When authoring a document, there are often requirements to express people who are related to, but not directly the target of care. There may also be need to store information about providers who were involved in the care act but not necessarily an author, or informant.
In CDA, such persons are represented as a series of participant relationships within the header. Participant elements within the CDA header should match the production outlined in Figure 9.
Figure 9 - Specification for next of kin and participants
<participant typeCode="IND">
<associatedEntity classCode="NOK">
<!-- 1..1 code identifying the releationship drawn from table -->
<code code="" displayName=" "
codeSystem="" codeSystemName=" " />
<!-- 0..n addr elements identifying the participants address -->
<addr/>
<!-- 0..n telecom elements identifying the telecom addresses -->
<telecom/>
<!-- 1..1 assignedPerson relationships -->
<associatedPerson>
<!-- 1..n name elements representing the names of the participant -->
<name/>
</associatedPerson>
</associatedEntity>
</participant>
The relationship codes identified map to OpenMRS PersonRelationship types and should be drawn from Table 6.
Table 6 - Family member codes
Code |
Code System |
Relationship |
127848009 |
SNOMED CT |
Patient's domestic partner |
FAMMEMB |
HL7 RoleCode |
Family member |
MTH |
HL7 RoleCode |
Mother |
FTH |
HL7 RoleCode |
Father |
GRMTH |
HL7 RoleCode |
Grandmother |
GRFTH |
HL7 RoleCode |
Grandfather |
SIB |
HL7 RoleCode |
Sibling |
CHILD |
HL7 RoleCode |
Child |
DOMPART |
HL7 RoleCode |
Domestic partner (equivalent to 127848009) |