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draft Template  XeH Patient History Section

Id 2.16.840.1.113883.2.51.10.15 Effective Date 2021‑09‑10 15:17:23
Status draft Draft Version Label 0.1
Name XeHPatientHistorySection Display Name XeH Patient History Section
Description
This Section describes all aspects of the medical history of the patient even if not pertinent to the current procedure, and may include chief complaint, past medical history, social history, family history, surgical or procedure history, medication history, and other history information. The history may be limited to information pertinent to the current procedure or may be more comprehensive. The history may be reported as a collection of random clinical statements or it may be reported categorically. Categorical report formats may be divided into multiple subsections including Past Medical History, Social History.
Context Parent nodes of template element with id 2.16.840.1.113883.2.51.10.15
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 3 templates
Used by as Name Version
2.16.840.1.113883.2.51.10.12 Containment draft XeH Hospital Discharge Report (0.1) 2021‑09‑10 14:49:32
2.16.840.1.113883.2.51.10.13 Containment draft XeH RD Patient Summary (0.1) 2021‑09‑10 14:50:49
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Containment pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Relationship Adaptation: template 2.16.840.1.113883.10.20.22.2.39 Medical (General) History Section (2015‑08‑13)
ref
ccda-
Item DT Card Conf Description Label
cda:section
(XeHdotsion)
hl7:templateId
II 1 … 1 M (XeHdotsion)
@root
uid 1 … 1 F 2.16.840.1.113883.2.51.10.15
hl7:templateId
II 0 … * (XeHdotsion)
hl7:id
II 0 … * R (XeHdotsion)
cda:code
CE 1 … 1 M (XeHdotsion)
@code
CONF 1 … 1 F 11329-0
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
cda:title
ST 1 … 1 R (XeHdotsion)
cda:text
SD.TEXT 1 … 1 R (XeHdotsion)
hl7:text
SD.TEXT 1 … 1 M Section text (XeHdotsion)
hl7:author
0 … * Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (XeHdotsion)
hl7:informant
0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) (XeHdotsion)
hl7:component
0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) (XeHdotsion)