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Template Indication (V2) 2014‑06‑09

Id	2.16.840.1.113883.10.20.22.4.19 ref ccda-	Gültigkeit ab	2014‑06‑09
Status	Entwurf	Versions-Label	2.1
Name	IndicationV2	Bezeichnung	Indication (V2)
Beschreibung This template represents the rationale for an action such as an encounter, a medication administration, or a procedure. The id element can be used to reference a problem recorded elsewhere in the document, or can be used with a code and value to record the problem. Indications for treatment are not laboratory results; rather the problem associated with the laboratory result should be sited (e.g., hypokalemia instead of a laboratory result of Potassium 2.0 mEq/L). Use the Drug Monitoring Act [[]templateId 2.16.840.1.113883.10.20.22.4.123] to indicate if a particular drug needs special monitoring (e.g., anticoagulant therapy). Use Precondition for Substance Administration (V2) [[]templateId 2.16.840.1.113883.10.20.22.4.25.2] to represent that a medication is to be administered only when the associated criteria are met.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.20.22.4.19
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 11 Transactions und 100 Templates, Benutzt 0 Templates Benutzt von als Name Version 2.16.840.1.113883.3.1937.99.3.4.28 Transaktion Procedure Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.26 Transaktion History and Physical (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.22 Transaktion Consultation Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.29 Transaktion Progress Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.21 Transaktion Care Plan (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.23 Transaktion Continuity of Care Document (CCD) (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.30 Transaktion Referral Note (V2) 2015‑08‑01 1.3.6.1.4.1.32722.77.77.1.4.6 Transaktion Verzenden gegevens voor behandeling Longregistratie 2012‑12‑27 14:12:19 2.16.840.1.113883.3.1937.99.3.4.27 Transaktion Operative Note (V3) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.31 Transaktion Transfer Summary (V2) 2015‑08‑01 2.16.840.1.113883.3.1937.99.3.4.25 Transaktion Discharge Summary (V3) 2015‑08‑01 1.3.6.1.4.1.19376.1.4.1.4.14 Containment Procedure Activity Procedure - Cardiac (1.0) 2017‑04‑12 20:35:17 1.3.6.1.4.1.19376.1.4.1.4.35 Containment Procedure Activity Procedure Medical History - Cardiac (1.0) 2017‑03‑21 20:50:51 1.3.6.1.4.1.19376.1.4.1.4.36 Containment Procedure Activity Observation Medical History - Cardiac (1.0) 2017‑03‑21 22:51:53 1.3.6.1.4.1.19376.1.4.1.4.38 Containment Planned Procedure - Cardiac (1.0) 2017‑03‑23 15:57:39 1.3.6.1.4.1.19376.1.4.1.4.41 Containment Medication Activity - Cardiac (1.0) 2017‑03‑24 00:35:10 1.3.6.1.4.1.19376.1.5.3.1.3.1 Reason for Referral Section (V2) (2.1) 2014‑06‑09 1.3.6.1.4.1.32722.77.77.1.10.7 Radiotherapeutische Longregistratie voor aanvang behandeling 2013‑02‑20 2.16.840.1.113883.3.51.60.2.4 BC CDA ClinicalDocumentDischargeSummary (V3) (2.1) 2019‑03‑19 14:15:51 2.16.840.1.113883.3.1937.99.61.8.10.3.2 Plan of Care Section 2014‑02‑04 13:11:29 2.16.840.1.113883.3.1937.99.61.8.10.3.4 Procedures Section (entries required) 2014‑02‑04 13:13:02 2.16.840.1.113883.3.1937.99.61.17.10.2 SHN StructuredBody 2015‑05‑09 11:18:02 2.16.840.1.113883.3.1937.99.61.17.10.3 SHN component 2015‑05‑09 11:28:46 2.16.840.1.113883.3.1937.99.61.18.10.6 Выписной эпикриз 2015‑06‑06 14:32:25 2.16.840.1.113883.3.1937.99.61.20.10.7 Encounters Section (entries required) (V3) (2.1) 2015‑11‑03 08:56:18 2.16.840.1.113883.3.1937.99.61.20.10.9 Medications Section (entries required) (V2) (2.1) 2015‑11‑03 08:58:06 2.16.840.1.113883.3.1937.99.61.21.10.20 NH MI (fake) Recommendation (2.1) 2019‑07‑25 23:56:49 2.16.840.1.113883.3.1937.99.61.26.10.54 Containment Procedure Activity Procedure (V2) (2.1) 2019‑03‑06 15:52:43 2.16.840.1.113883.3.1937.99.61.26.10.55 Allergy - Intolerance Observation (V2) (2.1) 2019‑03‑08 04:36:16 2.16.840.1.113883.3.1937.99.61.26.10.61 Allergy Concern Act (V3) (2.1) 2019‑03‑09 13:34:13 2.16.840.1.113883.3.1937.99.61.26.10.62 Allergies and Intolerances Section (entries optional) (V3) (2.1) 2019‑03‑09 13:37:11 2.16.840.1.113883.3.1937.99.61.26.10.112 Adverse Events Section (entries optional) (V3) (2.1) 2019‑03‑25 06:01:02 2.16.840.1.113883.3.1937.99.61.26.10.114 Containment Medication Activity (V2) (2.1) 2019‑03‑31 19:39:09 2.16.840.1.113883.3.1937.99.61.26.10.119 Containment Planned Procedure (V2) (2.1) 2019‑04‑29 08:33:00 2.16.840.1.113883.3.1937.99.61.26.10.120 Containment Planned Medication Activity (V2) (2.1) 2019‑04‑29 08:53:13 2.16.840.1.113883.3.1937.99.61.26.10.121 Containment Planned Supply (V2) (2.1) 2019‑04‑29 09:00:08 2.16.840.1.113883.3.1937.99.61.26.10.122 Nutrition Recommendation (2.1) 2019‑04‑29 09:01:33 2.16.840.1.113883.3.1937.99.61.26.10.124 Containment Planned Immunization Activity (2.1) 2019‑04‑29 09:02:35 2.16.840.1.113883.3.1937.99.61.28.10.3 CDA de Consulta (1) 2017‑04‑22 23:20:01 2.16.840.1.113883.3.1937.99.61.30.10.54 Health Concern Act (harmonized) (0.1) 2020‑10‑08 10:55:41 2.16.840.1.113883.3.1937.99.61.30.10.58 _Allergy - Intolerance Observation (harmonization)) (wip) 2020‑10‑16 15:17:11 2.16.840.1.113883.3.1937.99.61.30.10.60 Containment _Immunization (harmonized) (IAT) 2021‑07‑06 09:55:32 2.16.840.1.113883.3.1937.99.61.67.10.24 XeH Alert Act 2021‑04‑20 10:00:04 2.16.840.1.113883.3.1937.99.61.67.10.25 XeH Risk Concern Act 2021‑04‑20 10:06:56 2.16.840.1.113883.10.20.21.2.3 Interventions Section (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.2 Continuity of Care Document (CCD) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.3 History and Physical (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.4 Consultation Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.6 Procedure Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.7 Operative Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.8 Discharge Summary (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.9 Progress Note (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.13 Transfer Summary (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.14 Referral Note (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.1.15 Care Plan (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.1 Medications Section (entries optional) (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.1.1 Medications Section (entries required) (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.2 Immunizations Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.2.1 Immunizations Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.6 Allergies and Intolerances Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.6.1 Allergies and Intolerances Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.7 Procedures Section (entries optional) 2012‑01‑12 2.16.840.1.113883.10.20.22.2.7 Procedures Section (entries optional) (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.7 Procedures Section (entries optional) (V2) (2.1) 2019‑03‑16 21:12:43 2.16.840.1.113883.10.20.22.2.7.1 Procedures Section (entries required) (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.9 Assessment and Plan Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.10 Plan of Treatment Section (V2) (2.1) 2019‑03‑16 08:54:08 2.16.840.1.113883.10.20.22.2.11 Discharge Medications Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.11.1 Discharge Medications Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.22 Encounters Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.22.1 Encounters Section (entries required) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.23 Medical Equipment Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.25 Anesthesia Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.29 Containment Procedure Indications Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.30 Planned Procedure Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.38 Medications Administered Section (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.2.44 Admission Medications Section (entries optional) (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.58 Health Concerns Section (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.2.78 Containment BC CDA Medication Activity (V2) (2.1) 2019‑03‑15 14:29:33 2.16.840.1.113883.10.20.22.2.101 BC CDA Referral Note (V2) (2.1) 2019‑04‑06 02:03:17 2.16.840.1.113883.10.20.22.4.7 Allergy - Intolerance Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.9 Reaction Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.12 Containment Procedure Activity Act (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.13 Containment Procedure Activity Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.14 Containment Procedure Activity Procedure (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.16 Containment Medication Activity (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.30 Allergy Concern Act (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.35 Discharge Medication (V3) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.35 Discharge Medication (V3) (2.1) 2016‑03‑01 2.16.840.1.113883.10.20.22.4.36 Admission Medication (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.39 Containment Planned Act (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.40 Containment Planned Encounter (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.41 Containment Planned Procedure (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.42 Containment Planned Medication Activity (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.43 Containment Planned Supply (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.44 Containment Planned Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.20.22.4.49 Containment Encounter Activity (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.52 Containment Immunization Activity (V3) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.120 Containment Planned Immunization Activity (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.130 Nutrition Recommendation (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.131 Intervention Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.132 Health Concern Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.135 Medical Equipment Organizer (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.136 Risk Concern Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.22.4.140 Containment Patient Referral Act (2.1) 2015‑08‑13 2.16.840.1.113883.10.20.22.4.146 Planned Intervention Act (V2) (2.1) 2015‑08‑01 2.16.840.1.113883.10.20.24.3.90 Substance or Device Allergy - Intolerance Observation (V2) (2.1) 2014‑06‑09 2.16.840.1.113883.10.21.4.1 Containment UV Medication Order (STU1) 2015‑10‑07 2.16.840.1.113883.10.21.4.1 Containment UV Medication Order (R1-STU2-ballot) 2021‑08‑04 17:03:38 2.16.840.1.113883.10.21.4.1 Containment UV Medication Order (2023) 2023‑01‑30 08:30:30
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Version: Template 2.16.840.1.113883.10.20.22.4.19 Indication (2013‑01‑31) ref ccda-
Alles ausklappenAlles einklappen Item DT Kard Konf Beschreibung Label cda:observation IndionV2 @classCode cs 1 … 1 F OBS CONF7480   SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-7480). @moodCode cs 1 … 1 F EVN CONF7481   SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-7481). cda:templateId II 1 … 1 M C-CDA R1.1 templateId root without an extension CONF2936 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.19 cda:templateId II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:1098-7482) such that it CONF7482 @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.19 CONF0502   SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.19" (CONF:1098-10502). @extension st 1 … 1 F 2014-06-09 CONF2570   SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32570). cda:id II 1 … * SHALL contain at least one [1..*] id (CONF:1098-7483). CONF7483 cda:code CD (preferred) 1 … 1 SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Problem Type urn:oid:2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC 2014-09-02 (CONF:1098-31229). CONF1229   CONF Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.3.88.12.3221.7.2 Problem Type (DYNAMIC) cda:statusCode CS 1 … 1 M SHALL contain exactly one [1..1] statusCode (CONF:1098-7487). CONF7487 @code CONF 1 … 1 F completed cda:effectiveTime IVL_TS 0 … 1 R SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-7488). CONF7488 cda:value CD (preferred) 0 … 1 MAY contain zero or one [0..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Problem urn:oid:2.16.840.1.113883.3.88.12.3221.7.4 DYNAMIC (CONF:1098-7489). CONF7489   CONF Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMIC)