Class : XDS-I.b text report document

Class : XDSSDRadDocument

Class Name
XDS-I.b text report document
Class Kind
TemplateSpecType
Template ID
1.3.6.1.4.1.19376.1.2.21
Description
This section outlines the content of the HL7 CDA R2 wrapper for the text content.
Document
IHE Radiology Technical Framework, Volume 3 (4.68.4.1.2.3.5)
Parent
cda-POCDMT000040ClinicalDocument
Package
xdssdrad

List of related constraints

  • The ClinicalDocument/component/nonXMLBody shall be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/confidentialityCode element shall be present. (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/legalAuthenticator may be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/documentationOf/serviceEvent/effectiveTime element shall be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/assignedCustodian shall be present. (ITI TF-3, Vol3, 5.2.3.6) more..
  • The value of the time of the author scanner shall be equals to the effectiveTime of the ClinicalDocument. (ITI TF-3, Vol3, 5.2.3.4) more..
  • The ClinicalDocument/author element is required and its templateId shall be '1.3.6.1.4.1.19376.1.2.20.1'. (ITI TF-3, Vol3, 5.2.3.3) more..
  • The ClinicalDocument/author element is required and its templateId shall be '1.3.6.1.4.1.19376.1.2.20.2'. (ITI TF-3, Vol3, 5.2.3.3) more..
  • The value of the time of the dataEnterer shall be equals to the effectiveTime of the ClinicalDocument. (ITI TF-3, Vol3, 5.2.3.5) more..
  • The ClinicalDocument/assignedCustodian/representedCustodianOrganization shall be present. (ITI TF-3, Vol3, 5.2.3.6) more..
  • The ClinicalDocument/code element shall be set with the following attribute values, code shall be '11528-7', codeSystem shall be '2.16.840.1.113883.6.1', codeSystemName shall be 'LOINC', displayName shall be 'Radiology Report'. (RAD TF-3, Vol3, 4.68.4.1.2.3.5.1.1) more..
  • The ClinicalDocument/effectiveTime shall be present. At a minimum, the time shall be precise to the day and shall include the time zone offset from GMT. (RAD TF-3, Vol3, 4.68.4.1.2.3.5.1.1) more..
  • The ClinicalDocument/recordTarget/patientRole/addr/country shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/name/given shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/name/family shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/administrativeGenderCode element shall be present, and shall include code. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/administrativeGenderCode element shall be present, and shall include codeSystem, codeSystem shall contain the oid '2.16.840.1.113883.5.1'. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/assignedCustodian/representedCustodianOrganization/name shall be present. (ITI TF-3, Vol3, 5.2.3.6) more..
  • The ClinicalDocument/assignedCustodian/representedCustodianOrganization/addr shall be present. (ITI TF-3, Vol3, 5.2.3.6) more..
  • The ClinicalDocument/assignedCustodian/representedCustodianOrganization/addr/country shall be present. (ITI TF-3, Vol3, 5.2.3.6) more..
  • The ClinicalDocument/legalAuthenticator/assignedEntity may be present. (ITI TF-3, Vol3, 5.2.3.7) more..
  • The ClinicalDocument/legalAuthenticator/assignedEntity/id element if known shall include both the root and the extension attributes. (ITI TF-3, Vol3, 5.2.3.7) more..
  • If the human-readable language of the scanned content is different than that of the wrapper (specified in ClinicalDocument/languageCode), then the ClinicalDocument/component/nonXMLBody/languageCode shall be present, and shall include the code attribute. (ITI TF-3, Vol3, 5.2.3.9) more..
  • The ClinicalDocument/component/nonXMLBody/text shall be present. (ITI TF-3, Vol3, 5.2.3.9) more..
  • The ClinicalDocument/component/nonXMLBody/text shall be present, and shall include both the mediaType and representation attributes, mediaType shall be 'application/pdf' for PDF, or 'text/plain' for plaintext, representation shall be 'B64'. (ITI TF-3, Vol3, 5.2.3.9) more..
  • The ClinicalDocument/typeId element shall be present. (ITI TF Vol3, 5.2.3) more..
  • The ClinicalDocumente/id element shall be present; (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocumente/code element shall be present, and shall include both the code and the codeSystem.(ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/title element shall be present,if konwn. (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/effectiveTime shall be present and shall include the value attribute, and shall include the timezone offset from GMT. (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/languageCode shall be present, attribute code shall be present. (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/recordTarget shall be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/author/assignedAuthor/assignedPerson element shall be present, if known. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/author/assignedAuthor/authoringDevice element shall be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/custodian shall be present. (ITI TF-3, Vol3, 5.2.3) more..
  • The ClinicalDocument/recordTarget/patientRole/id element shall be present, and shall include both root and extension. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/addr element shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/name shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/administrativeGenderCode element shall be present. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/recordTarget/patientRole/patient/birthTime element shall be present with precision to the year. (ITI TF-3, Vol3, 5.2.3.2) more..
  • The ClinicalDocument/confidentialityCode element shall be present shall be present, and shall include code. (ITI TF-3, Vol3, 5.2.3.1) more..
  • The ClinicalDocument/confidentialityCode element shall be present shall be present, and shall include codeSystem. (ITI TF-3, Vol3, 5.2.3.1) more..