Id2.16.840.1.113883.3.1937.99.60.4.13.28Effective Date2013‑02‑10
Statusdraft DraftVersion Label
NameCSR_segmentDisplay Name
ClassificationHL7 V2 Segment Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 5 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.60.4.12.41Containmentdraft CRM_C012013‑02‑10
2.16.840.1.113883.3.1937.99.60.4.12.42Containmentdraft CSU_C092013‑02‑10
2.16.840.1.113883.3.1937.99.60.4.12.113Containmentdraft PEX_P072013‑02‑10
Uses as NameVersion
2.16.840.1.113883.3.1937.99.60.4.15.5Containmentdraft CE_datatypeDYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.12Containmentdraft CX_datatypeDYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.21Containmentdraft EI_datatypeDYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.64Containmentdraft TS_datatypeDYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.74Containmentdraft XCN_datatypeDYNAMIC
ItemDTCardConfDescriptionLabel
hl7v2:CSR.1
EI1 … 1Sponsor Study ID
Contains 2.16.840.1.113883.3.1937.99.60.4.15.21 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1011
@Type
0 … 1FEI
@LongName
0 … 1FSponsor Study ID
hl7v2:CSR.2
EI0 … 1Alternate Study ID
Contains 2.16.840.1.113883.3.1937.99.60.4.15.21 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1036
@Type
0 … 1FEI
@LongName
0 … 1FAlternate Study ID
hl7v2:CSR.3
CE0 … 1Institution Registering the Patient
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1037
@Type
0 … 1FCE
@LongName
0 … 1FInstitution Registering the Patient
hl7v2:CSR.4
CX1 … 1Sponsor Patient ID
Contains 2.16.840.1.113883.3.1937.99.60.4.15.12 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1038
@Type
0 … 1FCX
@LongName
0 … 1FSponsor Patient ID
hl7v2:CSR.5
CX0 … 1Alternate Patient ID - CSR
Contains 2.16.840.1.113883.3.1937.99.60.4.15.12 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1039
@Type
0 … 1FCX
@LongName
0 … 1FAlternate Patient ID - CSR
hl7v2:CSR.6
TS1 … 1Date/Time Of Patient Study Registration
Contains 2.16.840.1.113883.3.1937.99.60.4.15.64 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1040
@Type
0 … 1FTS
@LongName
0 … 1FDate/Time Of Patient Study Registration
hl7v2:CSR.7
XCN0 … *Person Performing Study Registration
Contains 2.16.840.1.113883.3.1937.99.60.4.15.74 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1041
@Type
0 … 1FXCN
@LongName
0 … 1FPerson Performing Study Registration
hl7v2:CSR.8
XCN1 … *Study Authorizing Provider
Contains 2.16.840.1.113883.3.1937.99.60.4.15.74 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1042
@Type
0 … 1FXCN
@LongName
0 … 1FStudy Authorizing Provider
hl7v2:CSR.9
TS0 … 1Date/time Patient Study Consent Signed
Contains 2.16.840.1.113883.3.1937.99.60.4.15.64 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1043
@Type
0 … 1FTS
@LongName
0 … 1FDate/time Patient Study Consent Signed
hl7v2:CSR.10
CE0 … 1Patient Study Eligibility Status
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1044
@Type
0 … 1FCE
@LongName
0 … 1FPatient Study Eligibility Status
hl7v2:CSR.11
TS0 … *Study Randomization Date/time
Contains 2.16.840.1.113883.3.1937.99.60.4.15.64 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1045
@Type
0 … 1FTS
@LongName
0 … 1FStudy Randomization Date/time
hl7v2:CSR.12
CE0 … *Randomized Study Arm
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1046
@Type
0 … 1FCE
@LongName
0 … 1FRandomized Study Arm
hl7v2:CSR.13
CE0 … *Stratum for Study Randomization
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1047
@Type
0 … 1FCE
@LongName
0 … 1FStratum for Study Randomization
hl7v2:CSR.14
CE0 … 1Patient Evaluability Status
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1048
@Type
0 … 1FCE
@LongName
0 … 1FPatient Evaluability Status
hl7v2:CSR.15
TS0 … 1Date/time Ended Study
Contains 2.16.840.1.113883.3.1937.99.60.4.15.64 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1049
@Type
0 … 1FTS
@LongName
0 … 1FDate/time Ended Study
hl7v2:CSR.16
CE0 … 1Reason Ended Study
Contains 2.16.840.1.113883.3.1937.99.60.4.15.5 (DYNAMIC)
CSR_dotsment
@Item
0 … 1F1050
@Type
0 … 1FCE
@LongName
0 … 1FReason Ended Study