1.3.6.1.4.1.19376.1.5.3.1.3.4
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Development Only
The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at https://www.ihe.net/resources/technical_frameworks/#pcc
History of Present Illness Section
Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
---|---|---|
General Description | The history of present illness section shall contain a narrative description of the sequence of events preceding the patient’s current complaints. | |
LOINC Code | Opt | Description |
10164-2 | R | HISTORY OF PRESENT ILLNESS |
<component> <section> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.4'/> <id root=' ' extension=' '/> <code code='10164-2' displayName='HISTORY OF PRESENT ILLNESS' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text> </section> </component> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.4'> <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.4"]'> <!-- Verify that the template id is used on the appropriate type of object --> <assert test='../cda:section'> Error: The History of Present Illness can only be used on sections. </assert> <!-- Verify the section type code --> <assert test='cda:code[@code = "10164-2"]'> Error: The section type code of a History of Present Illness must be 10164-2 </assert> <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> Error: The section type code must come from the LOINC code system (2.16.840.1.113883.6.1). </assert> </rule> </pattern>
Uses
See Templates using the History of Present Illness Section