Id
2.16.840.1.113883.3.1937.99.60.4.13.28
Effective Date
2013‑02‑10
Status
Draft
Version Label
Name
CSR_segment
Display Name
Classification
HL7 V2 Segment Level Template
Open/Closed
Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 5 templates
Used by
as
Name
Version
2.16.840.1.113883.3.1937.99.60.4.12.41
Containment
CRM_C01
2013‑02‑10
2.16.840.1.113883.3.1937.99.60.4.12.42
Containment
CSU_C09
2013‑02‑10
2.16.840.1.113883.3.1937.99.60.4.12.113
Containment
PEX_P07
2013‑02‑10
Uses
as
Name
Version
2.16.840.1.113883.3.1937.99.60.4.15.5
Containment
CE_datatype
DYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.12
Containment
CX_datatype
DYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.21
Containment
EI_datatype
DYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.64
Containment
TS_datatype
DYNAMIC
2.16.840.1.113883.3.1937.99.60.4.15.74
Containment
XCN_datatype
DYNAMIC
Expand All
Collapse All
Item
DT
Card
Conf
Description
Label
hl7v2:CSR.1
EI
1 … 1
Sponsor Study ID
Contains
2.16.840.1.113883.3.1937.99.60.4.15.21
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1011
@Type
0 … 1
F
EI
@LongName
0 … 1
F
Sponsor Study ID
hl7v2:CSR.2
EI
0 … 1
Alternate Study ID
Contains
2.16.840.1.113883.3.1937.99.60.4.15.21
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1036
@Type
0 … 1
F
EI
@LongName
0 … 1
F
Alternate Study ID
hl7v2:CSR.3
CE
0 … 1
Institution Registering the Patient
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1037
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Institution Registering the Patient
hl7v2:CSR.4
CX
1 … 1
Sponsor Patient ID
Contains
2.16.840.1.113883.3.1937.99.60.4.15.12
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1038
@Type
0 … 1
F
CX
@LongName
0 … 1
F
Sponsor Patient ID
hl7v2:CSR.5
CX
0 … 1
Alternate Patient ID - CSR
Contains
2.16.840.1.113883.3.1937.99.60.4.15.12
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1039
@Type
0 … 1
F
CX
@LongName
0 … 1
F
Alternate Patient ID - CSR
hl7v2:CSR.6
TS
1 … 1
Date/Time Of Patient Study Registration
Contains
2.16.840.1.113883.3.1937.99.60.4.15.64
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1040
@Type
0 … 1
F
TS
@LongName
0 … 1
F
Date/Time Of Patient Study Registration
hl7v2:CSR.7
XCN
0 … *
Person Performing Study Registration
Contains
2.16.840.1.113883.3.1937.99.60.4.15.74
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1041
@Type
0 … 1
F
XCN
@LongName
0 … 1
F
Person Performing Study Registration
hl7v2:CSR.8
XCN
1 … *
Study Authorizing Provider
Contains
2.16.840.1.113883.3.1937.99.60.4.15.74
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1042
@Type
0 … 1
F
XCN
@LongName
0 … 1
F
Study Authorizing Provider
hl7v2:CSR.9
TS
0 … 1
Date/time Patient Study Consent Signed
Contains
2.16.840.1.113883.3.1937.99.60.4.15.64
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1043
@Type
0 … 1
F
TS
@LongName
0 … 1
F
Date/time Patient Study Consent Signed
hl7v2:CSR.10
CE
0 … 1
Patient Study Eligibility Status
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1044
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Patient Study Eligibility Status
hl7v2:CSR.11
TS
0 … *
Study Randomization Date/time
Contains
2.16.840.1.113883.3.1937.99.60.4.15.64
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1045
@Type
0 … 1
F
TS
@LongName
0 … 1
F
Study Randomization Date/time
hl7v2:CSR.12
CE
0 … *
Randomized Study Arm
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1046
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Randomized Study Arm
hl7v2:CSR.13
CE
0 … *
Stratum for Study Randomization
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1047
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Stratum for Study Randomization
hl7v2:CSR.14
CE
0 … 1
Patient Evaluability Status
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1048
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Patient Evaluability Status
hl7v2:CSR.15
TS
0 … 1
Date/time Ended Study
Contains
2.16.840.1.113883.3.1937.99.60.4.15.64
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1049
@Type
0 … 1
F
TS
@LongName
0 … 1
F
Date/time Ended Study
hl7v2:CSR.16
CE
0 … 1
Reason Ended Study
Contains
2.16.840.1.113883.3.1937.99.60.4.15.5
(DYNAMIC)
CSR_
ment
@Item
0 … 1
F
1050
@Type
0 … 1
F
CE
@LongName
0 … 1
F
Reason Ended Study