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pending Template  Other Relevant Observations Section - coded

Id 2.16.756.5.30.1.1.10.3.46 Effective Date 2018‑04‑19
Status pending Under pre-publication review Version Label 2018
Name cdachvacd_section_OtherRelevantObservationsCoded Display Name Other Relevant Observations Section - coded
Description

Chapter (CDA Body Section) containing the coded results according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain relevant coded results of a patient for the given document context. The section MUST contain at least one Problem entry. In case of no relevant results, one of the 'special case' codes MUST be used.

In the context of immunizations, this section may indicate the gestational age of a child if relevant for immunization of the child.

In the context of lab reports, this section may indicate the gestational age of a child if relevant for the observation interpretation.

Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.3.46
Label IHE PCC TF2 Rev.11, 6.3.3.5.2
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 1 template
Used by as Name Version
2.16.756.5.30.1.1.10.1.17 Containment pending Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 Containment pending Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 Containment pending Vaccination Record (2018) 2018‑04‑19
Uses as Name Version
2.16.756.5.30.1.1.10.4.84 Containment pending Gestational Age At Birth (2018) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Adaptation: template 1.3.6.1.4.1.19376.1.5.3.1.3.28 (DYNAMIC)
Example
Example
<section>
  <templateId root="2.16.756.5.30.1.1.10.3.46"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.27"/>  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.28"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests/laboratory data"/>  <title>Coded Results</title>  <text>
    <!-- Narrative Text -->
  </text>
  <entry typeCode="DRIV">
    <!-- template 2.16.756.5.30.1.1.10.4.84 'Gestational age' -->
  </entry>
</section>
Item DT Card Conf Description Label
hl7:section

Chapter (CDA Body Section) containing the coded results according to IHE PCC Technical Framework Revision 11.0 - November 11, 2016.

This section MAY contain relevant coded results of a patient for the given document context. The section MUST contain at least one Problem entry. In case of no relevant results, one of the 'special case' codes MUST be used.

In the context of immunizations, this section may indicate the gestational age of a child if relevant for immunization of the child.

In the context of lab reports, this section may indicate the gestational age of a child if relevant for the observation interpretation.

IHE PCC TF2 Rev.11, 6.3.3.5.2
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.3.46
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.27
hl7:templateId
II 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.28
hl7:id
II 0 … * R An ID for this section MAY be filled for traceability. IHE PCC TF2 Rev.11, 6.3.3.5.2
@root
uid 1 … 1 R MUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
@extension
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CE 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.5.2
@code
st 1 … 1 F 30954-2
@codeSystem
oid 1 … 1 F 2.16.840.1.113883.6.1
@codeSystemName
st 1 … 1 F LOINC
@displayName
st 1 … 1 F Relevant diagnostic tests/laboratory data
hl7:title
ST 1 … 1 M IHE PCC TF2 Rev.11, 6.3.3.5.2
  CONF
element content shall be "Other relevant observations"
-or-
element content shall be "Weitere relevante Beobachtungen"
-or-
element content shall be "TOTRANSLATE-FR"
-or-
element content shall be "TOTRANSLATE-IT"
  Variable let Name languageCode  
  Value substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2)  
  Schematron assert role red error  
  test not($languageCode='en') or (text()='Other relevant observations')  
  Message The English title MUST read 'Other relevant observations'  
  Schematron assert role red error  
  test not($languageCode='de') or (text()='Weitere relevante Beobachtungen')  
  Message The German title must MUST read 'Weitere relevante Beobachtungen'  
  Schematron assert role red error  
  test not($languageCode='fr') or (text()='TOTRANSLATE-FR')  
  Message The French title MUST read 'TOTRANSLATE-FR'  
  Schematron assert role red error  
  test not($languageCode='it') or (text()='TOTRANSLATE-IT')  
  Message The Italian title MUST read 'TOTRANSLATE-IT'  
hl7:text
SD.TEXT 1 … 1 M The narrative text for this section. IHE PCC TF2 Rev.11, 6.3.3.5.2
hl7:entry
1 … 1 R The narrative text in the text element of the section MUST be generated automatically from the information in this entry.
Contains 2.16.756.5.30.1.1.10.4.84 Gestational Age At Birth (DYNAMIC)
IHE PCC TF2 Rev.11, 6.3.3.5.2
treeblank where [@typeCode='DRIV'] [hl7:observation [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.84'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.13']]]
@typeCode
cs 1 … 1 F DRIV