Id2.16.840.1.113883.10.20.22.4.80Effective Date2015‑08‑01
Statusdraft DraftVersion Label2.1
NameEncounterDiagnosisV3Display NameEncounter Diagnosis (V3)
Description
This template wraps relevant problems or diagnoses at the close of a visit or that need to be followed after the visit. If the encounter is associated with a Hospital Discharge, the Hospital Discharge Diagnosis must be used. This entry requires at least one Problem Observation entry.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.80
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 17 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.29Transactionfinal Progress Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.2.9.10.1.6.67Containmentdraft VPS Encounter post Dimissione2017‑05‑25 17:49:03
2.16.840.1.113883.3.1937.99.61.30.10.54Containmentcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24Containmentcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25Containmentcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.21.2.3linkdraft Interventions Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13linkdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.22linkdraft Encounters Section (entries optional) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.22.1linkdraft Encounters Section (entries required) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.49Containmentdraft Encounter Activity (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.131linkdraft Intervention Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.132Containmentdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.136Containmentdraft Risk Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.146linkdraft Planned Intervention Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.4Containmentdraft Problem Observation (V3) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.80 Encounter Diagnosis (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:act
EncodotsisV3
@classCode
cs1 … 1FACTCONFdots4889
 SHALL contain exactly one [1..1] @classCode="ACT" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14889).
@moodCode
cs1 … 1FEVNCONFdots4890
 SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14890).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.80
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1198-14895) such that itCONFdots4895
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.80CONFdots4896
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.80" (CONF:1198-14896).
@extension
st1 … 1F2015-08-01CONFdots2542
 SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32542).
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1198-19182).CONFdots9182
@code
CONF1 … 1F29308-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:entryRelationship
1 … *MContains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01)CONFdots4892
@typeCode
cs1 … 1FSUBJCONFdots4893
 SHALL contain exactly one [1..1] @typeCode="SUBJ" (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14893).