|
|
| (11 intermediate revisions by the same user not shown) |
| Line 1: |
Line 1: |
| ===CDA Release 2 Content Modules ===
| |
| ====CDA Document Content Modules====
| |
| {{CDA Document|Antepartum Summary Form C, F & G|1.3.6.1.4.1.19376.1.5.3.1.1.11.2|draft|
| |
| |Data=
| |
| {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.3.13|Allergies|R||Must include observation of Latex Allergy}}
| |
| {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.3.39|Advance Directives|R||Must include observation of blood transfusion acceptable?}}
| |
| {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.3.31|Plan of Care|R||Must include observation stating if an anesthesia consult is planned}}
| |
| {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.3.19|Medications|R||}}
| |
| {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.3.6|Problems|R||}}
| |
| }}
| |
| {{CDA Document|docname2|did2|draft|desc2|
| |
| |Data=
| |
| {{CDA Document Content|sid1|sect1|R|sid1|}}
| |
| }}
| |
|
| |
|
| ====CDA Header Content Modules====
| |
|
| |
| ====CDA Section Content Modules====
| |
| {{CDA Section|Estimated Due Dates|1.2.6.1.4.1.19376.1.5.3.1.1.11.2.1|draft|This section houses the physicians best estimate of the patients due date. This is generally done both on an initial evaluation, and later confirmed at 18-20 weeks. The date is supported by evidence such as the patients history of last menstral period, a physical examination, or ultrasound measurements. If an gestational age based on ultrasound is present, it is generally considered the most accurate measurement and so that date would be chosen.
| |
| |Code={{CDA Section Code|Estimated Due Dates|EntryName1|R|(LOINC-requested)|}}
| |
| |Entry={{CDA Section Content|Estimated Due Date Observation|entN|R|1.2.6.1.4.1.19376.1.5.3.1.1.11.2.1|if one observation is present, then it is to be interpreted as the initial EDD. If observations dates indicate the EDD is within 20 weeks, the most recent observation will also be interpreted as the 18-20 week update.}}
| |
| }}
| |
|
| |
| ====CDA Entry Content Modules====
| |