1.3.6.1.4.1.19376.1.5.3.1.3.24: Difference between revisions
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{{CDA Section|Physical Exam|1.3.6.1.4.1.19376.1.5.3.1.3.24| | {{CDA Section|Physical Exam|1.3.6.1.4.1.19376.1.5.3.1.3.24|Trial|The physical exam section shall contain a narrative description of the patient’s physical findings. | ||
|LOINC= | |LOINC=29545-1|LOINCName=PHYSICAL EXAMINATION | ||
}} | }} | ||
Latest revision as of 14:20, 23 August 2007
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
Physical Exam Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.24 | |
|---|---|---|
| General Description | The physical exam section shall contain a narrative description of the patient’s physical findings. | |
| LOINC Code | Opt | Description |
| 29545-1 | R | PHYSICAL EXAMINATION |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.24'/>
<id root=' ' extension=' '/>
<code code='29545-1' displayName='PHYSICAL EXAMINATION'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.24'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.24"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Physical Exam can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "29545-1"]'>
Error: The section type code of a Physical Exam must be 29545-1
</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 Physical Exam Section