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active Template  Human Patient

Id 1.3.6.1.4.1.19376.1.3.3.1.1
ref
XDLAB-
 		Effective Date 2017‑06‑07
Status active Active Version Label 2017
Name Humanpatientrecordtarget Display Name Human Patient
Description
en-US 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

In accordance with the HL7 CDA R2 standard and further constrained by this specification, XD-LAB requires the presence of name, addr and telecom for all entities in the document including the human patient. Additionally, the following SHALL be present.
  • An optional templateId with root="1.3.6.1.4.1.19376.1.3.3.1.1" - The templateId element identifies this recordTarget as a human patient.
  • id - The patientRole/id SHALL be present.
  • administrativeGenderCode - The patientRole/patient/administrativeGenderCode SHALL be present.
  • birthTime - The patientRole/patient/birthTime SHALL be present.
Classification CDA Header Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.2.9.10.1.1 Include draft Referto di Medicina di Laboratorio (LAB) 2018‑04‑16
Relationship Specialization: template 2.16.840.1.113883.10.12.101 CDA recordTarget (2005‑09‑07)
ref
ad1bbr-
Example
Human Patient Example a
<recordTarget typeCode="RCT">
  <patientRole classCode="PAT">
    <id extension="sw54321" root="1.3.6.1.4.1.19376.1.3.4"/>    <addr>
      <streetAddressLine>1313 Mockingbird Lane</streetAddressLine>      <city>Janesville</city>      <state>WI</state>      <postalCode>53545</postalCode>      <country>USA</country>    </addr>    <telecom value="tel: 608-555-5555"/>    <patient classCode="PSN">
      <name>
        <family>Winters</family>        <given>Shelly</given>      </name>      <administrativeGenderCode code="F"/>      <birthTime value="19401213000000.0000-0500"/>    </patient>  </patientRole></recordTarget>
Example
Human Patient Example b: In the event a unit of information about the patient is not known or has been de-identified, the use of nullFlavor is appropriate
<recordTarget typeCode="RCT">
  <patientRole classCode="PAT">
    <id extension="sw54321" root="1.3.6.1.4.1.19376.1.3.4"/>    <addr>
      <streetAddressLine nullFlavor="MSK"/>      <!-- masked value -->
      <city nullFlavor="MSK"/>      <!-- masked value -->
      <state nullFlavor="MSK"/>      <!-- masked value -->
      <postalCode>53545</postalCode>      <country>USA</country>    </addr>    <telecom nullFlavor="UNK"/>    <!-- unknown value -->
    <patient classCode="PSN">
      <name nullFlavor="MSK"/>      <!-- masked value -->
      <administrativeGenderCode code="F"/>      <birthTime value="19401213000000.0000-0500"/>    </patient>  </patientRole></recordTarget>
Item DT Card Conf Description Label
hl7:recordTarget
 		1 … * R (Humdotsget)
hl7:patientRole
 		1 … 1 R (Humdotsget)
hl7:id
 		II 1 … * R (Humdotsget)
hl7:addr
 		AD 1 … * en-US All persons (including the patient) and organizations mentioned in the document SHALL provide elements name, addr and telecom. (Humdotsget)
hl7:telecom
 		TEL 1 … * en-US All persons (including the patient) and organizations mentioned in the document SHALL provide elements name, addr and telecom. (Humdotsget)
hl7:patient
 		1 … 1 (Humdotsget)
hl7:id
 		II 0 … 1 (Humdotsget)
hl7:name
 		PN 1 … * (Humdotsget)
hl7:administrativeGenderCode
 		CE 1 … 1 R (Humdotsget)
hl7:birthTime
 		TS 1 … 1 R (Humdotsget)