|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
 |
@classCode
|
|
cs |
1 … 1 |
F |
DOCCLIN |
|
@moodCode
|
|
cs |
1 … 1 |
F |
EVN |
| |
Constraint |
The
root of a document conforming to this specification SHALL be a
ClinicalDocument
element from the urn:hl7-org:v3 namespace.
|
|
hl7:realmCode
|
|
CS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
 |
|
@code
|
|
|
1 … 1 |
F |
CA-BC |
|
hl7:typeId
|
|
II |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.1.3 |
|
|
@extension
|
|
st |
1 … 1 |
F |
POCD_HD000040 |
|
hl7:templateId
|
|
II |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.19 |
|
hl7:id
|
|
II |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@extension
|
|
uid |
1 … 1 |
R |
|
|
|
@root
|
|
oid |
1 … 1 |
R |
|
| |
Constraint |
id
SHALL
contain exactly one
[1..1
]
id
with an
id.root
containing the ID’s
namespace OID
id.extension
attribute
SHALL
be a
GUID
|
|
hl7:code
|
|
CE |
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@displayName
|
|
st |
1 … 1 |
R |
|
|
|
@codeSystem
|
|
oid |
1 … 1 |
R |
|
| |
Constraint |
The
value for
code.code
SHOULD
be selected from the
value set
2.16.840.1.113883.2.20.5.1
pCLOCD
DocumentTypeCodes
DYNAMIC and MAY be selected from
2.16.840.1.113883.6.1
LOINC
DocumentTypeCodes
DYNAMIC. The OID of the code system used SHALL
be placed in the
code.codeSystem
attribute, and the
code system name SHOULD be placed in the
code.codeSystemName
attribute.
The
code.displayName
attribute SHOULD
contain the text equivalent of the code. This text value will probably be the
same as the value of
ClinicalDocument/title
, or very similar.
|
| |
CONF |
|
|
hl7:title
|
|
ST |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
The
value for
ClinicalDocument/title
SHALL
contain exactly one
[1..1]
title
element valued with a
string that specifies the local name used for the document.
The
value for
ClinicalDocument/title
SHOULD match the
official text for the
ClinicalDocument/code
and
SHALL NOT
conflict with it.
|
|
hl7:effectiveTime
|
|
TS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
The
effectiveTime.value
SHALL
be precise to the
day, and SHOULD be precise to the minute
and, if more precise than day, SHALL
include a time zone offset.
|
|
hl7:confidentialityCode
|
|
CE |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
| @code shall be "N" |
| @codeSystem shall be "2.16.840.1.113883.5.25" |
| @displayName shall be "Normal" |
| or |
| The value of @code shall be drawn from value set 2.16.840.1.113883.3.1937.99.61.26.11.66 x_NormalRestrictedTabooConfidentialityKind (DYNAMIC)
|
|
|
hl7:languageCode
|
|
CS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
| @code shall be "en" |
| or |
| @code shall be "en-CA" |
|
|
hl7:setId
|
|
II |
0 … 1 |
M |
 |
Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0. |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
setId.extension SHALL be aGUID
setId SHALL contain exactly 1 [1..1] versionNumber
Where
setId is leveraged, subsequent related documents must have
the same ClinicalDocument/setID value as the first
document in the series.
ClinicalDocument/setId and ClinicalDocument/versionNumber are used to denote document
revision numbers.
The ClinicalDocument/effectiveTime is set to the time
of the new revision. The ClinicalDocument/relatedDocument.typeCodewould be set to
RPLC (replace), unless for
specific instances for Diagnosting Imaging, where it may be set to XFRM (transform).
|
|
hl7:versionNumber
|
|
INT |
0 … 1 |
M |
|
Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0. |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
versionNumber.value
attribute SHALL be an integer representing the
version of the document, with the initial version of 1, incrementing with each
version of the document.
Where
setId
is leveraged, the
versionNumber
SHALL
be set at the value of “1” for the original
version of the document, and in the instance of a replacement document the
versionNumber
SHALL
be an increment of 1 from the document version
it replaces.
|
| Included |
1 … 1 |
M |
from 2.16.840.1.113883.3.1937.99.61.26.10.36 BC CDA recordTarget (DYNAMIC)
|
|
hl7:recordTarget
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
0 … 1 |
F |
RCT |
|
|
@contextControlCode
|
|
cs |
0 … 1 |
F |
OP |
|
|
hl7:patientRole
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
0 … 1 |
F |
PAT |
|
|
II |
1 … * |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
AD |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
TEL |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
0 … 1 |
F |
PSN |
|
|
cs |
0 … 1 |
F |
INSTANCE |
|
|
II |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
PN |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
|
hl7:administrativeGenderCode
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
TS |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
|
|
hl7:religiousAffiliationCode
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
GUARD |
|
|
II |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
1 … 1 |
F |
2.16.840.1.113883.5.111 (Role Code) |
|
|
AD |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
TEL |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Choice |
1 … 1 |
|
Elements to choose from:
|
|
|
|
|
|
Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
|
|
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
0 … 1 |
F |
BIRTHPL |
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
0 … 1 |
F |
PLC |
|
|
cs |
0 … 1 |
F |
INSTANCE |
|
|
EN |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
AD |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
|
hl7:languageCommunication
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
CS |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
BL |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
1 … * |
M |
from 2.16.840.1.113883.3.51.60.1.4 BC CDA author (DYNAMIC)
|
|
hl7:author
|
|
|
1 … * |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
AUT |
|
|
@contextControlCode
|
|
cs |
1 … 1 |
F |
OP |
|
|
hl7:time
|
|
TS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
The
author/time.value
SHALL
be precise to the day and SHOULD be
precise to the minute. If more precise than the day, SHALL include a time zone offset.
This represents the date/time that the clinical document was dictated by
the
assignedPerson
. In
instances where the clinical document is authored by an a
ssignedAuthoringDevice
, this date/time
represents the time that the document was created by the device. (e.g. ECG
auto-interpretation)
|
|
|
hl7:assignedAuthor
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
ASSIGNED |
|
|
II |
1 … * |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
If the
author
is a
Provider, the id elements SHALL conform to section 4.2.1.3.
If
the
author
is a not a
Provider,
assignedAuthor/id
MAY be a locally assigned identifier
|
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
1 … 1 |
F |
2.16.840.1.113883.5.111 (Role Code) |
|
|
AD |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
TEL |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Choice |
0 … 1 |
|
Elements to choose from:
|
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.5.2 BC CDA Person (DYNAMIC)
|
|
|
cs |
1 … 1 |
F |
PSN |
|
|
cs |
1 … 1 |
F |
INSTANCE |
|
|
PN |
0 … * |
R |
|
CONF‑BC0100 |
| |
Constraint |
assignedEntity/assignedPerson.name
element SHALL
conform to the
constraints in the common section on names
|
|
|
|
|
hl7:assignedAuthoringDevice
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.21 BC CDA Device (DYNAMIC)
|
|
|
cs |
1 … 1 |
F |
DEV |
|
|
cs |
1 … 1 |
F |
INSTANCE |
|
|
CE |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
|
|
hl7:manufacturerModelName
|
|
SC |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
SC |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
1 … 1 |
M |
from 2.16.840.1.113883.3.51.60.1.6 BC CDA custodian (DYNAMIC)
|
|
hl7:custodian
|
|
|
1 … 1 |
M |
|
CONF‑BC0082 |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
CST |
|
|
hl7:assignedCustodian
|
|
|
1 … 1 |
M |
|
CONF‑BC0084 |
|
|
cs |
1 … 1 |
F |
ASSIGNED |
|
|
|
hl7:representedCustodianOrganization
|
|
|
1 … 1 |
M |
|
CONF‑BC0085 |
|
|
cs |
1 … 1 |
F |
ORG |
|
|
cs |
1 … 1 |
F |
INSTANCE |
|
|
II |
1 … 1 |
M |
|
CONF‑BC0086 |
| |
Constraint |
a.If the
clinical document is generated from a Health Authority, this id SHALL contain
the root OID of the Health Authority, and the facility id shall be used as the
extension.
b.If the
clinical document is generated from an EMR, this id SHALL NOT contain the root
OID of a Health Authority or of the BC Ministry of Health.
|
|
|
ON |
0 … 1 |
|
|
CONF‑BC0087 |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.5 BC CDA informationRecipient (DYNAMIC)
|
|
hl7:informationRecipient
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
R |
|
| |
Constraint |
informationRecipient
SHALL
have the attribute
typeCode
which
SHALL be either “
PRCP
” (
primary recipient
) or “
TRC
”
(
secondary recipient
), from HL7
Value Set
x_InformationRecipient.
There SHALL be at least one [1..*] primary
recipient (“
PRCP
”
).
|
|
|
hl7:intendedRecipient
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
ASSIGNED |
|
|
II |
1 … 2 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
If
the informationRecipient is a Provider, the id elements SHALL
conform to section 4.2.1.3.
If
the informationRecipient is a not
a Provider, intendedRecipient/id.extension MAY be a locally assigned identifier
|
|
|
AD |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
If present, intendedRecipient/addr
SHALL
conform to the
restrictions for the described in common elements for addresses.
|
|
|
TEL |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
If
present,
telecom
SHALL
conform to the restrictions for the pan-Canadian data type flavor
TEL.PHONE
or
TEL.EMAIL
|
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.5.2 BC CDA Person (DYNAMIC)
|
|
|
cs |
1 … 1 |
F |
PSN |
|
|
cs |
1 … 1 |
F |
INSTANCE |
|
|
PN |
0 … * |
R |
|
CONF‑BC0100 |
| |
Constraint |
assignedEntity/assignedPerson.name
element SHALL
conform to the
constraints in the common section on names
|
|
|
|
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.5.1 BC CDA Organization (DYNAMIC)
|
|
|
cs |
1 … 1 |
F |
ORG |
|
|
cs |
1 … 1 |
F |
INSTANCE |
|
|
II |
0 … * |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
ON |
0 … * |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … 1 |
|
from 2.16.840.1.113883.3.51.60.1.7 BC CDA dataEnterer (DYNAMIC)
|
|
hl7:dataEnterer
|
|
|
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
ENT |
|
|
@contextControlCode
|
|
cs |
1 … 1 |
F |
OP |
| |
Constraint |
if
dataEnterer
is not the same as
the
author
,
dataEnterer
SHOULD be present
|
|
|
hl7:time
|
|
TS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
The
dataEnterer/time.value
SHALL
be precise to the day and SHOULD be
precise to the minute. If more precise than the day, SHALL include a time zone offset.
This represents the date/time that the clinical document was transcribed
by the
dataEnterer
.
|
|
|
hl7:assignedEntity
|
|
|
1 … 1 |
M |
Contains 2.16.840.1.113883.3.51.60.1.7.1 BC CDA assignedEntity (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| where [not(@nullFlavor)] |
|
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.8 BC CDA authenticator (DYNAMIC)
|
|
hl7:authenticator
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
AUTHEN |
|
|
hl7:time
|
|
TS |
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
|
time
SHALL
be precise to the day and SHOULD
be precise to the minute
and,
if more precise than the day, SHALL
include a time zone offset
|
|
|
|
hl7:signatureCode
|
|
CS |
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
CONF |
|
|
|
hl7:assignedEntity
|
|
|
1 … 1 |
R |
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.10 BC CDA documentationOf (DYNAMIC)
|
|
hl7:documentationOf
|
|
|
0 … * |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
DOC |
| |
Constraint |
documentationOf/serviceEventMAY
be present. Where present, serviceEvent SHALL conform to the requirements
specified in the general BC header definition.
|
|
|
hl7:serviceEvent
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
ACT |
|
|
cs |
1 … 1 |
F |
EVN |
|
|
II |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
The value of ServiceEvent/code SHOULD be from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96)
ValueSet Procedure 2.16.840.1.113883.3.88.12.80.28 DYNAMIC, or the value of ServiceEvent/code
MAY be from ICD10-CA (codeSystem 2.16.840.1.113881.6.94) or CCI (codeSystem 2.16.840.1.113883.6.94).
|
|
|
|
1 … 1 |
F |
2.16.840.1.113883.5.4 (Act Code) |
|
|
IVL_TS |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
R |
|
| |
Constraint |
If present, performer SHALL contain
the typeCode attribute whose value SHALL be either “PPRF” (primary performer) or “SPRF”
(secondary performer).
|
|
|
|
1 … 1 |
M |
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| where [not(@nullFlavor)] |
|
| Included |
0 … * |
|
from 2.16.840.1.113883.3.51.60.1.12 BC CDA inFulfillmentOf (DYNAMIC)
|
|
hl7:inFulfillmentOf
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
FLFS |
| |
Constraint |
As per the XD-LAB specification, the inFulfillmentOf/orderelement
MAY be present and represents the
Placer Order (HL7 V2:
ORC-2) or the Placer Group (HL7 V2: ORC-4) that was fulfilled, the identifier
of which is carried in inFulfillmentOf/order/id. When
present, these elements conform to the constraints described in the general
header section of this guide.
If the inFulfillmentOf/order element is
present, it SHALL contain exactly one
[1..1] statusCode(HL7
V2: ORC-5),which
represents the status code of the order.
Therefore,
if present, code.codeSystem SHALL contain “statusCode” and code.code SHALL contain
“completed,” “active,” or
“aborted.”
|
|
|
hl7:order
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
ACT |
|
|
cs |
1 … 1 |
F |
RQO |
|
|
II |
1 … * |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
CE |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
inFulfillmentOf/order element MAY contain one [0..1] code element. If present, code
SHALL contain the status
code of the order. Therefore, if present, code.codeSystem SHALL contain “statusCode”
and code.code SHALL contain “completed,” “active,” or “aborted.”
|
| Included |
0 … 2 |
|
from 2.16.840.1.113883.3.51.60.1.20 BC CDA relatedDocument (DYNAMIC)
|
|
hl7:relatedDocument
|
|
|
0 … 2 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
|
|
hl7:parentDocument
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
DOCCLIN |
|
|
cs |
1 … 1 |
F |
EVN |
|
|
II |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
ClinicalDocument/relatedDocument/ParentDocument/id/@root
SHALL
be the
ClinicalDocument/Id/@root
for the document it
relates to.
ClinicalDocument/relatedDocument/ParentDocument/id/@extension
SHALL
be the
ClinicalDocument/Id/@extension
for the document it
relates to
ClinicalDocument/relatedDocument/ParentDocument/id/@assigningAuthorityName
SHALL
be the
ClinicalDocument/Id/@assigningAuthorityName
for the document it
relates to.
|
|
|
CD |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
|
ED |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
parentDocument
MAY
contain the
text
element with the
text.mediaType
attribute set to
indicate the
MIME
type of the related document.
The
related document SHALL NOT be
embedded in
parentDocument/text
element.
When
sending a relatedDocument, the
ClinicalDocument/relatedDocument.typeCode
SHALL
be present, set at
the value of “RPLC” for the original version of the document, and in the
instance of a replacement document the
versionNumber
if present, SHALL be an increment of 1 from the
document version it replaces.
Replacement
documents are meant to completely replace the previous version of a document,
and as such SHALL NOT be handled as
addendums in receiving systems.
Replacement
documents SHALL represent a
transitive relationship, where document A.1 can be replaced by A.2, A.2 can be
replaced by A.3, and so on. Multiple
documents SHALL NOT replace the same
document; i.e. A.1 being replaced by A.2 and also by A.3.
Receiving
systems MAY retain parent documents
that are considered superseded for historical and auditing purposes. If parent documents are maintained, the
receiving system SHALL very clearly identify
the parent document as superseded by a more current version of the document.
|
|
|
II |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
INT |
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … 1 |
|
from 2.16.840.1.113883.3.51.60.1.11 BC CDA componentOf (DYNAMIC)
|
|
hl7:componentOf
|
|
|
0 … 1 |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
COMP |
|
|
hl7:encompassingEncounter
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
ENC |
|
|
cs |
1 … 1 |
F |
EVN |
|
|
II |
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
IVL_TS |
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
|
0 … 1 |
|
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
RESP |
|
|
|
0 … * |
|
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
| |
Constraint |
MAY
contain zero or more
[0..*]
encounterParticipant
elements
. If present, the
encounterParticipant/assignedEntity
element SHALL have at least one of
assignedPerson
or
representedOrganization
element present.
|
|
|
|
1 … 1 |
R |
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| Included |
0 … * |
|
from 2.16.840.1.113883.3.1937.99.61.26.10.39 BC CDA primarycarephysician (DYNAMIC)
|
|
hl7:participant
|
|
|
0 … * |
|
|
CONF‑8504 |
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
IND |
|
|
@contextControlCode
|
|
cs |
1 … 1 |
F |
OP |
|
|
hl7:functionCode
|
|
CE |
1 … 1 |
M |
|
CONF‑8506 |
|
|
|
1 … 1 |
F |
PCP |
|
|
|
1 … 1 |
F |
2.16.840.1.113883.2.20.3. |
|
|
|
1 … 1 |
F |
Primary Care Physician |
|
|
|
1 … 1 |
F |
HL7ParticipationFunction |
|
|
hl7:associatedEntity
|
|
|
1 … 1 |
M |
|
CONF‑8507 |
|
|
cs |
1 … 1 |
F |
PROV |
|
|
II |
1 … 2 |
R |
|
CONF‑BC0097, CONF‑BC0098 |
| |
Constraint |
If
the participant is a provider, the id elements SHALL
conform to section 4.2.1.3.
If the participant is a not a
Provider, associatedEntity/id.extension MAY
be a locally assigned identifier
|
|
|
CE |
0 … 1 |
|
|
CONF‑8507 |
|
|
|
1 … 1 |
F |
2.16.840.1.113883.5.111 (Role Code) |
|
|
AD |
0 … * |
|
|
CONF‑BC0101 |
|
|
TEL |
0 … * |
|
|
CONF‑BC0102 |
|
|
|
1 … 1 |
M |
Contains 2.16.840.1.113883.3.51.60.1.5.2 BC CDA Person (DYNAMIC)
|
CONF‑8508 |
| where [not(@nullFlavor)] |
|
|
hl7:component
|
|
|
1 … 1 |
R |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
@contextConductionInd
|
|
bl |
1 … 1 |
R |
|
| Included |
1 … 1 |
M |
from 2.16.840.1.113883.10.20.19.1 BC CDA NonXMLBody (DYNAMIC)
|
|
|
hl7:nonXMLBody
|
|
|
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
|
|
cs |
1 … 1 |
F |
DOCBODY |
|
|
cs |
1 … 1 |
F |
EVN |
|
|
ED |
1 … 1 |
M |
|
(BCCDAClinicalDocumentBCUnstrucBody) |
| |
Constraint |
This
text element SHALL
have exactly one [1..1] text.mediaType, which SHALL be one of the following values:
”text/plain”,
“application/pdf”, or “text/rtf”
If text.mediaType=”text/plain”, this text element SHALL
have exactly one [1..1] text.representation=”TXT” and the value of the text element
SHALL
contain only plain text content with no markup, and SHALL NOT contain
attachments, inline images or other media elements (IE:
text.representation=”B64”)
If text.mediaType=”text/rtf”, or “application/pdf” this text element
SHALL contain exactly one [1..1] reference element with reference.value referencing
the URL
of the content file
|
Template BC CDA ClinicalDocumentUnstrucBody