| 1 |
<?xml version="1.0"?>
|
| 2 |
<PRPA_IN201301UV02 xmlns="urn:hl7-org:v3" ITSVersion="XML_1.0">
|
| 3 |
<id root="1.3.6.1.4.1.21998.2.1.10.13" extension="1506503194338"/>
|
| 4 |
<creationTime value="20170927133434"/>
|
| 5 |
<versionCode code="V3PR1"/>
|
| 6 |
<interactionId root="2.16.840.1.113883.1.6" extension="PRPA_IN201301UV02"/>
|
| 7 |
<processingCode code="P"/>
|
| 8 |
<processingModeCode code="T"/>
|
| 9 |
<acceptAckCode code="AL"/>
|
| 10 |
<receiver typeCode="RCV">
|
| 11 |
<device classCode="DEV" determinerCode="INSTANCE">
|
| 12 |
<id root="1.3.6.1.4.1.21367.2009.2.2.795"/>
|
| 13 |
<asAgent classCode="AGNT">
|
| 14 |
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 15 |
<id root="1.3.6.1.4.1.21367.2009.2.2.1"/>
|
| 16 |
</representedOrganization>
|
| 17 |
</asAgent>
|
| 18 |
</device>
|
| 19 |
</receiver>
|
| 20 |
<sender typeCode="SND">
|
| 21 |
<device classCode="DEV" determinerCode="INSTANCE">
|
| 22 |
<id root="1.3.6.1.4.1.21367.2017.2.2.22"/>
|
| 23 |
<asAgent classCode="AGNT">
|
| 24 |
<representedOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 25 |
<id root="1.3.6.1.4.1.21367.2017.2.7.22"/>
|
| 26 |
</representedOrganization>
|
| 27 |
</asAgent>
|
| 28 |
</device>
|
| 29 |
</sender>
|
| 30 |
<controlActProcess classCode="CACT" moodCode="EVN">
|
| 31 |
<code code="PRPA_TE201301UV02" codeSystem="2.16.840.1.113883.1.6"/>
|
| 32 |
<subject typeCode="SUBJ" contextConductionInd="false">
|
| 33 |
<registrationEvent classCode="REG" moodCode="EVN">
|
| 34 |
<id nullFlavor="NA"/>
|
| 35 |
<statusCode code="active"/>
|
| 36 |
<subject1 typeCode="SBJ">
|
| 37 |
<patient classCode="PAT">
|
| 38 |
<id root="1.3.6.1.4.1.21367.2017.2.5.13" extension="761337610430891416" assigningAuthorityName="POC0"/>
|
| 39 |
<statusCode code="active"/>
|
| 40 |
<patientPerson classCode="PSN" determinerCode="INSTANCE">
|
| 41 |
<name use="L">
|
| 42 |
<given>Marie-Christelle Victoire</given><family>Aschwanden-Stocker</family><family qualifier="BR">STOCKER</family></name>
|
| 43 |
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"/>
|
| 44 |
<birthTime value="19880416"/>
|
| 45 |
<asMember classCode="MBR">
|
| 46 |
<group classCode="NAT" determinerCode="INSTANCE">
|
| 47 |
<code code="CH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode"/>
|
| 48 |
</group>
|
| 49 |
</asMember>
|
| 50 |
<asOtherIDs classCode="PAT">
|
| 51 |
<id root="2.16.756.5.30.1.127.3.10.3" extension="761337610430891416" assigningAuthorityName="EPR-SPID"/>
|
| 52 |
<scopingOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 53 |
<id root="2.16.756.5.30.1.127.3.10.3"/>
|
| 54 |
</scopingOrganization>
|
| 55 |
</asOtherIDs>
|
| 56 |
<asOtherIDs classCode="PAT">
|
| 57 |
<id root="2.16.756.5.30.1.130.200.10.200.13" extension="7560430891416" assigningAuthorityName="AVN13"/>
|
| 58 |
<scopingOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 59 |
<id root="2.16.756.5.30.1.130.200.10.200.13"/>
|
| 60 |
</scopingOrganization>
|
| 61 |
</asOtherIDs>
|
| 62 |
<personalRelationship classCode="PRS">
|
| 63 |
<code code="FTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="FTH"/>
|
| 64 |
<relationshipHolder1 classCode="PSN" determinerCode="INSTANCE">
|
| 65 |
<name use="L">
|
| 66 |
<given>Haroun</given><family>BERDAT</family></name>
|
| 67 |
</relationshipHolder1>
|
| 68 |
</personalRelationship>
|
| 69 |
<personalRelationship classCode="PRS">
|
| 70 |
<code code="MTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="MTH"/>
|
| 71 |
<relationshipHolder1 classCode="PSN" determinerCode="INSTANCE">
|
| 72 |
<name use="L">
|
| 73 |
<given>Nesreen</given><family>BERDAT</family></name>
|
| 74 |
</relationshipHolder1>
|
| 75 |
</personalRelationship>
|
| 76 |
<birthPlace classCode="BIRTHPL">
|
| 77 |
<addr>
|
| 78 |
<city>Zürich</city>
|
| 79 |
<state>ZH</state>
|
| 80 |
</addr>
|
| 81 |
</birthPlace>
|
| 82 |
</patientPerson>
|
| 83 |
<providerOrganization classCode="ORG" determinerCode="INSTANCE">
|
| 84 |
<id root="1.3.6.1.4.1.21367.2017.2.5.13"/>
|
| 85 |
<name>IHE</name>
|
| 86 |
<contactParty classCode="CON">
|
| 87 |
<id root="1.3.6.1.4.1.21367.2017.2.5.13"/>
|
| 88 |
<contactPerson classCode="PSN" determinerCode="INSTANCE">
|
| 89 |
<name>IHE</name>
|
| 90 |
</contactPerson>
|
| 91 |
</contactParty>
|
| 92 |
</providerOrganization>
|
| 93 |
</patient>
|
| 94 |
</subject1>
|
| 95 |
<custodian typeCode="CST">
|
| 96 |
<assignedEntity classCode="ASSIGNED">
|
| 97 |
<id nullFlavor="NA"/>
|
| 98 |
</assignedEntity>
|
| 99 |
</custodian>
|
| 100 |
</registrationEvent>
|
| 101 |
</subject>
|
| 102 |
</controlActProcess>
|
| 103 |
</PRPA_IN201301UV02>
|
