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# 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 | Version Label | 2017
Name | Humanpatientrecordtarget | Display Name | Human Patient
Description
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)
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 |  |
hl7:patientRole |  | 1 … 1 | R |  |
hl7:id | II | 1 … * | R |  |
hl7:addr | AD | 1 … * |  | All persons (including the patient) and organizations mentioned in the document SHALL provide elements name, addr and telecom. |
hl7:telecom | TEL | 1 … * |  | All persons (including the patient) and organizations mentioned in the document SHALL provide elements name, addr and telecom. |
hl7:patient |  | 1 … 1 |  |  |
hl7:id | II | 0 … 1 |  |  |
hl7:name | PN | 1 … * |  |  |
hl7:administrativeGenderCode | CE | 1 … 1 | R |  |
hl7:birthTime | TS | 1 … 1 | R |  |