1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9

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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 http://www.ihe.net/Technical_Framework/index.cfm#PCC

Trial.gif ED Diagnosis Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9
General Description The ED diagnosis section shall contain a narrative description of the conditions that were diagnosed or addressed during the ED course, as well as those active conditions that modify the complexity of the patient encounter. It should include entries for patient conditions as described in the Entry Content Module.
LOINC Code Opt Description
11301-9 R ED DIAGNOSIS
Entries Opt Description
1.3.6.1.4.1.19376.1.5.3.1.4.5 R Conditions Entry



Sample ED Diagnosis Section
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9'/>
    <id root=' ' extension=' '/>
    <code code='11301-9' displayName='ED DIAGNOSIS'
      codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <text>
      Text as described above
    </text>   
    <entry>
         :
      <!-- Required Conditions Entry element -->
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5'/>
         :
    </entry>
       
  </section>
</component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The ED Diagnosis can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "11301-9"]'> 
     Error: The section type code of a ED Diagnosis must be 11301-9 
   </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> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.5"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The ED Diagnosis Section must contain a(n) Conditions Entry Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the ED Diagnosis Section


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