1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4: Difference between revisions

From IHE Wiki
Jump to navigation Jump to search
← Older edit
Kboone (talk | contribs)
4,700 edits
m Replacing page with '{{subst::1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9 }}'
Kboone (talk | contribs)
4,700 edits
m Removed extra }}
 
(One intermediate revision by the same user not shown)
Line 1: Line 1:
{{CDA Section|ED Diagnosis|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.9|Comment|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.
{{CDA Section|Assessments|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4|Trial|The assessments section contains narrative assessments of the patient status.
|LOINC=11301-9|LOINCName=ED DIAGNOSIS
|LOINC=X-ASSESS|LOINCName=ASSESSMENTS
|Entry|Conditions Entry|R|1.3.6.1.4.1.19376.1.5.3.1.4.5|}}
|Entry|Nursing Assessments Battery|O|1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4|}}
}}

Latest revision as of 15:11, 1 April 2008

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

Assessments Section
Template ID 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4
General Description The assessments section contains narrative assessments of the patient status.
LOINC Code Opt Description
X-ASSESS R ASSESSMENTS
Entries Opt Description
1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4 O Nursing Assessments Battery



Sample Assessments Section 
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4'/>
    <id root=' ' extension=' '/>
    <code code='X-ASSESS' displayName='ASSESSMENTS'
      codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
    <text>
      Text as described above
    </text>   
    <entry>
         :
      <!-- Optional Nursing Assessments Battery element -->
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4'/>
         :
    </entry>
       
  </section>
</component>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Assessments can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "X-ASSESS"]'> 
     Error: The section type code of a Assessments must be X-ASSESS 
   </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 = "1.3.6.1.4.1.19376.1.5.3.1.1.13.3.4"]'> 
     <!-- Note any missing optional elements -->
     Note: This Assessments Section does not contain a(n) Nursing Assessments Battery Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Assessments Section


Retrieved from "http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.13.2.4&oldid=15503"