Template 2.16.840.1.113883.3.1937.777.11.10.109

Template epSOS CDA legalAuthenticator

Id 2.16.840.1.113883.3.1937.777.11.10.109 Effective Date 2013‑12‑20

Status Draft Version Label

Name epSOSCDAlegalAuthenticator Display Name epSOS CDA legalAuthenticator

Description

The person taking responsibility for the medical content of the document. In Spain this is the regional authority in healthcare. This regional authority healthcare organization will send this to the NCP. The definition of the legal authenticator may vary accoriding to the rules set up in the framework agreement particular to each state. It may be a person or a regional authority, or an NCP.

In any case, as well described in the IG CDA R2 – Imaging Integration: Local policies may choose to delegate the function of legal authentication to a device or system that generates the clinical document. In these cases, the legal authenticator is a person accepting responsibility for the document, not the generating device or system.”

Classification CDA Header Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 7 templates, Uses 1 template

Used by	as	Name	Version
1.3.6.1.4.1.12559.11.10.1.3.1.1.1	Include	epSOS-ePrescription	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.2	Include	epSOS-eDispensation	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.3	Include	epSOS-Patient Summary	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4	Include	epSOS-Health Care Encounter Report	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5	Include	epSOS-Medication Related Overview	2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.6	Include	eHDSI-ePrescription PDF embedded	2017‑03‑11 22:32:59
1.3.6.1.4.1.12559.11.10.1.3.1.1.7	Include	eHDSI-Patient Summary PDF embedded	2017‑03‑11 18:41:31
Uses	as	Name	Version
2.16.840.1.113883.3.1937.777.11.10.111	Containment	epSOS CDA Organization	DYNAMIC

Relationship Adaptation: template 2.16.840.1.113883.10.12.106 (2005‑09‑07)

Example

<legalAuthenticator> <time value="20111013150937"/> <signatureCode code="S"/> <assignedEntity> <id extension="admin" root="2.16.17.710.780.1000.903.1.1.3.3"/> <assignedPerson> <name> <given>John</given> <family>Español Smith</family> </name> </assignedPerson> <representedOrganization> <name>Healthcare Facility's name</name> <addr> <country>NL</country> <streetName>Duinweg</streetName> <houseNumber>23</houseNumber> <postalCode>7364 RX</postalCode> <city>Amsterdam</city> </addr> </representedOrganization> </assignedEntity></legalAuthenticator>

There are open issues with this item:

epsos-issue-235: hl7:assignedPerson contains twice the element hl7:name (In Progress)
epsos-issue-253: Adapt conformancy of family and given elements conform the EXPAND specifications (Feedback needed)

Item DT Card Conf Description Label

hl7:legalAuthenticator R The person taking responsibility for the medical content of the document. In Spain this is the regional authority in healthcare. This regional authority healthcare organization will send this to the NCP. The definition of the legal authenticator may vary accoriding to the rules set up in the framework agreement particular to each state. It may be a person or a regional authority, or an NCP. R1.11.9

hl7:time TS.EPSOS.TZ 1 … 1 M Time of signing the document R1.11.9

hl7:signatureCode CS 1 … 1 R Signature code R1.11.9

@code CONF 0 … 1 F S

hl7:assignedEntity 1 … 1 M The regional authority that is responsible for the legal authentication of the CDA document R1.11.9

hl7:id 1 … 1 M Unique identification of legal authenticator R1.11.9

hl7:addr AD.EPSOS 1 … * R IHE PCC

hl7:telecom

TEL

1 … *

Legal Authenticator's Telecom

If there is no information, the nullFlavor attribute shall have a value of 'NI' and the "value" and "use" attributes shall be omitted, otherwise the nullFlavor attribute shall not be present, and the "value" and "use" attributes shall be present.

Optionalities and Cardinalities of the following two items shall be interpreted according to this rule: e.g. is not expected to have two nullFlavored telecom elements.

R1.10.9.4 / R1.10.9.4.1 / R1.10.9.4.2

@use set_cs 0 … 1

CONF

The value of @use shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.40 epSOSTelecomAddress (DYNAMIC)

@nullFlavor cs 0 … 1 F NI

Example <telecom use="WP" value="tel:+45 20 7025 6161"/><telecom use="HP" value="mailto:jsmith@myprovider.co.uk"/>

hl7:assignedPerson 1 … 1 R IHE PCC

@classCode cs 0 … 1 F PSN

@determinerCode cs 0 … 1 F INSTANCE

hl7:name PN 1 … 1 R HP Name IHE PCC

Example <name> <given>John</given> <family>Español Smith</family></name>

hl7:family 1 … * M HP Family Name/Surname R1.10.1

hl7:given 1 … * M HP Given Name R1.10.2

hl7:prefix 0 … * R HP Prefix R1.10.3

hl7:suffix 0 … * R HP Suffix R1.10.4

hl7:representedOrganization 1 … 1 M Contains 2.16.840.1.113883.3.1937.777.11.10.111 epSOS CDA Organization (DYNAMIC) R1.11.9

where [not(@nullFlavor)]

Template epSOS CDA legalAuthenticator