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).
Non-Human Subject
When the subject of the observations in the report is a sample exclusively taken
from a non-human subject, such as an animal, a lake, soil or other environmental element,
the following SHALL be present.
<templateId root="1.3.6.1.4.1.19376.1.3.3.1.2"/> - The templateId element identifies
this recordTarget as a non-human subject of laboratory testing. The templateId SHALL
have root="1.3.6.1.4.1.19376.1.3.3.1.2".
<id/> - /patientRole/id SHALL be present and SHALL represent the id of the non-human
subject.
<patient@nullFlavor/> - The recordTarget/patientRole SHALL have a patient sub-element
and its nullFlavor SHALL be set to "OTH". This indicates that other information pertaining
to the non-human subject can be found in the body of the document.
<structuredBody> mark-up - In addition to the elements specified in the CDA header
for the non-human subject, this 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.
Context
Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.3.1.2
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