1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1: Difference between revisions
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{{CDA Document|Triage Note|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Comment| | {{CDA Document|Triage Note|1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1|Comment| | ||
Fill this in| | Fill this in| | ||
Index={{T|Data Element| | Index={{T|Data Element|LOINC|Rows= | ||
{{R|Chief Complaint||}} | {{R|Chief Complaint|10154-3 CHIEF COMPLAINT|}} | ||
{{R|Mode of Arrival||}} | {{R|Mode of Arrival|11459-5 TRANSPORT MODE|}} | ||
{{R|History of Present Illness||}} | {{R|History of Present Illness|10164-2 HISTORY OF PRESENT ILLNESS|}} | ||
{{R|Active Problems - may need PMH LOINC||}} | {{R|Active Problems - may need PMH LOINC||}} | ||
{{R|Current Medications||}} | {{R|Current Medications||}} | ||
{{R|Allergies||}} | {{R|Allergies||}} | ||
{{R|Acuity Assessment||}} | {{R|Acuity Assessment|11283-9 ACUITY ASSESSMENT|}} | ||
{{R|Vital Signs||}} | {{R|Vital Signs||}} | ||
{{R|Assessments||}} | {{R|Assessments||}} | ||
Revision as of 12:41, 24 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
Triage Note Specification 1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1
Fill this in
Data Element Index
| Data Element | LOINC |
|---|---|
| Chief Complaint | 10154-3 CHIEF COMPLAINT |
| Mode of Arrival | 11459-5 TRANSPORT MODE |
| History of Present Illness | 10164-2 HISTORY OF PRESENT ILLNESS |
| Active Problems - may need PMH LOINC | |
| Current Medications | |
| Allergies | |
| Acuity Assessment | 11283-9 ACUITY ASSESSMENT |
| Vital Signs | |
| Assessments |
-->>Data<<--
Specification
| Data Element Name | Opt | Template ID |
|---|---|---|
| Chief Complaint | R | 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.1 |
| Mode of Arrival | R | |
| History of Present Illness | R | 1.3.6.1.4.1.19376.1.5.3.1.3.4 |
| Active Problems - may need PMH LOINC | R | |
| Current Medications | R | |
| Allergies | R | |
| Acuity Assessment | R | 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.2 |
| Vital Signs | R | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 |
| Assessments | R | 1.3.6.1.4.1.19376.1.5.3.1.1.13.2.3 |
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='1.3.6.1.4.1.19376.1.5.3.1.1.13.1.1'/> <id root=' ' extension=' '/> <code code=' ' displayName=' ' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <title>Triage 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 Triage 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>