Template

Show index

Template Frühere Erkrankungen - kodiert 2019‑01‑18 09:09:38

Id2.16.840.1.113883.3.1937.99.61.19.10.65Gültigkeit ab2019‑01‑18 09:09:38
Statusdraft EntwurfVersions-Label2019
Nameelga_section_FruehereErkrankungKodiertBezeichnungFrühere Erkrankungen - kodiert
Beschreibung
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.3.1937.99.61.19.10.65
LabelIHE PCC TF2 Rev.11, 6.3.3.2.5
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 0 Transactions und 0 Templates, Benutzt 1 Template
Benutzt als NameVersion
2.16.756.5.30.1.1.10.4.90Containmentactive Problem Concern Entry (2016)DYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.3.8 (DYNAMIC)
Beispiel
Beispiel
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.50"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.8"/>  <code code="11348-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PAST ILLNESS"/>  <title>Antécédents médicaux</title>  <text>
    <!-- Narrative Text -->
  </text>
  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.90 'Problem Concern Entry' -->
  </entry>
</section>
ItemDTKardKonfBeschreibungLabel
hl7:section
en-US

Chapter (CDA Body Section) containing the history of past illness according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section contains the anamnesis of the patient. The section MUST contain at least one Problem entry. In case of no problems, one of the 'special case' codes MUST be used.

In the context of immunizations, only the diseases should be mentioned which lead to a natural immunization.

IHE PCC TF2 Rev.11, 6.3.3.2.5
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1F2.16.756.5.30.1.1.10.3.50
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.8
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.19.10.65
hl7:id
II0 … *Ren-US An ID for this section MAY be filled for traceability.IHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1Ren-US MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st0 … 1 en-US Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CE1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@code
st1 … 1F11348-0
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@codeSystemName
st1 … 1FLOINC
@displayName
st1 … 1FHISTORY OF PAST ILLNESS
hl7:title
ST1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
 CONF
Elementinhalt muss "History of Past Illness" sein
-oder-
Elementinhalt muss "Bisherige Krankheiten" sein
-oder-
Elementinhalt muss "Antécédents médicaux" sein
-oder-
Elementinhalt muss "Storia medica" sein
 Variable letNamelanguageCode 
 Valuesubstring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2) 
 Schematron assertrolered error 
 testnot($languageCode='en') or (text()='History of Past Illness') 
 MeldungThe English title MUST read 'History of Past Illness' 
 Schematron assertrolered error 
 testnot($languageCode='de') or (text()='Bisherige Krankheiten') 
 MeldungThe German title must MUST read 'Bisherige Krankheiten' 
 Schematron assertrolered error 
 testnot($languageCode='fr') or (text()='Antécédents médicaux') 
 MeldungThe French title MUST read 'Antécédents médicaux' 
 Schematron assertrolered error 
 testnot($languageCode='it') or (text()='Storia medica') 
 MeldungThe Italian title MUST read 'Storia medica' 
hl7:text
SD.TEXT1 … 1Men-US The narrative text for this section.IHE PCC TF2 Rev.11, 6.3.3.2.5
hl7:entry
1 … *Men-US The narrative text in the text element of the section MUST be generated automatically from the information in this entry.
Beinhaltet 2.16.756.5.30.1.1.10.4.90 Problem Concern Entry (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.3.2.5
@typeCode
cs1 … 1FDRIV
@contextConductionInd
bl1 … 1Ftrue