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Revision as of 15:01, 7 August 2018

Id1.3.6.1.4.1.19376.1.8.1.4.2Effective Date2016‑06‑21 14:02:11
Other versions this id:
    Status DraftVersion Label2.0
    NameCDAAuthorIHEDisplay NameAuthor
    Description
    Template CDA author (prototype, directly derived from POCD_RM000040 MIF).
       
   
    This Content Module is usable in the CDA header, in a <section> and at various depths of an <entry>.

    It describes an author having contributed to the document wholly or to a portion of it (e.g., a section, an observation, a group of observations).
     

       
    A given document or any delimited portion of it may have more than one author.

    An author MAY be a person or a device (manufactured device or software system). In both cases the scoping organization MAY be described.
    LabelPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    ClassificationTemplate type not specified
    Open/ClosedOpen (other than defined elements are allowed)
    Associated with
    Associated with 4 concepts
    IdNameData Set
    psr-data​element-18 Address  APSR 2.0
    psr-data​element-4 Pathologist  APSR 2.0
    psr-data​element-79 Device  APSR 2.0
    psr-data​element-5 Name  APSR 2.0
    Used by / Uses
    Used by 0 transactions and 34 templates, Uses 2 templates
    Used by as NameVersion
    1.3.6.1.4.1.19376.1.3.10.3.1Include Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
    1.3.6.1.4.1.19376.1.8.1.1.1 Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
    1.3.6.1.4.1.19376.1.8.1.2.1Include Clinical Information Section (2.0)2014‑05‑13 14:38:08
    1.3.6.1.4.1.19376.1.8.1.2.2Include Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
    1.3.6.1.4.1.19376.1.8.1.2.3Include Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
    1.3.6.1.4.1.19376.1.8.1.2.4Include Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
    1.3.6.1.4.1.19376.1.8.1.2.5Include Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
    1.3.6.1.4.1.19376.1.8.1.2.6Include Procedure Steps Section (2.0)2014‑05‑13 19:33:12
    1.3.6.1.4.1.19376.1.8.1.2.7Include Report Textual Summary Section (2.0)2016‑06‑13 17:54:42
    1.3.6.1.4.1.19376.1.3.10.4.1Containment Specimen Procedure Step (2.0)2016‑07‑08 13:20:59
    1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
     Circular reference found with 1.3.6.1.4.1.19376.1.3.10.4.1, please check
    1.3.6.1.4.1.19376.1.3.10.4.2Containment UICC/AJCC TNM Staging and Grading Observation (2.0)2014‑05‑13 15:45:13
    1.3.6.1.4.1.19376.1.3.10.4.3Containment ICD-O-3 Typing and Grading Observation (2.0)2015‑11‑29 17:03:18
    1.3.6.1.4.1.19376.1.3.10.4.4Containment Assessment Scales Observation for Scoring Systems (2.0)2016‑10‑06 13:12:00
    1.3.6.1.4.1.19376.1.3.10.4.5Containment Update Information Organizer (2.0)2017‑11‑14 15:22:14
    1.3.6.1.4.1.19376.1.3.10.9.22Containment Specimen Container in Procedure Step (2.0)2016‑07‑29 12:09:33
    1.3.6.1.4.1.19376.1.3.10.9.25Containment TNM T-Observation (2.0)2014‑12‑02 15:54:17
    1.3.6.1.4.1.19376.1.3.10.9.26Containment TNM N-Observation (2.0)2014‑12‑02 16:34:50
    1.3.6.1.4.1.19376.1.3.10.9.27Containment TNM M-Observation (2.0)2014‑12‑02 16:32:30
    1.3.6.1.4.1.19376.1.3.10.9.28Containment TNM Grading (2.0)2015‑11‑15 13:01:18
    1.3.6.1.4.1.19376.1.3.10.9.29Containment TNM R-status (2.0)2015‑06‑30 13:38:30
    1.3.6.1.4.1.19376.1.3.10.9.30Containment TNM a (2.0)2015‑06‑22 15:13:46
    1.3.6.1.4.1.19376.1.3.10.9.31Containment TNM r (2.0)2015‑06‑22 17:38:42
    1.3.6.1.4.1.19376.1.3.10.9.32Containment TNM y (2.0)2015‑06‑22 17:28:17
    1.3.6.1.4.1.19376.1.3.10.9.33Containment TNM Serum tumor markers (2.0)2015‑11‑06 14:28:44
    1.3.6.1.4.1.19376.1.3.10.9.34Containment TNM Lymphatic Invasion (2.0)2015‑11‑16 14:01:58
    1.3.6.1.4.1.19376.1.3.10.9.35Containment TNM Venous Invasion (2.0)2015‑11‑16 13:40:28
    1.3.6.1.4.1.19376.1.3.10.9.36Containment TNM Perineural Invasion (2.0)2015‑11‑11 16:13:40
    1.3.6.1.4.1.19376.1.3.10.9.37Containment TNM Number of nodes (2.0)2014‑12‑02 16:48:36
    1.3.6.1.4.1.19376.1.3.10.9.43Containment Assessment Scoring Item APSR 2.0 (2.0)2016‑10‑11 10:26:17
    1.3.6.1.4.1.19376.1.3.10.9.42 Assessment Scoring System APSR 2.0 (2.0)2016‑10‑10 11:33:36
    1.3.6.1.4.1.19376.1.8.1.3.6Containment Problem Organizer (2.0)2015‑08‑13 10:24:55
    1.3.6.1.4.1.19376.1.8.1.4.10Containment Embedded Image2016‑06‑22 16:08:01
    1.3.6.1.4.1.19376.1.8.1.4.9 AP Observation Entry (2.0)2014‑05‑14 17:09:54
     Circular reference found with 1.3.6.1.4.1.19376.1.8.1.4.9, please check
    Uses as NameVersion
    2.16.840.1.113883.10.12.152Include CDA Person2005‑09‑07
    2.16.840.1.113883.10.12.151Include CDA Organization2005‑09‑07
    RelationshipAdaptation: template 2.16.840.1.113883.10.12.102 (DYNAMIC)
    Example
    example from use case #1, author is a person
    <author>
      <templateId root="1.3.6.1.4.1.19376.1.8.1.4.2"/>  <time value="20100104131933-0500"/>  <assignedAuthor classCode="ASSIGNED">
        <id root="1.3.6.1.4.1.19376.1.8.9.3" extension="801234567897"/>    <addr nullFlavor="MSK"/>    <telecom value="tel:+33-602030499"/>    <assignedPerson classCode="PSN" determinerCode="INSTANCE">
          <name>
            <given>Marcel</given>        <family>Pathologist</family>        <suffix>Ph D</suffix>      </name>        </assignedPerson>        <representedOrganization>
          <id root="1.3.6.1.4.1.19376.1.8.9.4" extension="1120456789"/>      <name>CANCER INSTITUTE</name>      <telecom nullFlavor="MSK"/>      <addr nullFlavor="MSK"/>    </representedOrganization>      </assignedAuthor>    </author>
    Example
    author is a device
    <author typeCode="AUT">
      <assignedAuthor classCode="ASSIGNED">
        <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
          <code>...</code>    </assignedAuthoringDevice>      </assignedAuthor>    </author>
    ItemDTCardConfDescriptionLabel
    hl7:author
    		0 … *RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    psr-data​element-4 Pathologist  APSR 2.0
    psr-data​element-79 Device  APSR 2.0
    @typeCode
    		cs1 … 1FAUT
     Example
    author is a person
    <author typeCode="AUT" contextControlCode="OP">
      <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">
        <!-- ... -->
      </assignedAuthor>    </author>
    hl7:templateId
    		1 … 1MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @root
    		uid1 … 1F1.3.6.1.4.1.19376.1.8.1.4.2
    hl7:time
    		TS1 … 1MThe authoring time is the date & time that this author contributed to the document. It SHALL be provided.PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:assignedAuthor
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @classCode
    		cs0 … 1FASSIGNED
    hl7:id
    		II1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:addr
    		AD1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    psr-data​element-18 Address  APSR 2.0
    hl7:telecom
    		TEL1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Choice1 … 1
    The author is either an assigned person or an authoring device.
    Elements to choose from:
    • hl7:assigned​Person
    • hl7:assigned​Authoring​Device
    hl7:assigned​Person
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    psr-data​element-5 Name  APSR 2.0
    Included1 … 1R from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
    The name(s) SHALL be given.
    @classCode
    		0 … 1FPSN
    @determiner​Code
    		0 … 1FINSTANCE
    hl7:name
    		PN1 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:assigned​Authoring​Device
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @classCode
    		cs0 … 1FDEV
    @determiner​Code
    		cs0 … 1FINSTANCE
    hl7:manufacturer​Model​Name
    		SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:softwareName
    		SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:code
    		CE0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:represented​Organization
    		0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     Example
    represented organization for author as a device
    <representedOrganization classCode="ORG" determinerCode="INSTANCE">
      <name>
        <!-- ... -->
      </name>    </representedOrganization>
    Included0 … 1 from 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07)
    The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given.
    @classCode
    		0 … 1FORG
    @determiner​Code
    		0 … 1FINSTANCE
    hl7:id
    		II0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:name
    		ON0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:telecom
    		TEL0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:addr
    		AD0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:standardIndustryClassCode
    		CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:asOrganizationPartOf
    		0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @classCode
    		0 … 1FPART
    hl7:id
    		II0 … *RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:code
    		CE0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @codeSystem
    		CONF0 … 1F2.16.840.1.113883.5.111 (Role Code)
    hl7:statusCode
    		CS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
    hl7:effectiveTime
    		IVL_TS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:wholeOrganization
    		0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    @classCode
    		0 … 1FORG
    @determiner​Code
    		0 … 1FINSTANCE
    hl7:id
    		II0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:name
    		ON0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:telecom
    		TEL0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:addr
    		AD0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    hl7:standardIndustryClassCode
    		CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
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