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|Draft|The physical exam section shall contain a narrative description of the patient’s physical findings.
{{CDA Section|Physical Exam|1.3.6.1.4.1.19376.1.5.3.1.3.24|Comment|The physical exam section shall contain a narrative description of the patient’s physical findings.
|Code={{CDA Section Code|1.3.6.1.4.1.19376.1.5.3.1.3.24|PHYSICAL EXAM.TOTAL|R|22029-3}}
|LOINC=22029-3|LOINCName=PHYSICAL EXAM.TOTAL
}}
}}

Revision as of 12:50, 6 June 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
22029-3 R PHYSICAL EXAM.TOTAL



Sample Physical Exam Section 
<component>
  <section>
    <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.24'/>
    <id root=' ' extension=' '/>
    <code code='22029-3' displayName='PHYSICAL EXAM.TOTAL'
      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 = "22029-3"]'> 
     Error: The section type code of a Physical Exam must be 22029-3 
   </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


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