1.3.6.1.4.1.19376.1.5.3.1.1.13.1.3: Difference between revisions
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Index={{T|Data Element|A|B|Rows= | Index={{T|Data Element|A|B|Rows= | ||
{{R|Referral Source||}} | |||
{{R|Mode of Arrival||}} | |||
{{R|Chief Complaint||}} | {{R|Chief Complaint||}} | ||
{{R|History of Present Illness||}} | {{R|History of Present Illness||}} | ||
{{R|Active Problems||}} | |||
{{R|Vital Signs||}} | {{R|Vital Signs||}} | ||
{{R|Assessment||}} | {{R|Assessment||}} | ||
}} | }} | ||
|Data= | |Data= | ||
{{CDA Document Content| |Referral Source|R| |}} | |||
{{CDA Document Content| |Mode of Arrival|R| |}} | |||
{{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Chief Complaint|R|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1|}} | {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Chief Complaint|R|1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1|}} | ||
{{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|History of Present Illness|R||}} | {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|History of Present Illness|R||}} | ||
{{CDA Document Content| |Active Problems|R| |}} | |||
{{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Vital Signs|R||}} | {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Vital Signs|R||}} | ||
{{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Assessment|R||}} | {{CDA Document Content|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Assessment|R||}} | ||
}} | }} | ||
Revision as of 20:55, 23 May 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 http://www.ihe.net/Technical_Framework/index.cfm#PCC
ED Physician Note Specification 1.3.6.1.4.1.19376.1.5.3.1.1.13.1.3
Fill this in
Data Element Index
| Data Element | A | B |
|---|---|---|
| Referral Source | ||
| Mode of Arrival | ||
| Chief Complaint | ||
| History of Present Illness | ||
| Active Problems | ||
| Vital Signs | ||
| Assessment |
-->>Data<<--
Specification
| Data Element Name | Opt | Template ID |
|---|---|---|
| Referral Source | R | |
| Mode of Arrival | R | |
| Chief Complaint | R | 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 |
| History of Present Illness | R | |
| Active Problems | R | |
| Vital Signs | R | |
| Assessment | R |
Conformance
CDA Release 2.0 documents that conform to the requirements of this content module shall indicate their conformance by the inclusion of the appropriate <templateId> elements in the header of the document. This is shown in the sample document below.
<ClinicalDocument xmlns='urn:hl7-org:v3'> <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/> <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.13.1.3'/> <id root=' ' extension=' '/> <code code=' ' displayName=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <title>ED Physician Note</title> <effectiveTime value='20260407012005'/> <confidentialityCode code='N' displayName='Normal' codeSystem='2.16.840.1.113883.5.25' codeSystemName='Confidentiality' /> <languageCode code='en-US'/> : <component><structuredBody> </structuredBody></component> </ClinicalDocument> |
<!-- Verify the document type code -->
<assert test='cda:code[@code = "{{{LOINC}}}"]'>
Error: The document type code of a ED Physician Note must be {{{LOINC}}}
</assert>
<assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'>
Error: The document type code must come from the LOINC code
system (2.16.840.1.113883.6.1).
</assert>