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Template Diagnosis 2017‑09‑08 10:23:39

Id2.16.756.5.30.1.1.10.3.16Effective Date2017‑09‑08 10:23:39
Statuspending Under pre-publication reviewVersion Label2017
NameDiagnosisSectionDisplay NameDiagnosis
DescriptionDiagnosis Section
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.3.16
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 1 concept
IdNameData Set
cdachresp-dataelement-18draft Diagnosen draft  1
Used by / Uses
Used by 1 transaction and 1 template, Uses 1 template
Used by as NameVersion
2.16.756.5.30.1.127.77.5.4.12Transactiondraft Emergency Service Protocol (2017)2017‑01‑25 22:10:05
2.16.756.5.30.1.1.10.1.2Containmentpending EmergencyMedicalServiceProtocol (2017)2017‑06‑13 17:19:29
Uses as NameVersion
2.16.756.5.30.1.1.10.4.68Containmentpending Problem Concern Entry (2017)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.16"/>  <code code="1100007" codeSystem="2.16.756.5.30.1.143.5.1" displayName="Diagnosen" codeSystemName="IVR Codesystem RESP"/>  <title>Diagnosen</title>  <text>
    <table>
      <tbody>
        <tr>
          <th>Verdachtsdiagnose</th>        </tr>
        <tr>
          <td ID="diagnose1">akuten transmuralen Myokardinfarkts der Vorderwand,
ACS/STEMI VW
</td>
        </tr>
      </tbody>
    </table>
  </text>
  <entry>
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.68"/>      <templateId root="2.16.840.1.113883.10.20.1.27"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>      <id root="1962D16E-D153-4A58-B17E-1D65FC81E6CE"/>      <code nullFlavor="NA"/>      <statusCode code="active"/>      <entryRelationship typeCode="SUBJ">
        <observation classCode="OBS" moodCode="EVN" negationInd="false">
          <templateId root="2.16.756.5.30.1.1.10.4.67"/>          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>          <templateId root="2.16.840.1.113883.10.20.1.28"/>          <id root="AD092C2A-813D-4EAA-83F1-EB53DB2F16F0"/>          <code code="2931005" codeSystem="2.16.840.1.113883.6.96" displayName="Verdachtsdiagnose"/>          <text>
            <reference value="#diagnose1"/>          </text>
          <statusCode code="completed"/>          <effectiveTime>
            <low value="20161210112500.0000+0100"/>          </effectiveTime>
          <value xsi:type="CD" code="I21.0" codeSystem="2.16.756.5.30.1.126.3.2" displayName="ST elevation (STEMI) myocardial infarction of anterior wall"/>          <author>
            <functionCode code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician">
              <translation code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician"/>            </functionCode>
            <time value="20161210112500.0000+0100"/>            <assignedAuthor>
              <!-- cdachresp-dataelement-281 -->
              <id root="2.51.1.3" extension="7601000028105"/>            </assignedAuthor>
          </author>
        </observation>
      </entryRelationship>
    </act>
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section
Diagdotstion
 
target
cdachresp-dataelement-18draft Diagnosen draft  1
@classCode
cs0 … 1FDOCSECT
@moodCode
cs0 … 1FEVN
hl7:templateId
II1 … 1MDiagdotstion
@root
uid1 … 1F2.16.756.5.30.1.1.10.3.16
hl7:code
CE1 … 1MDiagdotstion
@code
CONF1 … 1F1100007
@codeSystem
1 … 1F2.16.756.5.30.1.143.5.1
@codeSystemName
1 … 1FIVR Codesystem RESP
@displayName
1 … 1FDiagnosen
hl7:title
ST1 … 1M Fixed human readable title of this section.
  • [ge]: 'Diagnosen'
  • [fr]: 'TODO'
  • [it]: 'TODO'
  • [en]: 'TODO'
The German title must read 'Diagnosen'
Diagdotstion
hl7:text
SD.TEXT1 … 1MHuman readable text of this section.Diagdotstion
hl7:entry
0 … 1Contains 2.16.756.5.30.1.1.10.4.68 Problem Concern Entry (DYNAMIC)Diagdotstion