Powrót do strony głownej << Powrót do listy szablonów

# Szablon [1] Realizacja recepty

ID | 2.16.840.1.113883.3.4424.13.10.1.27 | Data obowiązywania | obowiązuje od 2020‑06‑08
Status | Active | Etykieta wersji | 1.3.2
Nazwa | plCdaDrugDispense | Nazwa wyświetlana | [1] Realizacja recepty
Opis | Szablon CDA dokumentu realizacji recepty
Kontekst | Nazwa ścieżki /
Typ | CDA Document Level Template
Otwarty/Zamknięty | Otwarty (pozostałe elementy poza zdefiniowanymi są dozwolone)
Używane przez / Używa |
Używane przez Szablony 1 transakcji i 0, Używa 8 szablonów
Używane przez | jako | Nazwa | Wersja
--- | --- | --- | ---
plcda-transaction-50 | Transakcja | Realizacja recepty | 2017‑04‑26
Używa | jako | Nazwa | Wersja
2.16.840.1.113883.3.4424.13.10.2.88 | Zawierać | [2] Dane pacjenta dla dokumentu realizacji recepty (1.3.2) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.84 | Zawierać | [2] Autor dokumentu realizacji recepty (1.3.1.2) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.20 | Zawierać | [2] Organizacja odpowiedzialna za dokument dla P1 (1.3) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.61 | Zawierać | [2] Odbiorca informacji (bazowy) (1.3.1) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.6 | Zawierać | [2] Wystawca dokumentu (bazowy) (1.3) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.53 | Zawierać | [2] Dane zlecenia (bazowy) (1.3) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.83 | Zawierać | [2] Dokument powiązany dla dokumentu recepty (1.3.2) | DYNAMICZNE
2.16.840.1.113883.3.4424.13.10.2.80 | Zawierać | [2] Treść dokumentu realizacji recepty (1.3.1.1) | DYNAMICZNE
Relacje | Specialization: szablon 1.3.6.1.4.1.19376.1.9.1.1.3 (2016‑01‑08 11:13:04)
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja recepty farmaceutycznej --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.12" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty elektronicznej"> <qualifier> <name code="KDLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Rp" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="G" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="F" displayName="Farmaceutyczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="Z" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="Z" displayName="zamykająca" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="E" displayName="elektroniczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty elektronicznej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="654321" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="2"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="FARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Farmaceuta"/> <time value="20150301122300"/> <assignedAuthor> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>mgr</prefix> <given>Miłosz</given> <family>Najman</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/> </assignedEntity> </legalAuthenticator> <relatedDocument typeCode="RPLC"> <templateId root="2.16.840.1.113883.3.4424.13.10.2.83"/> <parentDocument classCode="DOCCLIN" moodCode="EVN"> <id extension="3434344" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1"/> <setId extension="654321" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> </parentDocument> </relatedDocument> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="4334343" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Wydanie leku</title> <text> <paragraph ID="SPLY_1"> <caption>Wydano lek gotowy</caption> Nazwa: Enarenal <br/> Postać: tabletki <br/> Dawka: 5mg <br/> Opakowanie: 60 tabl. <br/> Ilość: 1 <br/> Nr serii: 123/456 <br/> Data ważności: 1 stycznia 2018 r. <br/> Identyfikator produktu: 5909990014958 (GS1/EAN) </paragraph> <paragraph ID="ACT_1"> <caption>Taksacja:</caption> Wartość wydanego leku: 12,00 <br/> Limit urzędowy: 8,40 <br/> Poziom odpłatności leku refundowanego: 100% <br/> Kwota refundacji: 0,00 <br/> Zapłacono: 12,00 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <effectiveTime value="20150228"/> <quantity value="1"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/> <code code="4321" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Enarenal 5mg tabl."/> <name>Enarenal 5mg tabletki</name> <lotNumberText>123/456</lotNumberText> <pharm:expirationTime value="20180101"/> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:code code="5909990014958" codeSystem="1.3.160" codeSystemName="GS1"/> <pharm:name>Enarenal 5mg (60 tabl.)</pharm:name> <pharm:formCode code="30066000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Pojemnik do tabletek"/> <pharm:capacityQuantity value="60"/> </pharm:containerPackagedMedicine> </pharm:asContent> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="334455-1" root="2.16.840.1.113883.3.4424.2.7.99999.2.3"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456654321" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="12.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="LIMU" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Limit urzędowy"/> <statusCode code="completed"/> <value xsi:type="REAL" value="8.40"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="100%" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="0.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="12.00"/> </observation> </entryRelationship> </act> </entryRelationship> </supply> </entry> </section> </component> <component> <section> <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/> <text> <paragraph> <caption>Powód wydania leku</caption> Zagrożenie życia </paragraph> </text> </section> </component> </structuredBody> </component></ClinicalDocument>`
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja recepty na import docelowy --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.13" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty papierowej"> <qualifier> <name code="KDLEK" codeSystem="2. 16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Lz" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="G" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="Z" displayName="Zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="I" displayName="Import docelowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="Z" displayName="zamykająca" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="P" displayName="papierowa" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRECP" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj recepty papierowej"/> <value code="ZW" displayName="zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty papierowej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="24543234" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="FARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Farmaceuta"/> <time value="20150301122300"/> <assignedAuthor> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>mgr</prefix> <given>Miłosz</given> <family>Najman</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/> </assignedEntity> </legalAuthenticator> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="543212345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Taksacja</title> <text> <paragraph ID="SPLY_1"> <caption>Wydano lek gotowy</caption> Nazwa: Morphini Sulfas WZF 0,1% Spinal <br/> Postać: roztwór do wstrzykiwań <br/> Moc: 0,1% <br/> Opakowanie: 10 amp. po 2 ml <br/> Ilość: 1 <br/> Nr serii: 123/456 <br/> Data ważności: 1 stycznia 2018 r. <br/> Identyfikator produktu: 5909990014958 (GS1/EAN) </paragraph> <paragraph ID="ACT_1"> Wartość wydanego leku: 50,00 <br/> Poziom odpłatności leku refundowanego: 100% <br/> Kwota refundacji: 0,00 <br/> Zapłacono: 50,60 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <quantity value="1"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/> <code code="232121" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Morphini Sulfas WZF 0,1% Spinal roztwór do wstrzykiwań"/> <name>Morphini Sulfas WZF 0,1% Spinal</name> <pharm:formCode code="11201000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Roztwór do wstrzykiwań"/> <lotNumberText>123/456</lotNumberText> <pharm:expirationTime value="20180101"/> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:code code="5909991040123" codeSystem="1.3.160" codeSystemName="GS1"/> <pharm:name>Morphini Sulfas WZF 0,1% Spinal (10 amp. 2ml)</pharm:name> <pharm:formCode code="30001000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Ampułka"/> <pharm:capacityQuantity value="2" unit="ml"/> <pharm:asSuperContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:capacityQuantity value="10"/> </pharm:containerPackagedMedicine> </pharm:asSuperContent> </pharm:containerPackagedMedicine> </pharm:asContent> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="0700000000123456754321-1" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456754321" root="2.16.840.1.113883.3.4424.8.10.2"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="50.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="100%" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="0.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="50.00"/> </observation> </entryRelationship> </act> </entryRelationship> <reference typeCode="REFR"> <externalDocument> <templateId root="2.16.840.1.113883.3.4424.13.10.4.72"/> <id extension="12342/2017" root="2.16.840.1.113883.3.4424.8.11"/> </externalDocument> </reference> </supply> </entry> </section> </component> <component> <section> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Dane o ubezpieczeniu i uprawnieniach</title> <text> <paragraph ID="ACT_2"> Oddział NFZ: 07 <br/> Uprawnienia dodatkowe: ZK (Nr leg.: 238/2015) </paragraph> </text> <entry> <act classCode="ACT" moodCode="DEF"> <templateId root="2.16.840.1.113883.10.20.1.20"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.51"/> <id nullFlavor="NA"/> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <text> <reference value="#ACT_2"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <!-- Uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.10.20.1.26"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.61"/> <id nullFlavor="NA"/> <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4"> <qualifier> <name code="RLUD" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Refundacja leków wynikająca z uprawnień dodatkowych"/> <value code="ZK" displayName="ZK" codeSystem="2.16.840.1.113883.3.4424.11.3.1"/> </qualifier> </code> <statusCode code="completed"/> <performer typeCode="PRF"> <!-- Dane ubezpieczyciela/płatnika --> <assignedEntity> <id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </assignedEntity> </performer> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.19"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.53"/> <id nullFlavor="NA"/> <code nullFlavor="NA"/> <entryRelationship typeCode="SUBJ"> <supply classCode="SPLY" moodCode="PRMS"> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> </supply> </entryRelationship> </act> </entryRelationship> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <!-- Informacja o dokumencie potwierdzającym uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.3.4424.13.10.4.59"/> <text>Nr leg.: 238/2015</text> </externalDocument> </reference> </act> </entryRelationship> </act> </entry> </section> </component> </structuredBody> </component></ClinicalDocument>`
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja recepty na lek recepturowy --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="5432345" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.12" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty elektronicznej"> <qualifier> <name code="KDLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Rp" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="R" displayName="Lek recepturowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="Z" displayName="Zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="Z" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="Z" displayName="zamykająca" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="E" displayName="elektroniczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty elektronicznej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="8765456765" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="FARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Farmaceuta"/> <time value="20150301122300"/> <assignedAuthor> <id extension="712178" root="2.16.840.1.13883.3.4424.1.6.1" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>mgr</prefix> <given>Miłosz</given> <family>Najman</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/> </assignedEntity> </legalAuthenticator> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="234565432345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Wydanie leku</title> <text> <paragraph ID="SPLY_1"> <caption>Wydanie leku recepturowego</caption> Receptura: <br/> Lanolini 25,0 <br/> Vaselini albi 25,0 <br/> Paraffini liq. 10,0 <br/> Aquae aa ad 100,0 <br/> Postać: maść <br/> Ilość: 100 g <br/> </paragraph> <paragraph ID="ACT_1"> <caption>Taksacja:</caption> Wartość wydanego leku: 30,00 <br/> Poziom odpłatności leku refundowanego: 30% <br/> Kwota refundacji: 21,00 <br/> Zapłacono: 9,00 <br/> Taksa laborum: 12,33 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="3243432" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <quantity value="100" unit="g"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.70"/> <code nullFlavor="NA"/> <name>Maść pośladkowa</name> <pharm:formCode code="10504000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Maść"/> <pharm:ingredient classCode="ACTI"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.71"/> <pharm:quantity> <numerator xsi:type="PQ" value="25" unit="g"/> <denominator xsi:type="PQ" value="1"/> </pharm:quantity> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="23432" codeSystem="2.16.840.1.113883.3.4424.6.3" displayName="Wazelina biała"/> <pharm:name>Vaselinum album</pharm:name> </pharm:ingredient> </pharm:ingredient> <pharm:ingredient classCode="ACTI"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.71"/> <pharm:quantity> <numerator xsi:type="PQ" value="25" unit="g"/> <denominator xsi:type="PQ" value="1"/> </pharm:quantity> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="34543" codeSystem="2.16.840.1.113883.3.4424.6.3" displayName="Lanolina"/> <pharm:name>Lanolinum</pharm:name> </pharm:ingredient> </pharm:ingredient> <pharm:ingredient classCode="ACTI"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.71"/> <pharm:quantity> <numerator xsi:type="PQ" value="10" unit="g"/> <denominator xsi:type="PQ" value="1"/> </pharm:quantity> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="45654" codeSystem="2.16.840.1.113883.3.4424.6.3" displayName="Parafina ciekła"/> <pharm:name>Paraffinum liquidum</pharm:name> </pharm:ingredient> </pharm:ingredient> <pharm:ingredient classCode="ACTI"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.71"/> <pharm:ingredient classCode="MMAT" determinerCode="KIND"> <pharm:code code="56765" codeSystem="2.16.840.1.113883.3.4424.6.3" displayName="Woda do receptury aptecznej FP"/> <pharm:name>Aqua</pharm:name> </pharm:ingredient> </pharm:ingredient> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="656789-1" root="2.16.840.1.113883.3.4424.2.7.99999.2.3"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456712345" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="30.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="30%" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="21.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="9.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="TAKL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksa laborum"/> <statusCode code="completed"/> <value xsi:type="REAL" value="12.33"/> </observation> </entryRelationship> </act> </entryRelationship> </supply> </entry> </section> </component> <component> <section> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Dane o ubezpieczeniu i uprawnieniach</title> <text> <paragraph ID="ACT_2"> Oddział NFZ: 07 <br/> Uprawnienia dodatkowe: ZK (Nr leg.: 238/2015) </paragraph> </text> <entry> <act classCode="ACT" moodCode="DEF"> <templateId root="2.16.840.1.113883.10.20.1.20"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.51"/> <id nullFlavor="NA"/> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <text> <reference value="#ACT_2"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <!-- Uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.10.20.1.26"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.61"/> <id nullFlavor="NA"/> <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4"> <qualifier> <name code="RLUD" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Refundacja leków wynikająca z uprawnień dodatkowych"/> <value code="ZK" displayName="ZK" codeSystem="2.16.840.1.113883.3.4424.11.3.1"/> </qualifier> </code> <statusCode code="completed"/> <performer typeCode="PRF"> <!-- Dane ubezpieczyciela/płatnika --> <assignedEntity> <id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </assignedEntity> </performer> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.19"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.53"/> <id nullFlavor="NA"/> <code nullFlavor="NA"/> <entryRelationship typeCode="SUBJ"> <supply classCode="SPLY" moodCode="PRMS"> <id extension="3243432" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> </supply> </entryRelationship> </act> </entryRelationship> <!-- Informacja o dokumencie potwierdzającym uprawnienie dodatkowe --> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.59"/> <text>Nr leg.: 238/2015</text> </externalDocument> </reference> </act> </entryRelationship> </act> </entry> </section> </component> </structuredBody> </component></ClinicalDocument>`
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja recepty spełniającej wymagania związane z refundacją --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.12" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty elektronicznej"> <qualifier> <name code="KDLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Rp" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="G" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="Z" displayName="Zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="Z" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="C" displayName="częściowa" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="E" displayName="elektroniczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty elektronicznej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="24543234" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="TFARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Technik farmaceutyczny"/> <time value="20150301122300"/> <assignedAuthor xsi:type="extPL:AssignedAuthor"> <id extension="83120199999" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>tech. farm.</prefix> <given>Jerzy</given> <family>Miarka</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> <extPL:boundedBy typeCode="PART"> <extPL:templateId root="2.16.840.1.113883.3.4424.13.10.2.44"/> <extPL:reimbursementRelatedContract moodCode="EVN" classCode="CNTRCT"> <extPL:id extension="123456" root="2.16.840.1.113883.3.4424.8.6.3.7"/> <extPL:bounding typeCode="PART"> <extPL:reimburser classCode="UNDWRT"> <extPL:id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </extPL:reimburser> </extPL:bounding> </extPL:reimbursementRelatedContract> </extPL:boundedBy> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id extension="83120199999" root="2.16.840.1.113883.3.4424.1.1.616" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/> </assignedEntity> </legalAuthenticator> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="543212345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Wydanie leku</title> <text> <paragraph ID="SPLY_1"> <caption>Wydano lek gotowy</caption> Nazwa: Enarenal <br/> Postać: tabletki <br/> Dawka: 5mg <br/> Opakowanie: 60 tabl. <br/> Ilość: 1 <br/> Nr serii: 123/890 <br/> Data ważności: 1 stycznia 2018 r. <br/> Identyfikator produktu: 5909990014958 (GS1/EAN) </paragraph> <paragraph ID="ACT_1"> <caption>Taksacja</caption> Wartość wydanego leku: 12,00 <br/> Limit urzędowy: 8,40 <br/> Poziom odpłatności leku refundowanego: 30% <br/> Kwota refundacji: 8,40 <br/> Zapłacono: 3,60 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <quantity value="1"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/> <code code="4321" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Enarenal 5mg tabl."/> <name>Enarenal 5mg tabletki</name> <lotNumberText>123/890</lotNumberText> <pharm:expirationTime value="20180101"/> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:code code="5909990014958" codeSystem="1.3.160" codeSystemName="GS1"/> <pharm:name>Enarenal 5mg (60 tabl.)</pharm:name> <pharm:formCode code="30066000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Pojemnik do tabletek"/> <pharm:capacityQuantity value="60"/> </pharm:containerPackagedMedicine> </pharm:asContent> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="2343aab-1" root="2.16.840.1.113883.3.4424.2.7.99999.2.3"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456789213" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="12.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="LIMU" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Limit urzędowy"/> <statusCode code="completed"/> <value xsi:type="REAL" value="8.40"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="30%" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="8.40"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="3.60"/> </observation> </entryRelationship> </act> </entryRelationship> </supply> </entry> </section> </component> <component> <section> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Dane o ubezpieczeniu i uprawnieniach</title> <text> <paragraph ID="ACT_2"> Oddział NFZ: 07 <br/> Uprawnienia dodatkowe: ZK (Nr leg.: 238/2015) </paragraph> </text> <entry> <act classCode="ACT" moodCode="DEF"> <templateId root="2.16.840.1.113883.10.20.1.20"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.51"/> <id nullFlavor="NA"/> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <text> <reference value="#ACT_2"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <!-- Uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.10.20.1.26"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.61"/> <id nullFlavor="NA"/> <id nullFlavor="NA"/> <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4"> <qualifier> <name code="RLUD" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Refundacja leków wynikająca z uprawnień dodatkowych"/> <value code="ZK" displayName="ZK" codeSystem="2.16.840.1.113883.3.4424.11.3.1"/> </qualifier> </code> <statusCode code="completed"/> <performer typeCode="PRF"> <!-- Dane ubezpieczyciela/płatnika --> <assignedEntity> <id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </assignedEntity> </performer> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.19"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.53"/> <id nullFlavor="NA"/> <code nullFlavor="NA"/> <entryRelationship typeCode="SUBJ"> <supply classCode="SPLY" moodCode="PRMS"> <id extension="543212345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> </supply> </entryRelationship> </act> </entryRelationship> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <!-- Informacja o dokumencie potwierdzającym uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.3.4424.13.10.4.59"/> <text>Nr leg.: 238/2015</text> </externalDocument> </reference> </act> </entryRelationship> </act> </entry> </section> </component> <component> <section> <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/> <text> <paragraph> <caption>Adnotacja farmaceuty</caption> Wydano zamiennik </paragraph> </text> </section> </component> </structuredBody> </component></ClinicalDocument>`
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja wycofujaca recepty --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="bc34221ax" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.12" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty elektronicznej"> <qualifier> <name code="KDLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Rpw" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="G" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="Z" displayName="Zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="Z" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="W" displayName="wycofująca" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="E" displayName="elektroniczna" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty elektronicznej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="432321" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="2"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="FARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Farmaceuta"/> <time value="20150301122300"/> <assignedAuthor> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>mgr</prefix> <given>Miłosz</given> <family>Najman</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="712178" root="2.16.840.1.113883.3.4424.1.6.1" displayable="false"/> </assignedEntity> </legalAuthenticator> <relatedDocument typeCode="RPLC"> <templateId root="2.16.840.1.113883.3.4424.13.10.2.83"/> <parentDocument classCode="DOCCLIN" moodCode="EVN"> <id extension="232123" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1"/> <setId extension="432321" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> </parentDocument> </relatedDocument> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="12345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Wydanie leku</title> <text> <paragraph ID="SPLY_1"> <caption>Wydano lek gotowy</caption> Nazwa: MST Continus <br/> Postać: tabletki <br/> Dawka: 100mg <br/> Opakowanie: 30 tabl. <br/> Ilość: 1 <br/> Identyfikator produktu: 5909990476527 (GS1/EAN) </paragraph> <paragraph ID="ACT_1"> <caption>Taksacja:</caption> s Wartość wydanego leku: 0,00 <br/> Limit urzędowy: 7,01 <br/> Poziom odpłatności leku refundowanego: R <br/> Kwota refundacji: 7,01 <br/> Zapłacono: 0,00 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="bc34221ax" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <effectiveTime value="20150212"/> <quantity value="0"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/> <code code="4321" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="MST Continus 100mg tabl. powl. o zmod. uwalnianiu"/> <name>MST Continus 100mg tabletki</name> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:code code="5909990476527" codeSystem="1.3.160" codeSystemName="GS1"/> <pharm:name>MST Continus 100mg tabl. powl. o zmod. uwalnianiu (30 tabl.)</pharm:name> <pharm:formCode code="30066000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Pojemnik do tabletek"/> <pharm:capacityQuantity value="30"/> </pharm:containerPackagedMedicine> </pharm:asContent> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="ff3432b-1" root="2.16.840.1.113883.3.4424.2.7.99999.2.3"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456789009" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="0.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="LIMU" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Limit urzędowy"/> <statusCode code="completed"/> <value xsi:type="REAL" value="7.01"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="R" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="7.01"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="0.00"/> </observation> </entryRelationship> </act> </entryRelationship> </supply> </entry> </section> </component> <component> <section> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Dane o ubezpieczeniu i uprawnieniach</title> <text> <paragraph ID="ACT_2"> Oddział NFZ: 07 <br/> Uprawnienia dodatkowe: ZK (Nr leg.: 238/2015) </paragraph> </text> <entry> <act classCode="ACT" moodCode="DEF"> <templateId root="2.16.840.1.113883.10.20.1.20"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.51"/> <id nullFlavor="NA"/> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <text> <reference value="#ACT_2"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <!-- Uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.10.20.1.26"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.61"/> <id nullFlavor="NA"/> <id nullFlavor="NA"/> <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4"> <qualifier> <name code="RLUD" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Refundacja leków wynikająca z uprawnień dodatkowych"/> <value code="ZK" displayName="ZK" codeSystem="2.16.840.1.113883.3.4424.11.3.1"/> </qualifier> </code> <statusCode code="completed"/> <performer typeCode="PRF"> <!-- Dane ubezpieczyciela/płatnika --> <assignedEntity> <id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </assignedEntity> </performer> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.19"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.53"/> <id nullFlavor="NA"/> <code nullFlavor="NA"/> <entryRelationship typeCode="SUBJ"> <supply classCode="SPLY" moodCode="PRMS"> <id extension="bc34221ax" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> </supply> </entryRelationship> </act> </entryRelationship> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <!-- Informacja o dokumencie potwierdzającym uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.3.4424.13.10.4.59"/> <text>Nr leg.: 238/2015</text> </externalDocument> </reference> </act> </entryRelationship> </act> </entry> </section> </component> </structuredBody> </component></ClinicalDocument>`
Przykład |
Przykład
`<ClinicalDocument xsi:type="extPL:ClinicalDocument"> <!-- Realizacja recepty spełniającej wymagania związane z refundacją - wydanie zamiennika leku --> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.1.3"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.1.27" extension="1.3.2"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1" displayable="true"/> <code code="60593-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Medication dispensed extended"> <translation code="04.13" codeSystem="2.16.840.1.113883.3.4424.11.1.32" codeSystemName="KLAS_DOK_P1" displayName="Realizacja recepty papierowej"> <qualifier> <name code="KDLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Kategoria dostępności leku"/> <value code="Rp" codeSystem="2.16.840.1.113883.3.4424.11.1.25"/> </qualifier> <qualifier> <name code="RLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj leku"/> <value code="G" displayName="Lek gotowy" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wystawienia recepty"/> <value code="Z" displayName="Zwykła" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb realizacji recepty"/> <value code="Z" displayName="Zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj realizacji recepty"/> <value code="C" displayName="częściowa" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="PREC" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Postać recepty"/> <value code="P" displayName="papierowa" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="RRECP" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Rodzaj recepty papierowej"/> <value code="PF" displayName="pro familia" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> <qualifier> <name code="TWLEK" codeSystem="2.16.840.1.113883.3.4424.13.5.1" codeSystemName="PolskieKlasyfikatoryHL7v3" displayName="Tryb wydania leku"/> <value code="Z" displayName="zwykły" codeSystem="2.16.840.1.113883.3.4424.13.5.1"/> </qualifier> </translation> </code> <title>Realizacja recepty papierowej</title> <effectiveTime value="20150301122300"/> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/> <languageCode code="pl-PL"/> <setId extension="24543234" root="2.16.840.1.113883.3.4424.2.7.99999.5.2"/> <versionNumber value="1"/> <recordTarget> <templateId root="2.16.840.1.113883.3.4424.13.10.2.88"/> <patientRole> <id extension="1234567" root="2.16.840.1.113883.3.4424.2.7.0.17.1" displayable="false"/> <id extension="96013002256" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <addr> <country>Polska</country> <postalCode>58-200</postalCode> <city>Dzierżoniów</city> <streetName>Szpitalna</streetName> <houseNumber>3a</houseNumber> <unitID>10</unitID> </addr> <patient> <name> <given>Anna</given> <given>Maria</given> <family>Nowak</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19960130"/> </patient> </patientRole> </recordTarget> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.2.84"/> <functionCode code="TFARM" codeSystem="2.16.840.1.113883.3.4424.11.3.18" codeSystemName="ZAWODY_MED" displayName="Technik farmaceutyczny"/> <time value="20150301122300"/> <assignedAuthor xsi:type="extPL:AssignedAuthor"> <id extension="83120199999" root="2.16.840.1.113883.3.4424.1.1.616" displayable="true"/> <assignedPerson> <templateId root="2.16.840.1.113883.3.4424.13.10.2.1"/> <name> <prefix>tech. farm.</prefix> <given>Jerzy</given> <family>Miarka</family> </name> </assignedPerson> <representedOrganization> <templateId root="2.16.840.1.113883.3.4424.13.10.2.31"/> <id extension="1072003" root="2.16.840.1.113883.3.4424.2.6"/> <name>Apteka porcelanowa</name> <telecom use="PUB" value="tel:32123456"/> <addr> <country>Polska</country> <postalCode>31-867</postalCode> <city>Kraków</city> <streetName>Mikołaja Kopernika</streetName> <houseNumber>36</houseNumber> </addr> </representedOrganization> <extPL:boundedBy typeCode="PART"> <extPL:templateId root="2.16.840.1.113883.3.4424.13.10.2.44"/> <extPL:reimbursementRelatedContract moodCode="EVN" classCode="CNTRCT"> <extPL:id extension="123456" root="2.16.840.1.113883.3.4424.8.6.3.7"/> <extPL:bounding typeCode="PART"> <extPL:reimburser classCode="UNDWRT"> <extPL:id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </extPL:reimburser> </extPL:bounding> </extPL:reimbursementRelatedContract> </extPL:boundedBy> </assignedAuthor> </author> <custodian> <templateId root="2.16.840.1.113883.3.4424.13.10.2.20"/> <assignedCustodian> <representedCustodianOrganization> <id root="2.16.840.1.113883.3.4424" assigningAuthorityName="CSIOZ" displayable="false"/> </representedCustodianOrganization> </assignedCustodian> </custodian> <legalAuthenticator> <templateId root="2.16.840.1.113883.3.4424.13.10.2.6"/> <time value="20150301122300"/> <signatureCode code="S"/> <assignedEntity> <id extension="83120199999" root="2.16.840.1.113883.3.4424.1.1.616" displayable="false"/> </assignedEntity> </legalAuthenticator> <component> <templateId root="2.16.840.1.113883.3.4424.13.10.2.80"/> <structuredBody> <component> <section> <templateId root="1.3.6.1.4.1.19376.1.9.1.2.3"/> <templateId root="2.16.840.1.113883.3.4424.13.10.3.70"/> <id extension="543212345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> <code code="60590-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Dispensation"/> <title>Wydanie leku</title> <text> <paragraph ID="SPLY_1"> <caption>Wydano lek gotowy</caption> Nazwa: Polpril <br/> Postać: tabletki <br/> Dawka: 5mg <br/> Opakowanie: 28 tabl. <br/> Ilość: 1 <br/> Identyfikator produktu: 5909990924646 (GS1/EAN) <br/> <content ID="ACT_1">Wydano zamiennik</content> </paragraph> <paragraph ID="ACT_2"> <caption>Taksacja</caption> Wartość wydanego leku: 12,00 <br/> Limit urzędowy: 8,40 <br/> Poziom odpłatności leku refundowanego: 30% <br/> Kwota refundacji: 8,40 <br/> Zapłacono: 3,60 </paragraph> </text> <entry> <supply classCode="SPLY" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.4"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.3"/> <templateId root="2.16.840.1.113883.10.20.1.34"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.62"/> <id extension="543223454" root="2.16.840.1.113883.3.4424.2.7.99999.5.1"/> <text> <reference value="#SPLY_1"/> </text> <quantity value="1"/> <product> <manufacturedProduct> <manufacturedMaterial> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.1"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.54"/> <code code="4321" codeSystem="2.16.840.1.113883.3.4424.6.1" displayName="Enarenal 5mg tabl."/> <name>Polpril 5mg tabletki</name> <pharm:asContent classCode="CONT"> <pharm:containerPackagedMedicine classCode="CONT" determinerCode="INSTANCE"> <pharm:code code="5909990924646" codeSystem="1.3.160" codeSystemName="GS1"/> <pharm:name>Polpril 5mg (28 tabl.)</pharm:name> <pharm:formCode code="30066000" codeSystem="0.4.0.127.0.16.1.1.2.1" codeSystemName="EDQM" displayName="Pojemnik do tabletek"/> <pharm:capacityQuantity value="28"/> </pharm:containerPackagedMedicine> </pharm:asContent> </manufacturedMaterial> </manufacturedProduct> </product> <entryRelationship typeCode="REFR"> <substanceAdministration classCode="SBADM" moodCode="INT"> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.11"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.63"/> <id extension="0700000000123456789012-1" root="2.16.840.1.113883.3.4424.8.10.1"/> <code code="PREItem" codeSystem="1.3.6.1.4.1.19376.1.9.2.2"/> <consumable> <manufacturedProduct> <manufacturedMaterial nullFlavor="NA"/> </manufacturedProduct> </consumable> <author> <templateId root="2.16.840.1.113883.3.4424.13.10.4.78"/> <time value="20150227"/> <assignedAuthor> <id extension="7724513" root="2.16.840.1.113883.3.4424.1.6.2" displayable="true"/> <representedOrganization> <id extension="123456789" root="2.16.840.1.113883.3.4424.2.2.1" displayable="true"/> </representedOrganization> </assignedAuthor> </author> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.77"/> <id extension="0700000000123456789012" root="2.16.840.1.113883.3.4424.8.10.2"/> <code code="57833-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Prescription for medication Document"/> </externalDocument> </reference> </substanceAdministration> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.79"/> <templateId root="1.3.6.1.4.1.19376.1.9.1.3.9.2"/> <code code="E" codeSystem="2.16.840.1.113883.5.1070" codeSystemName="HL7 Substance Admin Substitution" displayName="equivalent"/> <text> <reference value="#ACT_1"/> </text> <statusCode code="completed"/> </act> </entryRelationship> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.4424.13.10.4.67"/> <code code="TAKSL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Taksacja leku"/> <text> <reference value="#ACT_2"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="WWL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Wartość wydanego leku"/> <statusCode code="completed"/> <value xsi:type="REAL" value="12.00"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="LIMU" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Limit urzędowy"/> <statusCode code="completed"/> <value xsi:type="REAL" value="8.40"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="DEF"> <code code="RLPO" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Poziomy odpłatności leków refundowanych"/> <statusCode code="completed"/> <value xsi:type="CV" code="30%" codeSystem="2.16.840.1.113883.3.4424.11.1.1"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="INT"> <code code="KREF" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Kwota refundacji"/> <statusCode code="completed"/> <value xsi:type="REAL" value="8.40"/> </observation> </entryRelationship> <entryRelationship typeCode="COMP"> <observation classCode="OBS" moodCode="EVN"> <code code="ZAPL" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Zapłacono"/> <statusCode code="completed"/> <value xsi:type="REAL" value="3.60"/> </observation> </entryRelationship> </act> </entryRelationship> </supply> </entry> </section> </component> <component> <section> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/> <title>Dane o ubezpieczeniu i uprawnieniach</title> <text> <paragraph ID="ACT_3"> Oddział NFZ: 07 <br/> Uprawnienia dodatkowe: ZK (Nr leg.: 238/2015) </paragraph> </text> <entry> <act classCode="ACT" moodCode="DEF"> <templateId root="2.16.840.1.113883.10.20.1.20"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.51"/> <id nullFlavor="NA"/> <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <text> <reference value="#ACT_3"/> </text> <statusCode code="completed"/> <entryRelationship typeCode="COMP"> <act classCode="ACT" moodCode="EVN"> <!-- Uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.10.20.1.26"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.61"/> <id nullFlavor="NA"/> <id nullFlavor="NA"/> <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4"> <qualifier> <name code="RLUD" codeSystem="2.16.840.1.113883.3.4424.13.5.1" displayName="Refundacja leków wynikająca z uprawnień dodatkowych"/> <value code="ZK" displayName="ZK" codeSystem="2.16.840.1.113883.3.4424.11.3.1"/> </qualifier> </code> <statusCode code="completed"/> <performer typeCode="PRF"> <!-- Dane ubezpieczyciela/płatnika --> <assignedEntity> <id extension="07" root="2.16.840.1.113883.3.4424.3.1" displayable="true"/> </assignedEntity> </performer> <entryRelationship typeCode="REFR"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.19"/> <templateId root="2.16.840.1.113883.3.4424.13.10.4.53"/> <id nullFlavor="NA"/> <code nullFlavor="NA"/> <entryRelationship typeCode="SUBJ"> <supply classCode="SPLY" moodCode="PRMS"> <id extension="543212345" root="2.16.840.1.113883.3.4424.2.7.99999.5.3"/> </supply> </entryRelationship> </act> </entryRelationship> <reference typeCode="REFR"> <externalDocument classCode="DOC" moodCode="EVN"> <!-- Informacja o dokumencie potwierdzającym uprawnienie dodatkowe --> <templateId root="2.16.840.1.113883.3.4424.13.10.4.59"/> <text>Nr leg.: 238/2015</text> </externalDocument> </reference> </act> </entryRelationship> </act> </entry> </section> </component> <component> <section> <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation comment"/> <text> <paragraph> <caption>Adnotacja farmaceuty</caption> Wydano zamiennik </paragraph> </text> </section> </component> </structuredBody> </component></ClinicalDocument>`
Pozycja | Typ danych | Krotność | Wymagalność | Opis | Etykieta
--- | --- | --- | --- | --- | ---
`hl7:ClinicalDocument` |  | 1 … 1 | M |  | (plCnse)
`@classCode` |  | 0 … 1 | F | DOCCLIN
`@moodCode` |  | 0 … 1 | F | EVN
`hl7:typeId` | II | 1 … 1 | M |  | (plCnse)
`@extension` |  | 1 … 1 | F | POCD_HD000040
`@root` |  | 1 … 1 | F | 2.16.840.1.113883.1.3
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
| gdzie [@root='2.16.840.1.113883.3.4424.13.10.1.27']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.1.27
`@extension` | st | 0 … 1 |  |
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
| gdzie [@root='1.3.6.1.4.1.19376.1.9.1.1.3']
`@root` |  | 1 … 1 | F | 1.3.6.1.4.1.19376.1.9.1.1.3
`hl7:templateId` | II | 1 … 1 | R |  | (plCnse)
| gdzie [@root='1.3.6.1.4.1.19376.1.5.3.1.1.1']
`@root` |  | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.1.1
`hl7:id` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
`hl7:code` | CE | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | 60593-1
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
`@codeSystemName` | 1 … 1 | F | LOINC
`@displayName` | 1 … 1 | F | Medication dispensed extended
`hl7:translation` |  | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.84 Typ dokumentu realizacji recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='KDLEK']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | KDLEK
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Kategoria dostępności leku
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.75 Kategoria dostępności leku w dokumencie realizacji recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='RLEK']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | RLEK
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Rodzaj leku
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.5 Rodzaj leku (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='TWREC']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | TWREC
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Tryb wystawienia recepty
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.7 Tryb wystawienia recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='TRREC']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | TRREC
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Tryb realizacji recepty
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.8 Tryb realizacji recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='RRREC']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | RRREC
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Rodzaj realizacji recepty
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.76 Rodzaj realizacji recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 1 … 1 | M |  | (plCnse)
|  |  | gdzie [hl7:name/@code='PREC']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | PREC
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Postać recepty
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.77 Postać recepty (DYNAMICZNE)
`hl7:qualifier` | CR | 0 … 1 |  |  | (plCnse)
|  |  | gdzie [hl7:name/@code='RRECP']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | RRECP
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Rodzaj recepty papierowej
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.78 Rodzaj recepty papierowej (DYNAMICZNE)
`hl7:qualifier` | CR | 0 … 1 |  |  | (plCnse)
|  |  | gdzie [hl7:name/@code='RRECE']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | RRECE
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Rodzaj recepty elektronicznej
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.85 Rodzaj recepty elektronicznej (DYNAMICZNE)
`hl7:qualifier` | CR | 0 … 1 |  |  | (plCnse)
|  |  | gdzie [hl7:name/@code='TWLEK']
`hl7:name` | CV | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | TWLEK
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.5.1
`@codeSystemName` | 1 … 1 | F | PolskieKlasyfikatoryHL7v3
`@displayName` | 1 … 1 | F | Tryb wydania leku
`hl7:value` | CD | 1 … 1 | M |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.79 Tryb wydania leku (DYNAMICZNE)
`hl7:title` | ST | 1 … 1 | M |  | (plCnse)
| Schematron assert | rola | error |
| test | starts-with(hl7:title,'Realizacja recepty') |
| Komunikat | Tytuł dokumentu musi się zaczynać od ciągu znaków: "Realizacja recepty". |
`hl7:effectiveTime` | TS | 1 … 1 | M |  | (plCnse)
| Schematron assert | rola | error |
| test | concat(substring(@value,1,4),'-',substring(@value,5,2),'-',substring(@value,7,2)) castable as xs:date |
| Komunikat | Pierwsze 8 cyfr daty powinno być w formacie YYYYMMDD. |
`hl7:confidentialityCode` | CE | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | N
`@codeSystem` | 1 … 1 | F | 2.16.840.1.113883.5.25
`hl7:languageCode` | CS | 1 … 1 | M |  | (plCnse)
`@code` | CONF | 1 … 1 | F | pl-PL
`hl7:setId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
`hl7:versionNumber` | INT | 1 … 1 | M |  | (plCnse)
`@value` | int | 1 … 1 | R |
Dołączony | 1 … 1 | M | z 2.16.840.1.113883.3.4424.13.10.2.88 [2] Dane pacjenta dla dokumentu realizacji recepty (DYNAMICZNE)
`hl7:recordTarget` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | RCT
`@contextControlCode` |  | 0 … 1 | F | OP
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.88
`hl7:patientRole` |  | 0 … 1 | M |
| Ostrzeżenie: Jeśli isMandatory = true, minimumMultiplicity musi być większe od 0.
| (plCnse)
`@classCode` |  | 0 … 1 | F | PAT
`hl7:id` | II | 1 … * | M |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
| Schematron report | rola | error |
| test | @root='2.16.840.1.113883.3.4424.1.1.616' and not(matches(string(@extension),'^[0-9]{11}$')) |
| Komunikat | Jeżeli identyfikatorem jest numer PESEL, to musi zawierać 11 cyfr. |
| Schematron report | rola | warning |
| test | @root=('2.16.840.1.113883.3.4424.1.1','2.16.840.1.113883.3.4424.1.2','2.16.840.1.113883.3.4424.1.3','2.16.840.1.113883.3.4424.1.5') |
| Komunikat | Nieprawidłowa pula identyfikacji dla identyfikatora pacjenta. |
Dołączony | 0 … 1 | R | z 2.16.840.1.113883.3.4424.13.10.7.1 [7] Adres (bazowy) (DYNAMICZNE)
`hl7:addr` | AD.PL | 0 … 1 | R |  | (plCnse)
| Przykład | Adres z kodem TERYT SIMC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT SIMC: 9876543</censusTract>`
| Przykład | Adres z kodem TERYT TERC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract>`
| Przykład | Adres z kodem TERYT TERC i SMIC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract><censusTract>TERYT SIMC: 9876543</censusTract>`
`hl7:telecom` | TEL | 0 … 1 | R |  | (plCnse)
| Przykład | Numer telefonu stacjonarnego `<telecom value="tel:(22)5690147"/>`
| Przykład | Numer telefonu komórkowego `<telecom value="tel:+48501234345"/>`
| Przykład | Numer faksu `<telecom value="fax:(22)5690239"/>`
| Przykład | Adres email `<telecom value="email:jan@kowalski.com"/>`
| Przykład | Numer telefonu komórkowego podany jako kontakt jedynie poprzez SMS `<telecom value="sms:+48501234345"/>`
`hl7:patient` |  | 0 … 1 |  |  | (plCnse)
`@classCode` |  | 0 … 1 | F | PSN
`@determinerCode` |  | 0 … 1 | F | INSTANCE
`hl7:id` | II | 0 … * | NP |  | (plCnse)
Dołączony | 1 … 1 | R | z 2.16.840.1.113883.3.4424.13.10.7.2 [7] Nazwisko i imię osoby (bazowy) (DYNAMICZNE)
`hl7:name` |  | 1 … 1 | R |  | (plCnse)
`hl7:prefix` | ENXP | 0 … 1 |  |  | (plCnse)
`hl7:given` | ENXP | 1 … * | R |  | (plCnse)
`hl7:family` | ENXP | 1 … * | R |  | (plCnse)
`hl7:administrativeGenderCode` | CE | 0 … 1 |  |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMICZNE)
`hl7:birthTime` | TS.DATE | 0 … 1 | R |  | (plCnse)
| Schematron assert | rola | error |
| test | concat(substring(@value,1,4),'-',substring(@value,5,2),'-',substring(@value,7,2)) castable as xs:date |
| Komunikat | Pierwsze 8 cyfr daty urodzenia powinno być w formacie YYYYMMDD. |
`hl7:guardian` |  | 0 … * |  |  | (plCnse)
`@classCode` |  | 1 … 1 | F | GUARD
`hl7:id` | II | 1 … * |  |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
| Schematron report | rola | error |
| test | @root='2.16.840.1.113883.3.4424.1.1.616' and not(matches(string(@extension),'^[0-9]{11}$')) |
| Komunikat | Jeżeli identyfikatorem jest numer PESEL to musi zawierać 11 cyfr. |
| Schematron report | rola | warning |
| test | @root=('2.16.840.1.113883.3.4424.1.1','2.16.840.1.113883.3.4424.1.2','2.16.840.1.113883.3.4424.1.3','2.16.840.1.113883.3.4424.1.5') |
| Komunikat | Nieprawidłowa pula identyfikacji dla identyfikatora pacjenta. |
`hl7:code` | CE | 0 … 1 |  |  | (plCnse)
`@codeSystem` | CONF | 0 … 1 | F | 2.16.840.1.113883.5.111
Dołączony | 0 … 1 |  | z 2.16.840.1.113883.3.4424.13.10.7.1 [7] Adres (bazowy) (DYNAMICZNE)
`hl7:addr` | AD.PL | 0 … 1 |  |  | (plCnse)
| Przykład | Adres z kodem TERYT SIMC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT SIMC: 9876543</censusTract>`
| Przykład | Adres z kodem TERYT TERC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract>`
| Przykład | Adres z kodem TERYT TERC i SMIC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract><censusTract>TERYT SIMC: 9876543</censusTract>`
Wybór | 1 … 1 |  | Elementy do wyboru z: hl7:guardianPerson zawierający szablon2.16.840.1.113883.3.4424.13.10.2.1 [2] Osoba (bazowy) (DYNAMICZNE) hl7:guardianOrganization zawierający szablon2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMICZNE)
`hl7:guardianPerson` |  |  |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.1 [2] Osoba (bazowy) (DYNAMICZNE) | (plCnse)
|  |  |  |  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.1']]
`hl7:guardianOrganization` |  |  |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMICZNE) | (plCnse)
|  |  |  |  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.2']]
`extPL:multipleBirthInd` | BL | 0 … 1 |  |  | (plCnse)
`extPL:multipleBirthOrderNumber` | INT.POS | 0 … 1 |  |  | (plCnse)
| Schematron report | rola | error |
| test | extPL:multipleBirthInd/@value and not(extPL:multipleBirthOrderNumber/@value) |
| Komunikat | Dla ciąży mnogiej wymagane jest podanie numeru kolejności urodzenia. |
`hl7:providerOrganization` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.2']]
| Schematron report | rola | error |
| test | /hl7:ClinicalDocument[hl7:code[hl7:translation[hl7:qualifier[hl7:name/@code='PREC' and hl7:value/@code='E']]]] and not(hl7:addr[not(@nullFlavor)] and hl7:patient[hl7:name[not(@nullFlavor)] and hl7:birthTime[not(@nullFlavor)]]) |
| Komunikat | Dla dokumentu realizacji recepty elektronicznej wymagane jest podanie imienia i nazwiska pacjenta, jego adresu oraz daty urodzenia. |
Dołączony | 1 … 1 | M | z 2.16.840.1.113883.3.4424.13.10.2.84 [2] Autor dokumentu realizacji recepty (DYNAMICZNE)
`hl7:author` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | AUT
`@contextControlCode` |  | 0 … 1 | F | OP
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.84
`hl7:functionCode` | CE | 1 … 1 | R |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.3.4424.13.11.23 Zawód medyczny uprawniony do wystawiania dokumentu realizacji recepty (DYNAMICZNE)
`hl7:time` | TS | 1 … 1 | M |  | (plCnse)
| Schematron assert | rola | error |
| test | (@value=/hl7:ClinicalDocument/hl7:legalAuthenticator/hl7:time/@value) or (@value=/hl7:ClinicalDocument/hl7:authenticator/hl7:time/@value) |
| Komunikat | Data utworzenia dokumentu powinna być taka sama jak data wystawienia lub autoryzacji dokumentu. |
`hl7:assignedAuthor` |  | 1 … 1 | R |  | (plCnse)
`@classCode` |  | 0 … 1 | F | ASSIGNED
Wybór | 1 … 1 |  | Elementy do wyboru z: hl7:id[@root='2.16.840.1.113883.3.4424.1.6.1'] hl7:id[@root='2.16.840.1.113883.3.4424.1.1.616']
`hl7:id` | II | 0 … 1 |  |  | (plCnse)
|  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.1.6.1']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.1.6.1
`@extension` | st | 1 … 1 | R |
`hl7:id` | II | 0 … 1 |  |  | (plCnse)
|  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.1.1.616']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.1.1.616
`@extension` | st | 1 … 1 | R |
| Schematron report | rola | error |
| test | @root='2.16.840.1.113883.3.4424.1.1.616' and not(matches(string(@extension),'^[0-9]{11}$')) |
| Komunikat | Jeżeli identyfikatorem jest numer PESEL, to musi zawierać 11 cyfr. |
`hl7:addr` | AD | 0 … * |  |  | (plCnse)
`hl7:telecom` | TEL | 0 … * |  |  | (plCnse)
`hl7:assignedPerson` |  | 1 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.1 [2] Osoba (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.1']]
`hl7:representedOrganization` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.31 [2] Apteka (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.31']]
Dołączony | 0 … 1 |  | z 2.16.840.1.113883.3.4424.13.10.2.44 [2] Dane umowy związanej z refundacją (DYNAMICZNE)
`extPL:boundedBy` |  | 0 … 1 |  |  | (plCnse)
`@typeCode` | cs | 1 … 1 | F | PART
`extPL:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.44
`extPL:reimbursementRelatedContract` |  | 1 … 1 | M |  | (plCnse)
`@classCode` | cs | 1 … 1 | F | CNTRCT
`@moodCode` | cs | 1 … 1 | F | EVN
Wybór | 1 … 1 |  | Elementy do wyboru z: extPL:id[@nullFlavor='NA'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.1'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.2'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.3'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.4'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.5'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.6'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.7'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.8'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.9'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.10'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.11'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.12'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.13'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.14'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.15'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.1.16'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.1'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.2'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.3'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.4'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.5'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.6'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.7'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.8'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.9'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.10'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.11'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.12'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.13'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.14'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.15'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.2.16'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.1'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.2'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.3'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.4'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.5'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.6'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.7'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.8'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.9'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.10'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.11'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.12'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.13'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.14'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.15'] extPL:id[@root='2.16.840.1.113883.3.4424.8.6.3.16']
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@nullFlavor='NA']
`@nullFlavor` | cs | 1 … 1 | F | NA
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.1']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.1
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.2']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.2
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.3']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.3
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.4']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.4
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.5']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.5
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.6']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.6
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.7']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.7
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.8']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.8
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.9']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.9
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.10']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.10
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.11']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.11
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.12']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.12
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.13']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.13
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.14']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.14
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.15']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.15
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.1.16']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.1.16
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.1']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.1
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.2']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.2
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.3']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.3
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.4']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.4
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.5']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.5
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.6']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.6
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.7']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.7
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.8']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.8
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.9']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.9
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.10']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.10
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.11']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.11
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.12']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.12
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.13']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.13
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.14']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.14
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.15']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.15
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.2.16']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.2.16
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.1']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.1
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.2']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.2
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.3']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.3
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.4']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.4
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.5']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.5
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.6']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.6
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.7']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.7
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.8']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.8
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.9']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.9
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.10']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.10
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.11']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.11
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.12']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.12
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.13']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.13
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.14']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.14
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.15']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.15
`@extension` | st | 1 … 1 | R |
`extPL:id` |  | 0 … 1 |  |  | (plCnse)
|  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.8.6.3.16']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.8.6.3.16
`@extension` | st | 1 … 1 | R |
`extPL:code` |  | 0 … 1 |  |  | (plCnse)
`extPL:bounding` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` | cs | 1 … 1 | F | PART
`extPL:reimburser` |  | 1 … 1 | M |  | (plCnse)
`@classCode` | cs | 1 … 1 | F | UNDWRT
Wybór | 1 … 1 |  | Elementy do wyboru z: extPL:id[@root='2.16.840.1.113883.3.4424.3.1'] extPL:id[@root='1.0.3166.1'] extPL:id[@root='2.16.840.1.113883.3.4424.11.1.49']
`extPL:id` | II | 0 … 1 | R |  | (plCnse)
|  |  |  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.3.1']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.3.1
`@extension` | st | 1 … 1 | R |
`extPL:id` | II | 0 … 1 | R |  | (plCnse)
|  |  |  |  |  |  |  | gdzie [@root='1.0.3166.1']
`@root` | uid | 1 … 1 | F | 1.0.3166.1
`@extension` | st | 1 … 1 | R |
| Schematron assert | rola | warning |
| test | @extension=('AT','BE','BG','CY','CZ','DK','EE','FI','FR','GR','ES','NL','IS','IE','LI','LT','LU','LF','MT','DE','NO','PT','RO','SK','SI','CH','SE','HU','GB','IT','HR') |
| Komunikat | Nieprawidłowy identyfikator instytucji właściwej dla koordynacji |
`extPL:id` | II | 0 … 1 | R |  | (plCnse)
|  |  |  |  |  |  |  | gdzie [@root='2.16.840.1.113883.3.4424.11.1.49']
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.11.1.49
`@extension` | st | 1 … 1 | R |
| Schematron report | rola | error |
| test | (hl7:assignedAuthor/hl7:id/@root='2.16.840.1.113883.3.4424.1.6.1' and not(hl7:functionCode/@code='FARM')) or (hl7:assignedAuthor/hl7:id/@root='2.16.840.1.113883.3.4424.1.1.616' and not(hl7:functionCode/@code='TFARM')) |
| Komunikat | Wskazana pula numerów Prawa Wykonywania Zawodu jest nieprawidłowa w stosunku do wskazanego zawodu autora dokumentu. |
`hl7:dataEnterer` |  |  | NP |  | (plCnse)
`hl7:informant` |  |  | NP |  | (plCnse)
Dołączony | 1 … 1 | M | z 2.16.840.1.113883.3.4424.13.10.2.20 [2] Organizacja odpowiedzialna za dokument dla P1 (DYNAMICZNE)
`hl7:custodian` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | CST
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.20
`hl7:assignedCustodian` |  | 1 … 1 | M |  | (plCnse)
`@classCode` |  | 0 … 1 | F | ASSIGNED
`hl7:representedCustodianOrganization` |  | 1 … 1 | M |  | (plCnse)
`@classCode` |  | 0 … 1 | F | ORG
`@determinerCode` |  | 0 … 1 | F | INSTANCE
`hl7:id` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424
`@extension` | st | 0 | NP | NP/nie występuje
`@assigningAuthorityName` | st | 1 … 1 | F | CSIOZ
`@displayable` | bl | 1 … 1 | R |
`hl7:name` | ON | 0 … * | NP |  | (plCnse)
`hl7:telecom` | TEL | 0 … * | NP |  | (plCnse)
`hl7:addr` | AD | 0 … * | NP |  | (plCnse)
Dołączony | 0 … * |  | z 2.16.840.1.113883.3.4424.13.10.2.61 [2] Odbiorca informacji (bazowy) (DYNAMICZNE)
`hl7:informationRecipient` |  | 0 … * |  |  | (plCnse)
`@typeCode` | cs | 1 … 1 | R |
| CONF |
Wartość @typeCode musi pochodzić ze zbioru wartości 2.16.840.1.113883.1.11.19366 x_InformationRecipient (DYNAMICZNE)
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.61
`hl7:intendedRecipient` |  | 1 … 1 |  |  | (plCnse)
`@classCode` | cs | 1 … 1 | R |
| CONF |
@classCode musi mieć wartość "ASSIGNED"
`hl7:id` | II | 0 … * | R |  | (plCnse)
Dołączony | 0 … * |  | z 2.16.840.1.113883.3.4424.13.10.7.1 [7] Adres (bazowy) (DYNAMICZNE)
`hl7:addr` | AD.PL | 0 … * |  |  | (plCnse)
| Przykład | Adres z kodem TERYT SIMC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT SIMC: 9876543</censusTract>`
| Przykład | Adres z kodem TERYT TERC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract>`
| Przykład | Adres z kodem TERYT TERC i SMIC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract><censusTract>TERYT SIMC: 9876543</censusTract>`
`hl7:telecom` | TEL | 0 … * |  |  | (plCnse)
`hl7:informationRecipient` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.1 [2] Osoba (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.1']]
`hl7:receivedOrganization` |  | 1 … 1 | R | Zawiera 2.16.840.1.113883.3.4424.13.10.2.89 [2] Organizacja do której kierowany jest dokument (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.89']]
Dołączony | 1 … 1 | M | z 2.16.840.1.113883.3.4424.13.10.2.6 [2] Wystawca dokumentu (bazowy) (DYNAMICZNE)
`hl7:legalAuthenticator` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | LA
`@contextControlCode` |  | 0 … 1 | F | OP
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.6
`hl7:time` | TS | 1 … 1 | R |  | (plCnse)
`hl7:signatureCode` | CS | 1 … 1 | R |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.1.11.10282 ParticipationSignature (DYNAMICZNE)
`hl7:assignedEntity` |  | 1 … 1 | M |  | (plCnse)
`@classCode` |  | 0 … 1 | F | ASSIGNED
`hl7:id` | II | 1 … * | M |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
`hl7:code` | CE | 0 … 1 |  |  | (plCnse)
Dołączony | 0 … * |  | z 2.16.840.1.113883.3.4424.13.10.7.1 [7] Adres (bazowy) (DYNAMICZNE)
`hl7:addr` | AD.PL | 0 … * |  |  | (plCnse)
| Przykład | Adres z kodem TERYT SIMC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT SIMC: 9876543</censusTract>`
| Przykład | Adres z kodem TERYT TERC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract>`
| Przykład | Adres z kodem TERYT TERC i SMIC `<country>Polska</country><postalCode xsi:type="extPL:adxp.postalCode" postCity="Piaseczno">03-134</postalCode><city>Warszawa</city><streetName>Odkryta</streetName><houseNumber>41</houseNumber><unitID>12</unitID><censusTract>TERYT TERC: 1234567</censusTract><censusTract>TERYT SIMC: 9876543</censusTract>`
`hl7:telecom` | TEL | 0 … * |  |  | (plCnse)
`hl7:assignedPerson` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.1 [2] Osoba (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.1']]
`hl7:representedOrganization` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.2.2 [2] Organizacja (bazowy) (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.2.2']]
| Schematron report | rola | error |
| test | not(hl7:assignedPerson/hl7:name) and not(hl7:id[@root=/hl7:ClinicalDocument/hl7:author/hl7:assignedAuthor/hl7:id/@root and @extension=/hl7:ClinicalDocument/hl7:author/hl7:assignedAuthor/hl7:id/@extension]) |
| Komunikat | Jeśli wystawca dokumentu jest również jego autorem to identyfikator wystawcy musi być taki sam jak identyfikator autora. W przeciwnym wypadku należy podać dane personalne wystawcy dokumentu. |
`hl7:authenticator` |  |  | NP |  | (plCnse)
Dołączony | 0 … * |  | z 2.16.840.1.113883.3.4424.13.10.2.53 [2] Dane zlecenia (bazowy) (DYNAMICZNE)
`hl7:inFulfillmentOf` |  | 0 … * |  |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | FLFS
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.53
`hl7:order` |  | 1 … 1 |  |  | (plCnse)
`@classCode` |  | 0 … 1 | F | ACT
`@moodCode` |  | 1 … 1 | F | RQO
`hl7:id` | II | 1 … * | M |  | (plCnse)
`hl7:code` | CE | 0 … 1 |  |  | (plCnse)
`@codeSystem` | CONF | 0 … 1 | F | 2.16.840.1.113883.5.4 (ActCode)
`hl7:priorityCode` | CE | 0 … 1 |  |  | (plCnse)
| CONF |
Wartość @code musi pochodzić ze zbioru wartości 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMICZNE)
`hl7:documentationOf` |  |  | NP |  | (plCnse)
Dołączony | 0 … 1 |  | z 2.16.840.1.113883.3.4424.13.10.2.83 [2] Dokument powiązany dla dokumentu recepty (DYNAMICZNE)
`hl7:relatedDocument` |  | 0 … 1 |  |  | (plCnse)
`@typeCode` | cs | 1 … 1 | F | RPLC
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.83
`hl7:parentDocument` |  | 1 … 1 | R |  | (plCnse)
`@classCode` |  | 0 … 1 | F | DOCCLIN
`@moodCode` |  | 0 … 1 | F | EVN
`hl7:id` | II | 1 … 1 | M |  | (plCnse)
`hl7:setId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | R |
`@extension` | st | 1 … 1 | R |
`hl7:versionNumber` | INT | 1 … 1 | M |  | (plCnse)
| Schematron report | rola | error |
| test | hl7:id[@root=/hl7:ClinicalDocument/hl7:id/@root and @extension=/hl7:ClinicalDocument/hl7:id/@extension] |
| Komunikat | Idetyfikator dokumentu jest taki sam jak identyfikator dokumentu powiązanego wskazujcego na jego poprzednią wersję. |
| Schematron assert | rola | error |
| test | hl7:setId[@root=/hl7:ClinicalDocument/hl7:setId/@root and @extension=/hl7:ClinicalDocument/hl7:setId/@extension] |
| Komunikat | Identyfikator grupy wersji dokumentów (setId) powienien być identyczny dla dokumentu i dokumentu powiązanego wskazującego na jego poprzednią wersję. |
| Schematron assert | rola | error |
| test | (xs:integer(hl7:versionNumber/@value)+1)=xs:integer(/hl7:ClinicalDocument/hl7:versionNumber/@value) |
| Komunikat | Dokument powiązany powienien wskazywać poprzednią wersję dokumentu. |
`hl7:authorization` |  |  | NP |  | (plCnse)
`hl7:componentOf` |  |  | NP |  | (plCnse)
Dołączony | 1 … 1 | M | z 2.16.840.1.113883.3.4424.13.10.2.80 [2] Treść dokumentu realizacji recepty (DYNAMICZNE)
`hl7:component` |  | 1 … 1 | M |  | (plCnse)
`@typeCode` |  | 0 … 1 | F | COMP
`@contextConductionInd` | bl | 0 … 1 |  |
`hl7:templateId` | II | 1 … 1 | M |  | (plCnse)
`@root` | uid | 1 … 1 | F | 2.16.840.1.113883.3.4424.13.10.2.80
`hl7:structuredBody` |  | 1 … 1 | M |  | (plCnse)
`@classCode` |  | 0 … 1 | F | DOCBODY
`@moodCode` |  | 0 … 1 | F | EVN
`hl7:component` |  | 1 … 1 | M | Zawiera 2.16.840.1.113883.3.4424.13.10.3.70 [3] Sekcja wydania leku (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:section [hl7:code [(@code='60590-7' and @codeSystem='2.16.840.1.113883.6.1')]]]
`hl7:component` |  | 0 … 1 | R | Zawiera 2.16.840.1.113883.3.4424.13.10.3.69 [3] Sekcja danych ubezpieczeniowych (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:section [hl7:code [(@code='48768-6' and @codeSystem='2.16.840.1.113883.6.1')]]]
`hl7:component` |  | 0 … 1 |  | Zawiera 2.16.840.1.113883.3.4424.13.10.3.2 [3] Sekcja informacji dodatkowych (DYNAMICZNE) | (plCnse)
|  |  | gdzie [hl7:section [hl7:templateId [@root='2.16.840.1.113883.3.4424.13.10.3.2']]]
| Schematron report | rola | error |
| test | //hl7:act[hl7:templateId/@root='2.16.840.1.113883.3.4424.13.10.4.67']/hl7:entryRelationship/hl7:observation[hl7:code/@code='RLPO']/hl7:value/@code!='100%' and not(hl7:component/hl7:section[hl7:templateId[@root='2.16.840.1.113883.3.4424.13.10.3.69']]) |
| Komunikat | Dla realizacji recepty refundowanej wymagana jest sekcja danych ubezpieczeniowych. |
| Zmienna let | Nazwa | versionLabel |
| Wartość | '1.3.2' |
| Schematron report | rola | error |
| test | hl7:code/hl7:translation/hl7:qualifier[hl7:name/@code='PREC']/hl7:value/@code='P' and not(hl7:code/hl7:translation/hl7:qualifier[hl7:name/@code='RRECP']) |
| Komunikat | Dokument realizacji recepty papierowej musi zawierać informacje o rodzaju recepty papierowej. |
| Schematron assert | rola | error |
| test | count(hl7:templateId[@root and xs:string(@extension)=xs:string($versionLabel)])=1 |
| Komunikat | Nie występuje prawidłowe oznaczenie zgodności dokumentu z daną wersją wydania Polskiej Implementacji Krajowej HL7 CDA. |
| Schematron assert | rola | error |
| test | /processing-instruction('xml-stylesheet') = concat('href="CDA_PL_IG_',$versionLabel,'.xsl" type="text/xsl"') |
| Komunikat | Nieprawidłowe wskazanie transformaty generującej warstwę prezentacyjną dokumentu. |