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draft Template  Discharge Diagnosis Section - coded

Id 2.16.756.5.30.1.1.10.3.67 Effective Date 2017‑09‑13 20:53:15
Status draft Draft Version Label 2018
Name cdachsmcp_section_DischargeDiagnosisCoded Display Name Discharge Diagnosis Section - coded
Description
The discharge diagnosis section shall contain a narrative description of the conditions that need to be monitored after discharge from the hospital and those that were resolved during the hospital course. It shall include entries for patient conditions as described in the Entry Content Module.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.67
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
2.16.756.5.30.1.1.10.4.114 Containment draft Problem Concern Entry - Empty (2018) DYNAMIC
Relationship Specialization: template 2.16.756.5.30.1.1.10.3.34 (DYNAMIC)
Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.7 (2017‑03‑17 15:46:47)
Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.67"/>  <templateId root="2.16.756.5.30.1.1.10.3.34"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.7"/>  <code code="11535-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Hospital discharge Dx"/>  <title>Diagnostic de sortie</title>  <text>Aucune information sur diagnostic de sortie.</text>  <entry>
    <!-- template 2.16.756.5.30.1.1.10.4.114 'Problem Concern Entry - Empty' -->
  </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 2.16.756.5.30.1.1.10.3.67
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.34
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.7
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 11535-2
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Hospital discharge Dx
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Austrittsdiagnosen'
  • [fr]: 'Diagnostic de sortie'
  • [en]: 'Discharge Diagnosis'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Austrittsdiagnosen')  
  Message The German title must read 'Austrittsdiagnosen'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Diagnostic de sortie')  
  Message The French title must read 'Diagnostic de sortie'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Discharge Diagnosis')  
  Message The English title must read 'Discharge Diagnosis'  
hl7:text
 SD.TEXT 1 … 1 M Fixed human readable text of this section.
  • [ge]: 'Keine Information zu Austrittsdiagnosen.'
  • [fr]: 'Aucune information sur diagnostic de sortie.'
  • [en]: 'No information on discharge diagnosis.'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Keine Information zu Austrittsdiagnosen.')  
  Message The German text must read 'Keine Information zu Austrittsdiagnosen.'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Aucune information sur diagnostic de sortie.')  
  Message The French text must read 'Aucune information sur diagnostic de sortie.'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='No information on discharge diagnosis.')  
  Message The English text must read 'No information on discharge diagnosis.'  
hl7:entry
 1 … * M Contains 2.16.756.5.30.1.1.10.4.114 Problem Concern Entry - Empty (DYNAMIC) CDA-dotsSMCP
treeblank where [hl7:act [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.114'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.105'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.90'] 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']]]