Difference between revisions of "epdv:Laborbefund"

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{{VersionboxBAGEntry|Version = 1.3.1 | Kapitel = ganzes Dokument | Ticket = - | Anpassung = Überarbeitung des Austauschformats Laborbefund nach der Vernehmlassung, welche am 25. Oktober 2017 zu Ende gegangen ist.}}
 
{{VersionboxBAGEntry|Version = 1.3.1 | Kapitel = ganzes Dokument | Ticket = - | Anpassung = Überarbeitung des Austauschformats Laborbefund nach der Vernehmlassung, welche am 25. Oktober 2017 zu Ende gegangen ist.}}
{{VersionboxBAGEntry|Version = 0.9 | Kapitel = ganzes Dokument | Ticket = - | Anpassung = Korrektur Hierarchie-Fehler bei den Template Ids in IHE XD-LAB Laboratory Report Data Processing Entry 1.3.6.1.4.1.19376.1.3.1}}
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{{VersionboxBAGEntry|Version = 1.3.2 | Kapitel = ganzes Dokument | Ticket = - | Anpassung = Korrektur Hierarchie-Fehler bei den Template Ids in IHE XD-LAB Laboratory Report Data Processing Entry 1.3.6.1.4.1.19376.1.3.1}}
 
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Latest revision as of 15:11, 14 August 2018


Version Kapitel Ticket Anpassung
1.3.1 ganzes Dokument - Überarbeitung des Austauschformats Laborbefund nach der Vernehmlassung, welche am 25. Oktober 2017 zu Ende gegangen ist.
1.3.2 ganzes Dokument - Korrektur Hierarchie-Fehler bei den Template Ids in IHE XD-LAB Laboratory Report Data Processing Entry 1.3.6.1.4.1.19376.1.3.1

Contents

Templates

CDA Document Level Templates

General Laboratory Report

Id2.16.756.5.30.1.1.10.1.10Effective Date2020‑06‑26
Other versions this id:
  • Kblank.png CDA-CH-LREP-GR-V1 as of 2018‑04‑19
StatusKgreen.png ActiveVersion Label2020
NameCDA-CH-LREP-GR-V14Display NameGeneral Laboratory Report
Description

Swiss Laboratory Report - General Report

ContextPathname /
ClassificationCDA Document Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 29 templates
Uses as NameVersion
2.16.756.5.30.1.1.10.2.25IncludeKgreen.png Document Realm (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.18IncludeKgreen.png Document Template Ids CDA-CH v2.0 - structuredBody (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.55IncludeKgreen.png Document Template Ids CDA-CH-LREP V1 (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.23IncludeKgreen.png Document Id (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.56IncludeKgreen.png Document Code (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.62IncludeKgreen.png Document Title (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.19IncludeKgreen.png Document Confidentiality Code (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.22IncludeKgreen.png Document Language (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.20IncludeKgreen.png Document Set Id and Version Number (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.58IncludeKgreen.png Human Patient - recordTarget (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.26IncludeKgreen.png Non-Human Subject - recordTarget (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.27IncludeKgreen.png Human Patient with Non-Human Subject - recordTarget (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.59IncludeKgreen.png Author (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.7IncludeKgreen.png Data Enterer (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.60IncludeKgreen.png Custodian (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.57IncludeKgreen.png Recipient (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.61IncludeKgreen.png Legal Authenticator (2020)DYNAMIC
2.16.756.5.30.1.1.10.2.88IncludeKgreen.png Laboratory Results Validator - authenticator (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.16IncludeKgreen.png Order Reference - inFulfillmentOf (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.46IncludeKgreen.png Health Service - documentationOf (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.28IncludeKgreen.png Laboratory Performer - documentationOf (2019)DYNAMIC
2.16.756.5.30.1.1.10.2.14IncludeKgreen.png Insurance Card - participant (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.15IncludeKgreen.png Insurance - participant (2017)DYNAMIC
2.16.756.5.30.1.1.10.2.13IncludeKgreen.png Document Replacement - relatedDocument (2020)DYNAMIC
2.16.756.5.30.1.1.10.3.77ContainmentKgreen.png Laboratory Speciality Section - coded (2020)DYNAMIC
2.16.756.5.30.1.1.10.3.4ContainmentKgreen.png Vital Signs Section - coded (2016)DYNAMIC
2.16.756.5.30.1.1.10.3.46ContainmentKgreen.png Other Relevant Observations Section - coded (2020)DYNAMIC
2.16.756.5.30.1.1.10.3.53ContainmentKpurple.png Current Pregnancy Section - coded (2018)DYNAMIC
2.16.756.5.30.1.1.10.3.45ContainmentKyellow.png Original Representation Section - coded (2017)DYNAMIC
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.1.14 CDA-CH v2.0 - structuredBody enhanced (DYNAMIC)
ref
hl7chcda-

Specialization: template 2.16.756.5.30.1.1.10.1.9 CDA-CH v2.1 - structuredBody (DYNAMIC)
ref
hl7chcda-

Specialization: template 2.16.840.1.113883.10.12.2 CDA ClinicalDocument (with StructuredBody) (2005‑09‑07)
ref
ad1bbr-
Example
Example
<!-- See https://svn.code.sf.net/p/hl7ch/code/trunk/projects/eHealthSuisse/eLaborbefund/v1.0/ for examples -->
ItemDTCardConfDescriptionLabel
hl7:ClinicalDocument
1 … 1M

Swiss Laboratory Report - General Report

Conformity rules that are not further modelled in ART-DECOR:

  • XML encoding
    UTF-8 encoding is required. All CDA-CH V2 documents MUST start with this line:
    <?xml version="1.0" encoding="UTF-8"?>

  • Phone numbers
    Phone numbers MUST be declared in the international format.
    Dots (.) MUST be used as separators for grouping of number blocks.
    The minus sign (-) MUST be used as a separator between public and internal telephone numbers. Purpose: Some telephone exchanges - especially in the US, allow direct dial-up of an internal telephone number after the actual connection has been established over the public telephone network.
    Examples:
    <telecom value="tel:+41.33.123.45.67"/>
    <telecom value="tel:+1.987.654.3210-999"/>

(CDA...V14)
Included1 … 1M from 2.16.756.5.30.1.1.10.2.25 Document Realm (DYNAMIC)
Treetree.pnghl7:realmCode
CS1 … 1MSwiss Realm (CHE) of HL7 CDA. CDA‑CH V2
Treeblank.pngTreetree.png@code
CONF1 … 1FCHE
Treetree.pnghl7:typeId
II1 … 1M(CDA...V14)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.1.3
Treeblank.pngTreetree.png@extension
st1 … 1FPOCD_HD000040
Included from 2.16.756.5.30.1.1.10.2.18 Document Template Ids CDA-CH v2.0 - structuredBody (DYNAMIC)
Treetree.pnghl7:templateId
II0 … 1CDA-CH v2.0 specification. This is an informational reference, only.CDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.1.1.4
Treetree.pnghl7:templateId
II1 … 1MCDA-CH v2.0 structuredBodyCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.1.9
Treetree.pnghl7:templateId
II1 … 1MHL7 CDA R2 (2005); contains ClinicalDocument.component as structuredBody.CDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.2
Treetree.pnghl7:templateId
II1 … 1MHL7 CDA R2 (2005).CDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.1
Included from 2.16.756.5.30.1.1.10.2.55 Document Template Ids CDA-CH-LREP V1 (DYNAMIC)
Treetree.pnghl7:templateId
II0 … 1CDA-CH-LREP / Laboratory Reports V1 specification. This is an informational reference, only.CDA‑...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.1.1.3.9.1
Treetree.pnghl7:templateId
II1 … 1MExchange format according to the Swiss EPRCDA‑...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.127.1.4
Treetree.pnghl7:templateId
II1 … 1MSharing Laboratory Reports (XD-LAB) Content Module, IHE PaLM Technical Framework Revision Revision 8.0 - June 21, 2017.CDA‑...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3
Treetree.pnghl7:templateId
II1 … 1MCDA-CH-LREP / Laboratory Reports V1 ART-DECOR model for General Report.(CDA...V14)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.1.10
Included1 … 1M from 2.16.756.5.30.1.1.10.2.23 Document Id (DYNAMIC)
Treetree.pnghl7:id
II1 … 1MA unique identifier for each CDA document instance.CDA‑CH V2
 
Target.png
cdachemed-data​element-141Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-63Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-139Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-140Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-76Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-24Kyellow.png Identification number of the document Kyellow.png Dataset 1
hl7chcda-data​element-217Kyellow.png Identification number of the document Kyellow.png CDA-CH V2 2017
Treeblank.pngTreetree.png@root
uid1 … 1RThe document's id as Globally Unique Identifier (GUID).
Treeblank.pngTreetree.png@extension
st0NPNP/not present
Included1 … 1M from 2.16.756.5.30.1.1.10.2.56 Document Code (DYNAMIC)
Treetree.pnghl7:code
CE1 … 1M

A LOINC based document type of a CDA document instance including a translation to the Swiss EPR XDS.b metadata.

  • Multidisciplinary laboratory findings:
    The LOINC code of the document MUST read: 11502-2 (LABORATORY REPORT.TOTAL)
  • Laboratory reports of a single laboratory discipline:
    The LOINC code of the document MUST be taken from the value-set 'Laboratory Specialties'
IHE PalM TF3 Rev.10, 6.3.2.5
Treeblank.pngTreetree.png@code
cs1 … 1RThe exact value of @code MUST either read '11502-2' or taken from the value-set 'Laboratory Specialties'.
Treeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
Treeblank.pngTreetree.png@codeSystemName
st1 … 1FLOINC
Treeblank.pngTreetree.png@displayName
st1 … 1RThe exact value of @displayName MUST either read 'LABORATORY REPORT.TOTAL' or taken from the value-set 'Laboratory Specialties'.
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.6 Multi-disciplinary Laboratory Report (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.1 Laboratory Specialties (DYNAMIC)
Treeblank.pngTreetree.pnghl7:translation
CD1 … 1RA translation to the Swiss EPR XDS.b metadata.IHE PalM TF3 Rev.10, 6.3.2.5
Treeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1F4241000179101
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.6.96
Treeblank.pngTreeblank.pngTreetree.png@codeSystemName
st1 … 1FSNOMED CT
Treeblank.pngTreeblank.pngTreetree.png@displayName
st1 … 1FLaboratory report
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.27 DocumentEntry.typeCode (DYNAMIC)
Included1 … 1M from 2.16.756.5.30.1.1.10.2.62 Document Title (DYNAMIC)
Treetree.pnghl7:title
ST1 … 1M

The document title must follow the following text format where <human readable code> is the local translation of the document LOINC code:

  • [de]: 'Laborbefund - <human readable code>'
  • [fr]: 'Rapport de laboratoire - <human readable code>'
  • [it]: 'Referto di laboratorio - <human readable code>'
  • [en]: 'Laboratory report - <human readable code>'
CDA‑...LREP
 Variable letNamelanguageCode 
 Valuesubstring(/hl7:ClinicalDocument/hl7:language​Code/@code,1,2) 
 Schematron assertrole error 
 testnot($languageCode='en') or starts-with(text(),'Laboratory report') 
 MessageThe English title must start with 'Laboratory report' 
 Schematron assertrole error 
 testnot($languageCode='de') or starts-with(text(),'Laborbefund') 
 MessageThe German title must start with 'Laborbefund' 
 Schematron assertrole error 
 testnot($languageCode='fr') or starts-with(text(),'Rapport de laboratoire') 
 MessageThe French title must start with 'Rapport de laboratoire' 
 Schematron assertrole error 
 testnot($languageCode='it') or starts-with(text(),'Rapporto di laboratorio') 
 MessageThe Italian title must start with 'Rapporto di laboratorio' 
Treetree.pnghl7:effectiveTime
TS.CH.TZ1 … 1MClinicalDocument/effectiveTime MUST exist. It contains the creation date and time of the laboratory report. If this document replaces a previous version (linked via parentDocument), this is the date and time of the new version.(CDA...V14)
Included1 … 1M from 2.16.756.5.30.1.1.10.2.19 Document Confidentiality Code (DYNAMIC)
Treetree.pnghl7:confidentialityCode
CE (required)1 … 1MSwiss Realm of Confidentiality Code according to the Swiss EPR regulation.CDA‑CH V2
 
Target.png
cdachemed-data​element-125Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-126Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-29Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-124Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-81Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-68Kyellow.png Confidentiality level Kyellow.png Dataset 1
hl7chcda-data​element-222Kyellow.png Confidentiality level Kyellow.png CDA-CH V2 2017
Treeblank.pngTreetree.png@code
cs1 … 1RThe value of @code MUST be drawn from value set DocumentEntry.confidentialityCode
Treeblank.pngTreetree.png@codeSystem
oid1 … 1R
Treeblank.pngTreetree.png@codeSystemName
st1 … 1R
Treeblank.pngTreetree.png@displayName
st1 … 1RThe value of @displayName MUST be drawn from value set DocumentEntry.confidentialityCode
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.5 DocumentEntry.confidentialityCode (DYNAMIC)
Included1 … 1M from 2.16.756.5.30.1.1.10.2.22 Document Language (DYNAMIC)
Treetree.pnghl7:language​Code
CS1 … 1MThe RFC5646 based language in which the narrative texts in this CDA document instance are written.CDA‑CH V2
 
Target.png
cdachemed-data​element-26Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-135Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-134Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-65Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-78Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-133Kyellow.png Language of the document Kyellow.png Dataset 1
hl7chcda-data​element-219Kyellow.png Language of the document Kyellow.png CDA-CH V2 2017
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Included1 … 1M from 2.16.756.5.30.1.1.10.2.20 Document Set Id and Version Number (DYNAMIC)
Treetree.pnghl7:setId
II1 … 1MThe setId element MUST match the document id of the very first version of that document. It MUST remain the same for all document versions.CDA‑CH V2
 
Target.png
cdachemed-data​element-118Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-70Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-119Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-120Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-83Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-41Kyellow.png Set ID Kyellow.png Dataset 1
Treeblank.pngTreetree.png@root
uid1 … 1RThe root attribute MUST contain the setId as Globally Unique Identifier (GUID).
Treeblank.pngTreetree.png@extension
st0NPNP/not present
 Schematron assertrole error 
 test(parent::*/hl7:versionNumber[@value='1'] and @root=parent::*/hl7:id/@root and (@extension=parent::*/hl7:id/@extension or (not(@extension) and not(parent::*/hl7:id/@extension)))) or (parent::*/hl7:versionNumber[not(@value ='1')] and ((@root=parent::*/hl7:id/@root and @extension and not(@extension=parent::*/hl7:id/@extension)) or(not(@root=parent::*/hl7:id/@root)))) 
 MessageThe setId MUST be equal with the document id for version 1 and it MUST differ for all other versions. 
Treetree.pnghl7:versionNumber
INT.​NONNEG1 … 1MThe versionNumber element MUST contain the value 1 for the very first version of that document. For later versions, the version number MUST be increased by 1 each.CDA‑CH V2
 
Target.png
cdachemed-data​element-121Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-122Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-82Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-69Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-30Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-123Kyellow.png Version Kyellow.png Dataset 1
hl7chcda-data​element-223Kyellow.png Version Kyellow.png CDA-CH V2 2017
Choice1 … 1
recordTarget MUST be present in one of the following characteristics:
  • Human Patient: The laboratory report contain test results from samples taken exclusively from a human patient.
  • Non-Human Subject: The laboratory report contains test results from samples taken from a non-human material (e.g., water, milk, etc.) or a living being (e.g., animal), but not related to a human patient.
  • Human Patient with Non-Human Subject: The laboratory report contains test results from samples taken from a non-human material that is related to a human patient (e.g., food eaten by the patient or animal that has bitten the patient).
Elements to choose from:
  • hl7:recordTarget included from template 2.16.756.5.30.1.1.10.2.58 Human Patient - recordTarget (DYNAMIC)
  • hl7:recordTarget included from template 2.16.756.5.30.1.1.10.2.26 Non-Human Subject - recordTarget (DYNAMIC)
  • hl7:recordTarget included from template 2.16.756.5.30.1.1.10.2.27 Human Patient with Non-Human Subject - recordTarget (DYNAMIC)
Included0 … 1 from 2.16.756.5.30.1.1.10.2.58 Human Patient - recordTarget (DYNAMIC)
Human Patient: The laboratory results contain test results from samples taken exclusively from a human patient. All persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.
Treeblank.pngTreetree.pnghl7:recordTarget
0 … 1RPatient (Human Patient).CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.58
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:patientRole
1 … 1RExactly one patient MUST be declared.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *RAt least one patient identification MUST be declared.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 Contains the patient number itself. The number MUST be unique within the system that has issued the number.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:patient
1 … 1RExactly one patient MUST be declared.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1RThe patient's gender.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0 … 1F2.16.840.1.113883.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0 … 1FHL7 AdministrativeGender
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st0 … 1 
 Schematron assertrole error 
 test(not(@nullFlavor) and @displayName and @code and @codeSystem and @codeSystemName) or (@nullFlavor and not(@displayName or @code or @codeSystem or @codeSystemName)) 
 MessageEither nullFlavor or a valid code is required. 
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS1 … 1RThe date of birth of the patient MUST be given according to XD-LAB.CDA‑...LREP
Included0 … 1 from 2.16.756.5.30.1.1.10.2.26 Non-Human Subject - recordTarget (DYNAMIC)
Non-Human Subject: The laboratory report contains test results from samples taken from a non-human material (e.g., water, milk, etc.) or a living being (e.g., animal), but not related to a human patient.
Treeblank.pngTreetree.pnghl7:recordTarget
0 … 1RNon-Human Subject.IHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.26
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.2
 Schematron assertrole error 
 test//hl7:templateId[@root='1.3.6.1.4.1.19376.1.3.3.1.2.1'] 
 MessageIn addition to the elements specified in the CDA header for the non-human subject, this non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:patientRole
1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *RIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the number. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 Contains the actual number of non-human material. The number MUST be unique within the system that issued the number.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:patient
1 … 1IHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs1 … 1FOTH
 Indicates that there are laboratory tests for this non-human material in the CDA Body.
Included0 … 1 from 2.16.756.5.30.1.1.10.2.27 Human Patient with Non-Human Subject - recordTarget (DYNAMIC)
Human Patient with Non-Human Subject: The laboratory report contains test results from samples taken from a non-human material that is related to a human patient (e.g., food eaten by the patient or animal that has bitten the patient).
Treeblank.pngTreetree.pnghl7:recordTarget
0 … 1RHuman Patient with Non-Human Subject.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.27
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.3
 Schematron assertrole error 
 test//hl7:templateId[@root='1.3.6.1.4.1.19376.1.3.3.1.3.1'] 
 MessageIn addition to the elements specified in the CDA header for the patient, the non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:patientRole
1 … 1RExactly one patient MUST be declared.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *RAt least one patient identification MUST be declared.
Note:
The identification of the non-human material MUST NOT be declared here.
This can not be specified within the same document. See also: IHE PaLM TF3, section 6.3.2.11.3.
If the identification of the non-human material is important (for example in rabies), two separate documents should be created (one with the human patient and one with the non-human material).
IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RMUST contain the actual number of non-human material. The number MUST be unique within the system that issued the number.
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the number. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:patient
1 … 1RExactly one patient MUST be declared.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.3
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.3
Included1 … *M from 2.16.756.5.30.1.1.10.2.59 Author (DYNAMIC)
Treetree.pnghl7:author
1 … *MInformation about the author of the document. The author MAY be a person or a device. At least one author MUST be declared.CDA‑...LREP
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.59
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.9.23
Treeblank.pngTreetree.pnghl7:functionCode
CE0 … 1CDA‑...LREP
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
Treeblank.pngTreetree.pnghl7:time
TS.CH.TZ1 … 1RDate and time of the laboratory report creation.CDA‑...LREP
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1RCDA‑...LREP
 Schematron assertrole error 
 testnot(hl7:assigned​Authoring​Device/hl7:softwareName) or (hl7:represented​Organization) 
 MessageFor device authors the element representedOrganization is REQUIRED. 
 Schematron assertrole error 
 test(hl7:telecom[@use='PUB' and starts-with(@value,'tel:+')]) and (hl7:telecom[@use='PUB' and starts-with(@value,'mailto:')]) 
 MessageA public telephone number in the international format and a public eMail address are required. 
 Schematron assertrole error 
 test(hl7:addr[@use='PUB']) 
 MessageA public address is required. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1R The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared.
CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The GS1 GLN.
 Schematron assertrole error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is REQUIRED 
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *Other ids are allowed.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … *Address of the laboratory.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *Means of communication of the laboratory (phone, eMail, ...).CDA‑...LREP
Choice1 … 1Elements to choose from:
  • hl7:assigned​Person containing template 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
  • hl7:assigned​Authoring​Device containing template 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1The author's organization.
Contains 2.16.756.5.30.1.1.10.9.27 Organization Compilation with name, addr, telecom (DYNAMIC)
CDA‑...LREP
 Schematron assertrole error 
 test/hl7:ClinicalDocument/hl7:author/hl7:functionCode/hl7:translation[@code='3212' and @codeSystem='2.16.840.1.113883.2.9.6.2.7'] 
 MessageAt least one of the listed authors MUST be a laboratory specialist. 
Included0 … 1 from 2.16.756.5.30.1.1.10.2.7 Data Enterer (DYNAMIC)
Treetree.pnghl7:dataEnterer
0 … 1Information about the person that entered information in this CDA document. It SHALL be declared, when data recorded in this document has been entered by a person other than the author but only when this is relevant for some reason.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.7
Treeblank.pngTreetree.pnghl7:time
TS.CH.TZ0 … 1Timestamp of the data input.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)CDA‑CH V2
Included1 … 1M from 2.16.756.5.30.1.1.10.2.60 Custodian (DYNAMIC)
Treetree.pnghl7:custodian
1 … 1MCDA‑...LREP
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.3
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.60
Treeblank.pngTreetree.pnghl7:assignedCustodian
1 … 1RCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Custodian​Organization
1 … 1RCDA‑...LREP
 Schematron assertrole error 
 test(hl7:telecom[@use='PUB' and starts-with(@value,'tel:+')]) 
 MessageA public telephone number in the international format is required. 
 Schematron assertrole error 
 test(hl7:addr[@use='PUB']) 
 MessageA public address is required. 
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *RThe specification of GS1 GLN is required. If it is not (yet) known, this must be declared using nullFlavor. CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The GS1 GLN of the laboratory or the doctor's office (in the case of individual practices, the doctor's GLN).
 Schematron assertrole error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is required. 
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *CSASIS number (ge:ZSR / fr:RCC), if the lab services are to be refunded by the insurance.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs1 … 1F2.16.756.5.30.1.123.100.2.1.1
 OID for SASIS number (ge:ZSR / fr:RCC).
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RSASIS number (ge:ZSR / fr:RCC) of the laboratory or the physician.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1RName of the laboratory.CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … 1RMeans of communication of the laboratory (phone., eMail, ...).CDA‑...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … 1RAddress of the laboratory.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑...LREP
Included1 … *M from 2.16.756.5.30.1.1.10.2.57 Recipient (DYNAMIC)
Treetree.pnghl7:information​Recipient
1 … *MThe laboratory report MUST contain at least one receiver.CDA‑...LREP
Treeblank.pngTreetree.png@typeCode
cs1 … 1RThe main recipient of the document MUST be specified using typeCode 'PRCP' (primary recipient). Other receivers (copy to; Cc) MUST be specified using typeCode 'TRC' (tracker).
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19366 x_InformationRecipient (DYNAMIC)
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.4
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.57
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.4
Treeblank.pngTreetree.pnghl7:intended​Recipient
1 … 1MThe laboratory report MUST contain at least one receiver.CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … *RAn address MUST be present according to XD-LAB.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … *RA communication mean MUST be present according to XD-LAB.CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:information​Recipient
0 … 1If the person of the recipient is used, it MUST according to XD-LAB declare a name.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:received​Organization
0 … 1If the organization of the recipient is used, it MUST according to XD-LAB declare name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.27 Organization Compilation with name, addr, telecom (DYNAMIC)
CDA‑...LREP
 Schematron assertrole error 
 testhl7:information​Recipient[not(@nullFlavor)] or hl7:received​Organization[not(@nullFlavor)] 
 MessageEither the recipients person or organization MUST be declared. 
Included0 … 1 from 2.16.756.5.30.1.1.10.2.61 Legal Authenticator (DYNAMIC)
Treetree.pnghl7:legalAuthenticator
0 … 1Legal authenticator.CDA‑...LREP
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.61
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.5
Treeblank.pngTreetree.pnghl7:time
TS.CH.TZ1 … 1RDate of the signature.CDA‑...LREP
Treeblank.pngTreetree.pnghl7:signatureCode
CS1 … 1RCDA‑...LREP
Treeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FS
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.1.11.10282
Treeblank.pngTreeblank.pngTreetree.png@codeSystemName
st1 … 1FParticipationSignature
Treeblank.pngTreeblank.pngTreetree.png@displayName
st1 … 1Fsigned
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1R The GLN MUST be used to identify the legal authenticator (e.g., laboratory manager or responsible physician). All persons and organizations, MUST according to XD-LAB contain name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.47 AssignedEntity Compilation for Laboratory (DYNAMIC)
CDA‑...LREP
Included0 … * from 2.16.756.5.30.1.1.10.2.88 Laboratory Results Validator - authenticator (DYNAMIC)
Treetree.pnghl7:authenticator
0 … *Information about an authenticator of a CDA document. An authenticator MUST be a person.IHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.88
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.6
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.5
Treeblank.pngTreetree.pnghl7:time
TS.CH.TZ1 … 1RTimestamp of the signature.IHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreetree.pnghl7:signatureCode
CS1 … 1RIHE PalM TF3 Rev.10, 6.3.2.16
Treeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FS
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@displayName
st0NPNP/not present
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treeblank.pngTreetree.pnghl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)IHE PalM TF3 Rev.10, 6.3.2.16
Included0 … 1 from 2.16.756.5.30.1.1.10.2.16 Order Reference - inFulfillmentOf (DYNAMIC)
Treetree.pnghl7:inFulfillmentOf
0 … 1Reference to one or more orders which led to the creation of this CDA document. It SHALL be declared, when the order reference is relevant for some reason.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.16
Treeblank.pngTreetree.pnghl7:order
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *ROrder number.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1REither the same GUID (order id) or the same OID (order issuing system) as the order itself.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 Contains the order ID itself. The ID MUST be unique within the system that issued the ID.
Included0 … 1 from 2.16.756.5.30.1.1.10.2.46 Health Service - documentationOf (DYNAMIC)
Treetree.pnghl7:documentationOf
0 … 1Information about a health service describing the context of this CDA document.CDA‑CH V2
Treeblank.pngTreetree.png@typeCode
cs1 … 1FDOC
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.46
Treeblank.pngTreetree.pnghl7:serviceEvent
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FACT
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs1 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *Health service identifiers such as case number ([ge]: Fallnummer; [fr]: Numéro de cas), consultation id, episode id, etc.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE1 … 1RAs long as the eventCodeList for the Swiss EPR metadata is not defined yet by the FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), the nullFlavor='NAV' MUST be used in this template. Other codes MAY be declared as translation.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
st1 … 1FNAV
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs0NPNP/not present
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0NPNP/not present
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0NPNP/not present
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st0NPNP/not present
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:translation
0 … *A translation of the code to another coding system.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st1 … 1R
Treeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS.CH.TZ1 … 1RDuration of the health service.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the health service.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the health service.CDA‑CH V2
Included0 … * from 2.16.756.5.30.1.1.10.9.31 Performer (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:performer
0 … *Information about a healthcare provider who was the primary performer of the act.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FPRF
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.9.31
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:templateId
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:templateId
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.323
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:time
IVL_TS.CH.TZ0 … 1Duration of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.32 Assigned Entity Compilation with id, name, addr, telecom, person and organization (DYNAMIC)CDA‑CH V2
Included0 … * from 2.16.756.5.30.1.1.10.2.28 Laboratory Performer - documentationOf (DYNAMIC)
Treetree.pnghl7:documentationOf
0 … *IHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.28
Treeblank.pngTreetree.pnghl7:serviceEvent
1 … 1RIHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS.CH.TZ0 … 1Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate.IHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreeblank.pngTreetree.pnghl7:performer
0 … *Laboratory Performer template in the CDA header.
Contains 2.16.756.5.30.1.1.10.4.7 Laboratory Performer - performer Containment (DYNAMIC)
IHE PalM TF3 Rev.10, 6.3.2.20
Included0 … * from 2.16.756.5.30.1.1.10.2.14 Insurance Card - participant (DYNAMIC)
Treetree.pnghl7:participant
0 … *Information on a patient's insurance card.CDA‑CH V2
Treeblank.pngTreetree.png@typeCode
cs1 … 1FHLD
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.14
Treeblank.pngTreetree.pnghl7:time
IVL_TS.CH.TZ1 … 1RValidity period of the insurance card.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs1 … 1FNASK
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1RExpiration date of the insurance card.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RThe insurance card's id.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.123.100.1.1.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RNumber of the insurance card.
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1Family and given name on the insurance card.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
0 … 1The insurance company which issued the insurance card.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
CDA‑CH V2
Included0 … * from 2.16.756.5.30.1.1.10.2.15 Insurance - participant (DYNAMIC)
Treetree.pnghl7:participant
0 … *Information on a patient's insurance.CDA‑CH V2
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOV
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.15
Treeblank.pngTreetree.pnghl7:time
IVL_TS.CH.TZ0 … 1Validity period of the contract.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the contract.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the contract.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:associated​Entity
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs1 … 1FPAYOR
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RThe id of the contract ([ge]: Versichertennummer; [fr]: Numéro d'assuré).CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CE1 … 1RThe underlying law for the contract.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs0 … 1 832.10, 832.20, 221.229.1, 833.1, 831.20
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0 … 1F2.16.756.5.30.2.1.1.11
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0 … 1Fins-laws
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st0 … 1 Federal Act on Health Insurance (HIA), Federal Act on Accident Insurance (AIA), Federal Act on Insurance Policies (Insurance Policies Act, IPA), Federal Act on Military Insurance (MilIA), Federal Act on Invalidity Insurance (InvIA)
 Schematron assertrole error 
 test(@nullFlavor='NAV' and not(@codeSystem or @codeSystemName or @code or @displayName)) or (@codeSystem='2.16.756.5.30.2.1.1.11' and @codeSystemName='ins-laws' and @code and @displayName) 
 MessageEither a valid insurance law or nullFlavor="NAV" is REQUIRED. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:associated​Person
0 … 1Contact person at the insurance company.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1The insurance company.
Contains 2.16.756.5.30.1.1.10.9.26 Organization Compilation with GLN, name, addr and telecom (DYNAMIC)
CDA‑CH V2
Included0 … * from 2.16.756.5.30.1.1.10.2.13 Document Replacement - relatedDocument (DYNAMIC)
Treetree.pnghl7:relatedDocument
0 … *

Relationship to another CDA-CH V2 based document that is replaced by the current one.

Notes: For correction of wrong information, a new document that replaces the earlier document MUST be created. The new document corrects previously incorrect information. This also applies to the case where information in the CDA header has been corrected (e.g., if the original document has been issued to the wrong patient). While processing the new document at the recipient, all values from the previous document MUST be interpreted as deprecated (deleted/marked as deleted/deprecated) and all values in the new document MUST be marked as valid:

  • Values that were only contained in the previous document have to be treated as deleted.
  • Values that are present in both documents are overwritten with the contents of the new document.
  • Values that are only contained in the new document are to be added.
CDA‑CH V2
Treeblank.pngTreetree.png@typeCode
cs1 … 1FRPLC
 Indicates that it is a relationship to another document that needs to be replaced.
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.13
Treeblank.pngTreetree.pnghl7:parentDocument
1 … 1RRelationship to the document that needs to be replaced.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1MThe id of the document to be replaced MUST be declared.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe id (GUID) of the document to be replaced.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.pnghl7:setId
II1 … 1MThe setId of the document to be replaced MUST be declared.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0NPNP/not present
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe setId (GUID) of the document to be replaced and MUST be identical with the content of the setId of the current document.
 Schematron assertrole error 
 test(@root=/hl7:ClinicalDocument/hl7:setId/@root) and not(@extension) and not(/hl7:ClinicalDocument/hl7:setId/@extension) 
 MessageClinicalDocument/setId: MUST be identical to the one of the replaced document 
Treeblank.pngTreeblank.pngTreetree.pnghl7:versionNumber
INT1 … 1MThe version number of the document to be replaced.CDA‑CH V2
 Schematron assertrole error 
 test/hl7:ClinicalDocument/hl7:versionNumber/@value > @value 
 MessageClinicalDocument/versionNumber: MUST be higher than the one of the replaced document 
Treetree.pnghl7:component
1 … 1R(CDA...V14)
Treeblank.pngTreetree.pnghl7:structuredBody
1 … 1R(CDA...V14)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
1 … *M

Main section for laboratory reports

A laboratory report MUST contain at least one main chapter in the structured body element, which MAY contain one or more sub-chapters. No further nesting is allowed. Each main section (Laboratory Specialty Section) contains laboratory tests of a particular discipline (e.g., microbiology or serology) and MUST contain either text and entry elements or sub-chapter (Laboratory Report Item Section). In the first case, the human-readable text in the text element MUST be generated automatically from the entry and its sub-elements, and sub-chapters ARE NOT ALLOWED. In the second case, all subsections (Laboratory Report Item Sections) must contain the examination results.


Contains 2.16.756.5.30.1.1.10.3.77 Laboratory Speciality Section - coded (DYNAMIC)
(CDA...V14)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1

Main section for vital signs

A laboratory report MAY include a main section in the structuredBody element that contains vital signs of the patient (e.g., body temperature, body height and weight), if this is of particular interest to the interpretation of the laboratory results.


Contains 2.16.756.5.30.1.1.10.3.4 Vital Signs Section - coded (DYNAMIC)
(CDA...V14)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1

Main section for coded results

A laboratory report MAY include a main section in the structuredBody element that contains coded results of the patient (e.g., gestational age of the patient), if this is of particular interest to the interpretation of the laboratory results.


Contains 2.16.756.5.30.1.1.10.3.46 Other Relevant Observations Section - coded (DYNAMIC)
(CDA...V14)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1

Main section for a current pregnancy

A laboratory report MAY include a main section in the structuredBody element that contains information about a current pregnancy of the patient (e.g., estimated delivery date), if this is of particular interest to the interpretation of the laboratory results.


Contains 2.16.756.5.30.1.1.10.3.53 Current Pregnancy Section - coded (DYNAMIC)
(CDA...V14)
Treeblank.pngTreeblank.pngTreetree.pnghl7:component
0 … 1

Main section for original representation

This section MAY be used to provide the original representation of the current CDA document as it has been seen by the legal authenticator while signing.


Contains 2.16.756.5.30.1.1.10.3.45 Original Representation Section - coded (DYNAMIC)
(CDA...V14)
 Schematron assertrole warning 
 testnot(//hl7:id[@root='2.16.756.5.30.1.127.3.10.3']) 
 MessageThis CDA-CH-LREP document contains a Swiss EPR-SPID. Please make sure, that this fits the legal base. 
 Schematron reportrole warning 
 test//hl7:id[@root=('2.16.756.5.31', '2.16.756.5.32')]/parent::hl7:patientRole 
 MessageThis CDA-CH-LREP document contains a Swiss Social Security number as patient identifier. Please make sure, that this fits the legal base. 
 Schematron assertrole error 
 testnot(//hl7:id[@root=('2.16.756.5.30.1.127.3.10.3', '2.16.756.5.31', '2.16.756.5.32')]/../..[not(hl7:patientRole)]) 
 MessageSwiss EPR-SPID and Social Security numbers are not allowed in CDA-CH-LREP documents for other objects than the patient. 

CDA Header Level Templates

Author

Id2.16.756.5.30.1.1.10.2.59Effective Date2020‑06‑26
Other versions this id:
  • Kblank.png cdachlrep_header_Author as of 2018‑04‑19
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_AuthorDisplay NameAuthor
DescriptionInformation about the author of the document. The author MAY be a person or a device. At least one author MUST be declared.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.59
LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 4 templates
Uses as NameVersion
2.16.756.5.30.1.1.10.9.35ContainmentKgreen.png Address Information Compilation - eCH-0010 (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.34ContainmentKgreen.png Person Name Information Compilation - eCH-0011 (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.21ContainmentKgreen.png Device Compilation with name (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.27ContainmentKgreen.png Organization Compilation with name, addr, telecom (2017)DYNAMIC
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.9.23 Author (DYNAMIC)
ref
hl7chcda-

Specialization: template 2.16.840.1.113883.10.12.102 CDA author (2005‑09‑07)
ref
ad1bbr-
Example
Sample author
<author>
  <templateId root="2.16.756.5.30.1.1.10.2.59"/>  <templateId root="2.16.756.5.30.1.1.10.9.23"/>  <time value="20170905"/>  <assignedAuthor>
    <id root="2.51.1.3" extension="7608888888888"/>    <assignedPerson>
      <name>
        <prefix>Dr. med.</prefix>        <given>Allzeit</given>        <family>Bereit</family>      </name>
    </assignedPerson>
    <representedOrganization>
      <id root="2.51.1.3" extension="7609999999999"/>      <name>Gruppenpraxis CH</name>      <telecom value="tel:+41.32.234.55.66" use="WP"/>      <telecom value="fax:+41.32.234.55.67" use="WP"/>      <telecom value="mailto:bereit@gruppenpraxis.ch" use="WP"/>      <telecom value="http:www.gruppenpraxis.ch" use="WP"/>      <addr use="WP">
        <streetName>Doktorgasse</streetName>        <houseNumber>2</houseNumber>        <city>Musterhausen</city>        <postalCode>8888</postalCode>        <country>CH</country>      </addr>
    </representedOrganization>
  </assignedAuthor>
</author>
ItemDTCardConfDescriptionLabel
hl7:author
1 … *RInformation about the author of the document. The author MAY be a person or a device. At least one author MUST be declared.CDA-...LREP
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.59
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.9.23
Treetree.pnghl7:functionCode
CE0 … 1CDA-...LREP
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
Treetree.pnghl7:time
TS.CH.TZ1 … 1RDate and time of the laboratory report creation.CDA-...LREP
Treetree.pnghl7:assignedAuthor
1 … 1RCDA-...LREP
 Schematron assertrole error 
 testnot(hl7:assigned​Authoring​Device/hl7:softwareName) or (hl7:represented​Organization) 
 MessageFor device authors the element representedOrganization is REQUIRED. 
 Schematron assertrole error 
 test(hl7:telecom[@use='PUB' and starts-with(@value,'tel:+')]) and (hl7:telecom[@use='PUB' and starts-with(@value,'mailto:')]) 
 MessageA public telephone number in the international format and a public eMail address are required. 
 Schematron assertrole error 
 test(hl7:addr[@use='PUB']) 
 MessageA public address is required. 
Treeblank.pngTreetree.pnghl7:id
II1 … 1R The specification of GS1 GLN is REQUIRED. If it is not (yet) known, this MUST be declared using nullFlavor.
For persons: their personal GLN MUST be declared.
For devices or software modules: the GLN of their organization MUST be declared.
CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
Treeblank.pngTreeblank.pngTreetree.png@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The GS1 GLN.
 Schematron assertrole error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is REQUIRED 
Treeblank.pngTreetree.pnghl7:id
II0 … *Other ids are allowed.CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
cs1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreetree.pnghl7:addr
AD1 … *Address of the laboratory.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA-...LREP
Treeblank.pngTreetree.pnghl7:telecom
TEL1 … *Means of communication of the laboratory (phone, eMail, ...).CDA-...LREP
Choice1 … 1Elements to choose from:
  • hl7:assigned​Person containing template 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
  • hl7:assigned​Authoring​Device containing template 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1The author as a person.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1The author as a device.
Contains 2.16.756.5.30.1.1.10.9.21 Device Compilation with name (DYNAMIC)
CDA-...LREP
Treeblank.pngTreetree.pnghl7:represented​Organization
0 … 1The author's organization.
Contains 2.16.756.5.30.1.1.10.9.27 Organization Compilation with name, addr, telecom (DYNAMIC)
CDA-...LREP
 Schematron assertrole error 
 test/hl7:ClinicalDocument/hl7:author/hl7:functionCode/hl7:translation[@code='3212' and @codeSystem='2.16.840.1.113883.2.9.6.2.7'] 
 MessageAt least one of the listed authors MUST be a laboratory specialist. 

Custodian

Id2.16.756.5.30.1.1.10.2.60Effective Date2020‑06‑26
Other versions this id:
  • Kblank.png cdachlrep_header_Custodian as of 2018‑04‑19
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_CustodianDisplay NameCustodian
Description
The laboratory that creates the document MUST be declared as Custodian. The GLN is the primary key and thus the unique identification of the laboratory. If the lab services are to be refunded by the insurance, the SASIS number (ge:ZSR / fr:RCC) MUST be declared in the same element as the GLN as follows.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.60
LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.9.35ContainmentKgreen.png Address Information Compilation - eCH-0010 (2017)DYNAMIC
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.2.3 Custodian (DYNAMIC)
ref
hl7chcda-
Example
Example
<custodian>
  <templateId root="2.16.756.5.30.1.1.10.2.3"/>  <templateId root="2.16.756.5.30.1.1.10.2.60"/>  <assignedCustodian>
    <representedCustodianOrganization>
      <id root="2.51.1.3" extension="7606666666666"/>      <name use="L">Labor Pipette</name>      <telecom use="PUB" value="tel:+41.33.123.45.67"/>      <addr use="PUB">
        <streetName>Reagenziumstrasse</streetName>        <houseNumber>321</houseNumber>        <postalCode>8888</postalCode>        <city>Analyzerstadt</city>        <country>CH</country>      </addr>
    </representedCustodianOrganization>
  </assignedCustodian>
</custodian>
ItemDTCardConfDescriptionLabel
hl7:custodian
1 … 1RCDA-...LREP
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.3
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.60
Treetree.pnghl7:assignedCustodian
1 … 1RCDA-...LREP
Treeblank.pngTreetree.pnghl7:represented​Custodian​Organization
1 … 1RCDA-...LREP
 Schematron assertrole error 
 test(hl7:telecom[@use='PUB' and starts-with(@value,'tel:+')]) 
 MessageA public telephone number in the international format is required. 
 Schematron assertrole error 
 test(hl7:addr[@use='PUB']) 
 MessageA public address is required. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *RThe specification of GS1 GLN is required. If it is not (yet) known, this must be declared using nullFlavor. CDA-...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
 Temporarily unknown, will be filled later.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs0 … 1F2.51.1.3
 OID for GS1 GLN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The GS1 GLN of the laboratory or the doctor's office (in the case of individual practices, the doctor's GLN).
 Schematron assertrole error 
 test(@root='2.51.1.3' and @extension) or (@nullFlavor='NAV') 
 MessageEither the GS1 GLN or nullFlavor='NAV' is required. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *CSASIS number (ge:ZSR / fr:RCC), if the lab services are to be refunded by the insurance.CDA-...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
cs1 … 1F2.16.756.5.30.1.123.100.2.1.1
 OID for SASIS number (ge:ZSR / fr:RCC).
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RSASIS number (ge:ZSR / fr:RCC) of the laboratory or the physician.
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
ON1 … 1RName of the laboratory.CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL1 … 1RMeans of communication of the laboratory (phone., eMail, ...).CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD1 … 1RAddress of the laboratory.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA-...LREP

Data Enterer

Id2.16.756.5.30.1.1.10.2.7
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_DataEntererDisplay NameData Enterer
Description
Information about the person that entered information in this CDA document. It SHALL be declared, when data recorded in this document has been entered by a person other than the author but only when this is relevant for some reason. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.7
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.9.12ContainmentKgreen.png Assigned Entity Compilation with id (2020)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.103 CDA dataEnterer (2005‑09‑07)
ref
ad1bbr-
Example
Example
<dataEnterer>
  <templateId root="2.16.756.5.30.1.1.10.2.7"/>  <time value="201709122029+0200"/>  <assignedEntity>
    <id root="2.999" extension="0812763"/>    <assignedPerson>
      <name>
        <given>Jean</given>        <family>Dupont</family>      </name>
    </assignedPerson>
  </assignedEntity>
</dataEnterer>
ItemDTCardConfDescriptionLabel
hl7:dataEnterer
0 … 1Information about the person that entered information in this CDA document. It SHALL be declared, when data recorded in this document has been entered by a person other than the author but only when this is relevant for some reason.CDA‑CH V2
Treetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.7
Treetree.pnghl7:time
TS.CH.TZ0 … 1Timestamp of the data input.CDA‑CH V2
Treetree.pnghl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.12 Assigned Entity Compilation with id (DYNAMIC)CDA‑CH V2

Document Code

Id2.16.756.5.30.1.1.10.2.56Effective Date2020‑06‑26
Other versions this id:
  • Kblank.png cdachlrep_header_DocumentCode as of 2018‑04‑19
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_DocumentCodeDisplay NameDocument Code
Description

A LOINC based document type of a CDA document instance including a translation to the Swiss EPR XDS.b metadata.

  • Multidisciplinary laboratory findings:
    The LOINC code of the document MUST read: 11502-2 (LABORATORY REPORT.TOTAL)
  • Laboratory reports of a single laboratory discipline:
    The LOINC code of the document MUST be taken from the value set 'Laboratory Specialties'
LabelIHE PalM TF3 Rev.10, 6.3.2.5
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.2.44 Document Code (DYNAMIC)
ref
hl7chcda-
Example
Laboratory Reports, CDA-CH-LREP V1, General laboratory report
<!-- IHE XD-LAB defines the valid document codes -->
<code code="11502-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LABORATORY REPORT.TOTAL">
  <!-- Mapping to the Swiss EPR XDS.b metadata -->
  <translation code="4241000179101" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Laboratory report"/></code>
ItemDTCardConfDescriptionLabel
hl7:code
CE1 … 1M

A LOINC based document type of a CDA document instance including a translation to the Swiss EPR XDS.b metadata.

  • Multidisciplinary laboratory findings:
    The LOINC code of the document MUST read: 11502-2 (LABORATORY REPORT.TOTAL)
  • Laboratory reports of a single laboratory discipline:
    The LOINC code of the document MUST be taken from the value-set 'Laboratory Specialties'
IHE PalM TF3 Rev.10, 6.3.2.5
Treetree.png@code
cs1 … 1RThe exact value of @code MUST either read '11502-2' or taken from the value-set 'Laboratory Specialties'.
Treetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
Treetree.png@codeSystemName
st1 … 1FLOINC
Treetree.png@displayName
st1 … 1RThe exact value of @displayName MUST either read 'LABORATORY REPORT.TOTAL' or taken from the value-set 'Laboratory Specialties'.
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.6 Multi-disciplinary Laboratory Report (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.1 Laboratory Specialties (DYNAMIC)
Treetree.pnghl7:translation
CD1 … 1RA translation to the Swiss EPR XDS.b metadata.IHE PalM TF3 Rev.10, 6.3.2.5
Treeblank.pngTreetree.png@code
cs1 … 1F4241000179101
Treeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.6.96
Treeblank.pngTreetree.png@codeSystemName
st1 … 1FSNOMED CT
Treeblank.pngTreetree.png@displayName
st1 … 1FLaboratory report
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.27 DocumentEntry.typeCode (DYNAMIC)

Document Confidentiality Code

Id2.16.756.5.30.1.1.10.2.19
ref
hl7chcda-
Effective Date2019‑09‑12 14:08:42
Other versions this id:
  • Kblank.png cdach_header_DocumentConfidentialityCode as of 2018‑04‑18
StatusKgreen.png ActiveVersion Label2019
Namecdach_header_DocumentConfidentialityCodeDisplay NameDocument Confidentiality Code
Description
A confidentiality level of a CDA document instance according to the Swiss EPR regulation. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.

Language dependent references to the Swiss EPR regulation:
  • en: Federal Act on the Electronic Patient Record (EPRA), FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), Appendix 3 (Metadata)
  • de: Bundesgesetz über das elektronische Patientendossier (EPDG), Verordnung des EDI über das elektronische Patientendossier (EPDV-EDI), Anhang 3 (Metadaten)
  • fr: Loi fédérale sur le dossier électronique du patient (LDEP), Ordonnance du DFI sur le dossier électronique du patient (ODEP-DFI), Annexe 3 (Métadonnées)
  • it: Legge federale sulla cartella informatizzata del paziente (LCIP), Ordinanza del DFI sulla cartella informatizzata del paziente (OCIP-DFI), Allegato 3 (Metadati)
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 7 concepts
IdNameData Set
cdachemed-data​element-125Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-126Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-29Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-124Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-81Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-68Kyellow.png Confidentiality level Kyellow.png Dataset 1
hl7chcda-data​element-222Kyellow.png Confidentiality level Kyellow.png CDA-CH V2 2017
RelationshipVersion: template 2.16.756.5.30.1.1.10.2.19 Document Confidentiality Code (2018‑04‑18)
ref
hl7chcda-
Example
Example
<confidentialityCode code="17621005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Normal (qualifier value)"/>
ItemDTCardConfDescriptionLabel
hl7:confidentialityCode
CE (required)1 … 1MSwiss Realm of Confidentiality Code according to the Swiss EPR regulation.CDA‑CH V2
 
Target.png
cdachemed-data​element-125Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-126Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-29Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-124Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-81Kyellow.png Confidentiality level Kyellow.png Dataset 1
cdachemed-data​element-68Kyellow.png Confidentiality level Kyellow.png Dataset 1
hl7chcda-data​element-222Kyellow.png Confidentiality level Kyellow.png CDA-CH V2 2017
Treetree.png@code
cs1 … 1RThe value of @code MUST be drawn from value set DocumentEntry.confidentialityCode
Treetree.png@codeSystem
oid1 … 1R
Treetree.png@codeSystemName
st1 … 1R
Treetree.png@displayName
st1 … 1RThe value of @displayName MUST be drawn from value set DocumentEntry.confidentialityCode
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.127.3.10.1.5 DocumentEntry.confidentialityCode (DYNAMIC)

Document Id

Id2.16.756.5.30.1.1.10.2.23
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_DocumentIdDisplay NameDocument Id
DescriptionA unique identifier for each CDA document instance. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 7 concepts
IdNameData Set
cdachemed-data​element-141Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-63Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-139Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-140Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-76Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-24Kyellow.png Identification number of the document Kyellow.png Dataset 1
hl7chcda-data​element-217Kyellow.png Identification number of the document Kyellow.png CDA-CH V2 2017
Example
Example
<id root="807563C2-5146-11D5-A672-00B0D022E945"/>
ItemDTCardConfDescriptionLabel
hl7:id
II1 … 1MA unique identifier for each CDA document instance.CDA‑CH V2
 
Target.png
cdachemed-data​element-141Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-63Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-139Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-140Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-76Kyellow.png Identification number of the document Kyellow.png Dataset 1
cdachemed-data​element-24Kyellow.png Identification number of the document Kyellow.png Dataset 1
hl7chcda-data​element-217Kyellow.png Identification number of the document Kyellow.png CDA-CH V2 2017
Treetree.png@root
uid1 … 1RThe document's id as Globally Unique Identifier (GUID).
Treetree.png@extension
st0NPNP/not present

Document Language

Id2.16.756.5.30.1.1.10.2.22
ref
hl7chcda-
Effective Date2019‑09‑12 14:28:13
Other versions this id:
  • Kblank.png cdach_header_DocumentLanguage as of 2019‑09‑12 14:27:38
  • Kblank.png cdach_header_DocumentLanguage as of 2019‑09‑12 14:25:02
  • Kblank.png cdach_header_DocumentLanguage as of 2018‑04‑18
StatusKgreen.png ActiveVersion Label2020
Namecdach_header_DocumentLanguageDisplay NameDocument Language
DescriptionThe language in which the narrative texts in this CDA document instance are written. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 7 concepts
IdNameData Set
cdachemed-data​element-26Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-135Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-134Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-65Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-78Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-133Kyellow.png Language of the document Kyellow.png Dataset 1
hl7chcda-data​element-219Kyellow.png Language of the document Kyellow.png CDA-CH V2 2017
RelationshipVersion: template 2.16.756.5.30.1.1.10.2.22 Document Language (2018‑04‑18)
ref
hl7chcda-
Example
US-English
<languageCode code="en-US"/>
Example
Swiss-German
<languageCode code="de-CH"/>
Example
Swiss-French
<languageCode code="fr-CH"/>
Example
Swiss-Italian
<languageCode code="it-CH"/>
ItemDTCardConfDescriptionLabel
hl7:language​Code
CS1 … 1MThe RFC5646 based language in which the narrative texts in this CDA document instance are written.CDA‑CH V2
 
Target.png
cdachemed-data​element-26Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-135Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-134Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-65Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-78Kyellow.png Language of the document Kyellow.png Dataset 1
cdachemed-data​element-133Kyellow.png Language of the document Kyellow.png Dataset 1
hl7chcda-data​element-219Kyellow.png Language of the document Kyellow.png CDA-CH V2 2017
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)

Document Realm

Id2.16.756.5.30.1.1.10.2.25
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_DocumentRealmDisplay NameDocument Realm
DescriptionSwiss Realm (CHE) of HL7 CDA. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Example
Example
<realmCode code="CHE"/>
ItemDTCardConfDescriptionLabel
hl7:realmCode
CS1 … 1MSwiss Realm (CHE) of HL7 CDA. CDA‑CH V2
Treetree.png@code
CONF1 … 1FCHE

Document Replacement - relatedDocument

Id2.16.756.5.30.1.1.10.2.13
ref
hl7chcda-
Effective Date2019‑01‑01 21:22:58
Other versions this id:
  • Kblank.png cdach_header_DocumentReplacement as of 2018‑04‑18
StatusKgreen.png ActiveVersion Label2020
Namecdach_header_DocumentReplacementDisplay NameDocument Replacement - relatedDocument
DescriptionRelationship to another CDA-CH V2 based document that is replaced by the current one. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.13
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.111 CDA relatedDocument (2005‑09‑07)
ref
ad1bbr-
Example
Example
<relatedDocument typeCode="RPLC">
  <templateId root="2.16.756.5.30.1.1.10.2.13"/>  <parentDocument>
    <id root="30E19F60-3DB9-48B8-9BFD-FF04C342D0B1"/>    <setId root="452A118A-06AB-47D2-A29B-709F7F2EC6FE"/>    <versionNumber value="5"/>  </parentDocument>
</relatedDocument>
ItemDTCardConfDescriptionLabel
hl7:relatedDocument
0 … *

Relationship to another CDA-CH V2 based document that is replaced by the current one.

Notes: For correction of wrong information, a new document that replaces the earlier document MUST be created. The new document corrects previously incorrect information. This also applies to the case where information in the CDA header has been corrected (e.g., if the original document has been issued to the wrong patient). While processing the new document at the recipient, all values from the previous document MUST be interpreted as deprecated (deleted/marked as deleted/deprecated) and all values in the new document MUST be marked as valid:

  • Values that were only contained in the previous document have to be treated as deleted.
  • Values that are present in both documents are overwritten with the contents of the new document.
  • Values that are only contained in the new document are to be added.
CDA‑CH V2
Treetree.png@typeCode
cs1 … 1FRPLC
 Indicates that it is a relationship to another document that needs to be replaced.
Treetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.13
Treetree.pnghl7:parentDocument
1 … 1RRelationship to the document that needs to be replaced.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:id
II1 … 1MThe id of the document to be replaced MUST be declared.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe id (GUID) of the document to be replaced.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0NPNP/not present
Treeblank.pngTreetree.pnghl7:setId
II1 … 1MThe setId of the document to be replaced MUST be declared.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@extension
st0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe setId (GUID) of the document to be replaced and MUST be identical with the content of the setId of the current document.
 Schematron assertrole error 
 test(@root=/hl7:ClinicalDocument/hl7:setId/@root) and not(@extension) and not(/hl7:ClinicalDocument/hl7:setId/@extension) 
 MessageClinicalDocument/setId: MUST be identical to the one of the replaced document 
Treeblank.pngTreetree.pnghl7:versionNumber
INT1 … 1MThe version number of the document to be replaced.CDA‑CH V2
 Schematron assertrole error 
 test/hl7:ClinicalDocument/hl7:versionNumber/@value > @value 
 MessageClinicalDocument/versionNumber: MUST be higher than the one of the replaced document 

Document Set Id and Version Number

Id2.16.756.5.30.1.1.10.2.20
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_DocumentSetIdAndVersionNumberDisplay NameDocument Set Id and Version Number
DescriptionUnity of document versions. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST reference this template.
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 13 concepts
IdNameData Set
cdachemed-data​element-118Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-70Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-119Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-120Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-83Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-121Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-122Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-41Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-82Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-69Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-30Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-123Kyellow.png Version Kyellow.png Dataset 1
hl7chcda-data​element-223Kyellow.png Version Kyellow.png CDA-CH V2 2017
Example
Version 1
<!-- For information only (see 'Document Id' template for more information): /ClinicalDocument/id/@root="807563C2-5146-11D5-A672-00B0D022E945" (equal to setId) -->
<setId root="807563C2-5146-11D5-A672-00B0D022E945"/><versionNumber value="1"/>
Example
Version 2
<!-- For information only (see 'Document Id' template for more information): /ClinicalDocument/id/@root="FD05DCA1-14A9-4AAE-B57E-6B28E621D853" (not equal to setId)-->
<setId root="807563C2-5146-11D5-A672-00B0D022E945"/><versionNumber value="2"/>
ItemDTCardConfDescriptionLabel
hl7:setId
II1 … 1RThe setId element MUST match the document id of the very first version of that document. It MUST remain the same for all document versions.CDA‑CH V2
 
Target.png
cdachemed-data​element-118Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-70Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-119Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-120Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-83Kyellow.png Set ID Kyellow.png Dataset 1
cdachemed-data​element-41Kyellow.png Set ID Kyellow.png Dataset 1
Treetree.png@root
uid1 … 1RThe root attribute MUST contain the setId as Globally Unique Identifier (GUID).
Treetree.png@extension
st0NPNP/not present
 Schematron assertrole error 
 test(parent::*/hl7:versionNumber[@value='1'] and @root=parent::*/hl7:id/@root and (@extension=parent::*/hl7:id/@extension or (not(@extension) and not(parent::*/hl7:id/@extension)))) or (parent::*/hl7:versionNumber[not(@value ='1')] and ((@root=parent::*/hl7:id/@root and @extension and not(@extension=parent::*/hl7:id/@extension)) or(not(@root=parent::*/hl7:id/@root)))) 
 MessageThe setId MUST be equal with the document id for version 1 and it MUST differ for all other versions. 
hl7:versionNumber
INT.​NONNEG1 … 1RThe versionNumber element MUST contain the value 1 for the very first version of that document. For later versions, the version number MUST be increased by 1 each.CDA‑CH V2
 
Target.png
cdachemed-data​element-121Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-122Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-82Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-69Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-30Kyellow.png Version Kyellow.png Dataset 1
cdachemed-data​element-123Kyellow.png Version Kyellow.png Dataset 1
hl7chcda-data​element-223Kyellow.png Version Kyellow.png CDA-CH V2 2017

Document Template Ids CDA-CH v2.0 - structuredBody

Id2.16.756.5.30.1.1.10.2.18
ref
hl7chcda-
Effective Date2019‑10‑17 15:21:50
Other versions this id:
  • Kblank.png cdach_header_DocumentTemplateIdsCdaChv2.0-structuredBody as of 2018‑04‑18
StatusKgreen.png ActiveVersion Label2020
Namecdach_header_DocumentTemplateIdsCdaChv2.0-structuredBodyDisplay NameDocument Template Ids CDA-CH v2.0 - structuredBody
Description
CDA-CH V2 bases on HL7 CDA R2 (2005) and - by using this template - require a structured body. All CDA-CH V2 derivatives, i.e. Swiss exchange formats SHALL reference this template. These SHALL define further template ids in their own separate templates.
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Example
Example
<!-- CDA-CH v2.0 specification (optional, but informative template id). -->
<templateId root="2.16.756.5.30.1.1.1.1.4"/><!-- CDA-CH v2.0 structuredBody. -->
<templateId root="2.16.756.5.30.1.1.10.1.9"/><!-- HL7 CDA R2 (2005) having a structuredBody. -->
<templateId root="2.16.840.1.113883.10.12.2"/><!-- HL7 CDA R2 (2005). -->
<templateId root="2.16.840.1.113883.10.12.1"/>
ItemDTCardConfDescriptionLabel
hl7:templateId
II0 … 1CDA-CH v2.0 specification. This is an informational reference, only.CDA‑CH V2
Treetree.png@root
uid1 … 1F2.16.756.5.30.1.1.1.1.4
hl7:templateId
II1 … 1MCDA-CH v2.0 structuredBodyCDA‑CH V2
Treetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.1.9
hl7:templateId
II1 … 1MHL7 CDA R2 (2005); contains ClinicalDocument.component as structuredBody.CDA‑CH V2
Treetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.2
hl7:templateId
II1 … 1MHL7 CDA R2 (2005).CDA‑CH V2
Treetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.1

Document Template Ids CDA-CH-LREP V1

Id2.16.756.5.30.1.1.10.2.55Effective Date2020‑06‑26
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_TemplateIdsCdaChLrepV1Display NameDocument Template Ids CDA-CH-LREP V1
DescriptionCDA-CH-LREP V1 bases on CDA-CH V2.1 (2020) and XD-LAB (IHE PaLM TF 10.0, 2019).
LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Example
Example
<ClinicalDocument>
  <!-- ... -->
  <templateId root="2.16.756.5.30.1.1.1.1.3.9.1"/>  <templateId root="2.16.756.5.30.1.127.1.4"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3"/>  <!-- ... -->
</ClinicalDocument>
ItemDTCardConfDescriptionLabel
hl7:templateId
II0 … 1CDA-CH-LREP / Laboratory Reports V1 specification. This is an informational reference, only.CDA-...LREP
Treetree.png@root
uid1 … 1F2.16.756.5.30.1.1.1.1.3.9.1
hl7:templateId
II1 … 1MExchange format according to the Swiss EPRCDA-...LREP
Treetree.png@root
uid1 … 1F2.16.756.5.30.1.127.1.4
hl7:templateId
II1 … 1MSharing Laboratory Reports (XD-LAB) Content Module, IHE PaLM Technical Framework Revision Revision 8.0 - June 21, 2017.CDA-...LREP
Treetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3

Document Title

Id2.16.756.5.30.1.1.10.2.62Effective Date2020‑06‑26
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_DocumentTitleDisplay NameDocument Title
Description

The document MUST contain a title. The following translations of the LOINC codes specified in XD-LAB MUST be used:

Multidisciplinary reports

LOINC CodeText
11502-2[ge]: Multidisziplinäre Befunde
[fr]: Résultats multidisciplinaires
[it]: Risultati multidisciplinari

Findings of a particular discipline

The same translations as for Laboratory Speciality Section are to be used.

LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Example
Multidisciplinary laboratory report in German
<title>Laborbefund - Multidisziplinäre Befunde</title>
Example
Multidisciplinary laboratory report in English
<title>Laboratory report - Multidisciplinary Laboratory Report</title>
Example
Serology report German
<title>Laborbefund - Serologiebefunde</title>
Example
Serology report Englisch
<title>Laboratory report - Serologiebefunde</title>
ItemDTCardConfDescriptionLabel
hl7:title
ST1 … 1M

The document title must follow the following text format where <human readable code> is the local translation of the document LOINC code:

  • [de]: 'Laborbefund - <human readable code>'
  • [fr]: 'Rapport de laboratoire - <human readable code>'
  • [it]: 'Referto di laboratorio - <human readable code>'
  • [en]: 'Laboratory report - <human readable code>'
CDA-...LREP
 Variable letNamelanguageCode 
 Valuesubstring(/hl7:ClinicalDocument/hl7:language​Code/@code,1,2) 
 Schematron assertrole error 
 testnot($languageCode='en') or starts-with(text(),'Laboratory report') 
 MessageThe English title must start with 'Laboratory report' 
 Schematron assertrole error 
 testnot($languageCode='de') or starts-with(text(),'Laborbefund') 
 MessageThe German title must start with 'Laborbefund' 
 Schematron assertrole error 
 testnot($languageCode='fr') or starts-with(text(),'Rapport de laboratoire') 
 MessageThe French title must start with 'Rapport de laboratoire' 
 Schematron assertrole error 
 testnot($languageCode='it') or starts-with(text(),'Rapporto di laboratorio') 
 MessageThe Italian title must start with 'Rapporto di laboratorio' 

Health Service - documentationOf

Id2.16.756.5.30.1.1.10.2.46
ref
hl7chcda-
Effective Date2019‑01‑01 20:53:33
Other versions this id:
  • Kblank.png cdach_header_HealthService as of 2018‑04‑18
StatusKgreen.png ActiveVersion Label2019
Namecdach_header_HealthServiceDisplay NameHealth Service - documentationOf
DescriptionInformation about a health service describing the context of this CDA document. All CDA-CH V2 derivatives, i.e. Swiss exchange formats MUST use this template by either reference or specialisation.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.46
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.9.31IncludeKgreen.png Performer (2020)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07)
ref
ad1bbr-
Example
Case identification and duration
<documentationOf typeCode="DOC">
  <templateId root="2.16.756.5.30.1.1.10.2.46"/>  <serviceEvent classCode="ACT" moodCode="EVN">
    <id root="2.999" extension="FID-124982"/>    <code nullFlavor="NAV"/>    <effectiveTime>
      <low value="20190101"/>      <high value="20190102"/>    </effectiveTime>
  </serviceEvent>
</documentationOf>
ItemDTCardConfDescriptionLabel
hl7:documentationOf
0 … *Information about a health service describing the context of this CDA document.CDA‑CH V2
Treetree.png@typeCode
cs1 … 1FDOC
Treetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.46
Treetree.pnghl7:serviceEvent
1 … 1RCDA‑CH V2
Treeblank.pngTreetree.png@classCode
cs1 … 1FACT
Treeblank.pngTreetree.png@moodCode
cs1 … 1FEVN
Treeblank.pngTreetree.pnghl7:id
II0 … *Health service identifiers such as case number ([ge]: Fallnummer; [fr]: Numéro de cas), consultation id, episode id, etc.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreetree.pnghl7:code
CE1 … 1RAs long as the eventCodeList for the Swiss EPR metadata is not defined yet by the FDHA Ordinance on the Electronic Patient Record (EPRO-FDHA), the nullFlavor='NAV' MUST be used in this template. Other codes MAY be declared as translation.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
st1 … 1FNAV
Treeblank.pngTreeblank.pngTreetree.png@code
cs0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.png@displayName
st0NPNP/not present
Treeblank.pngTreeblank.pngTreetree.pnghl7:translation
0 … *A translation of the code to another coding system.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st1 … 1R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st1 … 1R
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS.CH.TZ1 … 1RDuration of the health service.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the health service.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the health service.CDA‑CH V2
Included0 … * from 2.16.756.5.30.1.1.10.9.31 Performer (DYNAMIC)
Treeblank.pngTreetree.pnghl7:performer
0 … *Information about a healthcare provider who was the primary performer of the act.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@typeCode
cs1 … 1FPRF
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.9.31
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.1.24.3.5
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
1 … 1RCDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.323
Treeblank.pngTreeblank.pngTreetree.pnghl7:time
IVL_TS.CH.TZ0 … 1Duration of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the performance.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.pnghl7:assignedEntity
1 … 1RContains 2.16.756.5.30.1.1.10.9.32 Assigned Entity Compilation with id, name, addr, telecom, person and organization (DYNAMIC)CDA‑CH V2

Human Patient - recordTarget

Id2.16.756.5.30.1.1.10.2.58Effective Date2020‑06‑26
Other versions this id:
  • Kblank.png cdachlrep_header_Patient as of 2018‑04‑19
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_PatientDisplay NameHuman Patient - recordTarget
Description

Patient (Human Patient).

Patient identifiers

The id (patient identification number) can be declared multiple times. If multiple identifications are known, all known IDs should be specified. For laboratory reports, all IDs specified by the ordering system are to be returned. This allows the receiver to assign its internal patient identification. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.

Pseudonymization

In special cases, the demographic data of the patient need not be transmitted or they need to be pseudonymized (e.g., results of genetic or forensic toxicology). The affected values must be replaced by a nullFlavor of type "MSK" (masked), in order to shield the data.

ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.58
LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.9.35ContainmentKgreen.png Address Information Compilation - eCH-0010 (2017)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-
Example
Pseudonymization with initials
<recordTarget>
  <templateId root="2.16.756.5.30.1.1.10.2.58"/>  <templateId root="2.16.756.5.30.1.1.10.2.1"/>  <patientRole>
    <id nullFlavor="MSK"/>    <addr nullFlavor="MSK"/>    <telecom nullFlavor="MSK"/>    <patient>
      <name nullFlavor="MSK">
        <family>(only first letter)</family>        <given>(only first letter)</given>      </name>
      <administrativeGenderCode nullFlavor="MSK"/>      <birthTime nullFlavor="MSK"/>    </patient>
  </patientRole>
</recordTarget>
ItemDTCardConfDescriptionLabel
hl7:recordTarget
1 … *RPatient (Human Patient).CDA-...LREP
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.58
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.1
Treetree.pnghl7:patientRole
1 … 1RExactly one patient MUST be declared.CDA-...LREP
Treeblank.pngTreetree.pnghl7:id
II1 … *RAt least one patient identification MUST be declared.CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 Contains the patient number itself. The number MUST be unique within the system that has issued the number.
Treeblank.pngTreetree.pnghl7:addr
AD1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.35 Address Information Compilation - eCH-0010 (DYNAMIC)
CDA-...LREP
Treeblank.pngTreetree.pnghl7:telecom
TEL1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.CDA-...LREP
Treeblank.pngTreetree.pnghl7:patient
1 … 1RExactly one patient MUST be declared.CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RAll persons (including patients) and organizations, MUST according to XD-LAB contain name, addr and telecom.CDA-...LREP
Treeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1RThe patient's gender.CDA-...LREP
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs0 … 1 
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0 … 1F2.16.840.1.113883.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0 … 1FHL7 AdministrativeGender
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
st0 … 1 
 Schematron assertrole error 
 test(not(@nullFlavor) and @displayName and @code and @codeSystem and @codeSystemName) or (@nullFlavor and not(@displayName or @code or @codeSystem or @codeSystemName)) 
 MessageEither nullFlavor or a valid code is required. 
Treeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS1 … 1RThe date of birth of the patient MUST be given according to XD-LAB.CDA-...LREP

Human Patient with Non-Human Subject - recordTarget

Id2.16.756.5.30.1.1.10.2.27
ref
ch-palm-
Effective Date2019‑08‑20
Other versions this id:
  • Kblank.png chpalm_header_RecordTargetHumanPatientWithNonHumanSubject as of 2017‑06‑21
StatusKgreen.png ActiveVersion Label2019
Namechpalm_header_RecordTargetHumanPatientWithNonHumanSubjectDisplay NameHuman Patient with Non-Human Subject - recordTarget
Description
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 with Non-Human Subject
When the report assembles observations for a human (patient) with observations produced using a non-human specimen, the recordTarget SHALL represent the human patient. In accordance with the HL7 CDA R2 standard and further constrained by this specification, the presence of name, addr and telecom is required for all entities in the document including the human patient. Additionally, the following SHALL be present. "1.3.6.1.4.1.19376.1.3.3.1.3"
  • <templateId root="1.3.6.1.4.1.19376.1.3.3.1.3"/> - The templateId element identifies this recordTarget as a human patient directly impacted by a non-human subject of laboratory testing. The templateId SHALL have root="1.3.6.1.4.1.19376.1.3.3.1.3".
  • <id/> - recordTarget/patientRole/id SHALL be present. It SHALL be representative of the id of the human patient. In this template, the id of the non-human subject is not provided in the header. On a special note, at present, if the document contains a patient and a subject (as in the case of rabies, for example), documentation of the id of the subject cannot be accomplished without an extension to CDA.
  • <administrativeGenderCode/> - The patientRole/patient/administrativeGenderCode SHALL be present.
  • <birthTime/> - The patientRole/patient/birthTime SHALL be present.
  • <structuredBody> mark-up - In addition to the elements specified in the CDA header for the patient, the non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody as described in template Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.27
LabelIHE PalM TF3 Rev.10, 6.3.2.11.3
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.3.1.3 Human Patient with Non-Human Subject (2008‑08‑08)
ref
XDLAB-
Example
Human patient paired with Non-Human Subject Example
<recordTarget typeCode="RCT">
  <templateId root="2.16.756.5.30.1.1.10.2.27"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3.1.3"/>  <patientRole classCode="PAT">
    <id root="2.999" extension="sw54321"/>    <addr>
      <streetAddressLine>Leidensweg 10</streetAddressLine>      <city>Specimendorf</city>      <postalCode>9876</postalCode>    </addr>
    <telecom value="tel:+41.32.685.12.34"/>    <patient classCode="PSN">
      <name>
        <family>Muster</family>        <given>Max</given>      </name>
      <administrativeGenderCode code="F"/>      <birthTime value="19480611"/>    </patient>
  </patientRole>
</recordTarget>
ItemDTCardConfDescriptionLabel
hl7:recordTarget
1 … *RHuman Patient with Non-Human Subject.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.27
Treetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.3
 Schematron assertrole error 
 test//hl7:templateId[@root='1.3.6.1.4.1.19376.1.3.3.1.3.1'] 
 MessageIn addition to the elements specified in the CDA header for the patient, the non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody. 
Treetree.pnghl7:patientRole
1 … 1RExactly one patient MUST be declared.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreetree.pnghl7:id
II1 … *RAt least one patient identification MUST be declared.
Note:
The identification of the non-human material MUST NOT be declared here.
This can not be specified within the same document. See also: IHE PaLM TF3, section 6.3.2.11.3.
If the identification of the non-human material is important (for example in rabies), two separate documents should be created (one with the human patient and one with the non-human material).
IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RMUST contain the actual number of non-human material. The number MUST be unique within the system that issued the number.
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the number. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreetree.pnghl7:addr
AD1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreetree.pnghl7:telecom
TEL1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreetree.pnghl7:patient
1 … 1RExactly one patient MUST be declared.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *RAll persons (including patients) and organizations, MUST contain according to XD-LAB name, addr and telecom.IHE PalM TF3 Rev.10, 6.3.2.11.3
Treeblank.pngTreeblank.pngTreetree.pnghl7:administrative​Gender​Code
CE1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.3
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:birthTime
TS1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.3

Insurance - participant

Id2.16.756.5.30.1.1.10.2.15
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_InsuranceDisplay NameInsurance - participant
DescriptionInformation on a patient's insurance. CDA-CH V2 derivatives, i.e. Swiss exchange formats MAY use this template by either reference or specialisation.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.15
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 2 templates
Uses as NameVersion
2.16.756.5.30.1.1.10.9.34ContainmentKgreen.png Person Name Information Compilation - eCH-0011 (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.26ContainmentKgreen.png Organization Compilation with GLN, name, addr and telecom (2017)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07)
ref
ad1bbr-
Example
Example
<participant typeCode="COV">
  <templateId root="2.16.756.5.30.1.1.10.2.15"/>  <time>
    <low value="20170910"/>    <high nullFlavor="NASK"/>  </time>
  <associatedEntity classCode="PAYOR">
    <id root="2.999" extension="23.253-m"/>    <code code="832.10" codeSystem="2.16.756.5.30.2.1.1.11" codeSystemName="ins-laws" displayName="Federal Act on Health Insurance (HIA)"/>    <scopingOrganization>
      <id root="2.51.1.3" extension="7607777777777"/>      <name>NousPaieronsTous assurances</name>      <telecom nullFlavor="NASK"/>      <addr use="WP">
        <streetName>rue payant</streetName>        <houseNumber>89</houseNumber>        <postalCode>8888</postalCode>        <city>Guérison-ville</city>        <country>CH</country>      </addr>
    </scopingOrganization>
  </associatedEntity>
</participant>
ItemDTCardConfDescriptionLabel
hl7:participant
0 … *Information on a patient's insurance.CDA‑CH V2
Treetree.png@typeCode
cs1 … 1FCOV
Treetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.15
Treetree.pnghl7:time
IVL_TS.CH.TZ0 … 1Validity period of the contract.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1RStart of the contract.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1REnd of the contract.CDA‑CH V2
Treetree.pnghl7:associated​Entity
1 … 1RCDA‑CH V2
Treeblank.pngTreetree.png@classCode
cs1 … 1FPAYOR
Treeblank.pngTreetree.pnghl7:id
II1 … 1RThe id of the contract ([ge]: Versichertennummer; [fr]: Numéro d'assuré).CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RThe OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 The id itself. It MUST be unique within the issuing system.
Treeblank.pngTreetree.pnghl7:code
CE1 … 1RThe underlying law for the contract.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs0 … 1FNAV
Treeblank.pngTreeblank.pngTreetree.png@code
cs0 … 1 832.10, 832.20, 221.229.1, 833.1, 831.20
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
oid0 … 1F2.16.756.5.30.2.1.1.11
Treeblank.pngTreeblank.pngTreetree.png@codeSystemName
st0 … 1Fins-laws
Treeblank.pngTreeblank.pngTreetree.png@displayName
st0 … 1 Federal Act on Health Insurance (HIA), Federal Act on Accident Insurance (AIA), Federal Act on Insurance Policies (Insurance Policies Act, IPA), Federal Act on Military Insurance (MilIA), Federal Act on Invalidity Insurance (InvIA)
 Schematron assertrole error 
 test(@nullFlavor='NAV' and not(@codeSystem or @codeSystemName or @code or @displayName)) or (@codeSystem='2.16.756.5.30.2.1.1.11' and @codeSystemName='ins-laws' and @code and @displayName) 
 MessageEither a valid insurance law or nullFlavor="NAV" is REQUIRED. 
Treeblank.pngTreetree.pnghl7:associated​Person
0 … 1Contact person at the insurance company.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
Treeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1The insurance company.
Contains 2.16.756.5.30.1.1.10.9.26 Organization Compilation with GLN, name, addr and telecom (DYNAMIC)
CDA‑CH V2

Insurance Card - participant

Id2.16.756.5.30.1.1.10.2.14
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_InsuranceCardDisplay NameInsurance Card - participant
DescriptionInformation on a patient's insurance card. CDA-CH V2 derivatives, i.e. Swiss exchange formats MAY use this template by either reference or specialisation.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.14
LabelCDA‑CH V2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 2 templates
Uses as NameVersion
2.16.756.5.30.1.1.10.9.34ContainmentKgreen.png Person Name Information Compilation - eCH-0011 (2017)DYNAMIC
2.16.756.5.30.1.1.10.9.24ContainmentKgreen.png Organization Compilation with name (2017)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07)
ref
ad1bbr-
Example
Example
<participant typeCode="HLD">
  <templateId root="2.16.756.5.30.1.1.10.2.14"/>  <time>
    <low nullFlavor="NASK"/>    <!-- Expiration date of the insurance card. -->
    <high value="20171231"/>  </time>
  <associatedEntity classCode="POLHOLD">
    <!-- Number of the insurance card. -->
    <id root="2.16.756.5.30.1.123.100.1.1.1" extension="80756123450123456789"/>    <associatedPerson>
      <!-- Family and given name on the insurance card. -->
      <name>
        <given>Specimen</given>        <family>Franz</family>      </name>
    </associatedPerson>
    <scopingOrganization>
      <!-- Name of the issuing insurance. -->
      <name>WirZahlenAlles Versicherungen</name>    </scopingOrganization>
  </associatedEntity>
</participant>
ItemDTCardConfDescriptionLabel
hl7:participant
0 … *Information on a patient's insurance card.CDA‑CH V2
Treetree.png@typeCode
cs1 … 1FHLD
Treetree.pnghl7:templateId
II1 … 1MCDA‑CH V2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.14
Treetree.pnghl7:time
IVL_TS.CH.TZ1 … 1RValidity period of the insurance card.CDA‑CH V2
Treeblank.pngTreetree.pnghl7:low
TS.CH.TZ1 … 1CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs1 … 1FNASK
Treeblank.pngTreetree.pnghl7:high
TS.CH.TZ1 … 1RExpiration date of the insurance card.CDA‑CH V2
Treetree.pnghl7:associated​Entity
1 … 1RCDA‑CH V2
Treeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreetree.pnghl7:id
II1 … 1RThe insurance card's id.CDA‑CH V2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.123.100.1.1.1
Treeblank.pngTreeblank.pngTreetree.png@extension
st1 … 1RNumber of the insurance card.
Treeblank.pngTreetree.pnghl7:associated​Person
0 … 1Family and given name on the insurance card.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
Treeblank.pngTreetree.pnghl7:scoping​Organization
0 … 1The insurance company which issued the insurance card.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
CDA‑CH V2

Laboratory Performer - documentationOf

Id2.16.756.5.30.1.1.10.2.28
ref
ch-palm-
Effective Date2019‑08‑20
Other versions this id:
  • Kblank.png chpalm_header_DocumentationOfLaboratoryPerformer as of 2017‑06‑21
StatusKgreen.png ActiveVersion Label2019
Namechpalm_header_DocumentationOfLaboratoryPerformerDisplay NameLaboratory Performer - documentationOf
Description

Laboratory Performer template in the CDA header (ClinicalDocument/documentationOf/serviceEvent)

ClinicalDocument/documentationOf(s) MAY be present. The documentationOf/serviceEvent represents the main Act being documented, that is an act of reporting Result Event(s) produced by a laboratory.

Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate.

This laboratory report content module adds the optional sub element documentationOf/serviceEvent/statusCode to enable the sharing of non-final reports. A report is considered as non-final (e.g., a preliminary report) if and only if it documents an Act, which is still in the status "active" (i.e., serviceEvent/statusCode@code="active").

The statusCode sub element is an extension to the CDA R2 schema. This sub-element is optional. When it is not there, the documented Act is assumed to be completed and the report is assumed to be a final report.

ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.28
LabelIHE PalM TF3 Rev.10, 6.3.2.20
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.4.7ContainmentKgreen.png Laboratory Performer - performer Containment (2019)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07)
ref
ad1bbr-
Example
Example
<documentationOf>
  <templateId root="2.16.756.5.30.1.1.10.2.28"/>  <serviceEvent>
    <effectiveTime>
      <low value="20180320105641"/>    </effectiveTime>
    <performer>
      <!-- template 2.16.756.5.30.1.1.10.4.7 'Laboratory Performer' -->
    </performer>
  </serviceEvent>
</documentationOf>
ItemDTCardConfDescriptionLabel
hl7:documentationOf
0 … *IHE PalM TF3 Rev.10, 6.3.2.20
Treetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.28
Treetree.pnghl7:serviceEvent
1 … 1RIHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS.CH.TZ0 … 1Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate.IHE PalM TF3 Rev.10, 6.3.2.20
Treeblank.pngTreetree.pnghl7:performer
0 … *Laboratory Performer template in the CDA header.
Contains 2.16.756.5.30.1.1.10.4.7 Laboratory Performer - performer Containment (DYNAMIC)
IHE PalM TF3 Rev.10, 6.3.2.20

Legal Authenticator

Id2.16.756.5.30.1.1.10.2.61Effective Date2020‑06‑26
StatusKgreen.png ActiveVersion Label2020
Namecdachlrep_header_LegalAuthenticatorDisplay NameLegal Authenticator
DescriptionLegal authenticator.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.61
LabelCDA‑CH‑LREP
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 1 template
Uses as NameVersion
2.16.756.5.30.1.1.10.9.47ContainmentKgreen.png AssignedEntity Compilation for Laboratory (2020)DYNAMIC
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.2.5 Legal Authenticator (DYNAMIC)
ref
hl7chcda-
Example
Example
<legalAuthenticator>
  <templateId root="2.16.756.5.30.1.1.10.2.61"/>  <templateId root="2.16.756.5.30.1.1.10.2.5"/>  <time value="20180320182536+0100"/>  <signatureCode code="S" codeSystem="2.16.840.1.113883.1.11.10282" codeSystemName="ParticipationSignature" displayName="signed"/>  <assignedEntity>
    <!-- template 2.16.756.5.30.1.1.10.9.47 'AssignedEntity for Laboratory' -->
  </assignedEntity>
</legalAuthenticator>
ItemDTCardConfDescriptionLabel
hl7:legalAuthenticator
0 … 1Legal authenticator.CDA-...LREP
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.61
Treetree.pnghl7:templateId
II1 … 1MCDA-...LREP
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.5
Treetree.pnghl7:time
TS.CH.TZ1 … 1RDate of the signature.CDA-...LREP
Treetree.pnghl7:signatureCode
CS1 … 1RCDA-...LREP
Treeblank.pngTreetree.png@code
cs1 … 1FS
Treeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.1.11.10282
Treeblank.pngTreetree.png@codeSystemName
st1 … 1FParticipationSignature
Treeblank.pngTreetree.png@displayName
st1 … 1Fsigned
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMIC)
Treetree.pnghl7:assignedEntity
1 … 1R The GLN MUST be used to identify the legal authenticator (e.g., laboratory manager or responsible physician). All persons and organizations, MUST according to XD-LAB contain name, addr and telecom.
Contains 2.16.756.5.30.1.1.10.9.47 AssignedEntity Compilation for Laboratory (DYNAMIC)
CDA-...LREP

Non-Human Subject - recordTarget

Id2.16.756.5.30.1.1.10.2.26
ref
ch-palm-
Effective Date2019‑08‑20
Other versions this id:
  • Kblank.png chpalm_header_RecordTargetNonHumanSubject as of 2017‑06‑21
StatusKgreen.png ActiveVersion Label2019
Namechpalm_header_RecordTargetNonHumanSubjectDisplay NameNon-Human Subject - recordTarget
Description
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).

Non-Human Subject

When the subject of the observations in the report is a sample exclusively taken from a non-human subject, such as an animal, a lake, soil or other environmental element, the following SHALL be present.

  • <templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/> - The templateId element identifies this recordTarget as a non-human subject of laboratory testing. The templateId SHALL have root="1.3.6.1.4.1.19376.1.3.3.1.2".
  • <id/> - /patientRole/id SHALL be present and SHALL represent the id of the non-human subject.
  • <patient@nullFlavor/> - The recordTarget/patientRole SHALL have a patient sub-element and its nullFlavor SHALL be set to "OTH". This indicates that other information pertaining to the non-human subject can be found in the body of the document.
  • <structuredBody> mark-up - In addition to the elements specified in the CDA header for the non-human subject, this non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody as described in template Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1.
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.2.26
LabelIHE PalM TF3 Rev.10, 6.3.2.11.2
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.3.1.2 Non-Human Subject (2008‑08‑08)
ref
XDLAB-
Example
Non-Human Subject Example
<recordTarget typeCode="RCT">
  <templateId root="2.16.756.5.30.1.1.10.2.26"/>  <templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/>  <patientRole classCode="PAT">
    <id root="1.3.6.1.4.1.19376.1.3.4" extension="66373839"/>    <patient nullFlavor="OTH"/>  </patientRole>
</recordTarget>
ItemDTCardConfDescriptionLabel
hl7:recordTarget
1 … *RNon-Human Subject.IHE PalM TF3 Rev.10, 6.3.2.11.2
Treetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.756.5.30.1.1.10.2.26
Treetree.pnghl7:templateId
II1 … 1MIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.1.2
 Schematron assertrole error 
 test//hl7:templateId[@root='1.3.6.1.4.1.19376.1.3.3.1.2.1'] 
 MessageIn addition to the elements specified in the CDA header for the non-human subject, this non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody. 
Treetree.pnghl7:patientRole
1 … 1RIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreetree.pnghl7:id
II1 … *RIHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1RMUST contain the OID of the system that issued the number. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
Treeblank.pngTreeblank.pngTreetree.png@extension
st0 … 1 Contains the actual number of non-human material. The number MUST be unique within the system that issued the number.
Treeblank.pngTreetree.pnghl7:patient
1 … 1IHE PalM TF3 Rev.10, 6.3.2.11.2
Treeblank.pngTreeblank.pngTreetree.png@nullFlavor
cs1 … 1FOTH
 Indicates that there are laboratory tests for this non-human material in the CDA Body.

Order Reference - inFulfillmentOf

Id2.16.756.5.30.1.1.10.2.16
ref
hl7chcda-
Effective Date2018‑04‑18
StatusKgreen.png ActiveVersion Label2017
Namecdach_header_OrderReferenceDisplay NameOrder Reference - inFulfillmentOf
Description
Reference to one or more orders which led to the creation of this CDA document. It SHALL be declared, when the order reference is relevant