1.3.6.1.4.1.19376.1.8.1.4.2/static-2016-06-21T140211: Unterschied zwischen den Versionen

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Aktuelle Version vom 18. Januar 2018, 03:27 Uhr

Id1.3.6.1.4.1.19376.1.8.1.4.2Effective Date valid from 2016‑06‑21 14:02:11
StatusKyellow.png DraftVersion Label
NameCDAAuthorIHEDisplay NameCDA author IHE
Description
Template CDA author (prototype, directly derived from POCD_RM000040 MIF).
   
   
This Content Module is usable in the CDA header, in a <section> and at various depths of an <entry>.

It describes an author having contributed to the document wholly or to a portion of it (e.g., a section, an observation, a group of observations).

   
A given document or any delimited portion of it may have more than one author.

An author MAY be a person or a device (manufactured device or software system). In both cases the scoping organization MAY be described.
LabelPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 34 templates, Uses 2 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.3.10.3.1IncludeKyellow.png Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.8.1.1.1Link.pngKyellow.png Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1IncludeKyellow.png Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2IncludeKyellow.png Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3IncludeKyellow.png Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4IncludeKyellow.png Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5IncludeKyellow.png Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
1.3.6.1.4.1.19376.1.8.1.2.6IncludeKyellow.png Procedure Steps Section (2.0)2014‑05‑13 19:33:12
1.3.6.1.4.1.19376.1.8.1.2.7IncludeKcancelledblue.png Report Textual Summary Section (2.0)2016‑06‑13 17:54:42
1.3.6.1.4.1.19376.1.3.10.4.1ContainmentKyellow.png Specimen Procedure Step (2.0)2016‑07‑08 13:20:59
Notice.png Circular reference found with 1.3.6.1.4.1.19376.1.3.10.4.1, please check
1.3.6.1.4.1.19376.1.3.10.4.1Link.pngKcancelledblue.png Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
Notice.png Circular reference found with 1.3.6.1.4.1.19376.1.3.10.4.1, please check
1.3.6.1.4.1.19376.1.3.10.4.2ContainmentKyellow.png TNM Stage Observation (2.0)2014‑05‑13 15:45:13
1.3.6.1.4.1.19376.1.3.10.4.3ContainmentKyellow.png ICD-O-3 Typing and Grading Observation (2.0)2015‑11‑29 17:03:18
1.3.6.1.4.1.19376.1.3.10.4.4ContainmentKyellow.png Assessment Scales Observation for Scoring Systems APSR2 (2.0)2016‑10‑06 13:12:00
1.3.6.1.4.1.19376.1.3.10.4.5ContainmentKyellow.png CDA Update Information Organizer (2.0)2017‑11‑14 15:22:14
1.3.6.1.4.1.19376.1.3.10.9.22ContainmentKyellow.png CDA Supply Container APSR2 (2.0)2016‑07‑29 12:09:33
1.3.6.1.4.1.19376.1.3.10.9.25ContainmentKyellow.png TNM T-Observation (2.0)2014‑12‑02 15:54:17
1.3.6.1.4.1.19376.1.3.10.9.26ContainmentKyellow.png TNM N-Observation (2.0)2014‑12‑02 16:34:50
1.3.6.1.4.1.19376.1.3.10.9.27ContainmentKyellow.png TNM M-Observation (2.0)2014‑12‑02 16:32:30
1.3.6.1.4.1.19376.1.3.10.9.28ContainmentKyellow.png TNM Grading (2.0)2015‑11‑15 13:01:18
1.3.6.1.4.1.19376.1.3.10.9.29ContainmentKyellow.png TNM R-status (2.0)2015‑06‑30 13:38:30
1.3.6.1.4.1.19376.1.3.10.9.30ContainmentKyellow.png TNM a (2.0)2015‑06‑22 15:13:46
1.3.6.1.4.1.19376.1.3.10.9.31ContainmentKyellow.png TNM r (2.0)2015‑06‑22 17:38:42
1.3.6.1.4.1.19376.1.3.10.9.32ContainmentKyellow.png TNM y (2.0)2015‑06‑22 17:28:17
1.3.6.1.4.1.19376.1.3.10.9.33ContainmentKyellow.png TNM Serum tumor markers (2.0)2015‑11‑06 14:28:44
1.3.6.1.4.1.19376.1.3.10.9.34ContainmentKyellow.png TNM Lymphatic Invasion (2.0)2015‑11‑16 14:01:58
1.3.6.1.4.1.19376.1.3.10.9.35ContainmentKyellow.png TNM Venous Invasion (2.0)2015‑11‑16 13:40:28
1.3.6.1.4.1.19376.1.3.10.9.36ContainmentKyellow.png TNM Perineural Invasion (2.0)2015‑11‑11 16:13:40
1.3.6.1.4.1.19376.1.3.10.9.37ContainmentKyellow.png TNM Number of nodes (2.0)2014‑12‑02 16:48:36
1.3.6.1.4.1.19376.1.3.10.9.43ContainmentKyellow.png Assessment Scoring Item APSR 2.0 (2.0)2016‑10‑11 10:26:17
1.3.6.1.4.1.19376.1.3.10.9.42Link.pngKyellow.png Assessment Scoring System APSR 2.0 (2.0)2016‑10‑10 11:33:36
1.3.6.1.4.1.19376.1.8.1.3.6ContainmentKyellow.png Problem Organizer (2.0)2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.8.1.4.10ContainmentKyellow.png Embedded Image IHE2016‑06‑22 16:08:01
1.3.6.1.4.1.19376.1.8.1.4.9Link.pngKyellow.png AP Observation Entry (2.0)2014‑05‑14 17:09:54
Notice.png Circular reference found with 1.3.6.1.4.1.19376.1.8.1.4.9, please check
Uses as NameVersion
2.16.840.1.113883.10.12.152IncludeKgreen.png CDA Person2005‑09‑07
2.16.840.1.113883.10.12.151IncludeKgreen.png CDA Organization2005‑09‑07
RelationshipAdaptation: template 2.16.840.1.113883.10.12.102 (DYNAMIC)
Example
author is a person
<author typeCode="AUT">
  <functionCode code="DISPHYS" displayName="discharging physician" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction"/>  <time value="20130407130000+0500"/>  <assignedAuthor classCode="ASSIGNED">
    <assignedPerson classCode="PSN" determinerCode="INSTANCE">
      <name>
        <given>Marie</given>        <family>Müller</family>      </name>
    </assignedPerson>
    <representedOrganization>
      <id root="2.16.840.1.113883.19.5"/>      <name>Beispiel Krankenhaus</name>    </representedOrganization>
  </assignedAuthor>
</author>
Example
author is a device
<author typeCode="AUT">
  <assignedAuthor classCode="ASSIGNED">
    <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
      <code>...</code>    </assignedAuthoringDevice>
  </assignedAuthor>
</author>
ItemDTCardConfDescriptionLabel
hl7:author
0 … *RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treetree.png@typeCode
cs1 … 1FAUT
 Example
author is a person
<author typeCode="AUT" contextControlCode="OP">
  <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">
    <!-- ... -->
  </assignedAuthor>
</author>
Treetree.pnghl7:templateId
1 … 1MPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.8.1.4.2
Treetree.pnghl7:time
TS1 … 1MThe authoring time is the date & time that this author contributed to the document. It SHALL be provided.PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treetree.pnghl7:assignedAuthor
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreetree.png@classCode
cs0 … 1FASSIGNED
Treeblank.pngTreetree.pnghl7:id
II1 … *MPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreetree.pnghl7:addr
AD1 … *MPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreetree.pnghl7:telecom
TEL1 … *MPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Choice1 … 1
The author is either an assigned person or an authoring device.
Elements to choose from:
  • hl7:assigned​Person
  • hl7:assigned​Authoring​Device
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Included0 … * from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
The name(s) SHALL be given.
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDEV
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreetree.pnghl7:represented​Organization
0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
 Example
represented organization for author as a device
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
  <name>
    <!-- ... -->
  </name>
</representedOrganization>
Included0 … 1 from 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07)
The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given.
Treeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
ON0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreetree.pnghl7:asOrganizationPartOf
0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FPART
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF0 … 1F2.16.840.1.113883.5.111 (Role Code)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:statusCode
CS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:wholeOrganization
0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
0 … 1FORG
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
ON0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author