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Template History Of Past Illness Section - coded 2016‑11‑12

Id2.16.756.5.30.1.1.10.3.50
ref
ch-pcc-
Effective Date2016‑11‑12
Statusactive ActiveVersion Label2016
Namechpcc_section_HistoryOfPastIllnessCodedDisplay NameHistory Of Past Illness Section - coded
Description

Chapter (CDA Body Section) containing the history of past illness according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section contains the anamnesis of the patient. The section MUST contain at least one Problem entry. In case of no problems, one of the 'special case' codes MUST be used.

In the context of immunizations, only the diseases should be mentioned which lead to a natural immunization.

ContextParent nodes of template element with id 2.16.756.5.30.1.1.10.3.50
LabelIHE PCC TF2 Rev.11, 6.3.3.2.5
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 3 transactions and 3 templates, Uses 1 template
Used by as NameVersion
2.16.756.5.30.1.127.77.1.4.5Transactionpending CDA-CH-VACD - Immunization Recommendation Request (2018)2018‑04‑10 18:08:44
2.16.756.5.30.1.127.77.1.4.6Transactionpending CDA-CH-VACD - Immunization Recommendation Response (2018)2018‑04‑10 18:09:59
2.16.756.5.30.1.127.77.1.4.7Transactionpending CDA-CH-VACD - Vaccination Record (2018)2018‑04‑10 18:10:49
2.16.756.5.30.1.1.10.1.17Containmentactive Immunization Recommendation Request (2020)2020‑06‑26
2.16.756.5.30.1.1.10.1.18Containmentactive Immunization Recommendation Response (2020)2020‑06‑26
2.16.756.5.30.1.1.10.1.19Containmentactive Vaccination Record (2020)2020‑06‑26
Uses as NameVersion
2.16.756.5.30.1.1.10.4.90Containmentactive Problem Concern Entry (2016)DYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-

Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.8 Section History of Past Illness (DYNAMIC)
ref
epsos-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.50"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.8"/>  <code code="11348-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PAST ILLNESS"/>  <title>Antécédents médicaux</title>  <text>
    <!-- Narrative Text -->
  </text>
  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.90 'Problem Concern Entry' -->
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section

Chapter (CDA Body Section) containing the history of past illness according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section contains the anamnesis of the patient. The section MUST contain at least one Problem entry. In case of no problems, one of the 'special case' codes MUST be used.

In the context of immunizations, only the diseases should be mentioned which lead to a natural immunization.

IHE PCC TF2 Rev.11, 6.3.3.2.5
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1F2.16.756.5.30.1.1.10.3.50
hl7:templateId
II1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.8
hl7:id
II0 … 1RAn ID for this section MAY be filled for traceability.IHE PCC TF2 Rev.11, 6.3.3.2.5
@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, 6.3.3.2.5
@code
st1 … 1F11348-0
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@codeSystemName
st1 … 1FLOINC
@displayName
st1 … 1FHISTORY OF PAST ILLNESS
hl7:title
ST1 … 1MIHE PCC TF2 Rev.11, 6.3.3.2.5
 CONF
element content shall be "History of Past Illness"
-or-
element content shall be "Bisherige Krankheiten"
-or-
element content shall be "Antécédents médicaux"
-or-
element content shall be "Storia medica"
 Variable letNamelanguageCode 
 Valuesubstring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2) 
 Schematron assertrolered error 
 testnot($languageCode='en') or (text()='History of Past Illness') 
 MessageThe English title MUST read 'History of Past Illness' 
 Schematron assertrolered error 
 testnot($languageCode='de') or (text()='Bisherige Krankheiten') 
 MessageThe German title must MUST read 'Bisherige Krankheiten' 
 Schematron assertrolered error 
 testnot($languageCode='fr') or (text()='Antécédents médicaux') 
 MessageThe French title MUST read 'Antécédents médicaux' 
 Schematron assertrolered error 
 testnot($languageCode='it') or (text()='Storia medica') 
 MessageThe Italian title MUST read 'Storia medica' 
hl7:text
SD.TEXT1 … 1MThe narrative text for this section.IHE PCC TF2 Rev.11, 6.3.3.2.5
hl7:entry
1 … *MThe narrative text in the text element of the section MUST be generated automatically from the information in this entry.
Contains 2.16.756.5.30.1.1.10.4.90 Problem Concern Entry (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.3.2.5
@typeCode
cs1 … 1FDRIV