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Template Review Of Systems Observation 2017‑09‑15 16:35:23

Id2.16.756.5.30.1.1.10.4.109Effective Date2017‑09‑15 16:35:23
Statusdraft DraftVersion Label2018
Namecdachsmcp_entry_ReviewOfSystemsObservationDisplay NameReview Of Systems Observation
ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.4.109
LabelCDA‑CH‑SMCP
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 13 concepts
IdNameData Set
cdachsmcp-dataelement-175draft Field 14.12 (Etat cognitif) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-166draft Field 14.3 (Elimination) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-170draft Field 14.7 (Douleur) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-165draft Field 14.2 (Alimentation, hydratation, état nutritionnel) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-174draft Field 14.11 (Violence envers soi-même ou autrui) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-169draft Field 14.6 (Addictions) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-172draft Field 14.9 (Fugue, déambulation, errance) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-171draft Field 14.8 (Humeur) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-168draft Field 14.5 (Mobilité) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-173draft Field 14.10 (Sommeil, fatigue) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-164draft Field 14.1 (Respiration) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-176draft Field 14.13 (Autres) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-167draft Field 14.4 (Etat de la peau, plaies, cicatrices) draft DMST v3.1 - Etat de Vaud 7.8 updated
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as NameVersion
2.16.756.5.30.1.1.10.3.56Containmentdraft Review of Systems Section - coded (2018)2017‑09‑13 16:23:25
RelationshipSpecialization: template 2.16.756.5.30.1.1.10.4.71 Simple Observation (DYNAMIC)
ref
ch-pcc-

Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.13 IHE Simple Observation (2016‑09‑26 08:43:40)
ref
IHE-PCC-

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.109"/>  <templateId root="2.16.756.5.30.1.1.10.4.71"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>  <id root="AC31A119-1F0A-431C-95BB-7A4827C63CDF"/>  <code code="11412-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Physical findings of Respiratory system Narrative"/>  <text>
    <reference value="#your_content_id"/>  </text>
  <statusCode code="completed"/>  <effectiveTime nullFlavor="NASK"/>  <value xsi:type="CD" nullFlavor="NAV"/></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
CDA‑dotsSMCP
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MCDA‑dotsSMCP
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.109
hl7:templateId
II1 … 1MCDA‑dotsSMCP
@root
uid1 … 1F2.16.756.5.30.1.1.10.4.71
hl7:templateId
II1 … 1MCDA‑dotsSMCP
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:id
II1 … 1MCDA‑dotsSMCP
hl7:code
CD1 … 1MCDA‑dotsSMCP
 CONF
The value of @code shall be drawn from value set 2.16.756.5.30.1.1.1.1.3.6.3.11.4 Review Of Systems Elements (DYNAMIC)
hl7:text
ED1 … 1MCDA‑dotsSMCP
 
target
cdachsmcp-dataelement-175draft Field 14.12 (Etat cognitif) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-166draft Field 14.3 (Elimination) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-170draft Field 14.7 (Douleur) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-165draft Field 14.2 (Alimentation, hydratation, état nutritionnel) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-174draft Field 14.11 (Violence envers soi-même ou autrui) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-169draft Field 14.6 (Addictions) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-172draft Field 14.9 (Fugue, déambulation, errance) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-171draft Field 14.8 (Humeur) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-168draft Field 14.5 (Mobilité) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-173draft Field 14.10 (Sommeil, fatigue) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-164draft Field 14.1 (Respiration) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-176draft Field 14.13 (Autres) draft DMST v3.1 - Etat de Vaud 7.8 updated
cdachsmcp-dataelement-167draft Field 14.4 (Etat de la peau, plaies, cicatrices) draft DMST v3.1 - Etat de Vaud 7.8 updated
hl7:reference
TEL0 … 1CDA‑dotsSMCP
@value
st1 … 1R
hl7:statusCode
CS1 … 1MCDA‑dotsSMCP
@code
cs1 … 1Fcompleted
Choice1 … 1Elements to choose from:
  • hl7:effectiveTime
  • hl7:effectiveTime
hl7:effectiveTime
TS0 … 1RCDA‑dotsSMCP
hl7:effectiveTime
IVL_TS0 … 1RCDA‑dotsSMCP
hl7:low
IVXB_TSCDA‑dotsSMCP
hl7:high
IVXB_TSCDA‑dotsSMCP
hl7:value
ANY1 … *RCDA‑dotsSMCP