hl7:ClinicalDocument
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Er is een aanvullende CDA header toelichting beschikbaar.
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(kezing) |
Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9026 PART CDA realmCode (DYNAMISCH)
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hl7:realmCode
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CS |
1 … 1 |
M |
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CDArCode |
@code
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cs |
1 … 1 |
R |
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CONF |
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Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9016 PART CDA typeId (DYNAMISCH)
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hl7:typeId
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II |
1 … 1 |
M |
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CDAtypeId |
@extension
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1 … 1 |
F |
POCD_HD000040 |
@root
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1 … 1 |
F |
2.16.840.1.113883.1.3 |
hl7:templateId
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II |
1 … 1 |
M |
CDA document template id voor dit type document (afbreken verwijzing huisarts zorggroep) |
(kezing) |
@root
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1 … 1 |
F |
2.16.840.1.113883.2.4.3.11.60.66.10.52 |
hl7:templateId
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II |
1 … 1 |
M |
CDA document template id CDA Header NL |
(kezing) |
@root
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1 … 1 |
F |
2.16.840.1.113883.2.4.6.10.100001 |
Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9017 PART CDA id (DYNAMISCH)
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hl7:id
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II |
1 … 1 |
M |
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(kezing) |
hl7:code
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CE |
1 … 1 |
M |
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(kezing) |
@code
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CONF |
1 … 1 |
F |
51851-4 |
@codeSystem
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1 … 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
@displayName
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1 … 1 |
F |
Administrative note |
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Voorbeeld |
<code code="51851-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Administrative note"/> |
Inclusie |
0 … 1 |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9018 PART CDA title (DYNAMISCH)
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Voorbeeld |
<title>Mededeling afbreken verwijzing dd 20 november 2015</title> |
hl7:title
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ST |
0 … 1 |
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(kezing) |
Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9019 PART CDA effectiveTime (DYNAMISCH)
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hl7:effectiveTime
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TS.DATETIME.MIN |
1 … 1 |
M |
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(kezing) |
Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9020 PART CDA confidentialityCode (DYNAMISCH)
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hl7:confidentialityCode
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CE |
1 … 1 |
M |
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(kezing) |
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CONF |
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Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9027 PART CDA languageCode (DYNAMISCH)
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hl7:languageCode
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CS.LANG |
1 … 1 |
M |
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CDAlCode |
@code
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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)
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hl7:recordTarget
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1 … 1 |
M |
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(kezing) |
@typeCode
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0 … 1 |
F |
RCT |
@contextControlCode
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0 … 1 |
F |
OP |
hl7:patientRole
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1 … 1 |
M |
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(kezing) |
@classCode
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0 … 1 |
F |
PAT |
hl7:id
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II.NL.BSN |
1 … 1 |
R |
Patiëntidentificatie |
(kezing) |
@root
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1 … 1 |
F |
2.16.840.1.113883.2.4.6.3 |
@extension
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1 … 1 |
R |
Burgerservicenummer |
hl7:addr
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AD |
0 … * |
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(kezing) |
hl7:telecom
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TEL |
0 … * |
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(kezing) |
hl7:patient
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1 … 1 |
R |
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(kezing) |
@classCode
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0 … 1 |
F |
PSN |
@determinerCode
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0 … 1 |
F |
INSTANCE |
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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
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PN |
1 … * |
R |
Naam |
(kezing) |
hl7:administrativeGenderCode
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CE |
1 … 1 |
R |
Geslacht |
(kezing) |
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CONF |
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hl7:birthTime
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TS |
1 … 1 |
R |
Geboortedatum |
(kezing) |
sdtc:multipleBirthInd
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BL |
0 … 1 |
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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
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(kezing) |
hl7:birthplace
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0 … 1 |
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(kezing) |
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Voorbeeld |
<birthplace> <place> <addr> <city>Breda</city> <country>Nederland</country> </addr> </place></birthplace> |
hl7:place
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1 … 1 |
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(kezing) |
hl7:addr
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AD |
1 … 1 |
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(kezing) |
Keuze |
1 … 2 |
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Elementen om uit te kiezen:
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hl7:city
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ST |
0 … 1 |
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(kezing) |
hl7:country
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ST |
0 … 1 |
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(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
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hl7:author
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1 … 1 |
M |
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(kezing) |
@typeCode
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0 … 1 |
F |
AUT |
hl7:time
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TS.DATE.MIN |
1 … 1 |
M |
Afrondingsdatum document |
(kezing) |
hl7:assignedAuthor
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1 … 1 |
M |
Zorgverlener |
(kezing) |
@classCode
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0 … 1 |
F |
ASSIGNED |
hl7:id
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II.NL.UZI |
1 … 1 |
M |
Zorgverleneridentificatie (UZI) |
(kezing) |
hl7:code
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CE |
1 … 1 |
R |
Zorgverlenerrol |
(kezing) |
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CONF |
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hl7:addr
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AD.NL |
0 … * |
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Zorgverleneradres |
(kezing) |
hl7:telecom
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TEL |
0 … * |
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Zorgverlener telefoon/fax/e-mail |
(kezing) |
hl7:assignedPerson
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0 … 1 |
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(kezing) |
Inclusie |
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van 2.16.840.1.113883.2.4.3.11.60.66.10.9001 PART CDA Person (DYNAMISCH)
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@classCode
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0 … 1 |
F |
PSN |
@determinerCode
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0 … 1 |
F |
INSTANCE |
hl7:name
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PN |
0 … * |
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(kezing) |
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hl7:representedOrganization
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0 … 1 |
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(kezing) |
@classCode
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0 … 1 |
F |
ORG |
@determinerCode
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0 … 1 |
F |
INSTANCE |
hl7:id
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II.NL.URA |
0 … 1 |
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Identificatie van de zorginstelling |
(kezing) |
hl7:name
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ON |
0 … 1 |
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Naam van de zorginstelling |
(kezing) |
hl7:telecom
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TEL |
0 … * |
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Telefoon/fax/e-mail van de zorginstelling |
(kezing) |
hl7:addr
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AD.NL |
0 … 1 |
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Adres van de zorginstelling |
(kezing) |
Inclusie |
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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
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hl7:custodian
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1 … 1 |
M |
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(kezing) |
@typeCode
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0 … 1 |
F |
CST |
hl7:assignedCustodian
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1 … 1 |
M |
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(kezing) |
@classCode
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0 … 1 |
F |
ASSIGNED |
hl7:representedCustodianOrganization
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0 … 1 |
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(kezing) |
hl7:id
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II.NL.URA |
1 … 1 |
M |
Zorgaanbiederidentificatie (instelling) |
(kezing) |
hl7:component
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1 … 1 |
M |
Er is een aanvullende CDA body toelichting beschikbaar.
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(kezing) |
@typeCode
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0 … 1 |
F |
COMP |
@contextConductionInd
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0 … 1 |
F |
true |
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Voorbeeld |
<component typeCode="COMP" contextConductionInd="true"> <structuredBody classCode="DOCBODY" moodCode="EVN"> <!-- ... --> </structuredBody></component> |
hl7:structuredBody
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1 … 1 |
M |
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(kezing) |
@classCode
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0 … 1 |
F |
DOCBODY |
@moodCode
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0 … 1 |
F |
EVN |
hl7:component
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1 … 1 |
M |
Bevat 2.16.840.1.113883.2.4.3.11.60.66.10.304 KEZO Plan of Care Section (DYNAMISCH)
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(kezing) |
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waar [hl7:section [hl7:templateId [@root = '2.16.840.1.113883.2.4.3.11.60.66.10.304']]] |
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@typeCode
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0 … 1 |
F |
COMP |
@contextConductionInd
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0 … 1 |
F |
true |