hl7:section
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Chapter (CDA Body Section) containing the history of past illness according to IHE
PCC Technical Framework Revision 11.0 - November 11, 2016.
This section contains the anamnesis of the patient. The section MUST contain at least
one Problem entry. In case of no problems, one of the 'special case' codes MUST be
used.
In the context of immunizations, only the diseases should be mentioned which lead
to a natural immunization.
|
IHE PCC TF2 Rev.11, 6.3.3.2.5 |
hl7:templateId
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II |
1 … 1 |
M |
|
IHE PCC TF2 Rev.11, 6.3.3.2.5 |
@root
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uid |
1 … 1 |
F |
2.16.756.5.30.1.1.10.3.50 |
hl7:templateId
|
II |
1 … 1 |
M |
|
IHE PCC TF2 Rev.11, 6.3.3.2.5 |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.3.8 |
hl7:id
|
II |
0 … * |
R |
An ID for this section MAY be filled for traceability. |
IHE PCC TF2 Rev.11, 6.3.3.2.5 |
@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.
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@extension
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st |
0 … 1 |
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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, 6.3.3.2.5 |
@code
|
st |
1 … 1 |
F |
11348-0 |
@codeSystem
|
oid |
1 … 1 |
F |
2.16.840.1.113883.6.1 |
@codeSystemName
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st |
1 … 1 |
F |
LOINC |
@displayName
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st |
1 … 1 |
F |
HISTORY OF PAST ILLNESS |
hl7:title
|
ST |
1 … 1 |
M |
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IHE PCC TF2 Rev.11, 6.3.3.2.5 |
|
CONF |
element content shall be "History of Past Illness" |
-or- |
element content shall be "Bisherige Krankheiten" |
-or- |
element content shall be "Antécédents médicaux" |
-or- |
element content shall be "Storia medica" |
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Variable let |
Name |
languageCode |
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Value |
substring(/hl7:ClinicalDocument/hl7:languageCode/@code,1,2) |
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Schematron assert |
role |
error
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test |
not($languageCode='en') or (text()='History of Past Illness') |
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Message |
The English title MUST read 'History of Past Illness' |
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Schematron assert |
role |
error
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test |
not($languageCode='de') or (text()='Bisherige Krankheiten') |
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Message |
The German title must MUST read 'Bisherige Krankheiten' |
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Schematron assert |
role |
error
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|
|
test |
not($languageCode='fr') or (text()='Antécédents médicaux') |
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Message |
The French title MUST read 'Antécédents médicaux' |
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|
Schematron assert |
role |
error
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|
|
test |
not($languageCode='it') or (text()='Storia medica') |
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Message |
The Italian title MUST read 'Storia medica' |
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hl7:text
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SD.TEXT |
1 … 1 |
M |
The narrative text for this section. |
IHE PCC TF2 Rev.11, 6.3.3.2.5 |
hl7:entry
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|
1 … * |
M |
The narrative text in the text element of the section MUST be generated automatically
from the information in this entry. Contains 2.16.756.5.30.1.1.10.4.90 Problem Concern Entry (DYNAMIC)
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IHE PCC TF2 Rev.11, 6.3.3.2.5 |
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where [@typeCode='DRIV'] [hl7:act [hl7:templateId [@root='2.16.756.5.30.1.1.10.4.90'] and
hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2'] and hl7:templateId [@root='1.3.6.1.4.1.19376.1.5.3.1.4.5.1']
and hl7:templateId [@root='2.16.840.1.113883.10.20.1.27']]] |
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@typeCode
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cs |
1 … 1 |
F |
DRIV |