| Item |
DT |
Card |
Conf |
Desc |
Label |
|
|
|
|
|
|
(cda-jze) |
| Ingevoegd van CDA realmCode (2012‑03‑11)
|
 |
hl7:realmCode
|
|
CS |
1 .. 1 |
|
|
CDArealmCode |
 |
|
@code
|
|
|
1 .. 1 |
F |
NL |
|
Voorbeeld |
|
| Ingevoegd van CDA typeId (2012‑03‑11)
|
|
hl7:typeId
|
|
II |
1 .. 1 |
|
|
CDAtypeId |
|
|
@root
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.1.3 |
|
|
@extension
|
|
|
1 .. 1 |
F |
POCD_HD000040 |
|
Voorbeeld |
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
|
|
hl7:templateId
|
|
II |
1 .. 1 |
M |
|
(cda-jze) |
|
|
@root
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.6.10.90.1 |
|
Voorbeeld |
<templateId root="2.16.840.1.113883.2.4.6.10.90.1"/>
|
| Ingevoegd van CDA id (2012‑03‑11)
|
|
hl7:id
|
|
II |
1 .. 1 |
|
|
(cda-jze) |
|
Voorbeeld |
<id extension="12938" root="2.16.528.1.1007.3.2.1111.21.1"/>
|
|
Voorbeeld |
<id extension="j86574633" root="2.16.840.1.113883.2.4.6.6.99.23444.17"/>
|
|
hl7:code
|
|
CE |
1 .. 1 |
M |
|
(cda-jze) |
|
|
@code
|
|
|
1 .. 1 |
F |
11525-3 |
|
|
@codeSystem
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
|
Voorbeeld |
<code code="11525-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Study report (OB US)"/>
|
| Ingevoegd van CDA title (2012‑03‑11) 0 .. 1
|
|
Voorbeeld |
<title>Echouitslag dd. 01 februari 2010</title> |
|
hl7:title
|
|
ST |
0 .. 1 |
|
|
(cda-jze) |
|
Voorbeeld |
<title> Discharge letter 24 september 2011</title> |
| Ingevoegd van CDA effectiveTime (2012‑03‑11)
|
|
hl7:effectiveTime
|
|
TS.DATETIME.MIN |
1 .. 1 |
|
|
(cda-jze) |
|
Voorbeeld |
<effectiveTime value="20100201183422"/>
|
| Ingevoegd van CDA confidentialityCode (2012‑03‑11)
|
|
hl7:confidentialityCode
|
|
CE |
1 .. 1 |
|
|
(cda-jze) |
|
CONF |
| De waarde van @code moet komen uit waardenlijst Confidentiality (DYNAMISCH) |
|
|
Voorbeeld |
<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
|
| Ingevoegd van CDA languageCode (2012‑03‑11)
|
|
hl7:languageCode
|
|
CS.LANG |
1 .. 1 |
|
|
(cda-jze) |
|
Voorbeeld |
<languageCode code="nl-NL"/>
|
| Ingevoegd van CDA setId and versionNumber (2012‑03‑11)
|
|
hl7:setId
|
|
II |
0 .. 1 |
|
|
(cda-jze) |
|
hl7:versionNumber
|
|
INT.NONNEG |
0 .. 1 |
|
|
(cda-jze) |
|
CONF |
| minInclude ondergrens is "1" |
|
|
Schematron assert |
role |
 error
|
|
test |
(../hl7:setId and ../hl7:versionNumber) or not (../hl7:setId or ../hl7:versionNumber) |
|
Melding |
Clinical Document setId and versionNumber SHALL be both present or both absent |
| Ingevoegd van CDA recordTarget (2012‑03‑11) 1 .. 1 Vereist
|
|
hl7:recordTarget
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
RCT |
|
|
@contextControlCode
|
|
|
1 .. 1 |
F |
OP |
|
Voorbeeld |
<recordTarget typeCode="RCT" contextControlCode="OP">
<patientRole classCode="PAT">
<id root="2.16.840.1.113883.2.4.6.3" extension="280881241"/>
<addr use="HP">
<streetName>Parelhof</streetName>
<houseNumber>1</houseNumber>
<postalCode>1703 EZ</postalCode>
<city>Heerhugowaard</city> </addr>
<telecom use="HP" value="tel:+31725755556"/>
<telecom use="H" value="mailto:zeb@zachtjes.nl"/>
<patient classCode="PSN">
<name use="L">
<given>Jan</given>
<family>Zachtjes</family> </name>
<administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
<birthTime value="19810408"/>
</patient> </patientRole> </recordTarget> |
|
Voorbeeld |
<recordTarget typeCode="RCT" contextControlCode="OP">
<patientRole classCode="PAT">
<id extension="880197249" root="2.16.840.1.113883.2.4.6.3"/>
<patient classCode="PSN" determinerCode="INSTANCE">
<name use="L">
<given>Mieke</given>
<family>Cliënt</family> </name>
<birthTime value="19701023"/>
</patient> </patientRole> </recordTarget> |
|
|
hl7:patientRole
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
PAT |
| Ingevoegd van Burgerservicenummer (2009‑10‑01) 1 .. 1 Vereist
|
|
|
II.NL.BSN |
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
0 .. 1 |
F |
2.16.840.1.113883.2.4.6.3 |
|
 |
Doel van concept-Id(s)
|
|
Voorbeeld |
<id root="2.16.840.1.113883.2.4.6.3" extension="100202020"/>
|
|
Voorbeeld |
|
|
|
II |
0 .. * |
|
 other IDs |
(cda-jze) |
|
|
AD |
0 .. 2 |
|
|
(cda-jze) |
|
|
|
0 .. 1 |
|
|
|
Schematron assert |
role |
error
|
|
test |
not(@use) or string-length(normalize-space(replace (@use, 'HP|PHYS|TMP', '')))=0 |
|
Melding |
Attribute @use of addr SHALL contain codes HP PHYS PST or TMP only |
|
Schematron assert |
role |
error
|
|
test |
../hl7:addr[@use='HP' or @use='TMP PHYS'] |
|
Melding |
Addr SHALL be present with @use HP or TMP PHYS or both |
|
|
TEL |
0 .. * |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
PSN |
|
|
PN |
1 .. 2 |
M |
|
(cda-jze) |
|
Voorbeeld |
<name use="L">
<given qualifier="IN">A.C.</given>
<prefix qualifier="VV BR">van </prefix>
<family qualifier="BR">Aalst</family> </name> |
|
|
|
|
hl7:administrativeGenderCode
|
|
CE |
0 .. 1 |
|
|
(cda-jze) |
|
CONF |
|
|
Voorbeeld |
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/>
|
|
|
TS |
1 .. 1 |
M |
|
(cda-jze) |
|
Voorbeeld |
<birthTime value="19421014"/>
|
| Ingevoegd van CDA author (2012‑08‑01) 1 .. * Vereist
|
|
hl7:author
|
|
|
1 .. * |
M |
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
AUT |
|
|
@contextControlCode
|
|
|
1 .. 1 |
F |
OP |
|
Voorbeeld |
<author typeCode="AUT" contextControlCode="OP">
<time value="201005061801"/>
<assignedAuthor classCode="ASSIGNED">
<id root="2.16.528.1.1007.3.1" extension="000012345"/>
<code code="01.020" codeSystem="2.16.840.1.113883.2.4.15.111"/>
<assignedPerson classCode="PSN" determinerCode="INSTANCE">
<name>
<prefix qualifier="AC">Dr.</prefix>
<given qualifier="IN">H.</given>
<family qualifier="BR">Kacemius</family> </name> </assignedPerson>
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="00008481" root="2.16.528.1.1007.3.3"/>
<name use="L">Allab bv Alkmaar</name>
<addr use="WP">
<streetName>Rubenslaan</streetName>
<houseNumber>2-6</houseNumber>
<postalCode>1816 MB</postalCode>
<city>Alkmaar</city> </addr>
<peri:code code="B2" codeSystem="2.16.840.1.113883.2.4.15.1060" displayName="Echocentrum"/>
</representedOrganization> </assignedAuthor> </author> |
|
Voorbeeld |
<author typeCode="AUT" contextControlCode="OP">
<time value="200909201456"/>
<assignedAuthor classCode="ASSIGNED">
<id root="2.16.528.1.1007.3.1" extension="000012345"/>
<code code="03.000" codeSystem="2.16.840.1.113883.2.4.15.111"/>
<assignedPerson classCode="PSN" determinerCode="INSTANCE">
<name>
<given>Els</given>
<family>Vroed</family> </name> </assignedPerson>
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="26573221" root="2.16.528.1.1007.3.3"/>
<name>Verloskundigenpraktijk De Goede Start</name>
<addr>
<streetName>Amsterdamsevaart</streetName>
<houseNumber>3</houseNumber>
<postalCode>2032 EA</postalCode>
<city>Haarlem</city> </addr>
<peri:code code="G3" codeSystem="2.16.840.1.113883.2.4.15.1060" displayName="Verloskundigenpraktijk"/>
</representedOrganization> </assignedAuthor> </author> |
|
|
hl7:time
|
|
TS.DATE.MIN |
0 .. 1 |
|
|
(cda-jze) |
|
|
hl7:assignedAuthor
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ASSIGNED |
Keuze min 1 element(en). Elementen om uit te kiezen:
- hl7:id[@root='2.16.528.1.1007.3.1']
- hl7:id[@root='2.16.840.1.113883.2.4.6.1']
- hl7:id[@root='2.16.840.1.113883.2.4.3.22.98.2']
|
|
|
II.NL.UZI |
0 .. 1 |
R |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.528.1.1007.3.1 |
|
|
|
1 .. 1 |
|
|
|
|
II.NL.AGB |
0 .. 1 |
R |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.6.1 |
|
|
|
1 .. 1 |
|
|
|
|
II |
0 .. 1 |
R |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.3.22.98.2 |
|
|
|
1 .. 1 |
|
|
|
|
CE |
0 .. 1 |
|
|
(cda-jze) |
|
CONF |
|
|
|
|
0 .. 1 |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
PSN |
|
|
|
1 .. 1 |
F |
INSTANCE |
|
|
PN |
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
hl7:representedOrganization
|
|
|
0 .. 1 |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ORG |
|
|
|
1 .. 1 |
F |
INSTANCE |
| Ingevoegd van Zorginstelling (OID) (2009‑10‑01) 1 .. * Vereist
|
|
|
|
|
hl7:id
waar
[not(@root='2.16.840.1.113883.2.4.6.1' or @root='2.16.840.1.113883.2.4.3.22.98.1'
or @root='2.16.528.1.1007.3.3')] |
|
II |
1 .. * |
M |
|
(cda-jze) |
|
|
Doel van concept-Id(s)
|
|
|
II.NL.AGB |
|
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.6.1 |
|
|
II |
|
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.3.22.98.1 |
|
|
II.NL.URA |
|
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.528.1.1007.3.3 |
|
|
ON |
1 .. 1 |
M |
|
(cda-jze) |
|
|
CE |
0 .. 1 |
|
|
(cda-jze) |
|
CONF |
|
| Ingevoegd van CDA custodian (2012‑08‑01) 1 .. 1 Vereist
|
|
hl7:custodian
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
CST |
|
|
Doel van concept-Id(s)
|
|
Voorbeeld |
<custodian typeCode="CST">
<assignedCustodian classCode="ASSIGNED">
<representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="00008481" root="2.16.528.1.1007.3.3"/>
<name use="L">Allab bv Alkmaar</name>
<addr use="WP">
<streetName>Rubenslaan</streetName>
<houseNumber>2-6</houseNumber>
<postalCode>1816 MB</postalCode>
<city>Alkmaar</city> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> |
|
Voorbeeld |
<custodian typeCode="CST">
<assignedCustodian classCode="ASSIGNED">
<representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="26573221" root="2.16.528.1.1007.3.3"/>
</representedCustodianOrganization> </assignedCustodian> </custodian> |
|
|
hl7:assignedCustodian
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ASSIGNED |
|
|
|
hl7:representedCustodianOrganization
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ORG |
|
|
|
1 .. 1 |
F |
INSTANCE |
|
|
II |
1 .. 1 |
M |
|
(cda-jze) |
|
|
Doel van concept-Id(s)
|
|
|
ON |
0 .. 1 |
|
|
(cda-jze) |
|
|
Doel van concept-Id(s)
|
|
|
AD |
0 .. 1 |
|
|
(cda-jze) |
| Ingevoegd van CDA informationRecipient (2012‑03‑11) 0 .. *
|
|
hl7:informationRecipient
|
|
|
0 .. * |
|
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
|
@typeCode moet één zijn van:
|
|
Voorbeeld |
<informationRecipient typeCode="PRCP">
<intendedRecipient classCode="ASSIGNED">
<id root="2.16.528.1.1007.3.1" extension="000003425"/>
<addr use="HP">
<streetName>Vroedschap</streetName>
<houseNumber>7</houseNumber>
<postalCode>1722 GX</postalCode>
<city>Langedijk</city> </addr>
<informationRecipient classCode="PSN" determinerCode="INSTANCE">
<name>
<prefix qualifier="AC">Dr.</prefix>
<given qualifier="IN">Daniel</given>
<family>Schagen</family> </name> </informationRecipient>
<receivedOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="00013667" root="2.16.528.1.1007.3.3"/>
<name>Huisartspraktijk Dr Schagen</name> </receivedOrganization> </intendedRecipient> </informationRecipient> |
|
|
hl7:intendedRecipient
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ASSIGNED |
|
|
|
0 .. 1 |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
PSN |
|
|
|
1 .. 1 |
F |
INSTANCE |
|
|
|
0 .. 1 |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
ORG |
|
|
|
1 .. 1 |
F |
INSTANCE |
|
|
II |
0 .. 1 |
|
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
2.16.528.1.1007.3.3 |
|
|
|
1 .. 1 |
|
|
| Ingevoegd van CDA authenticator (2012‑03‑11) 0 .. *
|
|
hl7:authenticator
|
|
|
0 .. * |
|
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
AUTHEN |
| Ingevoegd van CDA legalAuthenticator (2012‑03‑11) 0 .. *
|
|
hl7:legalAuthenticator
|
|
|
0 .. * |
|
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
LA |
|
|
@contextControlCode
|
|
|
1 .. 1 |
F |
OP |
| Ingevoegd van CDA relatedDocument (2012‑03‑11) 0 .. *
|
|
hl7:relatedDocument
|
|
|
0 .. * |
|
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
RPLC |
| Ingevoegd van CDA documentationOf (2012‑03‑11) 0 .. *
|
|
hl7:documentationOf
|
|
|
0 .. * |
|
|
(cda-jze) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
DOC |
|
Voorbeeld |
<documentationOf typeCode="DOC">
<serviceEvent classCode="OBS" moodCode="EVN">
<id extension="jze86574633" root="2.16.840.1.113883.2.4.6.6.99.23444.17"/>
<code code="1" codeSystem="2.16.840.1.113883.2.4.4.13.38" displayName="Onderzoektype Jonge zwangerschapsecho"/>
<effectiveTime value="20090921"/>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id root="2.16.528.1.1007.3.1" extension="000012345"/>
<id root="2.16.840.1.113883.2.4.6.1" extension="11111111"/>
<id root="2.16.840.1.113883.2.4.3.22.99.1" extension="2001"/>
<assignedPerson classCode="PSN" determinerCode="INSTANCE">
<name>
<given>Els</given>
<family>Vroed</family> </name> </assignedPerson>
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="26573221" root="2.16.528.1.1007.3.3"/>
<name>Verloskundigenpraktijk De Goede Start</name>
<addr>
<streetName>Amsterdamsevaart</streetName>
<houseNumber>3</houseNumber>
<postalCode>2032 EA</postalCode>
<city>Haarlem</city> </addr> </representedOrganization> </assignedEntity> </performer> </serviceEvent> </documentationOf> |
|
Voorbeeld |
<documentationOf typeCode="DOC">
<serviceEvent classCode="OBS" moodCode="EVN">
<id extension="jze86574633" root="2.16.840.1.113883.2.4.6.6.99.23444.17"/>
<code code="1" codeSystem="2.16.840.1.113883.2.4.4.13.38" displayName="Onderzoektype Jonge zwangerschapsecho"/>
<effectiveTime value="20090921"/>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id root="2.16.528.1.1007.3.1" extension="000012345"/>
<id root="2.16.840.1.113883.2.4.6.1" extension="11111111"/>
<id root="2.16.840.1.113883.2.4.3.22.99.1" extension="2001"/>
<code code="AA.001" codeSystem="2.16.840.1.113883.2.4.98.111"/>
<assignedPerson classCode="PSN" determinerCode="INSTANCE">
<name>
<given>Els</given>
<family>Vroed</family> </name> </assignedPerson>
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
<id extension="26573221" root="2.16.528.1.1007.3.3"/>
<id root="2.16.840.1.113883.2.4.6.1" extension="11111111"/>
<name>Verloskundigenpraktijk De Goede Start</name>
<addr>
<streetName>Amsterdamsevaart</streetName>
<houseNumber>3</houseNumber>
<postalCode>2032 EA</postalCode>
<city>Haarlem</city> </addr> </representedOrganization> </assignedEntity> </performer> </serviceEvent> </documentationOf> |
|
|
hl7:serviceEvent
|
|
|
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
F |
OBS |
|
|
|
1 .. 1 |
F |
EVN |
|
|
II |
0 .. 1 |
|
|
(cda-jze) |
|
|
CE |
1 .. 1 |
M |
|
(cda-jze) |
|
CONF |
| De waarde van @code moet komen uit waardenlijst TypeExam (DYNAMISCH) |
|
|
|
TS.DATE.MIN |
1 .. 1 |
M |
|
(cda-jze) |
|
|
|
1 .. 1 |
|
|
(cda-jze) |
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1 .. 1 |
F |
PRF |
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1 .. 1 |
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(cda-jze) |
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1 .. 1 |
F |
ASSIGNED |
Keuze min 1 element(en). Elementen om uit te kiezen:
- hl7:id[@root='2.16.528.1.1007.3.1']
- hl7:id[@root='2.16.840.1.113883.2.4.6.1']
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II.NL.UZI |
0 .. * |
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(cda-jze) |
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1 .. 1 |
F |
2.16.528.1.1007.3.1 |
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1 .. 1 |
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II.NL.AGB |
0 .. * |
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(cda-jze) |
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1 .. 1 |
F |
2.16.840.1.113883.2.4.6.1 |
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1 .. 1 |
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CE |
1 .. 1 |
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(cda-jze) |
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CONF |
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AD |
0 .. * |
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(cda-jze) |
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TEL |
0 .. * |
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(cda-jze) |
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1 .. 1 |
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(cda-jze) |
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|
1 .. 1 |
F |
PSN |
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1 .. 1 |
F |
INSTANCE |
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PN |
1 .. * |
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(cda-jze) |
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hl7:representedOrganization
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1 .. 1 |
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(cda-jze) |
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1 .. 1 |
F |
ORG |
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1 .. 1 |
F |
INSTANCE |
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II |
1 .. * |
M |
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(cda-jze) |
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ON |
1 .. * |
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(cda-jze) |
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AD |
1 .. * |
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(cda-jze) |
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hl7:component
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(cda-jze) |
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@typeCode
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1 .. 1 |
F |
COMP |
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@contextConductionInd
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|
1 .. 1 |
F |
true |
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Voorbeeld |
<component typeCode="COMP" contextConductionInd="true"/>
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hl7:structuredBody
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(cda-jze) |
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1 .. 1 |
F |
DOCBODY |
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1 .. 1 |
F |
EVN |
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Voorbeeld |
<structuredBody classCode="DOCBODY" moodCode="EVN"/>
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hl7:component
waar
[hl7:section [hl7:code [(@code='11449-6' and @codeSystem='2.16.840.1.113883.6.1')]]] |
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1 .. 1 |
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|
(cda-jze) |
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|
|
1 .. 1 |
F |
COMP |
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|
|
1 .. 1 |
F |
true |
|
Voorbeeld |
<component typeCode="COMP" contextConductionInd="true">
<section classCode="DOCSECT" moodCode="EVN"/>
</component> |
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Bevat |
geërfde templateregels CDA Pregnancy Information Section 1 (2012‑03‑10) met overschreven kardinaliteit 1 .. 1
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hl7:component
waar
[hl7:section [hl7:code [(@code='12130-1' and @codeSystem='2.16.840.1.113883.6.1')]]] |
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|
1 .. 9 |
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|
(cda-jze) |
|
|
|
1 .. 1 |
F |
COMP |
|
|
|
1 .. 1 |
F |
true |
|
Voorbeeld |
<component typeCode="COMP" contextConductionInd="true">
<section classCode="DOCSECT" moodCode="EVN"/>
</component> |
|
Bevat |
geërfde templateregels CDA Fetus Specific Information Section 1 (2012‑03‑10) met overschreven kardinaliteit 1 .. 9
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Template Jonge zwangerschapsecho (JZE)