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draft Template  Admission Diagnosis Section - coded

Id 2.16.756.5.30.1.1.10.3.66 Effective Date 2017‑09‑13 20:44:19
Status draft Draft Version Label 2018
Name cdachsmcp_section_AdmissionDiagnosisCoded Display Name Admission Diagnosis Section - coded
Description
The admitting diagnosis section shall contain a narrative description of the primary reason for admission to a hospital facility. It shall include entries for observations as described in the Entry Content Modules.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.66
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 2.16.756.5.30.1.1.10.3.33 Admission Diagnosis Section - coded (DYNAMIC)
ref
ch-pcc-

Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.3 IHE Hospital Admission Diagnosis Section (2015‑09‑19 00:00:14)
ref
IHE-PCC-
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.66"/>  <templateId root="2.16.756.5.30.1.1.10.3.33"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.3"/>  <code code="46241-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Hospital admission diagnosis Narrative - Reported"/>  <title>Diagnostic d'admission</title>  <text>Aucune information sur diagnostic d'admission.</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 2.16.756.5.30.1.1.10.3.66
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 2.16.756.5.30.1.1.10.3.33
hl7:templateId
 II 1 … 1 M CDA-dotsSMCP
@root
 uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.3
hl7:code
 CE 1 … 1 M Fixed, machine readable code of this section. CDA-dotsSMCP
@code
 CONF 1 … 1 F 46241-6
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@codeSystemName
 1 … 1 F LOINC
@displayName
 1 … 1 F Hospital admission diagnosis Narrative - Reported
hl7:title
 ST 1 … 1 M Fixed human readable title of this section.
  • [ge]: 'Eintrittsdiagnosen'
  • [fr]: 'Diagnostic d'admission'
  • [en]: 'Admission Diagnosis'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Eintrittsdiagnosen')  
  Message The German title must read 'Eintrittsdiagnosen'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Diagnostic d''admission')  
  Message The French title must read 'Diagnostic d'admission'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Admission Diagnosis')  
  Message The English title must read 'Admission Diagnosis'  
hl7:text
 SD.TEXT 1 … 1 M Fixed human readable text of this section.
  • [ge]: 'Keine Information zu Eintrittsdiagnosen.'
  • [fr]: 'Aucune information sur diagnostic d'admission.'
  • [en]: 'No information on admission diagnosis.'
 CDA-dotsSMCP
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='ge') or (text()='Keine Information zu Eintrittsdiagnosen.')  
  Message The German text must read 'Keine Information zu Eintrittsdiagnosen.'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='Aucune information sur diagnostic d''admission.')  
  Message The French text must read 'Aucune information sur diagnostic d'admission.'  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='No information on admission diagnosis.')  
  Message The English text must read 'No information on admission 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']]]