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Aktuelle Version vom 1. Oktober 2025, 17:28 Uhr
| Id | 2.16.840.1.113883.10.22.4.48 | Gültigkeit ab | 2020‑05‑10 15:16:16 |
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| Status | Unter Revision vor der Publikation | Versions-Label | TI-2020 |
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| Name | IPSSocialHistoryObservation | Bezeichnung | IPS Social History Observation |
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| Beschreibung | This template represents a patient's occupations, lifestyle, and environmental health risk factors. Demographic data (e.g., marital status, race, ethnicity, religious affiliation) are captured in the header. Though tobacco use and exposure may be represented with a Social History Observation, it is recommended to use the Current Smoking Status template or the Tobacco Use template instead, to represent smoking or tobacco habits. |
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| Kontext | Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.48 |
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| Klassifikation | CDA Entry Level Template |
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| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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| Beziehung | Adaptation: Template 2.16.840.1.113883.10.20.22.4.38 Social History Observation (V3) (2015‑08‑01) ref ccda- Adaptation: Template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Version: Template 2.16.840.1.113883.10.20.22.4.38 Social History Observation (2013‑01‑31) ref ccda- |
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| Item | DT | Kard | Konf | Beschreibung | Label |
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| | | | | |  | @classCode
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| cs | 1 … 1 | F | OBS |  | @moodCode
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| cs | 1 … 1 | F | EVN |  | hl7:templateId
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| II | 1 … 1 | M | | |  |  | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.48 |  | hl7:id
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| II | 0 … * | | | |  | hl7:code
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| CD.IPS (Beispiel) | 1 … 1 | R | | | | | CONF | | Beispiele von der Wert von @code stehen in den Value Set 2.16.840.1.113883.3.88.12.80.60 Social History Type (2008‑12‑18) |
|  | hl7:text
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| ED | 0 … 1 | R | The <text> element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.</reference></text> | | | | Beispiel | <text> <reference value="#problem-1"/></text> |  |  | hl7:reference
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| TEL | 1 … 1 | M | | | | url | 1 … 1 | R | When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1 |  | hl7:statusCode
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| CS | 1 … 1 | M | | |  |  | @code
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| CONF | 1 … 1 | F | completed |  | hl7:effectiveTime
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| IVL_TS | 0 … 1 | | | |  | hl7:value
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| | 0 … 1 | R | | | | | Constraint | If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure *SHALL* be selected from ValueSet UnitsOfMeasureCaseSensitive (2.16.840.1.113883.1.11.12839) *DYNAMIC* |
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