hl7:ClinicalDocument
|
|
|
|
Er is een aanvullende CDA header toelichting beschikbaar.
|
(kez ing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9026 PART CDA realmCode (DYNAMISCH)
|
hl7:realmCode
|
CS |
1 … 1 |
M |
|
CDArCode |
@code
|
cs |
1 … 1 |
R |
|
| |
CONF |
|
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9016 PART CDA typeId (DYNAMISCH)
|
hl7:typeId
|
II |
1 … 1 |
M |
|
CDAtypeId |
@extension
|
|
1 … 1 |
F |
POCD_HD000040 |
@root
|
|
1 … 1 |
F |
2.16.840.1.113883.1.3 |
hl7:templateId
|
II |
1 … 1 |
M |
CDA document template id voor dit type document (verwijzing huisarts zorggroep) |
(kezing) |
@root
|
|
1 … 1 |
F |
2.16.840.1.113883.2.4.3.11.60.66.10.50 |
| |
Voorbeeld |
<templateId root="2.16.840.1.113883.2.4.3.11.60.66.10.50"/> |
hl7:templateId
|
II |
1 … 1 |
M |
 CDA document template id CDA Header NL |
(kezing) |
@root
|
|
1 … 1 |
F |
2.16.840.1.113883.2.4.6.10.100001 |
| |
Voorbeeld |
<templateId root="2.16.840.1.113883.2.4.6.10.100001"/> |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9017 PART CDA id (DYNAMISCH)
|
hl7:id
|
II |
1 … 1 |
M |
|
(kezing) |
hl7:code
|
CE |
1 … 1 |
M |
|
(kezing) |
@code
|
CONF |
1 … 1 |
F |
57133-1 |
@codeSystem
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
| |
Voorbeeld |
<code code="57133-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Referral note"/> |
| Inclusie |
0 … 1 |
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9018 PART CDA title (DYNAMISCH)
|
| |
Voorbeeld |
<title>Verwijzing dd 1 juni 2014</title> |
hl7:title
|
ST |
0 … 1 |
|
|
(kezing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9019 PART CDA effectiveTime (DYNAMISCH)
|
hl7:effectiveTime
|
TS.DATETIME.MIN |
1 … 1 |
M |
|
(kezing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9020 PART CDA confidentialityCode (DYNAMISCH)
|
hl7:confidentialityCode
|
CE |
1 … 1 |
M |
|
(kezing) |
| |
CONF |
|
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9027 PART CDA languageCode (DYNAMISCH)
|
hl7:languageCode
|
CS.LANG |
1 … 1 |
M |
|
CDAlCode |
@code
|
CONF |
1 … 1 |
F |
nl-NL |
| Inclusie |
1 … 1 |
M |
van 2.16.840.1.113883.2.4.3.11.60.66.10.101 KEZO CDA recordTarget (DYNAMISCH)
|
hl7:recordTarget
|
|
1 … 1 |
M |
|
(kezing) |
@typeCode
|
|
0 … 1 |
F |
RCT |
@contextControlCode
|
|
0 … 1 |
F |
OP |
hl7:patientRole
|
|
1 … 1 |
M |
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
PAT |
hl7:id
|
II.NL.BSN |
1 … 1 |
R |
Patiëntidentificatie |
(kezing) |
@root
|
|
1 … 1 |
F |
2.16.840.1.113883.2.4.6.3 |
@extension
|
|
1 … 1 |
R |
Burgerservicenummer |
hl7:addr
|
AD |
0 … * |
|
|
(kezing) |
hl7:telecom
|
TEL |
0 … * |
|
|
(kezing) |
hl7:patient
|
|
1 … 1 |
R |
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
PSN |
@determinerCode
|
|
0 … 1 |
F |
INSTANCE |
| |
Voorbeeld |
<patient classCode="PSN" determinerCode="INSTANCE">
<name>
<family qualifier="VV">de </family> <family qualifier="BR">Jong</family> </name> <administrativeGenderCode codeSystem="2.16.840.1.113883.5.1" code="M"/> <birthTime value="19670330"/></patient> |
hl7:name
|
PN |
1 … * |
R |
Naam |
(kezing) |
hl7:administrativeGenderCode
|
CE |
1 … 1 |
R |
Geslacht |
(kezing) |
| |
CONF |
|
hl7:birthTime
|
TS |
1 … 1 |
R |
Geboortedatum |
(kezing) |
sdtc:multipleBirthInd
|
BL |
0 … 1 |
|
MeerlingIndicator. Bij meerlingen is het wenselijk een extra signalering te hebben
om verwisseling te voorkomen, daar geboortedatum en adres in dat geval vaak niet onderscheidend
genoeg zijn
|
(kezing) |
hl7:birthplace
|
|
0 … 1 |
|
|
(kezing) |
| |
Voorbeeld |
<birthplace>
<place>
<addr>
<city>Breda</city> <country>Nederland</country> </addr> </place></birthplace> |
hl7:place
|
|
1 … 1 |
|
|
(kezing) |
hl7:addr
|
AD |
1 … 1 |
|
|
(kezing) |
| Keuze |
1 … 2 |
|
Elementen om uit te kiezen:
|
hl7:city
|
ST |
0 … 1 |
|
|
(kezing) |
hl7:country
|
ST |
0 … 1 |
|
|
(kezing) |
| Inclusie |
1 … 1 |
M |
van 2.16.840.1.113883.2.4.3.11.60.66.10.102 KEZO CDA author (DYNAMISCH)
Auteur van het document, tevens inhoudsverantwoordelijke zorgverlener
|
hl7:author
|
|
1 … 1 |
M |
|
(kezing) |
@typeCode
|
|
0 … 1 |
F |
AUT |
hl7:time
|
TS.DATE.MIN |
1 … 1 |
M |
Afrondingsdatum document |
(kezing) |
hl7:assignedAuthor
|
|
1 … 1 |
M |
Zorgverlener |
(kezing) |
@classCode
|
|
0 … 1 |
F |
ASSIGNED |
hl7:id
|
II.NL.UZI |
1 … 1 |
M |
Zorgverleneridentificatie (UZI) |
(kezing) |
hl7:code
|
CE |
1 … 1 |
R |
Zorgverlenerrol |
(kezing) |
| |
CONF |
|
hl7:addr
|
AD.NL |
0 … * |
|
Zorgverleneradres |
(kezing) |
hl7:telecom
|
TEL |
0 … * |
|
Zorgverlener telefoon/fax/e-mail |
(kezing) |
hl7:assignedPerson
|
|
0 … 1 |
|
|
(kezing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9001 PART CDA Person (DYNAMISCH)
|
@classCode
|
|
0 … 1 |
F |
PSN |
@determinerCode
|
|
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
0 … * |
|
|
(kezing) |
| |
|
hl7:representedOrganization
|
|
0 … 1 |
|
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
ORG |
@determinerCode
|
|
0 … 1 |
F |
INSTANCE |
hl7:id
|
II.NL.URA |
0 … 1 |
|
Identificatie van de zorginstelling |
(kezing) |
hl7:name
|
ON |
0 … 1 |
|
Naam van de zorginstelling |
(kezing) |
hl7:telecom
|
TEL |
0 … * |
|
Telefoon/fax/e-mail van de zorginstelling |
(kezing) |
hl7:addr
|
AD.NL |
0 … 1 |
|
Adres van de zorginstelling |
(kezing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.103 KEZO CDA custodian (DYNAMISCH)
Beheerder van het document, tevens dossierverantwoordelijke zorgverlener
|
hl7:custodian
|
|
1 … 1 |
M |
|
(kezing) |
@typeCode
|
|
0 … 1 |
F |
CST |
hl7:assignedCustodian
|
|
1 … 1 |
M |
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
ASSIGNED |
hl7:representedCustodianOrganization
|
|
0 … 1 |
|
|
(kezing) |
hl7:id
|
II.NL.URA |
1 … 1 |
M |
Zorgaanbiederidentificatie (instelling) |
(kezing) |
| Inclusie |
0 … * |
R |
van 2.16.840.1.113883.2.4.3.11.60.66.10.106 CDA Participant Contact Person (DYNAMISCH)
Contactpersonen
|
hl7:participant
|
|
0 … * |
R |
|
(kezing) |
 |
waar [hl7:templateId [@root='2.16.840.1.113883.2.4.3.11.60.66.10.106']] |
|
|
@typeCode
|
|
1 … 1 |
F |
IND |
hl7:templateId
|
II |
1 … * |
M |
|
(kezing) |
@root
|
|
1 … 1 |
F |
2.16.840.1.113883.2.4.3.11.60.66.10.106 |
hl7:associatedEntity
|
|
1 … 1 |
M |
|
(kezing) |
@classCode
|
|
1 … 1 |
F |
PRS |
hl7:code
|
CE |
0 … 1 |
|
|
(kezing) |
| |
CONF |
|
hl7:addr
|
AD |
0 … 1 |
|
|
(kezing) |
hl7:telecom
|
TEL |
0 … * |
|
|
(kezing) |
hl7:associatedPerson
|
|
1 … 1 |
M |
|
(kezing) |
| Inclusie |
|
|
van 2.16.840.1.113883.2.4.3.11.60.66.10.9001 PART CDA Person (DYNAMISCH)
|
@classCode
|
|
0 … 1 |
F |
PSN |
@determinerCode
|
|
0 … 1 |
F |
INSTANCE |
hl7:name
|
PN |
0 … * |
|
|
(kezing) |
| |
|
| Inclusie |
1 … 1 |
M |
van 2.16.840.1.113883.2.4.3.11.60.66.10.9033 KEZO PART CDA componentOf minimal (DYNAMISCH)
(Laatste) contact(referentie) waarbinnen de verwijzing is besloten
|
hl7:componentOf
|
|
1 … 1 |
M |
|
(kezing) |
@typeCode
|
|
0 … 1 |
F |
COMP |
hl7:encompassingEncounter
|
|
1 … 1 |
R |
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
ENC |
@moodCode
|
|
0 … 1 |
F |
EVN |
hl7:id
|
II |
1 … 1 |
M |
|
(kezing) |
hl7:effectiveTime
|
IVL_TS |
1 … 1 |
R |
|
(kezing) |
hl7:low
|
TS |
1 … 1 |
R |
|
(kezing) |
hl7:high
|
TS |
1 … 1 |
R |
|
(kezing) |
hl7:component
|
|
1 … 1 |
M |
Er is een aanvullende CDA body toelichting beschikbaar.
|
(kezing) |
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
|
0 … 1 |
F |
true |
| |
Voorbeeld |
<component typeCode="COMP" contextConductionInd="true">
<!-- ... -->
</component> |
hl7:structuredBody
|
|
1 … 1 |
M |
|
(kezing) |
@classCode
|
|
0 … 1 |
F |
DOCBODY |
@moodCode
|
|
0 … 1 |
F |
EVN |
| |
Voorbeeld |
<structuredBody classCode="DOCBODY" moodCode="EVN">
<!-- ... -->
</structuredBody> |
hl7:component
|
|
1 … 1 |
M |
Bevat 2.16.840.1.113883.2.4.3.11.60.66.10.303 KEZO Reason for Referral Section (DYNAMISCH)
|
(kezing) |
|
|
|
waar [hl7:section [hl7:templateId [@root = '2.16.840.1.113883.2.4.3.11.60.66.10.303']]] |
|
|
@typeCode
|
|
0 … 1 |
F |
COMP |
@contextConductionInd
|
|
0 … 1 |
F |
true |
Template KEZO Clinical Document Verwijzing
PART CDA realmCode
Naamgegevens