1.3.6.1.4.1.19376.1.5.3.1.3.6/static-2016-06-19T191946: Unterschied zwischen den Versionen

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Version vom 2. Februar 2017, 13:46 Uhr

Id1.3.6.1.4.1.19376.1.5.3.1.3.6Effective Date valid from 2016‑06‑19 19:19:46
StatusKyellow.png DraftVersion Label2.0
NameCDAActiveProblemsDisplay NameCDA Active Problems Section
DescriptionTemplate CDA Section (prototype, directly derived from POCD_RM000040 MIF)

The active problem section is an optional subsection of the Clinical Information Section. It SHALL contain a narrative description of the conditions currently being monitored for the patient. It shall include entries for patient conditions as described in the Entry Content Module.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.6
ClassificationCDA Section Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 2 templates, Uses 4 templates
Used by Template id as NameVersion
1.3.6.1.4.1.19376.1.8.1.2.1ContainmentKyellow.png Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.1.1Link.pngKyellow.png Anatomic Pathology Structured Report (2.0)2014‑05‑13 11:57:57
Uses Template id as NameVersion
2.16.840.1.113883.10.12.320ContainmentKgreen.png CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.12.318ContainmentKgreen.png CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.12.300ContainmentKgreen.png CDA Clinical StatementDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" displayName="Problem list"/>  <title>Active problems</title>  <text/>  <confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25"/>  <languageCode code="aa"/>  <subject>
    <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (dynamic) -->
  </subject>
  <author>
    <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (dynamic) -->
  </author>
  <informant>
    <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (dynamic) -->
  </informant>
  <entry typeCode="COMP" contextConductionInd="false">
    <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (dynamic) -->
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section
0 … 1R(CDAActiveProblems)
Treetree.png@classCode
cs0 … 1FDOCSECT
Treetree.png@moodCode
cs0 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(CDAActiveProblems)
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.6
Treetree.pnghl7:id
II0 … 1(CDAActiveProblems)
Treetree.pnghl7:code
CE0 … 1(CDAActiveProblems)
Treeblank.pngTreetree.png@code
CONF1 … 1F11450-4
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treeblank.pngTreetree.png@displayName
1 … 1FProblem list
Treeblank.pngTreetree.png@codeSystemName
1 … 1FLOINC
Treetree.pnghl7:title
ST0 … 1(CDAActiveProblems)
 CONF
element content shall be "Active problems"
Treetree.pnghl7:text
SD.TEXT0 … 1R(CDAActiveProblems)
Treetree.pnghl7:confidentialityCode
CE0 … 1(CDAActiveProblems)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
Treetree.pnghl7:language​Code
CS0 … 1(CDAActiveProblems)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Treetree.pnghl7:subject
0 … 1Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)(CDAActiveProblems)
Treetree.pnghl7:author
0 … *Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)(CDAActiveProblems)
Treetree.pnghl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(CDAActiveProblems)
Treetree.pnghl7:entry
0 … *Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)(CDAActiveProblems)
Treeblank.pngTreetree.png@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1