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Template Other Relevant Observations Section - coded 2018‑04‑19

Id2.16.756.5.30.1.1.10.3.46
ref
cdachvacd-
Effective Date2018‑04‑19
Statusrejected RejectedVersion Label2018
Namecdachvacd_section_OtherRelevantObservationsCodedDisplay NameOther Relevant Observations Section - coded
Description

Chapter (CDA Body Section) containing the coded results according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain relevant coded results of a patient for the given document context. The section MUST contain at least one Problem entry. In case of no relevant results, one of the 'special case' codes MUST be used.

In the context of immunizations, this section may indicate the gestational age of a child if relevant for immunization of the child.

In the context of lab reports, this section may indicate the gestational age of a child if relevant for the observation interpretation.

ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.3.46
LabelIHE PCC TF2 Rev.11, 6.3.3.5.2
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.28 IHE Coded Results Section (DYNAMIC)
ref
IHE-PCC-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.46"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.28"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests/laboratory data"/>  <title>Coded Results</title>  <text>
    <!-- Narrative Text -->
  </text>
  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.84 'Gestational age' -->
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section

Chapter (CDA Body Section) containing the coded results according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain relevant coded results of a patient for the given document context. The section MUST contain at least one Problem entry. In case of no relevant results, one of the 'special case' codes MUST be used.

In the context of immunizations, this section may indicate the gestational age of a child if relevant for immunization of the child.

In the context of lab reports, this section may indicate the gestational age of a child if relevant for the observation interpretation.

IHE PCC TF2 Rev.11, 6.3.3.5.2
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid1 … 1F2.16.756.5.30.1.1.10.3.46
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.27
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.28
hl7:id
II0 … *RAn ID for this section MAY be filled for traceability.IHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid1 … 1RMUST 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 Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CE1 … 1MIHE PCC TF2 Rev.11, 6.3.3.5.2
@code
st1 … 1F30954-2
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@codeSystemName
st1 … 1FLOINC
@displayName
st1 … 1FRelevant diagnostic tests/laboratory data
hl7:title
ST1 … 1MIHE PCC TF2 Rev.11, 6.3.3.5.2
 CONF
element content shall be "Other relevant observations"
-or-
element content shall be "Weitere relevante Beobachtungen"
-or-
element content shall be "TOTRANSLATE-FR"
-or-
element content shall be "TOTRANSLATE-IT"
 Variable letNamelanguageCode 
 Valuesubstring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2) 
 Schematron assertrolered error 
 testnot($languageCode='en') or (text()='Other relevant observations') 
 MessageThe English title MUST read 'Other relevant observations' 
 Schematron assertrolered error 
 testnot($languageCode='de') or (text()='Weitere relevante Beobachtungen') 
 MessageThe German title must MUST read 'Weitere relevante Beobachtungen' 
 Schematron assertrolered error 
 testnot($languageCode='fr') or (text()='TOTRANSLATE-FR') 
 MessageThe French title MUST read 'TOTRANSLATE-FR' 
 Schematron assertrolered error 
 testnot($languageCode='it') or (text()='TOTRANSLATE-IT') 
 MessageThe Italian title MUST read 'TOTRANSLATE-IT' 
hl7:text
SD.TEXT1 … 1MThe narrative text for this section.IHE PCC TF2 Rev.11, 6.3.3.5.2
hl7:entry
1 … 1RThe narrative text in the text element of the section MUST be generated automatically from the information in this entry.
Contains 2.16.756.5.30.1.1.10.4.84 Gestational Age At Birth (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.3.5.2
@typeCode
cs1 … 1FDRIV