cdachsmcp_section_ReviewOfSystemsCoded

Template Review of Systems Section - coded 2017‑09‑13 16:23:25

2.16.756.5.30.1.1.10.3.56

Effective Date

2017‑09‑13 16:23:25

Status

Draft

Version Label

2018

Name

cdachsmcp_section_ReviewOfSystemsCoded

Display Name

Review of Systems Section - coded

Description

The review of systems section shall contain a narrative description of the responses the patient gave to a set of routine questions on the functions of each anatomic body system.

Context

Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.56

Label

CDA‑CH‑SMCP

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 1 transaction and 1 template, Uses 1 template

Used by	as	Name	Version
2.16.756.5.30.1.127.77.11.4.2	Transaction	CDA-CH-SMCP - Social-medical care plan V2 (2018)	2018‑12‑17 20:38:49
2.16.756.5.30.1.1.10.1.11	Containment	Social-medical care plan V2 (2018)	2017‑08‑24 18:00:03
Uses	as	Name	Version
2.16.756.5.30.1.1.10.4.109	Containment	Review Of Systems Observation (2018)	DYNAMIC

Relationship

Specialization: template 2.16.756.5.30.1.1.10.3.22 Review of Systems Section - plain text (DYNAMIC)

ref

ch-pcc-

Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.18 IHE Review of Systems Section (2013‑01‑31)

ref

IHE-PCC-

Example

<section>
  <templateId root="2.16.756.5.30.1.1.10.3.56"/>  <templateId root="2.16.756.5.30.1.1.10.3.22"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.18"/>  <code code="10187-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Review of systems Narrative - Reported"/>  <title>Bilan de santé</title>  <text>Narrative text</text>  <entry>
    
  </entry></section>

Item	DT	Card	Conf	Description	Label
hl7:section					CDA‑SMCP
hl7:templateId	II	1 … 1	M		CDA‑SMCP
@root	uid	1 … 1	F	2.16.756.5.30.1.1.10.3.56
hl7:templateId	II	1 … 1	M		CDA‑SMCP
@root	uid	1 … 1	F	2.16.756.5.30.1.1.10.3.22
hl7:templateId		1 … 1	M		CDA‑SMCP
@root	uid	1 … 1	F	1.3.6.1.4.1.19376.1.5.3.1.3.18
hl7:code		1 … 1	M	Fixed, machine readable code of this section.	CDA‑SMCP
@code	CONF	1 … 1	F	10187-3
@codeSystem		1 … 1	F	2.16.840.1.113883.6.1
@codeSystemName		1 … 1	F	LOINC
@displayName		1 … 1	F	Review of systems Narrative - Reported
hl7:title	ST	1 … 1	M	Fixed human readable title of this section. [ge]: 'Gesundheitscheck' [fr]: 'Bilan de santé' [en]: 'Review of Systems'	CDA‑SMCP
	Variable let	Name	languageCode
	Variable let	Value	substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)
	Schematron assert	role	error
		test	not($languageCode='ge') or (text()='Gesundheitscheck')
		Message	The German title must read 'Gesundheitscheck'
	Schematron assert	role	error
		test	not($languageCode='fr') or (text()='Bilan de santé')
		Message	The French title must read 'Bilan de santé'
	Schematron assert	role	error
		test	not($languageCode='en') or (text()='Review of Systems')
		Message	The English title must read 'Review of Systems'
hl7:text		1 … 1	M	Human readable text of this section.	CDA‑SMCP
hl7:entry		1 … *	R	Contains 2.16.756.5.30.1.1.10.4.109 Review Of Systems Observation (DYNAMIC)	CDA‑SMCP

Template
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Template

Template Review of Systems Section - coded 2017‑09‑13 16:23:25