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Template XeH Clinical Information 2022‑03‑17 11:51:55

Id2.16.840.1.113883.2.51.10.61Effective Date2022‑03‑17 11:51:55
Statusactive ActiveVersion LabelDICOM-20150324
NameXeHClinicalInformationDisplay NameXeH Clinical Information
DescriptionClinical details about the case such as presenting signs and symptoms, past clinical history, the overall condition of the patient, etc
ContextParent nodes of template element with id 2.16.840.1.113883.2.51.10.61
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 4 templates
Used by as NameVersion
2.16.840.1.113883.2.51.10.2Containmentactive XeH Diagnostic Imaging Report (1.0)2021‑06‑21 14:23:14
2.16.840.1.113883.2.51.10.2Containmentactive XeH Diagnostic Imaging Report (1.1)2023‑12‑13 17:06:14
Uses as NameVersion
1.2.840.10008.9.23Includedraft General Section Entries (DICOM-20150324)DYNAMIC
2.16.840.1.113883.2.51.10.62Containmentactive XeH Request (DICOM-20150324)DYNAMIC
2.16.840.1.113883.2.51.10.77Containmentactive XeH Procedure Indications (DICOM-20150324)DYNAMIC
2.16.840.1.113883.10.20.22.2.39Containmentdraft Medical (General) History Section (2.1)DYNAMIC
RelationshipAdaptation: template 1.2.840.10008.9.2 Clinical Information (2021‑06‑22 11:38:24)
ref
DICOM-
Example
Example
<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="1.2.840.10008.9.2"/>  <id root="1.2.840.10213.2.62.994044785528.114289542805"/>  <code code="55752-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Clinical Information"/>  <title>Clinical Information</title>  <text>The patient was referred for evaluation of suspected pulmonary embolism.</text>  <!---see examples for other sections/entries -->
</section>
ItemDTCardConfDescriptionLabel
hl7:section
1 … 1RXeHCdotstion
hl7:templateId
II1 … 1MXeHCdotstion
@root
uid1 … 1F2.16.840.1.113883.2.51.10.61
hl7:id
II1 … 1RXeHCdotstion
hl7:code
CD1 … 1RXeHCdotstion
@code
CONF0 … 1F55752-0
@codeSystem
0 … 1F2.16.840.1.113883.6.1
 Example<hl7:code code="55752-0" codeSystem="2.16.840.1.113883.6.1"/>
hl7:title
ST1 … 1RXeHCdotstion
hl7:text
SD.TEXT1 … 1MXeHCdotstion
Included0 … 1 from 1.2.840.10008.9.23 General Section Entries (DYNAMIC)
hl7:author
0 … 1Genedotsries
 Example<cda:author>
  <cda:time value="20210806063409"/>  <cda:assignedAuthor>
    <cda:id root="1.2.3.999" extension="--example only--"/>    <cda:assignedPerson>
      <cda:name>name</cda:name>    </cda:assignedPerson>    <cda:assignedAuthoringDevice>
      <cda:manufacturerModelName>manufacturerModelName</cda:manufacturerModelName>      <cda:softwareName>softwareName</cda:softwareName>    </cda:assignedAuthoringDevice>    <cda:representedOrganization>
      <cda:name>name</cda:name>    </cda:representedOrganization>  </cda:assignedAuthor></cda:author>
hl7:time
TS1 … 1RGenedotsries
hl7:assignedAuthor
1 … 1RGenedotsries
hl7:id
II1 … *RGenedotsries
hl7:assignedPerson
1 … 1RGenedotsries
hl7:name
PN1 … 1RGenedotsries
hl7:assignedAuthoringDevice
1 … 1RGenedotsries
hl7:manufacturerModelName
ST0 … 1Genedotsries
hl7:softwareName
ST0 … 1Genedotsries
hl7:representedOrganization
0 … 1Genedotsries
hl7:name
ON0 … 1Genedotsries
hl7:entry
0 … 1Contains 2.16.840.1.113883.10.20.6.2.13 Code Observations (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 2.16.840.1.113883.10.20.6.2.14 Quantity Measurement Observation (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 1.3.6.1.4.1.19376.1.4.1.4.7 Observation Media Entry (DYNAMIC)Genedotsries
hl7:entry
0 … 1Contains 1.2.840.10008.9.18 SOP Instance Observation (DYNAMIC)Genedotsries
hl7:component
0 … 1Contains 2.16.840.1.113883.2.51.10.62 XeH Request (DYNAMIC)XeHCdotstion
hl7:component
0 … 1Contains 2.16.840.1.113883.2.51.10.77 XeH Procedure Indications (DYNAMIC)XeHCdotstion
hl7:component
0 … 1Contains 2.16.840.1.113883.10.20.22.2.39 Medical (General) History Section (DYNAMIC)XeHCdotstion