cdaefa:EFA XDS Folder Metadata Binding

EFA XDS Folder Metadata Binding

EFA XDS Folder Metadata Binding

Implementierungsleitfaden

vorgelegt von:
February 2013
Jörg Caumanns, Raik Kuhlisch

Draft

Version:	0.9
Datum:	March 2013
Status:	xxx
Verfahren:	{{{Verfahren}}}
Realm:	Deutschland

Copyright © 2012-2013: HL7 Deutschland

Folder Metadata

Unless stated otherwise in the following sub-sections, folder metadata MUST be used as defined in table 4.1-7 of [IHE ITI TF Vol3 v9.0]. Further constraints MAY apply for EFA national profiles (see below for the German profile).

eventCodeList

The linkage of a folder to a case record is implemented through the eventCodeList classification of that folder. Each folder SHALL contain at least 2 event codes:

1. a single event code that denotes the folder as part of a case record. The respective classification is done by assigning an event code of (code="ECR", codeSystem="IHE-D-Cookbook-FolderClassCode") to the folder.
2. one or more event codes that signal the medical motivation of maintaining that specific case record. These event codes can be a diagnosis code, a contract type, etc. Folders that are assigned to multiple case records SHALL be classified with multiple of such event codes (at least one per case record). Only the code systems and codes as listed in the following table SHALL be used.

Purpose	Code System Name	Code System OID	Value(s)
Diagnosis	ICD-10-GM	1.2.276.0.76.5.311	see http://www.dimdi.de/static/de/klassi/icd-10-gm/kodesuche/onlinefassungen/htmlgm2013/index.htm
Disease Management Contract (DMP)	S_KBV_DMP	1.2.276.0.76.5.223	see http://www.kbv.de/keytabs/ita/schluesseltabellen.asp?page=S_KBV_DMP_V1.01.htm
Integrated Care Contract (IV Vertrag)	S_VDX_VERTRAGSART	1.2.276.0.76.5.257	09 This event code just signales that this folder is linked with a case record that serves an integrated care contract. Information about the contract SHALL be given with the display name of this event code.
GP managed care (Hausarztzentrierte Versorgung)	S_VDX_VERTRAGSART	1.2.276.0.76.5.257	07 This event code just signales that this folder is linked with a case record that serves a GP managed care contract. Information about the contract SHALL be given with the display name of this event code.

Example: Diagnosis (ICD-10)

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="ECR">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>IHE-D-Cookbook-FolderClassCode</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="Elektronische Fallakte"/>
    </rim:Name>
 </rim:Classification>

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="I21.0">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>1.2.276.0.76.5.311</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="Akuter transmuraler Myokardinfarkt der Vorderwand"/>
    </rim:Name>
 </rim:Classification>

Example: DMP

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="ECR">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>IHE-D-Cookbook-FolderClassCode</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="Elektronische Fallakte"/>
    </rim:Name>
 </rim:Classification>

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="6">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>1.2.276.0.76.5.223</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="COPD"/>
    </rim:Name>
 </rim:Classification>

Example: IV Vertrag

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="ECR">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>IHE-D-Cookbook-FolderClassCode</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="Elektronische Fallakte"/>
    </rim:Name>
 </rim:Classification>

 <rim:Classification 
    id="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    lid="urn:uuid:c33ca26a-29b4-45be-a9b9-de60adca4c64"
    objectType="urn:oasis:names:tc:ebxml-regrep:ObjectType:RegistryObject:Classification"
    classificationScheme="urn:uuid:2c6b8cb7-8b2a-4051-b291-b1ae6a575ef4"
    classifiedObject="urn:uuid:fbf2ea29-3aa3-4bc5-9187-01d7b6b0f481" 
    nodeRepresentation="09">
    <rim:Slot name="codingScheme">
        <rim:ValueList>
            <rim:Value>1.2.276.0.76.5.257</rim:Value>
        </rim:ValueList>
    </rim:Slot>
    <rim:Name>
        <rim:LocalizedString xml:lang="de" charset="UTF-8" value="IV Vertrag Darmkrebs"/>
    </rim:Name>
 </rim:Classification>

German Profile

For using EFA within the German national healthcare IT infrastructure (Telematikinfrastruktur) the constraints listed below MUST be considered.

patientID

Only the following identification schemes MUST be used. If multiple schemes are available for a practice, the order in the table denotes the order of preference.

Person Role	Scheme	Root OID
Patient	Fixed part of unique health insurance number (KVNR).	1.2.276.0.76.4.8
Patient	Full health insurance number (KVNR)	1.2.276.0.76.4.1
Patient	Local identifier within the healthcare organization. Local identifiers MUST NOT be directly derived from personal id numbers that are assigned by non-healthcare authorities.	Local Root OID

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