Id | 1.3.6.1.4.1.19376.1.5.3.1.3.6 | Effective Date | valid from 2016‑06‑19 19:19:46 |
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Status | Draft | Version Label | 2.0 |
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Name | CDAActiveProblems | Display Name | CDA Active Problems Section |
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Description | Template 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. |
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Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.6 |
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Classification | CDA Section Level Template |
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Open/Closed | Closed (only defined elements are allowed) |
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Used by / Uses | Used by 2 templates, Uses 4 templates | Used by Template id | as | Name | Version |
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1.3.6.1.4.1.19376.1.8.1.2.1 | Containment | Clinical Information Section (2.0) | 2014‑05‑13 14:38:08 | 1.3.6.1.4.1.19376.1.8.1.1.1 | | Anatomic Pathology Structured Report (2.0) | 2014‑05‑13 11:57:57 | Uses Template id | as | Name | Version |
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2.16.840.1.113883.10.12.320 | Containment | CDA Subject (Body) | DYNAMIC | 2.16.840.1.113883.10.12.318 | Containment | CDA Author (Body) | DYNAMIC | 2.16.840.1.113883.10.12.319 | Containment | CDA Informant (Body) | DYNAMIC | 2.16.840.1.113883.10.12.300 | Containment | CDA Clinical Statement | DYNAMIC |
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Relationship | Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07) |
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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> |
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Item | DT | Card | Conf | Description | Label |
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| | 0 … 1 | R | | (CDAActiveProblems) | | @classCode
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| cs | 0 … 1 | F | DOCSECT | | @moodCode
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| cs | 0 … 1 | F | EVN | | hl7:templateId
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| II | 1 … 1 | M | | (CDAActiveProblems) | | | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.3.6 | | hl7:id
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| II | 0 … 1 | | | (CDAActiveProblems) | | hl7:code
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| CE | 0 … 1 | | | (CDAActiveProblems) | | | @code
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| CONF | 1 … 1 | F | 11450-4 | | | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) | | | @displayName
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| 1 … 1 | F | Problem list | | | @codeSystemName
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| 1 … 1 | F | LOINC | | hl7:title
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| ST | 0 … 1 | | | (CDAActiveProblems) | | CONF | element content shall be "Active problems" |
| | hl7:text
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| SD.TEXT | 0 … 1 | R | | (CDAActiveProblems) | | hl7:confidentialityCode
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| CE | 0 … 1 | | | (CDAActiveProblems) | | CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC) |
| | hl7:languageCode
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| CS | 0 … 1 | | | (CDAActiveProblems) | | CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC) |
| | hl7:subject
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| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC) | (CDAActiveProblems) | | hl7:author
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| | 0 … * | | Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) | (CDAActiveProblems) | | hl7:informant
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| | 0 … * | | Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) | (CDAActiveProblems) | | hl7:entry
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| | 0 … * | | Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC) | (CDAActiveProblems) | | | @typeCode
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| cs | 1 … 1 | R | | | CONF | The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC) |
| | | @contextConductionInd
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| bl | 0 … 1 | | |
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