1.2.276.0.76.3.1.81.81.6.2.6

Dieses Material ist Teil des Leitfadens CDA für die elektronische Fallakte. Direkt im Wiki geändert werden sollten Schreibfehler, ergänzende Hinweise. Offene Fragen, die der Diskussionen bedürfen, sollten auf der Diskussionsseite aufgenommen werden. Liste der Seiten dieses Leitfadens: hier, Liste der Seiten, in denen dieses Material verwendet (transkludiert) siehe hier .

The Assigned Organizational Entity content module defines the recording of organizations as assigned actors. It can be used with the document header or within document body entries for the instantiation of <assignedEntity> elements. Two flavors of this content module are defined for the German healthcare system:

• encoding of a “flat” organization without consideration of its internal organizational structure
• encoding of a organizational hierarchy (department/faculty within a hospital)

Flat Organization

As the figure shows, a medical organization is encoded with both of its roles: as a healthcare provider and as a business entity. In most superordinate Content Modules an organization as an assigned entity is referred to within the context of medical treatment; therefore its role as a healthcare provider is usually much more prominent as its role as a business entity.

Template

   <assignedEntity>
      <templateId root='1.2.276.0.76.3.1.81.81.6.2.6' />
      <id extension='' root=''/>
      <code code='...' displayName='...' codeSystem='...' codeSystemName='...' />
      <addr> ... </addr>
      <telecom value='...'/>
      <representedOrganization>
         <name> ... </name>
      </representedOrganization>
   </assignedEntity>

<assignedEntity>
   <id extension='..' root='..'/>

This element holds the unique identifier of the medical organization. For identifying the organization an identifier from one of the identification schemes listed in table Healthcare Professional Organization Instance Identifiers MUST be used. Multiple identifiers MAY be given.

<assignedEntity>
   <code code='...' displayName='...' codeSystem='...' codeSystemName='...' />

This element is optional. If given, it holds the type of the medical organization (e.g. hospital, dentist practice, etc.). For the German healthcare system organization types MUST be encoded according to the respective definitions for Secure Module Cards (SMC-B).

• For hospitals the organization type MUST be encoded as

<code code=”1.2.276.0.76.4.53 “ displayName=”krankenhaus-ghcs”/>

• For medical practices the organization type MUST be encoded as

<code code=”1.2.276.0.76.4.50” displayName=”betriebsstätte-arzt-ghcs”/>

• For dentists practices the organization type MUST be encoded as

<code code=”1.2.276.0.76.4.51” displayName=”zahnarztpraxis-ghcs”/>

• For pharmacies the organization type MUST be encoded as

<code code=”1.2.276.0.76.4.54” displayName=”oeffentliche-apotheke-ghcs”/>

• For all other types of organizations this element MUST NOT be provided.

<assignedEntity>
   <representedOrganization>

This element holds the address and contact data of the medical organization. The identifier already provided for the <assignedEntity> SHOULD NOT be repeated here. If an identifier is given it SHOULD be an organizational identifer from outside the healthcare domain.

Hierarchical Organization

Template

  <assignedEntity>
     <templateId root='1.2.276.0.76.3.1.81.81.6.2.6' />
     <id extension= root=/>
     <code code='...' displayName='...' codeSystem='...' codeSystemName='...' />
     <telecom value='.... '/>
     <addr></addr>
     <representedOrganization>
        <name> ... </name>
        <asOrganizationPartOf>
           <id extension= root=/>
           <code code='...' displayName='...' codeSystem='...' codeSystemName='...' />
           <wholeOrganization>
              <id extension= root=/>
              <name> ... </name>
           </wholeOrganization>
        </asOrganizationPartOf>
     </representedOrganization>
  </assignedEntity> 

<assignedEntity>

<id extension='..' root='..'/>

This element holds the unique identifier of the hospital department or faculty.

Identifiers for hospital departments MUST NOT be given unless (1) the department is assigned its own SMC-B and (2) the identifier can be discovered through public directory services. In all other cases the healthcare provider entity identifier of a hospital department MUST be recorded as unknown: <id nullFlavor=”UNK” />

<assignedEntity>

<code code='...' displayName='...' codeSystem='...' codeSystemName='...' />

This element is optional. If given, it holds the type of the sub-organization (e.g. medical faculty, administration, etc.).

For the German healthcare system sub-organization types MUST be encoded in a way that can be derived from the sub-organization’s SMC-B (if assigned at all). As there is recently no respective codesystem defined, the following code SHOULD be used for all kinds of medical departments and faculties:

• <code code=”1.2.276.0.76.4.50” displayName=”betriebsstätte-arzt-ghcs”/>

For non-medical departments (e.g. IT Service) this element MUST NOT be provided.

<assignedEntity>

<representedOrganization>

This element SHOULD only include the name of the hospital department or faculty. If an identifier is given it SHOULD be an organizational identifer from outside the healtcare domain.

<representedOrganization> ...

<asOrganizationPartOf>

<code code='...' displayName='...' codeSystem='...' codeSystemName='...' />

A faculty or department MUST always be linked with a hospital. The code SHOULD record the structural role of the department within the hospital (e.g. “cardiology”, “laboratory”, etc.).

For the German healthcare system the <code> element SHOULD record the 4-letter »Fachbereichskennung« acc. to § 301 SGB V. The <asOrganizationPartOf> element MUST be classified with the respective template id (1.2.276.0.76.3.1.81.81.6.4.2).

<wholeOrganization>

<id extension= root= />

<name></name>

The organization the department/faculty belongs to MUST be identified by a unique identifier and its name. For identifying the organization an identifier from one of the identification schemes listed in table Healthcare Professional Organization Instance Identifiers MUST be used. Multiple Identifiers MAY be given.