1.3.6.1.4.1.19376.1.5.3.1.2.4.1

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Spouse 1.3.6.1.4.1.19376.1.5.3.1.2.4.1

The spouse header element records the spouse of a patient, and inherits other constraints from the Patient Contacts entry. Items in bold in the example below show the additional constraints on this element.

This element SHALL be included as a participant in the header of the CDA document in the event of the pregnancy. If this does not apply to the patient this element SHALL use a null flavor.

Parent Template

The parent of this template is Patient Contacts.

Uses

See Templates using Spouse

Specification

Spouse Example

<participant typeCode='IND'> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.4'/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.4.1'/> <associatedEntity classCode='PRS'> <addr></addr> <telecom value=' ' use=' '/> <assignedPerson><name></name></assignedPerson> </associatedEntity> </participant>

<templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.4'/><templateId root='1.3.6.1.4.1.19376.1.5.3.1.2.4.1'/>

The <templateId> element identifies this person as a spouse and must be recorded exactly as shown above.

<rule context='hl7:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.2.4.1"]'>
  <assert test='hl7:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.2.4"'>
    A participant using template 1.3.6.1.4.1.19376.1.5.3.1.2.4.1 must also use template 1.3.6.1.4.1.19376.1.5.3.1.2.4.
  </assert>
</rule>

<associatedEntity classCode='PRS'>

The classCode attribute of the <associatedEntity> element shall be PRS.

<rule context='hl7:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.2.4.1"]'>
  <assert test='../hl7:associatedEntity/@classCode = "PRS"'>
    The classCode attribute of the associated entity shall be PRS.
  </assert>
</rule>

This element SHALL use xx-spouse (requested) to represent the patient's spouse or 184142008 to represent the patient's next of kin. The code system name is SNOMED CT.

Completed Example

  <!-- Husband/Domestic Partner -->
  <participant typeCode="IND">
    <associatedEntity classCode="NOK"> 
      <code code="184142008" displayName="patient's next of kin" 
        codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
      <addr>
        <streetAddressLine>45 Chunn Dr.</streetAddressLine>
        <city>Spring Hill</city>
        <state>TN</state>
        <postalCode>37174</postalCode>
        <country>USA</country>
      </addr>
      <telecom value="tel:(999)555-1212" use="WP"/>
      <associatedPerson>
        <name>
          <prefix>Mr.</prefix>
          <given>John</given>
          <family>Youngston</family>
        </name>
      </associatedPerson>
    </associatedEntity>
  </participant>