2.16.840.1.113883.10.22.3.10/static-2020-05-10T185232

Id	2.16.840.1.113883.10.22.3.10	Gültigkeit ab	2020‑05‑10 18:52:32
Status	Unter Revision vor der Publikation	Versions-Label	TI-2020
Name	IPSSocialHistorySection	Bezeichnung	IPS Social History Section
Beschreibung The social history section contains a description of the person’s Health related “lifestyle factors" or "lifestyle observations" (e.g. smoke habits; alcohol consumption; diets, risky habits.) The optional author and informant elements are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.3.10
Klassifikation	CDA Section level template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit	Assoziiert mit 3 Konzepte Id Name Datensatz hl7ips-data​element-147  Life Style Factor list  CEN/TC 251 prEN 17269 hl7ips-data​element-149  Description  CEN/TC 251 prEN 17269 hl7ips-data​element-20  Social History  CEN/TC 251 prEN 17269
Benutzt	Benutzt 6 Templates Benutzt als Name Version 2.16.840.1.113883.10.22.4.14 Inklusion IPS Body Author (STU1) DYNAMIC 2.16.840.1.113883.10.12.319 Containment CDA Informant (Body) DYNAMIC 2.16.840.1.113883.10.22.4.34 Containment IPS Social History Tobacco Use (STU1) DYNAMIC 2.16.840.1.113883.10.22.4.35 Containment IPS Social History Alcohol Use (STU1) DYNAMIC 2.16.840.1.113883.10.22.4.48 Containment IPS Social History Observation (TI-2020) DYNAMIC 2.16.840.1.113883.10.22.3.15 Containment IPS Translation Section (2021) DYNAMIC
Beziehung	Version: Template 2.16.840.1.113883.10.22.3.10 IPS Social History Section (2017‑04‑13) ref hl7ips- Adaptation: Template 1.3.6.1.4.1.19376.1.5.3.1.3.16 IHE Social History Section (DYNAMIC) ref IHE-PCC- Adaptation: Template 2.16.840.1.113883.10.20.1.15 Social history section (DYNAMIC) ref ccd1- Adaptation: Template 2.16.840.1.113883.10.20.22.2.17 Social History Section (V3) (DYNAMIC) ref bccdapilot-
Beispiel	Beispiel <section classCode="DOCSECT">   <templateId root="2.16.840.1.113883.10.22.3.10"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social history Narrative"/>  <title>Social History</title>  <text> Social History text </text>  <author>     <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->   </author>  <informant>     <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->   </informant>  <entry typeCode="COMP" contextConductionInd="true">     <!-- template 2.16.840.1.113883.10.22.4.34 'IPS Social History Tobacco Use' (dynamic) -->   </entry>  <entry typeCode="COMP" contextConductionInd="true">     <!-- template 2.16.840.1.113883.10.22.4.35 'IPS Social History Alcohol Use' (dynamic) -->   </entry>  <component>     <!-- template 2.16.840.1.113883.10.22.3.15 'IPS Translation Section' (dynamic) -->   </component></section>
Item DT Kard Konf Beschreibung Label hl7:section 1 … 1 M   hl7ips-data​element-20  Social History  CEN/TC 251 prEN 17269 @classCode cs 0 … 1 F DOCSECT hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.3.10 hl7:id II 0 … * R hl7:code CE.IPS 1 … 1 M @code CONF 1 … 1 F 29762-2 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) hl7:title ST 1 … 1 M Social History hl7:text SD.TEXT 1 … 1 M   hl7ips-data​element-149  Description  CEN/TC 251 prEN 17269 Eingefügt 0 … * von 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7:author 0 … * hl7:templateId II 1 … 1 M @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R hl7:assignedAuthor 1 … 1 M hl7:id II 1 … * R hl7:code 0 … 1 R Auswahl 0 … 1 Elemente in der Auswahl: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document   Beispiel <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R hl7:given 1 … * R hl7:assigned​Authoring​Device 0 … 1 C   Beispiel <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> Eingefügt von 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 hl7:manufacturer​Model​Name SC 0 … 1 hl7:softwareName SC 0 … 1 hl7:represented​Organization 0 … 1 hl7:id II 0 … * hl7:name 0 … * hl7:telecom TEL 0 … * hl7:addr AD 0 … * hl7:informant 0 … * Beinhaltet 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) hl7:entry 0 … 1 Beinhaltet 2.16.840.1.113883.10.22.4.34 IPS Social History Tobacco Use (DYNAMIC)   hl7ips-data​element-147  Life Style Factor list  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 R   CONF Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) @context​Conduction​Ind bl 0 … 1 F true hl7:entry 0 … 1 Beinhaltet 2.16.840.1.113883.10.22.4.35 IPS Social History Alcohol Use (DYNAMIC)   hl7ips-data​element-147  Life Style Factor list  CEN/TC 251 prEN 17269 @typeCode cs 1 … 1 R   CONF Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) @context​Conduction​Ind bl 0 … 1 F true hl7:entry 0 … * Beinhaltet 2.16.840.1.113883.10.22.4.48 IPS Social History Observation (DYNAMIC) @typeCode cs 1 … 1 R   CONF Der Wert von @typeCode MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) @context​Conduction​Ind bl 0 … 1 F true hl7:component 0 … * Beinhaltet 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)