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ref Template  Diagnosis

Id 2.16.756.5.30.1.1.10.3.16 Effective Date valid from 2017‑09‑08 10:23:39
Status draft Draft Version Label 2017
Name DiagnosisSection Display Name Diagnosis
Description Diagnosis Section
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.16
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 1 concept
Id Name Data Set
cdachresp-dataelement-18 Diagnosen 1
Used by / Uses
Used by 0 transactions and 2 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.2 Containment draft EmergencyMedicalServiceProtocol (2017) 2017‑06‑13 17:19:29
2.16.756.5.30.1.1.10.1.2 link cancelled EmergencyMedicalServiceProtocol (2017) 2017‑05‑31 17:19:29
notice Circular reference found with cdachresp-template-document-2, please check
Uses as Name Version
2.16.756.5.30.1.1.10.4.68 Containment draft Problem Concern Entry (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.16"/>  <code code="1100007" codeSystem="2.16.756.5.30.1.143.5.1" displayName="Diagnosen" codeSystemName="IVR Codesystem RESP"/>  <title>Diagnosen</title>  <text>
    <table>
      <tbody>
        <tr>
          <th>Verdachtsdiagnose</th>        </tr>        <tr>
          <td ID="diagnose1">akuten transmuralen Myokardinfarkts der Vorderwand,
ACS/STEMI VW </td>        </tr>      </tbody>    </table>  </text>  <entry>
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.756.5.30.1.1.10.4.68"/>      <templateId root="2.16.840.1.113883.10.20.1.27"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2"/>      <id root="1962D16E-D153-4A58-B17E-1D65FC81E6CE"/>      <code nullFlavor="NA"/>      <statusCode code="active"/>      <entryRelationship typeCode="SUBJ">
        <observation classCode="OBS" moodCode="EVN" negationInd="false">
          <templateId root="2.16.756.5.30.1.1.10.4.67"/>          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>          <templateId root="2.16.840.1.113883.10.20.1.28"/>          <id root="AD092C2A-813D-4EAA-83F1-EB53DB2F16F0"/>          <code code="2931005" codeSystem="2.16.840.1.113883.6.96" displayName="Verdachtsdiagnose"/>          <text>
            <reference value="#diagnose1"/>          </text>          <statusCode code="completed"/>          <effectiveTime>
            <low value="20161210112500.0000+0100"/>          </effectiveTime>          <value xsi:type="CD" code="I21.0" codeSystem="2.16.756.5.30.1.126.3.2" displayName="ST elevation (STEMI) myocardial infarction of anterior wall"/>          <author>
            <functionCode code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician">
              <translation code="309343006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Physician"/>            </functionCode>            <time value="20161210112500.0000+0100"/>            <assignedAuthor>
              <!-- cdachresp-dataelement-281 -->
              <id root="2.51.1.3" extension="7601000028105"/>            </assignedAuthor>          </author>        </observation>      </entryRelationship>    </act>  </entry></section>
Item DT Card Conf Description Label
hl7:section
 (Diadotsion)
 
target cdachresp-dataelement-18 Diagnosen 1
@classCode
 cs 0 … 1 F DOCSECT
@moodCode
 cs 0 … 1 F EVN
hl7:templateId
 II 1 … 1 M (Diadotsion)
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.16
hl7:code
 CE 1 … 1 M (Diadotsion)
@code
 CONF 1 … 1 F 1100007
@codeSystem
 1 … 1 F 2.16.756.5.30.1.143.5.1
@codeSystemName
 1 … 1 F IVR Codesystem RESP
@displayName
 1 … 1 F Diagnosen
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Diagnosen'
  • [fr]: 'TODO'
  • [it]: 'TODO'
  • [en]: 'TODO'
The German title must read 'Diagnosen' 		(Diadotsion)
hl7:text
 SD.TEXT 1 … 1 M Human readable text of this section. (Diadotsion)
hl7:entry
 0 … 1 Contains 2.16.756.5.30.1.1.10.4.68 Problem Concern Entry (DYNAMIC) (Diadotsion)
treeblank where [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.68'] and hl7:templateId [@root='2.16.840.1.113883.10.20.1.27'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2']]]