Item | DT | Card | Conf | Description | Label |
---|
hl7:section
| | 1 … 1 | M | | plCdtion |
@classCode
| cs | 0 … 1 | F | DOCSECT |
@moodCode
| cs | 0 … 1 | F | EVN |
hl7:templateId
| II | 1 … 1 | M | | plCdtion |
@root
| oid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.3.55 |
hl7:templateId
| II | 1 … 1 | M | | plCdtion |
@root
| oid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.3.66 |
hl7:id
| II | 0 … 1 | | | plCdtion |
hl7:code
| CE | 1 … 1 | M | | plCdtion |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.1 |
@codeSystemName
| 1 … 1 | F | LOINC |
| Schematron assert | role | error | |
| test | hl7:code/@code = /hl7:ClinicalDocument/hl7:code/@code and hl7:code/@displayName = /hl7:ClinicalDocument/hl7:code/@displayName | |
| Message | Kod typu sekcji postaci binarnej dokumentu musi byc zgodny z kodem typu dokumentu. | |
hl7:title
| ST | | NP | | plCdtion |
hl7:text
| SD.TEXT | 1 … 1 | M | | plCdtion |
hl7:entry
| | 1 … * | M | Contains 2.16.840.1.113883.3.4424.13.10.4.49 [4] Dokument w postaci binarnej (DYNAMIC) | plCdtion |
@typeCode
| cs | 0 … 1 | F | COMP |
@contextConductionInd
| bl | 0 … 1 | | |
hl7:confidentialityCode
| CE | 0 … 1 | | | plCdtion |
| CONF | |
hl7:languageCode
| CS | 0 … 1 | | | plCdtion |
| CONF | |
hl7:subject
| | 0 … 1 | | Contains 2.16.840.1.113883.3.4424.13.10.4.15 [4] Dane podmiotu związanego z fragmentem treści dokumentu (DYNAMIC) | plCdtion |
hl7:author
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.18 [4] Autor fragmentu treści dokumentu (DYNAMIC) | plCdtion |
hl7:informant
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.14 [4] Dane informatora dla fragmentu treści dokumentu (DYNAMIC) | plCdtion |
Included | 1 … 1 | M | from 2.16.840.1.113883.3.4424.13.10.4.1 [4] Rozpoznanie główne (DYNAMIC) |
hl7:entry
| | 1 … 1 | M | | plCdosis |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:templateId
| | 1 … 1 | M | | plCdosis |
@root
| oid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.4.1 |
hl7:organizer
| | 1 … 1 | M | | plCdosis |
@classCode
| cs | 1 … 1 | F | BATTERY |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:code
| CD | 0 … 1 | | | plCdosis |
@code
| CONF | 0 … 1 | F | 8319008 |
@codeSystem
| 0 … 1 | F | 2.16.840.1.113883.6.96 |
@codeSystemName
| 0 … 1 | F | SNOMED CT |
@displayName
| 0 … 1 | F | Principal diagnosis |
hl7:statusCode
| CS | 1 … 1 | M | | plCdosis |
@code
| CONF | 1 … 1 | F | completed |
hl7:component
| | 1 … 1 | M | | plCdosis |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:observation
| | 1 … 1 | M | | plCdosis |
@classCode
| cs | 0 … 1 | F | OBS |
@moodCode
| cs | 0 … 1 | F | EVN |
Choice | 1 … 1 | | Elements to choose from:- hl7:code[@codeSystem='2.16.840.1.113883.6.3']
- hl7:code[@codeSystem='2.16.840.1.113883.6.260']
|
hl7:code
| CD | 0 … 1 | | | plCdosis |
where [@codeSystem='2.16.840.1.113883.6.3'] | |
@code
| st | 1 … 1 | R | |
@displayName
| st | 1 … 1 | R | |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.3 |
@codeSystemName
| 1 … 1 | F | icd10 |
hl7:code
| CD | 0 … 1 | | | plCdosis |
where [@codeSystem='2.16.840.1.113883.6.260'] | |
@code
| st | 1 … 1 | R | |
@displayName
| st | 1 … 1 | R | |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.260 |
@codeSystemName
| 1 … 1 | F | icd10DualCoding |
Included | | | from 2.16.840.1.113883.3.4424.13.10.7.3 [7] Opis wyrażenia klinicznego (DYNAMIC) |
hl7:text
| ED | 0 … 1 | | | plCdText |
hl7:reference
| TEL | 0 … 1 | | | plCdText |
@value
| st | 1 … 1 | R | |
| Schematron assert | role | error | |
| test | ancestor::hl7:section//*[@ID=substring(current()/@value,2)] | |
| Message | Referencja musi wskazywać na konkretny element tekstu sekcji o danym ID | |
| Schematron report | role | error | |
| test | ancestor::hl7:section/hl7:templateId[@root='2.16.840.1.113883.3.4424.13.10.3.55'] and hl7:reference | |
| Message | Nie może istnieć referencja do treści w sekcji postaci binarnej dokumentu | |
Included | 0 … 1 | | from 2.16.840.1.113883.3.4424.13.10.4.2 [4] Rozpoznania dodatkowe (DYNAMIC) |
hl7:entry
| | 0 … 1 | | | plCdosis |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:templateId
| | 1 … 1 | M | | plCdosis |
@root
| oid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.4.2 |
hl7:organizer
| | 1 … 1 | M | | plCdosis |
@classCode
| cs | 1 … 1 | F | BATTERY |
@moodCode
| cs | 1 … 1 | F | EVN |
hl7:code
| CD | 0 … 1 | | | plCdosis |
@code
| CONF | 0 … 1 | F | 85097005 |
@codeSystem
| 0 … 1 | F | 2.16.840.1.113883.6.96 |
@codeSystemName
| 0 … 1 | F | SNOMED CT |
@displayName
| 0 … 1 | F | Secondary diagnosis |
hl7:statusCode
| CS | 1 … 1 | M | | plCdosis |
@code
| CONF | 1 … 1 | F | completed |
hl7:component
| | 1 … * | M | | plCdosis |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:observation
| | 1 … 1 | M | | plCdosis |
@classCode
| cs | 1 … 1 | F | OBS |
@moodCode
| cs | 1 … 1 | F | EVN |
Choice | 1 … 1 | | Elements to choose from:- hl7:code[@codeSystem='2.16.840.1.113883.6.3']
- hl7:code[@codeSystem='2.16.840.1.113883.6.260']
|
hl7:code
| CD | 0 … 1 | | | plCdosis |
where [@codeSystem='2.16.840.1.113883.6.3'] | |
@code
| st | 1 … 1 | R | |
@displayName
| st | 1 … 1 | R | |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.3 |
@codeSystemName
| 1 … 1 | F | icd10 |
hl7:code
| CD | 0 … 1 | | | plCdosis |
where [@codeSystem='2.16.840.1.113883.6.260'] | |
@code
| st | 1 … 1 | R | |
@displayName
| st | 1 … 1 | R | |
@codeSystem
| CONF | 1 … 1 | F | 2.16.840.1.113883.6.260 |
@codeSystemName
| 1 … 1 | F | icd10DualCoding |
Included | | | from 2.16.840.1.113883.3.4424.13.10.7.3 [7] Opis wyrażenia klinicznego (DYNAMIC) |
hl7:text
| ED | 0 … 1 | | | plCdText |
hl7:reference
| TEL | 0 … 1 | | | plCdText |
@value
| st | 1 … 1 | R | |
| Schematron assert | role | error | |
| test | ancestor::hl7:section//*[@ID=substring(current()/@value,2)] | |
| Message | Referencja musi wskazywać na konkretny element tekstu sekcji o danym ID | |
| Schematron report | role | error | |
| test | ancestor::hl7:section/hl7:templateId[@root='2.16.840.1.113883.3.4424.13.10.3.55'] and hl7:reference | |
| Message | Nie może istnieć referencja do treści w sekcji postaci binarnej dokumentu | |
hl7:entry
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.22 [4] Zalecenie leku (DYNAMIC) | plCdtion |
hl7:entry
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.23 [4] Zalecenie wykonania procedury (DYNAMIC) | plCdtion |
hl7:entry
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.24 [4] Zalecenie wykonania badania (DYNAMIC) | plCdtion |
hl7:entry
| | 0 … * | | Contains 2.16.840.1.113883.3.4424.13.10.4.31 [4] Lista załączników (DYNAMIC) | plCdtion |
@typeCode
| cs | 0 … 1 | F | COMP |
hl7:entry
| | 0 … * | | | plCdtion |
@typeCode
| cs | 0 … 1 | F | COMP |
@contextConductionInd
| bl | 0 … 1 | | |
hl7:component
| | 0 … * | | | plCdtion |
@typeCode
| cs | 0 … 1 | F | COMP |
@contextConductionInd
| bl | 0 … 1 | | |