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Id | 1.2.40.0.34.6.0.11.2.3 | Gültigkeit | 2019‑01‑18 09:18:50 |
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Status | Entwurf | Versions-Label | 2019 |
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Name | atcdabbr_section_FruehereErkrankungKodiert | Anzeigename | Frühere Erkrankungen - kodiert |
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| Kontext | Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.2.3 |
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Label | IHE PCC TF2 Rev.11, 6.3.3.2.5
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Klassifikation | CDA Section level template |
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Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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Benutzt | Benutzt 1 Template | Benutzt | als | Name | Version |
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1.2.40.0.34.11.13.3.6 | Containment | Gesundheitsproblem Bedenken Entry (0.2) | DYNAMIC |
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Beziehung | Spezialisierung: 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- |
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Beispiel | Beispiel | <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>Frühere Erkrankungen</title> <text> <!-- Narrative Text --> </text> <entry typeCode="DRIV"> <!-- template 2.16.756.5.30.1.1.10.4.90 'Problem Concern Entry' --> </entry></section> |
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Item | DT | Kard | Konf | Beschreibung | Label |
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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
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| II | 1 … 1 | M | | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | | @root
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| uid | 1 … 1 | F | 2.16.756.5.30.1.1.10.3.50 | | hl7:templateId
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| II | 1 … 1 | M | | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.3.8 | | hl7:templateId
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| II | 1 … 1 | M | | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.3.1937.99.61.19.10.65 | | hl7:id
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| II | 0 … * | R | An ID for this section MAY be filled for traceability. | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | | @root
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| uid | 1 … 1 | R | MUST 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
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| st | 0 … 1 | | Contains the ID itself. The ID MUST be unique within the system that issued the ID. | | hl7:code
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| CE | 1 … 1 | M | | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | | @code
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| st | 1 … 1 | F | 11348-0 | | | @codeSystem
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| oid | 1 … 1 | F | 2.16.840.1.113883.6.1 | | | @codeSystemName
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| st | 1 … 1 | F | LOINC | | | @displayName
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| st | 1 … 1 | F | HISTORY OF PAST ILLNESS | | hl7:title
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| ST | 1 … 1 | M | | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | CONF | Elementinhalt muss "Frühere Erkrankungen" sein |
| | Variable let | Name | languageCode | | | Value | substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2) | | | Schematron assert | role | error | | | test | not($languageCode='de') or (text()='Frühere Erkrankungen') | | | Meldung | The German title must MUST read 'Frühere Erkrankungen' | | | hl7:text
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| SD.TEXT | 1 … 1 | M | The narrative text for this section. | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | hl7:entry
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| | 1 … * | M | The narrative text in the text element of the section MUST be generated automatically from the information in this entry. Beinhaltet 1.2.40.0.34.11.13.3.6 Gesundheitsproblem Bedenken Entry (DYNAMIC) | IHE PCC TF2 Rev.11, 6.3.3.2.5 | | wo [hl7:act [hl7:code [(@code = 'CONC' and @codeSystem = '2.16.840.1.113883.5.6') or @nullFlavor]]] |
| | | | @typeCode
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| cs | 1 … 1 | F | DRIV |
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