Patient Role Header Content Module
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| + | Implementierungsleitfaden "CDA für die elektronische Fallakte" | ||
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| + | {{Infobox Dokument | ||
| + | |Title = 1.2.276.0.76.3.1.81.81.6.2.1 | ||
| + | |Short = Patient Role Header Content Module | ||
| + | |Namespace = cdaefa | ||
| + | |Type = Implementierungsleitfaden | ||
| + | |Version = 0.9 | ||
| + | |Submitted = March 2012 | ||
| + | |Author = Jörg Caumanns | ||
| + | |Date = March 2012 | ||
| + | |Copyright = 2011-2012 | ||
| + | |Status = Draft | ||
| + | |Period = xxx | ||
| + | |OID = n.n. | ||
| + | |Realm = Deutschland | ||
| + | }} | ||
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CDA documents that are used for encoding part of the eCR information model, the following constraints apply wrt the identification of the patient who is subject to the documented healthcare event. | CDA documents that are used for encoding part of the eCR information model, the following constraints apply wrt the identification of the patient who is subject to the documented healthcare event. | ||
| − | == Patient Role Content Module == | + | == Patient Role Header Content Module == |
Unless states otherwise the Patient Role MUST be encoded according to the general rules of CDA Medical Documents (1.3.6.1.4.1.19376.1.5.3.1.1.1). | Unless states otherwise the Patient Role MUST be encoded according to the general rules of CDA Medical Documents (1.3.6.1.4.1.19376.1.5.3.1.1.1). | ||
Version vom 10. März 2012, 19:59 Uhr
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Dieses Dokument gibt wieder:
Implementierungsleitfaden Patient Role Header Content Module (0.9). Die Teilmaterialien gehören der Kategorie cdaefa an. |
March 2012
Jörg Caumanns
| Version: | 0.9 |
| Datum: | March 2012 |
| Status: | xxx |
| Verfahren: | {{{Verfahren}}} |
| Realm: |  Deutschland
|
CDA documents that are used for encoding part of the eCR information model, the following constraints apply wrt the identification of the patient who is subject to the documented healthcare event.
Patient Role Header Content Module
Unless states otherwise the Patient Role MUST be encoded according to the general rules of CDA Medical Documents (1.3.6.1.4.1.19376.1.5.3.1.1.1).
The following patient demographics MUST NOT be used:
- raceCode
- ethnicGroupCode
A <religiousAffiliationCode> MUST NOT be provided except explicitly requested by the patient (a respective clause MUST be included with the patient’s initial consent).
These constraints are declared by adding <templateId root=’1.2.276.0.76.3.1.81.81.6.2.1’ /> to the <patientRole> element.
Patient Identification Schemes
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 |
Example
<patientRole> <templateId root="1.2.276.0.76.3.1.81.81.6.2.1"/> <!-- German Profile: Healthcare Patient Identifer --> <id extension="..." root="1.2.276.0.76.4.8"/> <addr> <streetName>Steinplatz</streetName> <houseNumber>2</houseNumber> <postalCode>11111</postalCode> <city>Berlin</city> </addr> <patient> <name> <given>Hans</given> <family>Mustermann</family> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19700908"/> <birthplace> <place><addr><city>Bielefeld</city></addr></place> </birthplace> </patient> </patientRole>
