Template 1.3.6.1.4.1.19376.1.3.3.1.3 - Humanpatientwithnonhumansubjectrecordtarget

ClinicalDocument/recordTarget SHALL be present and SHALL conform to the Human Patient, Non-Human Subject or Human Patient with Non-Human Subject templates defined below. There are three varieties of laboratory reports:

Human (patient): The document reports laboratory observations produced on specimens collected exclusively from the patient.
Non-Human Subject: The document reports laboratory observations produced on specimens collected from a non-human material (e.g. water, milk…) or living subject (e.g. animal).
Human (patient) paired with Non-Human Subject: The document reports laboratory observations produced on a non-human specimen with a relationship to a human patient, (e.g. peanut butter eaten by a patient, a ferret that bit a patient).

Human Patient with Non-Human Subject

When the report assembles observations for a human (patient) with observations produced using a non-human specimen, the recordTarget SHALL represent the human patient. In accordance with the HL7 CDA R2 standard and further constrained by this specification, the presence of name, addr and telecom is required for all entities in the document including the human patient. Additionally, the following SHALL be present. "1.3.6.1.4.1.19376.1.3.3.1.3"

<templateId root="1.3.6.1.4.1.19376.1.3.3.1.3"/> - The templateId element identifies this recordTarget as a human patient directly impacted by a non-human subject of laboratory testing. The templateId SHALL have root="1.3.6.1.4.1.19376.1.3.3.1.3".
<id/> - recordTarget/patientRole/id SHALL be present. It SHALL be representative of the id of the human patient. In this template, the id of the non-human subject is not provided in the header. On a special note, at present, if the document contains a patient and a subject (as in the case of rabies, for example), documentation of the id of the subject cannot be accomplished without an extension to CDA.
<administrativeGenderCode/> - The patientRole/patient/administrativeGenderCode SHALL be present.
<birthTime/> - The patientRole/patient/birthTime SHALL be present.
<structuredBody> mark-up - In addition to the elements specified in the CDA header for the patient, the non-human subject SHALL be represented in a Subject element in level 3 entries in the structuredBody as described in template Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1.

Template Human Patient with Non-Human Subject

Human Patient with Non-Human Subject