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draft Template  Results Section - coded

Id 2.16.756.5.30.1.1.10.3.64 Effective Date 2017‑09‑13 20:20:53
Status draft Draft Version Label 2018
Name cdachsmcp_section_ResultsCoded Display Name Results Section - coded
Description
The results section shall contain a narrative description of the relevant diagnostic procedures the patient received in the past. It shall include entries for procedures and references to procedure reports when known as described in the Entry Content Modules.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.64
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
1.3.6.1.4.1.19376.1.5.3.1.4.19 Containment active IHE Procedure Entry (2014) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.31 (DYNAMIC)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.28 (2015‑10‑05 17:52:06)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.27 (2015‑10‑05 17:49:00)
Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.64"/>  <templateId root="2.16.756.5.30.1.1.10.3.31"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.28"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.27"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests/laboratory data"/>  <title>Résultats</title>  <text>
    <content ID="cr-1">Aucune information sur des résultats.</content>  </text>  <entry>
    <procedure classCode="PROC" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.19"/>      <templateId root="2.16.840.1.113883.10.20.1.29"/>      <id root="EBE87A34-662F-4ABB-BE0D-4CDB1D9CA35D"/>      <code nullFlavor="NA"/>      <text>
        <reference value="#cr-1"/>      </text>      <statusCode code="completed"/>      <effectiveTime>
        <low nullFlavor="NA"/>        <high nullFlavor="NA"/>      </effectiveTime>    </procedure>  </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 2.16.756.5.30.1.1.10.3.64
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.31
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.28
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.27
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 30954-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Relevant diagnostic tests/laboratory data
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Resultate'
  • [fr]: 'Résultats'
  • [en]: 'Results'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Resultate')  
  Message The German title must read 'Resultate'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Résultats')  
  Message The French title must read 'Résultats'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Results')  
  Message The English title must read 'Results'  
hl7:text
 SD.TEXT 1 … 1 M Fixed human readable text of this section.
  • [ge]: 'Keine Information zu Resultaten.'
  • [fr]: 'Aucune information sur des résultats.'
  • [en]: 'No information on results.'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Keine Information zu Resultaten.') or (hl7:content/text()='Keine Information zu Resultaten.')  
  Message The German text must read 'Keine Information zu Resultaten.'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Aucune information sur des résultats.') or (hl7:content/text()='Aucune information sur des résultats.')  
  Message The French text must read 'Aucune information sur des résultats.'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='No information on results.') or (hl7:content/text()='No information on results.')  
  Message The English text must read 'No information on results.'  
hl7:entry
 1 … * M Contains 1.3.6.1.4.1.19376.1.5.3.1.4.19 IHE Procedure Entry (DYNAMIC) CDA-dotsSMCP
treeblank where [hl7:procedure [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.4.19']]]