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draft Template  Review of Systems Section - coded

Id 2.16.756.5.30.1.1.10.3.56 Effective Date 2017‑09‑13 16:23:25
Status draft Draft Version Label 2018
Name cdachsmcp_section_ReviewOfSystemsCoded Display Name Review of Systems Section - coded
Description The review of systems section shall contain a narrative description of the responses the patient gave to a set of routine questions on the functions of each anatomic body system.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.56
Label CDA‑CH‑SMCP
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.11 Containment draft Social-medical care plan V2 (2018) 2017‑08‑24 18:00:03
Uses as Name Version
2.16.756.5.30.1.1.10.4.109 Containment draft Review Of Systems Observation (2018) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.22 (DYNAMIC)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.18 (2013‑01‑31)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.56"/>  <templateId root="2.16.756.5.30.1.1.10.3.22"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.18"/>  <code code="10187-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Review of systems Narrative - Reported"/>  <title>Bilan de santé</title>  <text>Narrative text</text>  <entry>
    <!-- template 2.16.756.5.30.1.1.10.4.109 'Review Of Systems Observation' -->
  </entry></section>
Item DT Card Conf Description Label
hl7:section
 CDA-dotsSMCP
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.56
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.22
hl7:templateId
 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.18
hl7:code
 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 10187-3
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Review of systems Narrative - Reported
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Gesundheitscheck'
  • [fr]: 'Bilan de santé'
  • [en]: 'Review of Systems'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Gesundheitscheck')  
  Message The German title must read 'Gesundheitscheck'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Bilan de santé')  
  Message The French title must read 'Bilan de santé'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Review of Systems')  
  Message The English title must read 'Review of Systems'  
hl7:text
 1 … 1 M Human readable text of this section. CDA-dotsSMCP
hl7:entry
 1 … * R Contains 2.16.756.5.30.1.1.10.4.109 Review Of Systems Observation (DYNAMIC) CDA-dotsSMCP
treeblank where [hl7:observation [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.109'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.71'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.4.13']]]