117 |
| CONF | |
| Constraint | MAY contain zero or more [0..*]encounterParticipantelements. If present, the encounterParticipant/assignedEntity element SHALL have at least one of assignedPerson or representedOrganization element present. |
hl7:assignedEntity
| | 1 … 1 | R | Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC) | CONF0115 |