ref
ccda-
Entwurf| Beschreibung |
 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. |
| Benutzt von 1 Transaction und 5 Templates, Benutzt 1 Template | ||||||||||||||||||||||||||||||||||||
|
| Item | DT | Kard | Konf | Beschreibung | Label |
|---|---|---|---|---|---|
| cda:act | Enco osis | ||||
| @classCode | cs | 1 … 1 | F | ACT | conf4889 |
| @moodCode | cs | 1 … 1 | F | EVN | conf4890 |
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:14895) such that it | conf4895 |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.80 | conf4896 |
| cda:code | CD | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:19182). | conf9182 |
| @code | CONF | 1 … 1 | F | 29308-4 | |
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | ||
| cda:entryRelationship | 1 … * | M | Beinhaltet 2.16.840.1.113883.10.20.22.4.4 Problem Observation (2013‑01‑31) | conf4892 | |
| @typeCode | cs | 1 … 1 | F | SUBJ | conf4893 |