CDA Section Content Modules
Section Content Modules
This list defines the sections that may appear in a medical document. It is intended to be a comprehensive list of all document sections that are used by any content profile defined in the Patient Care Coordination Technical Framework. All sections shall have a narrative component that may be freely formatted into normal text, lists, tables, or other appropriate human-readable presentations. Additional subsections or entry content modules may be required.
Reasons for Care
The sections described below describe various reasons why healthcare is being provided to the patient.
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
Reason for Referral Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.1 | |
|---|---|---|
| General Description | The reason for referral section shall contain a narrative description of the reason that the patient is being referred. | |
| LOINC Code | Opt | Description |
| 42349-1 | R | REASON FOR REFERRAL |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.1'/>
<id root=' ' extension=' '/>
<code code='42349-1' displayName='REASON FOR REFERRAL'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.1'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.1"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Reason for Referral can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42349-1"]'>
Error: The section type code of a Reason for Referral must be 42349-1
</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 Reason for Referral Section
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
Coded Reason for Referral Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.2 | |
|---|---|---|
| Parent Template | Reason for Referral (1.3.6.1.4.1.19376.1.5.3.1.3.1) | |
| General Description | This section shall include at least one entry describing the reason for referral as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 42349-1 | R | REASON FOR REFERRAL |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13 | R | Simple Observations |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5 | R | Conditions Entry |
Parent Template
The parent of this template is Reason for Referral.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.2'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.2"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Reason for Referral can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.1"]'>
Error: The parent template identifier for Coded Reason for Referral is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42349-1"]'>
Error: The section type code of a Coded Reason for Referral must be 42349-1
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Reason for Referral Section must contain a(n) Simple Observations Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.2
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.5"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Reason for Referral Section must contain a(n) Conditions Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.2
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Reason for Referral Section
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
Hospital Admission Diagnosis Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.3 | |
|---|---|---|
| General Description | The hospital admitting diagnosis section shall contain a narrative description of the primary reason for admission to a hospital facility. It shall include entries for observations as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 46241-6 | R | HOSPITAL ADMISSION DX |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | R | Problem Concern Entry |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.3'/>
<id root=' ' extension=' '/>
<code code='46241-6' displayName='HOSPITAL ADMISSION DX'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Problem Concern Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.3'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.3"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hospital Admission Diagnosis can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "46241-6"]'>
Error: The section type code of a Hospital Admission Diagnosis must be 46241-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5.2"]'>
<!-- Verify that all required data elements are present -->
Error: The Hospital Admission Diagnosis Section must contain a(n) Problem Concern Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.3
</assert>
</rule>
</pattern>
Uses
See Templates using the Hospital Admission Diagnosis Section
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
Proposed Procedure Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.1 | |
|---|---|---|
| General Description | The proposed procedure section shall contain a description of the procedures for which a risk assessment is required including procedure names and codes, patient position, dates, and names of surgeons. It shall include entries for procedures as described in the Entry Content Modules and the required and optional subsections. | |
| LOINC Code | Opt | Description |
| 29554-3 | R | PROCEDURE |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | R | Procedure Entry |
| Subsections | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.4 | R | Reason for Procedure |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.3 | R | Proposed Anesthesia |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.2 | R2 | Expected Blood Loss |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.40 | R2 | Procedure Care Plan |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.1'/>
<id root=' ' extension=' '/>
<code code='29554-3' displayName='PROCEDURE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Procedure Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.19'/>
:
</entry>
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.4'/>
<!-- Required Reason for Procedure Section content -->
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.1'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.1"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Proposed Procedure can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "29554-3"]'>
Error: The section type code of a Proposed Procedure must be 29554-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Verify that all required data elements are present -->
Error: The Proposed Procedure Section must contain a(n) Procedure Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.4"]'>
<!-- Verify that all required data elements are present -->
Error: The Proposed Procedure Section must contain a(n) Reason for Procedure Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.3"]'>
<!-- Verify that all required data elements are present -->
Error: The Proposed Procedure Section must contain a(n) Proposed Anesthesia Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.2"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Proposed Procedure Section should contain a(n) Expected Blood Loss Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.40"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Proposed Procedure Section should contain a(n) Procedure Care Plan Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.1
</assert>
</rule>
</pattern>
Uses
See Templates using the Proposed Procedure Section
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
Estimated Blood Loss Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.2 | |
|---|---|---|
| General Description | The estimated blood loss section shall contain a description of the blood loss for the procedure. | |
| LOINC Code | Opt | Description |
| 8717-1 | R | OPERATIVE NOTE ESTIMATED BLOOD LOSS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13 | R | Simple Observations |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.2'/>
<id root=' ' extension=' '/>
<code code='8717-1' displayName='OPERATIVE NOTE ESTIMATED BLOOD LOSS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Simple Observations element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.2'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.2"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Estimated Blood Loss can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "8717-1"]'>
Error: The section type code of a Estimated Blood Loss must be 8717-1
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13"]'>
<!-- Verify that all required data elements are present -->
Error: The Estimated Blood Loss Section must contain a(n) Simple Observations Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.2
</assert>
</rule>
</pattern>
Uses
See Templates using the Estimated Blood Loss Section
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
Proposed Anesthesia Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.3 | |
|---|---|---|
| General Description | The proposed anesthesia section shall contain a description of the anesthetic techniques for which a risk assessment is required. It shall include entries for anesthetic procedures as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 10213-7 | R | OPERATIVE NOTE ANESTHESIA |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | R | Procedure Entry The procedure entries shall be in INT mood. |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.3'/>
<id root=' ' extension=' '/>
<code code='10213-7' displayName='OPERATIVE NOTE ANESTHESIA'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Procedure Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.19'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.3'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.3"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Proposed Anesthesia can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10213-7"]'>
Error: The section type code of a Proposed Anesthesia must be 10213-7
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Verify that all required data elements are present -->
Error: The Proposed Anesthesia Section must contain a(n) Procedure Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.3
</assert>
</rule>
</pattern>
Uses
See Templates using the Proposed Anesthesia Section
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
Reason for Procedure Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.4 | |
|---|---|---|
| General Description | The reason for procedure section shall contain a description of the reason that the patient is receiving the procedure. It shall include entries for conditions as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 10217-8 | R | OPERATIVE NOTE INDICATIONS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5 | R2 | Conditions Entry |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.4'/>
<id root=' ' extension=' '/>
<code code='10217-8' displayName='OPERATIVE NOTE INDICATIONS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required if known Conditions Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.4'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.4"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Reason for Procedure can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10217-8"]'>
Error: The section type code of a Reason for Procedure must be 10217-8
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Reason for Procedure Section should contain a(n) Conditions Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.4
</assert>
</rule>
</pattern>
Uses
See Templates using the Reason for Procedure Section
Other Condition Histories
The sections defined below provide historical information about the patient's conditions.
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
History of Present Illness Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.4 | |
|---|---|---|
| General Description | The history of present illness section shall contain a narrative description of the sequence of events preceding the patient’s current complaints. | |
| LOINC Code | Opt | Description |
| 10164-2 | R | HISTORY OF PRESENT ILLNESS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.4'/>
<id root=' ' extension=' '/>
<code code='10164-2' displayName='HISTORY OF PRESENT ILLNESS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.4'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.4"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The History of Present Illness can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10164-2"]'>
Error: The section type code of a History of Present Illness must be 10164-2
</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 History of Present Illness Section
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
Hospital Course Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.5 | |
|---|---|---|
| General Description | The hospital course section shall contain a narrative description of the sequence of events from admission to discharge in a hospital facility. | |
| LOINC Code | Opt | Description |
| 8648-8 | R | HOSPITAL COURSE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.5'/>
<id root=' ' extension=' '/>
<code code='8648-8' displayName='HOSPITAL COURSE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.5'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.5"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hospital Course can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "8648-8"]'>
Error: The section type code of a Hospital Course must be 8648-8
</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 Hospital Course Section
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
Active Problems Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.6 | |
|---|---|---|
| Parent Template | CCD 3.5 (2.16.840.1.113883.10.20.1.11) | |
| General Description | The active problem section shall contain a narrative description of the conditions currently being monitored for the patient. It shall include entries for patient conditions as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 11450-4 | R | PROBLEM LIST |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | R | Problem Concern Entry |
Parent Template
The parent of this template is CCD 3.5.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.6'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.6"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Active Problems can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.11"]'>
Error: The parent template identifier for Active Problems is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11450-4"]'>
Error: The section type code of a Active Problems must be 11450-4
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5.2"]'>
<!-- Verify that all required data elements are present -->
Error: The Active Problems Section must contain a(n) Problem Concern Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.6
</assert>
</rule>
</pattern>
Uses
See Templates using the Active Problems Section
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
Discharge Diagnosis Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.7 | |
|---|---|---|
| General Description | The discharge diagnosis section shall contain a narrative description of the conditions that need to be monitored after discharge from the hospital and those that were resolved during the hospital course. It shall include entries for patient conditions as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 11535-2 | R | HOSPITAL DISCHARGE DX |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | R | Problem Concern Entry |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.7'/>
<id root=' ' extension=' '/>
<code code='11535-2' displayName='HOSPITAL DISCHARGE DX'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Problem Concern Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.7'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.7"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Discharge Diagnosis can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11535-2"]'>
Error: The section type code of a Discharge Diagnosis must be 11535-2
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5.2"]'>
<!-- Verify that all required data elements are present -->
Error: The Discharge Diagnosis Section must contain a(n) Problem Concern Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.7
</assert>
</rule>
</pattern>
Uses
See Templates using the Discharge Diagnosis Section
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
History of Past Illness Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.8 | |
|---|---|---|
| General Description | The History of Past Illness section shall contain a narrative description of the conditions the patient suffered in the past. It shall include entries for problems as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 11348-0 | R | HISTORY OF PAST ILLNESS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 | R | Problem Concern Entry |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.8'/>
<id root=' ' extension=' '/>
<code code='11348-0' displayName='HISTORY OF PAST ILLNESS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Problem Concern Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.5.2'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.8'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.8"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The History of Past Illness can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11348-0"]'>
Error: The section type code of a History of Past Illness must be 11348-0
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5.2"]'>
<!-- Verify that all required data elements are present -->
Error: The History of Past Illness Section must contain a(n) Problem Concern Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.8
</assert>
</rule>
</pattern>
Uses
See Templates using the History of Past Illness Section
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
Encounter Histories Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3 | |
|---|---|---|
| Parent Template | 2.16.840.1.113883.10.20.1.3 (2.16.840.1.113883.10.20.1.3) | |
| General Description | The encounter history section contains coded entries describing the patient history of encounters. | |
| LOINC Code | Opt | Description |
| 46240-8 | R | HISTORY OF ENCOUNTERS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.14 | R | Encounters |
Parent Template
The parent of this template is 2.16.840.1.113883.10.20.1.3.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Encounter Histories can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.3"]'>
Error: The parent template identifier for Encounter Histories is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "46240-8"]'>
Error: The section type code of a Encounter Histories must be 46240-8
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.14"]'>
<!-- Verify that all required data elements are present -->
Error: The Encounter Histories Section must contain a(n) Encounters Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3
</assert>
</rule>
</pattern>
Uses
See Templates using the Encounter Histories Section
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
History of Outpatient Visits Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.9 | |
|---|---|---|
| General Description | The outpatients visit section shall contain a narrative description of the completed visits to ambulatory facilities. | |
| LOINC Code | Opt | Description |
| 11346-4 | R | HISTORY OF OUTPATIENT VISITS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.9'/>
<id root=' ' extension=' '/>
<code code='11346-4' displayName='HISTORY OF OUTPATIENT VISITS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.9'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.9"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The History of Outpatient Visits can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11346-4"]'>
Error: The section type code of a History of Outpatient Visits must be 11346-4
</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 History of Outpatient Visits Section
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
History of Inpatient Visits Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.10 | |
|---|---|---|
| General Description | The inpatient admissions section shall contain a narrative description of the admissions and discharges to inpatient facilities. | |
| LOINC Code | Opt | Description |
| 11336-5 | R | HISTORY OF HOSPITALIZATIONS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.10'/>
<id root=' ' extension=' '/>
<code code='11336-5' displayName='HISTORY OF HOSPITALIZATIONS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.10'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.10"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The History of Inpatient Visits can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11336-5"]'>
Error: The section type code of a History of Inpatient Visits must be 11336-5
</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 History of Inpatient Visits Section
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
List of Surgeries Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.11 | |
|---|---|---|
| Parent Template | CCD 3.14 (2.16.840.1.113883.10.20.1.12) | |
| General Description | The list of surgeries section shall contain a narrative description of the diagnostic and therapeutic operative procedures and associated anesthetic techniques the patient received in the past. | |
| LOINC Code | Opt | Description |
| 47519-4 | R | HISTORY OF PROCEDURES |
Parent Template
The parent of this template is CCD 3.14.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.11'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.11"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The List of Surgeries can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.12"]'>
Error: The parent template identifier for List of Surgeries is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "47519-4"]'>
Error: The section type code of a List of Surgeries must be 47519-4
</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 List of Surgeries Section
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
Coded List of Surgeries Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.12 | |
|---|---|---|
| Parent Template | List of Surgeries (1.3.6.1.4.1.19376.1.5.3.1.3.11) | |
| General Description | The list of surgeries section shall include entries for procedures and references to procedure reports when known as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 47519-4 | R | HISTORY OF PROCEDURES |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | R | Procedure Entry |
| 1.3.6.1.4.1.19376.1.5.3.1.4.4 | R2 | References Entry |
Parent Template
The parent of this template is List of Surgeries.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.12'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.12"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded List of Surgeries can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.11"]'>
Error: The parent template identifier for Coded List of Surgeries is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "47519-4"]'>
Error: The section type code of a Coded List of Surgeries must be 47519-4
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded List of Surgeries Section must contain a(n) Procedure Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.12
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.4"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Coded List of Surgeries Section should contain a(n) References Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.12
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded List of Surgeries Section
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
Allergies and Other Adverse Reactions Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.13 | |
|---|---|---|
| Parent Template | CCD 3.8 (2.16.840.1.113883.10.20.1.2) | |
| General Description | The allergies and other adverse reactions section shall contain a narrative description of the substance intolerances and the associated adverse reactions suffered by the patient. It shall include entries for intolerances and adverse reactions as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 48765-2 | R | Allergies, adverse reactions, alerts |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5.3 | R | Allergies and Intolerances Concern |
Parent Template
The parent of this template is CCD 3.8. This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.2
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.13'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.13"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Allergies and Other Adverse Reactions can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.2"]'>
Error: The parent template identifier for Allergies and Other Adverse Reactions is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "48765-2"]'>
Error: The section type code of a Allergies and Other Adverse Reactions must be 48765-2
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5.3"]'>
<!-- Verify that all required data elements are present -->
Error: The Allergies and Other Adverse Reactions Section must contain a(n) Allergies and Intolerances Concern Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.13
</assert>
</rule>
</pattern>
Uses
See Templates using the Allergies and Other Adverse Reactions Section
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
Family Medical History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.14 | |
|---|---|---|
| Parent Template | CCD 3.6 (2.16.840.1.113883.10.20.1.4) | |
| General Description | The family history section shall contain a narrative description of the genetic family members, to the extent that they are known, the diseases they suffered from, their ages at death, and other relevant genetic information. | |
| LOINC Code | Opt | Description |
| 10157-6 | R | HISTORY OF FAMILY MEMBER DISEASES |
Parent Template
The parent of this template is CCD 3.6.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.14'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.14"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Family Medical History can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.4"]'>
Error: The parent template identifier for Family Medical History is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10157-6"]'>
Error: The section type code of a Family Medical History must be 10157-6
</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 Family Medical History Section
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
Coded Family Medical History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.15 | |
|---|---|---|
| Parent Template | Family Medical History (1.3.6.1.4.1.19376.1.5.3.1.3.14) | |
| General Description | The family history section shall include entries for family history as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 10157-6 | R | HISTORY OF FAMILY MEMBER DISEASES |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.15 | R | Family History Organizer |
Parent Template
The parent of this template is Family Medical History.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.15'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.15"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Family Medical History can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.14"]'>
Error: The parent template identifier for Coded Family Medical History is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10157-6"]'>
Error: The section type code of a Coded Family Medical History must be 10157-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.15"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Family Medical History Section must contain a(n) Family History Organizer Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.15
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Family Medical History Section
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
Pre-procedure Family Medical History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.5 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.15 (1.3.6.1.4.1.19376.1.5.3.1.3.15) | |
| General Description | The pre-procedure family history section shall contain a description of the genetic family members who have suffered complications during anesthesia such as malignant hyperthermia, bleeding, etc. It shall include entries for family history as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 10157-6 | R | HISTORY OF FAMILY MEMBER DISEASES |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.15.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.5'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.5"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Pre-procedure Family Medical History can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.15"]'>
Error: The parent template identifier for Pre-procedure Family Medical History is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10157-6"]'>
Error: The section type code of a Pre-procedure Family Medical History must be 10157-6
</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 Pre-procedure Family Medical History Section
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
Social History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.16 | |
|---|---|---|
| Parent Template | CCD 3.7 (2.16.840.1.113883.10.20.1.15) | |
| General Description | The social history section shall contain a narrative description of the person’s beliefs, home life, community life, work life, hobbies, and risky habits. | |
| LOINC Code | Opt | Description |
| 29762-2 | R | SOCIAL HISTORY |
Parent Template
The parent of this template is CCD 3.7.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.16'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.16"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Social History can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.15"]'>
Error: The parent template identifier for Social History is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "29762-2"]'>
Error: The section type code of a Social History must be 29762-2
</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 Social History Section
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
Functional Status Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.17 | |
|---|---|---|
| Parent Template | CCD 3.4 (2.16.840.1.113883.10.20.1.5) | |
| General Description | The functional status section shall contain a narrative description of capability of the patient to perform acts of daily living. | |
| LOINC Code | Opt | Description |
| 47420-5 | R | FUNCTIONAL STATUS ASSESSMENT |
Parent Template
The parent of this template is CCD 3.4.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.17'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.17"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Functional Status can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.5"]'>
Error: The parent template identifier for Functional Status is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "47420-5"]'>
Error: The section type code of a Functional Status must be 47420-5
</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 Functional Status Section
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
Review of Systems Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.18 | |
|---|---|---|
| General Description | The review of systems section shall contain a narrative description of the responses the patient gave to a set of routine questions on the functions of each anatomic body system. | |
| LOINC Code | Opt | Description |
| 10187-3 | R | REVIEW OF SYSTEMS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.18'/>
<id root=' ' extension=' '/>
<code code='10187-3' displayName='REVIEW OF SYSTEMS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.18'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.18"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Review of Systems can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10187-3"]'>
Error: The section type code of a Review of Systems must be 10187-3
</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 Review of Systems Section
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
Preprocedure Review of Systems Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.13 | |
|---|---|---|
| Parent Template | Review of Systems (1.3.6.1.4.1.19376.1.5.3.1.3.18) | |
| General Description | The pre-procedure review of systems section shall contain only required and optional subsections dealing with the responses the patient gave to a set of routine questions on body systems in general and specific risks of anesthesia not covered in general review of systems. | |
| LOINC Code | Opt | Description |
| 10187-3 | R | REVIEW OF SYSTEMS |
| Subsections | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.46 | R | History of Implanted Medical Devices |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.47 | R2 | Pregnancy Status History |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.14 | R | Anesthesia Risk Review of Systems |
Parent Template
The parent of this template is Review of Systems.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.13'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.13"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Preprocedure Review of Systems can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.18"]'>
Error: The parent template identifier for Preprocedure Review of Systems is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10187-3"]'>
Error: The section type code of a Preprocedure Review of Systems must be 10187-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.46"]'>
<!-- Verify that all required data elements are present -->
Error: The Preprocedure Review of Systems Section must contain a(n) History of Implanted Medical Devices Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.47"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Preprocedure Review of Systems Section should contain a(n) Pregnancy Status History Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.14"]'>
<!-- Verify that all required data elements are present -->
Error: The Preprocedure Review of Systems Section must contain a(n) Anesthesia Risk Review of Systems Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.13
</assert>
</rule>
</pattern>
Uses
See Templates using the Preprocedure Review of Systems Section
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
Hazardous Working Conditions Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1 | |
|---|---|---|
| General Description | Hazardous working conditions contains a narrative description of the patient's hazardous risks. | |
| LOINC Code | Opt | Description |
| 10161-8 | R | HISTORY OF OCCUPATIONAL EXPOSURE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1'/>
<id root=' ' extension=' '/>
<code code='10161-8' displayName='HISTORY OF OCCUPATIONAL EXPOSURE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.1"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hazardous Working Conditions can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10161-8"]'>
Error: The section type code of a Hazardous Working Conditions must be 10161-8
</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 Hazardous Working Conditions Section
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
Pregnancy History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4 | |
|---|---|---|
| General Description | The pregnancy history section contains coded entries describing the patient history of pregnancies. | |
| LOINC Code | Opt | Description |
| 10162-6 | R | HISTORY OF PREGNANCIES |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13.5 | R | Pregnancy Observation |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4'/>
<id root=' ' extension=' '/>
<code code='10162-6' displayName='HISTORY OF PREGNANCIES'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Pregnancy Observation element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13.5'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Pregnancy History can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10162-6"]'>
Error: The section type code of a Pregnancy History must be 10162-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.13.5"]'>
<!-- Verify that all required data elements are present -->
Error: The Pregnancy History Section must contain a(n) Pregnancy Observation Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5.3.4
</assert>
</rule>
</pattern>
Uses
See Templates using the Pregnancy History Section
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
Medical Devices Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5 | |
|---|---|---|
| Parent Template | 2.16.840.1.11383.10.20.1.7 (2.16.840.1.11383.10.20.1.7) | |
| General Description | The medical devices section contains narrative text describing the patient history of medical device use. | |
| LOINC Code | Opt | Description |
| 46264-8 | R | HISTORY OF MEDICAL DEVICE USE |
Parent Template
The parent of this template is 2.16.840.1.11383.10.20.1.7.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.5"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Medical Devices can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.11383.10.20.1.7"]'>
Error: The parent template identifier for Medical Devices is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "46264-8"]'>
Error: The section type code of a Medical Devices must be 46264-8
</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 Medical Devices Section
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
Foreign Travel Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6 | |
|---|---|---|
| General Description | The foreign travel section contains only narrative text describing the patient's travel history. | |
| LOINC Code | Opt | Description |
| 10182-4 | R | HISTORY OF TRAVEL |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6'/>
<id root=' ' extension=' '/>
<code code='10182-4' displayName='HISTORY OF TRAVEL'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.6"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Foreign Travel can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10182-4"]'>
Error: The section type code of a Foreign Travel must be 10182-4
</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 Foreign Travel Section
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
History of Tobacco Use Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.8 | |
|---|---|---|
| General Description | The history of tobacco use section shall contain a description of the responses the patient gave to a set of routine questions on the history of tobacco use. | |
| LOINC Code | Opt | Description |
| 11366-2 | R | HISTORY OF TOBACCO USE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.8'/>
<id root=' ' extension=' '/>
<code code='11366-2' displayName='HISTORY OF TOBACCO USE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.8'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.8"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The History of Tobacco Use can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11366-2"]'>
Error: The section type code of a History of Tobacco Use must be 11366-2
</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 History of Tobacco Use Section
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
Current Alcohol/Substance Abuse Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.10 | |
|---|---|---|
| General Description | The history of alcohol/substance abuse section shall contain a description of the responses the patient gave to a set of routine questions on the current abuse of alcohol or other substances. | |
| LOINC Code | Opt | Description |
| 18663-5 | R | HISTORY OF PRESENT ALCOHOL AND/OR SUBSTANCE ABUSE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.10'/>
<id root=' ' extension=' '/>
<code code='18663-5' displayName='HISTORY OF PRESENT ALCOHOL AND/OR SUBSTANCE ABUSE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.10'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.10"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Current Alcohol/Substance Abuse can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18663-5"]'>
Error: The section type code of a Current Alcohol/Substance Abuse must be 18663-5
</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 Current Alcohol/Substance Abuse Section
__________
gregorysmith
Alcohol abuse affects millions. This site has a lot of useful information. Alcohol Abuse
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
Transfusion History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.12 | |
|---|---|---|
| General Description | The transfusion history section shall contain a description of the blood products the patient has received in the past, including any reactions to blood products. It shall include entries for substance administration as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| TBD | R | BLOOD PRODUCTS ADMINISTRATION |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.12'/>
<id root=' ' extension=' '/>
<code code='TBD' displayName='BLOOD PRODUCTS ADMINISTRATION'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.12'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.12"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Transfusion History can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "TBD"]'>
Error: The section type code of a Transfusion History must be TBD
</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 Transfusion History Section
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
Anesthesia Risk Review of Systems Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.14 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.18 (1.3.6.1.4.1.19376.1.5.3.1.3.18) | |
| General Description | The anethesia review of systems section shall contain a description of the responses the patient gave to a set of routine questions on specific risks of anesthesia not covered in general review of systems such as broken teeth, airway limitations, positioning limitations, recent infections, and history of personal anethesia problems. | |
| LOINC Code | Opt | Description |
| TBD | R | TBD |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.18.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.14'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.14"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Anesthesia Risk Review of Systems can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.18"]'>
Error: The parent template identifier for Anesthesia Risk Review of Systems is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "TBD"]'>
Error: The section type code of a Anesthesia Risk Review of Systems must be TBD
</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 Anesthesia Risk Review of Systems Section
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
Implanted Medical Device Review Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.46 | |
|---|---|---|
| General Description | The implanted medical device review section shall contain a description of the medical devices that are inserted into the patient, whether internal or partially external. | |
| LOINC Code | Opt | Description |
| TBD | R | TBD |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.46'/>
<id root=' ' extension=' '/>
<code code='TBD' displayName='TBD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.46'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.46"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Implanted Medical Device Review can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "TBD"]'>
Error: The section type code of a Implanted Medical Device Review must be TBD
</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 Implanted Medical Device Review Section
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
Pregnancy Status Review Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.47 | |
|---|---|---|
| General Description | The pregnancy status review section shall contain a description of the responses the patient gave to a set of routine questions regarding potential pregnancy in females of child-bearing-age. | |
| LOINC Code | Opt | Description |
| TBD | R | TBD |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.47'/>
<id root=' ' extension=' '/>
<code code='TBD' displayName='TBD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.47'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.47"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Pregnancy Status Review can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "TBD"]'>
Error: The section type code of a Pregnancy Status Review must be TBD
</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 Pregnancy Status Review Section
Medications
This section contains section content modules that describe activities surrounding the use of medication.
Medications
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
Medications Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.19 | |
|---|---|---|
| Parent Template | CCD 3.9 (2.16.840.1.113883.10.20.1.8) | |
| General Description | The medications section shall contain a description of the relevant medications for the patient, e.g. an ambulatory prescription list. It shall include entries for medications as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 10160-0 | R | HISTORY OF MEDICATION USE |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | R | Medications |
Parent Template
The parent of this template is CCD 3.9.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.19'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.19"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Medications can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.8"]'>
Error: The parent template identifier for Medications is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10160-0"]'>
Error: The section type code of a Medications must be 10160-0
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'>
<!-- Verify that all required data elements are present -->
Error: The Medications Section must contain a(n) Medications Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.19
</assert>
</rule>
</pattern>
Uses
See Templates using the Medications Section
| Note: | this LOINC code is typically used to record the current medication list found in an EHR. |
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.19 Parent Template 2.16.840.1.113883.10.20.1.8 General Description The medications section shall contain a description of the relevant medications for the patient, e.g. an ambulatory prescription list. It shall include entries for medications as described in the Entry Content Module. Valid LOINC CODES Opt Description 10160-0 R HISTORY OF MEDICATION USE Entries Description 1.3.6.1.4.1.19376.1.5.3.1.4.7 R 5.4.4.14 Medications
Admission Medication History
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
Admission Medication History Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.20 | |
|---|---|---|
| General Description | The admission medication history section shall contain a narrative description of the relevant medications administered to a patient prior to admission to a facility. It shall include entries for medication administration as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 42346-7 | R | MEDICATIONS ON ADMISSION |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | R | Medications |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.20'/>
<id root=' ' extension=' '/>
<code code='42346-7' displayName='MEDICATIONS ON ADMISSION'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Medications element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.20'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.20"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Admission Medication History can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42346-7"]'>
Error: The section type code of a Admission Medication History must be 42346-7
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'>
<!-- Verify that all required data elements are present -->
Error: The Admission Medication History Section must contain a(n) Medications Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.20
</assert>
</rule>
</pattern>
Uses
See Templates using the Admission Medication History Section
}}
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.20 General Description The admission medication history section shall contain a narrative description of the relevant medications administered to a patient prior to admission to a facility. It shall include entries for medication administration as described in the Entry Content Module. Valid LOINC CODES Opt Description 42346-7 R MEDICATIONS ON ADMISSION Entries Description 1.3.6.1.4.1.19376.1.5.3.1.4.7 R 5.4.4.14 Medications
Medications Administered
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
Medications Administered Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.21 | |
|---|---|---|
| General Description | The medications administered section shall contain a narrative description of the relevant medications administered to a patient during the course of an encounter. It shall include entries for medication administration as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 18610-6 | R | MEDICATION ADMINISTERED |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | R | Medications |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.21'/>
<id root=' ' extension=' '/>
<code code='18610-6' displayName='MEDICATION ADMINISTERED'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Medications element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.21'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.21"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Medications Administered can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18610-6"]'>
Error: The section type code of a Medications Administered must be 18610-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'>
<!-- Verify that all required data elements are present -->
Error: The Medications Administered Section must contain a(n) Medications Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.21
</assert>
</rule>
</pattern>
Uses
See Templates using the Medications Administered Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.21
General Description The medications administered section shall contain a narrative description of the relevant medications administered to a patient during the course of an encounter. It shall include entries for medication administration as described in the Entry Content Module.
Valid LOINC CODES Opt Description
18610-6 R MEDICATION ADMINISTERED
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.7 R 5.4.4.14 Medications
Hospital Discharge Medications
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
Hospital Discharge Medications Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.22 | |
|---|---|---|
| General Description | The hospital discharge medications section shall contain a narrative description of the medications requested (ordered) to be administered to the patient after discharge from the hospital. It shall include entries for medication requests as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 10183-2 | R | HOSPITAL DISCHARGE MEDICATIONS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | R | Medications |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.22'/>
<id root=' ' extension=' '/>
<code code='10183-2' displayName='HOSPITAL DISCHARGE MEDICATIONS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Medications element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.7'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.22'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.22"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hospital Discharge Medications can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10183-2"]'>
Error: The section type code of a Hospital Discharge Medications must be 10183-2
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'>
<!-- Verify that all required data elements are present -->
Error: The Hospital Discharge Medications Section must contain a(n) Medications Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.22
</assert>
</rule>
</pattern>
Uses
See Templates using the Hospital Discharge Medications Section
| Note: | All medications in this section must have sustanceAdministration/@moodCode = "INT" |
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.22
General Description The hospital discharge medications section shall contain a narrative description of the medications requested (ordered) to be administered to the patient after discharge from the hospital. It shall include entries for medication requests as described in the Entry Content Module.
Valid LOINC CODES Opt Description
10183-2 R HOSPITAL DISCHARGE MEDICATIONS
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.7 R 5.4.4.14 MedicationsNote: All medications in this section must have sustanceAdministration/@moodCode = "INT"
Immunizations
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
Immunizations Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.23 | |
|---|---|---|
| Parent Template | CCD 3.11 (2.16.840.1.113883.10.20.1.6) | |
| General Description | The immunizations section shall contain a narrative description of the immunizations administered to the patient in the past. It shall include entries for medication administration as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 11369-6 | R | HISTORY OF IMMUNIZATIONS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.12 | R | Immunization |
Parent Template
The parent of this template is CCD 3.11.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.23'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.23"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Immunizations can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.6"]'>
Error: The parent template identifier for Immunizations is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11369-6"]'>
Error: The section type code of a Immunizations must be 11369-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.12"]'>
<!-- Verify that all required data elements are present -->
Error: The Immunizations Section must contain a(n) Immunization Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.23
</assert>
</rule>
</pattern>
Uses
See Templates using the Immunizations Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.23 Parent Template 2.16.840.1.113883.10.20.1.6 General Description The immunizations section shall contain a narrative description of the immunizations administered to the patient in the past. It shall include entries for medication administration as described in the Entry Content Modules. Valid LOINC CODES Opt Description 11369-6 R HISTORY OF IMMUNIZATIONS Entries Description 1.3.6.1.4.1.19376.1.5.3.1.4.12 R 5.4.4.15 Immunization
Physical Exams
Physical Exam
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
TemplateID 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. Valid LOINC CODES Opt Description 22029-3 R PHYSICAL EXAM.TOTAL
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 | 1.3.6.1.4.1.19376.1.5.3.1.1.9.15 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.24 (1.3.6.1.4.1.19376.1.5.3.1.3.24) | |
| General Description | The physical exam section shall contain only the required and optional subsections performed. | |
| LOINC Code | Opt | Description |
| 29545-1 | R | PHYSICAL EXAMINATION |
| Entries | Opt | Description |
| Subsections | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.3.25 | O | Vital Signs Vital signs may be a subsection of the physical exam or they may stand alone |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.16 | O | General Appearance |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.48 | O | Visible Implanted Medical Devices |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.17 | O | Integumentary System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.18 | O | Head |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.19 | O | Eyes |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.20 | O | Ears, Nose, Mouth and Throat |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.21 | O | Ears |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.22 | O | Nose |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.23 | O | Mouth, Throat, and Teeth |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.24 | O | Neck |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.25 | O | Endocrine System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.26 | O | Thorax and Lungs |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.27 | O | Chest Wall |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.28 | O | Breasts |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.29 | O | Heart |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.30 | O | Respiratory System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.31 | O | Abdomen |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.32 | O | Lymphatic System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.33 | O | Vessels |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.34 | O | Musculoskeletal System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.35 | O | Neurologic System |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.36 | O | Genitalia |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.37 | O | Rectum |
| 1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1 | O | Extremeties |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.24.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.15'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.15"]'>
<!-- 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 that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.24"]'>
Error: The parent template identifier for Physical Exam is not present.
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.25"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Vital Signs Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.16"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) General Appearance Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.48"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Visible Implanted Medical Devices Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.17"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Integumentary System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.18"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Head Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.19"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Eyes Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.20"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Ears, Nose, Mouth and Throat Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.21"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Ears Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.22"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Nose Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.23"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Mouth, Throat, and Teeth Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.24"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Neck Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.25"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Endocrine System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.26"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Thorax and Lungs Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.27"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Chest Wall Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.28"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Breasts Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.29"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Heart Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.30"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Respiratory System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.31"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Abdomen Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.32"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Lymphatic System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.33"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Vessels Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.34"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Musculoskeletal System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.35"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Neurologic System Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.36"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Genitalia Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.37"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Rectum Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1"]'>
<!-- Note any missing optional elements -->
Note: This Physical Exam Section does not contain a(n) Extremeties Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.15
</assert>
</rule>
</pattern>
Uses
See Templates using the Physical Exam Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.15 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.24 General Description The physical exam section shall contain only the required and optional subsections performed. Valid LOINC CODES Opt Description 22029-3 R PHYSICAL EXAM.TOTAL Sub-sections Description 1.3.6.1.4.1.19376.1.5.3.1.3.49 R 5.4.3.4.3 Vital Signs 1.3.6.1.4.1.19376.1.5.3.1.1.9.16 O 5.4.3.4.4 General Appearance 1.3.6.1.4.1.19376.1.5.3.1.1.9.48 O 5.4.3.4.5 Visible Implanted Medical Devices 1.3.6.1.4.1.19376.1.5.3.1.1.9.17 O 5.4.3.4.6Integumentary System 1.3.6.1.4.1.19376.1.5.3.1.1.9.18 O 5.4.3.4.7 Head 1.3.6.1.4.1.19376.1.5.3.1.1.9.19 O 5.4.3.4.8 Eyes 1.3.6.1.4.1.19376.1.5.3.1.1.9.20 O 5.4.3.4.9 Ears, Nose, Mouth and Throat 1.3.6.1.4.1.19376.1.5.3.1.1.9.21 O 5.4.3.4.10 Ears 1.3.6.1.4.1.19376.1.5.3.1.1.9.22 O 5.4.3.4.11 Nose 1.3.6.1.4.1.19376.1.5.3.1.1.9.23 O 5.4.3.4.12 Mouth, Throat, and Teeth 1.3.6.1.4.1.19376.1.5.3.1.1.9.24 O 5.4.3.4.13 Neck 1.3.6.1.4.1.19376.1.5.3.1.1.9.25 O 5.4.3.4.14 Endocrine System 1.3.6.1.4.1.19376.1.5.3.1.1.9.26 O 5.4.3.4.15 Thorax and Lungs 1.3.6.1.4.1.19376.1.5.3.1.1.9.27 O 5.4.3.4.16 Chest Wall 1.3.6.1.4.1.19376.1.5.3.1.1.9.28 O 5.4.3.4.17 Breasts 1.3.6.1.4.1.19376.1.5.3.1.1.9.29 O 5.4.3.4.18 Heart 1.3.6.1.4.1.19376.1.5.3.1.1.9.30 O 5.4.3.4.19 Respiratory System 1.3.6.1.4.1.19376.1.5.3.1.1.9.31 O 5.4.3.4.20 Abdomen 1.3.6.1.4.1.19376.1.5.3.1.1.9.32 O 5.4.3.4.21 Lymphatic System 1.3.6.1.4.1.19376.1.5.3.1.1.9.33 O 5.4.3.4.22 Vessels 1.3.6.1.4.1.19376.1.5.3.1.1.9.34 O 5.4.3.4.23 Musculoskeletal System 1.3.6.1.4.1.19376.1.5.3.1.1.9.35 O 5.4.3.4.24 Neurologic System 1.3.6.1.4.1.19376.1.5.3.1.1.9.36 O 5.4.3.4.25 Genitalia 1.3.6.1.4.1.19376.1.5.3.1.1.9.37 O 5.4.3.4.26 Rectum
Hospital Discharge Physical Exam
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
Hospital Discharge Physical Exam Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.26 | |
|---|---|---|
| General Description | The hospital discharge physical exam section shall contain a narrative description of the patient’s physical findings at discharge from a hospital facility. | |
| LOINC Code | Opt | Description |
| 10184-0 | R | HOSPITAL DISCHARGE PHYSICAL |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.26'/>
<id root=' ' extension=' '/>
<code code='10184-0' displayName='HOSPITAL DISCHARGE PHYSICAL'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.26'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.26"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hospital Discharge Physical Exam can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10184-0"]'>
Error: The section type code of a Hospital Discharge Physical Exam must be 10184-0
</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 Hospital Discharge Physical Exam Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.26
General Description The hospital discharge physical exam section shall contain a narrative description of the patient’s physical findings at discharge from a hospital facility.
Valid LOINC CODES Opt Description
10184-0 R HOSPITAL DISCHARGE PHYSICAL
Vital Signs
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
Vital Signs Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.25 | |
|---|---|---|
| Parent Template | CCD 3.12 (2.16.840.1.113883.10.20.1.16) | |
| General Description | The vital signs section shall contain a narrative description of the measurement results of a patient’s vital signs. | |
| LOINC Code | Opt | Description |
| 8716-3 | R | VITAL SIGNS |
Parent Template
The parent of this template is CCD 3.12.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.25'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.25"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Vital Signs can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.16"]'>
Error: The parent template identifier for Vital Signs is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "8716-3"]'>
Error: The section type code of a Vital Signs must be 8716-3
</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 Vital Signs Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.25
Parent Template ID 2.16.840.1.113883.10.20.1.16
General Description The vital signs section shall contain a narrative description of the measurement results of a patient’s vital signs.
Valid LOINC CODES Opt Description
8716-3 R VITAL SIGNS
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
Coded Vital Signs Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 | |
|---|---|---|
| Parent Template | Vital Signs (1.3.6.1.4.1.19376.1.5.3.1.3.25) | |
| General Description | The vital signs section contains coded measurement results of a patient’s vital signs. | |
| LOINC Code | Opt | Description |
| 8716-3 | R | VITAL SIGNS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 | R | Vital Signs Organizer |
Parent Template
The parent of this template is Vital Signs.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Vital Signs can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.25"]'>
Error: The parent template identifier for Coded Vital Signs is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "8716-3"]'>
Error: The section type code of a Coded Vital Signs must be 8716-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13.1"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Vital Signs Section must contain a(n) Vital Signs Organizer Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Vital Signs Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.25 General Description The vital signs section contains coded measurement results of a patient’s vital signs. Valid LOINC CODES Opt Description 8716-3 R VITAL SIGNS Valid Entries Opt Description 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 R 5.4.4.19 Vital Signs Organizer
General Appearance
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
General Appearance Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.16 | |
|---|---|---|
| General Description | The general appearance section shall contain a description of the overall, visibly-apparent condition of the patient. | |
| LOINC Code | Opt | Description |
| 10210-3 | R | GENERAL STATUS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.16'/>
<id root=' ' extension=' '/>
<code code='10210-3' displayName='GENERAL STATUS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.16'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.16"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The General Appearance can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10210-3"]'>
Error: The section type code of a General Appearance must be 10210-3
</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 General Appearance Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.16 Parent Template None General Description The general appearance section shall contain a description of the overall, visibly-apparent condition of the patient. Valid LOINC CODES Opt Description 10210-3 R GENERAL STATUS
Visible Implanted Medical Devices
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
Visible Implanted Medical Devices Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.48 | |
|---|---|---|
| General Description | The visible implanted medical devices section shall contain a description of the medical devices apparent on physical exam that have been inserted into the patient, whether internal or partially external. | |
| LOINC Code | Opt | Description |
| TBD | R | TBD |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.48'/>
<id root=' ' extension=' '/>
<code code='TBD' displayName='TBD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.48'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.48"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Visible Implanted Medical Devices can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "TBD"]'>
Error: The section type code of a Visible Implanted Medical Devices must be TBD
</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 Visible Implanted Medical Devices Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.48 Parent Template None General Description The visible implanted medical devices section shall contain a description of the medical devices apparent on physical exam that have been inserted into the patient, whether internal or partially external. Valid LOINC CODES Opt Description TBD R VISIBLE IMPLANTED MEDICAL DEVICES
Integumentary System
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
Integumentary System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.17 | |
|---|---|---|
| General Description | The integumentary system section shall contain a description of any type of integumentary system exam. | |
| LOINC Code | Opt | Description |
| 29302-7 | R | INTEGUMENTARY SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.17'/>
<id root=' ' extension=' '/>
<code code='29302-7' displayName='INTEGUMENTARY SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.17'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.17"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Integumentary System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "29302-7"]'>
Error: The section type code of a Integumentary System must be 29302-7
</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 Integumentary System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.17 Parent Template None General Description The integumentary system section shall contain a description of any type of integumentary system exam. Valid LOINC CODES Opt Description 29302-7 R INTEGUMENTARY SYSTEM
Head
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
Head Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.18 | |
|---|---|---|
| General Description | The head section shall contain a description of any type of head exam. | |
| LOINC Code | Opt | Description |
| 10199-8 | R | HEAD |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.18'/>
<id root=' ' extension=' '/>
<code code='10199-8' displayName='HEAD'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.18'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.18"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Head can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10199-8"]'>
Error: The section type code of a Head must be 10199-8
</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 Head Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.18
Parent Template None
General Description The head section shall contain a description of any type of head exam.
Valid LOINC CODES Opt Description
10199-8 R HEAD
Eyes
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
Eyes Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.19 | |
|---|---|---|
| General Description | The eyes section shall contain a description of any type of eye exam. | |
| LOINC Code | Opt | Description |
| 10197-2 | R | EYE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.19'/>
<id root=' ' extension=' '/>
<code code='10197-2' displayName='EYE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.19'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.19"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Eyes can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10197-2"]'>
Error: The section type code of a Eyes must be 10197-2
</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 Eyes Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.19
Parent Template None
General Description The eyes section shall contain a description of any type of eye exam.
Valid LOINC CODES Opt Description
10197-2 R EYE
Ears, Nose, Mouth and Throat
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
Ears, Nose, Mouth and Throat Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.20 | |
|---|---|---|
| General Description | The ears, nose, mouth, and throat section shall contain a description of any type of ears, nose, mouth, or throat exam. | |
| LOINC Code | Opt | Description |
| 11393-6 | R | EARS and NOSE and MOUTH and THROAT |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.20'/>
<id root=' ' extension=' '/>
<code code='11393-6' displayName='EARS and NOSE and MOUTH and THROAT'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.20'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.20"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Ears, Nose, Mouth and Throat can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11393-6"]'>
Error: The section type code of a Ears, Nose, Mouth and Throat must be 11393-6
</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 Ears, Nose, Mouth and Throat Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.20
Parent Template None
General Description The ears, nose, mouth, and throat section shall contain a description of any type of ears, nose, mouth, or throat exam.
Valid LOINC CODES Opt Description
11393-6 R EARS & NOSE & MOUTH & THROAT
1.3.6.1.4.1.19376.1.5.3.1.1.9.20.1
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.20.1 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.1.9.20 General Description The ears, nose, mouth, and throat section shall contain a description of any type of ears, nose, mouth, or throat exam. It shall contain sub-sections on ears, nose, mouth, throat, and teeth. Valid LOINC CODES Opt Description 11393-6 R EARS & NOSE & MOUTH & THROAT Sub-sections Description 1.3.6.1.4.1.19376.1.5.3.1.1.9.21 R Ears 1.3.6.1.4.1.19376.1.5.3.1.1.9.22 R Nose 1.3.6.1.4.1.19376.1.5.3.1.1.9.23 R Mouth, Throat, and Teeth
Ears
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
Ears Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.21 | |
|---|---|---|
| General Description | The ears section shall contain a description of any type of ear exam. | |
| LOINC Code | Opt | Description |
| 10195-6 | R | EAR |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.21'/>
<id root=' ' extension=' '/>
<code code='10195-6' displayName='EAR'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.21'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.21"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Ears can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10195-6"]'>
Error: The section type code of a Ears must be 10195-6
</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 Ears Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.21
Parent Template None
General Description The ears section shall contain a description of any type of ear exam.
Valid LOINC CODES Opt Description
10195-6 R EAR
Nose
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
Nose Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.22 | |
|---|---|---|
| General Description | The nose section shall contain a description of any type of nose exam. | |
| LOINC Code | Opt | Description |
| 10203-8 | R | NOSE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.22'/>
<id root=' ' extension=' '/>
<code code='10203-8' displayName='NOSE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.22'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.22"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Nose can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10203-8"]'>
Error: The section type code of a Nose must be 10203-8
</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 Nose Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.22
Parent Template None
General Description The nose section shall contain a description of any type of nose exam.
Valid LOINC CODES Opt Description
10203-8 R NOSE
Mouth, Throat and Teeth
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
Mouth, Throat and Teeth Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.23 | |
|---|---|---|
| General Description | The mouth, throat, and teeth section shall contain a description of any type of mouth, throat, or teeth exam. | |
| LOINC Code | Opt | Description |
| 10201-2 | R | MOUTH and THROAT and TEETH |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.23'/>
<id root=' ' extension=' '/>
<code code='10201-2' displayName='MOUTH and THROAT and TEETH'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.23'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.23"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Mouth, Throat and Teeth can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10201-2"]'>
Error: The section type code of a Mouth, Throat and Teeth must be 10201-2
</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 Mouth, Throat and Teeth Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.23
Parent Template None
General Description The mouth, throat, and teeth section shall contain a description of any type of mouth, throat, or teeth exam.
Valid LOINC CODES Opt Description
10201-2 R MOUTH & THROAT & TEETH
Neck
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
Neck Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.24 | |
|---|---|---|
| General Description | The neck section shall contain a description of any type of neck exam. | |
| LOINC Code | Opt | Description |
| 11411-6 | R | NECK |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.24'/>
<id root=' ' extension=' '/>
<code code='11411-6' displayName='NECK'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.24'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.24"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Neck can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11411-6"]'>
Error: The section type code of a Neck must be 11411-6
</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 Neck Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.24
Parent Template None
General Description The neck section shall contain a description of any type of neck exam.
Valid LOINC CODES Opt Description
11411-6 R NECK
Endocrine System
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
Endocrine System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.25 | |
|---|---|---|
| General Description | The endocrine system section shall contain a description of any type of endocrine system exam. | |
| LOINC Code | Opt | Description |
| 29307-6 | R | ENDOCRINE SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.25'/>
<id root=' ' extension=' '/>
<code code='29307-6' displayName='ENDOCRINE SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.25'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.25"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Endocrine System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "29307-6"]'>
Error: The section type code of a Endocrine System must be 29307-6
</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 Endocrine System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.25
Parent Template None
General Description The endocrine system section shall contain a description of any type of endocrine system exam.
Valid LOINC CODES Opt Description
29307-6 R ENDOCRINE SYSTEM
Thorax and Lungs
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
Thorax and Lungs Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.26 | |
|---|---|---|
| General Description | The thorax and lungs section shall contain a description of any type of thoracic or lung exams. | |
| LOINC Code | Opt | Description |
| 10207-9 | R | THORAX+LUNGS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.26'/>
<id root=' ' extension=' '/>
<code code='10207-9' displayName='THORAX+LUNGS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.26'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.26"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Thorax and Lungs can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10207-9"]'>
Error: The section type code of a Thorax and Lungs must be 10207-9
</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 Thorax and Lungs Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.26
Parent Template None
General Description The thorax and lungs section shall contain a description of any type of thoracic or lung exams.
Valid LOINC CODES Opt Description
10207-9 R THORAX+LUNGS
1.3.6.1.4.1.19376.1.5.3.1.1.9.26.1 TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.26.1 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.1.9.26 General Description The thorax and lungs section shall contain a description of any type of thoracic or lung exams. Valid LOINC CODES Opt Description 10207-9 R THORAX+LUNGS Sub-sections Description 1.3.6.1.4.1.19376.1.5.3.1.1.9.27 O Chest Wall 1.3.6.1.4.1.19376.1.5.3.1.1.9.28 O Breasts 1.3.6.1.4.1.19376.1.5.3.1.1.9.29 O Heart 1.3.6.1.4.1.19376.1.5.3.1.1.9.30 O Respiratory System
Chest Wall
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
Chest Wall Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.27 | |
|---|---|---|
| General Description | The chest wall section shall contain a description of any type of chest wall exam. | |
| LOINC Code | Opt | Description |
| 11392-8 | R | CHEST WALL |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.27'/>
<id root=' ' extension=' '/>
<code code='11392-8' displayName='CHEST WALL'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.27'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.27"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Chest Wall can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11392-8"]'>
Error: The section type code of a Chest Wall must be 11392-8
</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 Chest Wall Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.27
Parent Template None
General Description The chest wall section shall contain a description of any type of chest wall exam.
Valid LOINC CODES Opt Description
11392-8 R CHEST WALL
Breast
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
Breast Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.28 | |
|---|---|---|
| General Description | The breast section shall contain a description of any type of breast exam. | |
| LOINC Code | Opt | Description |
| 10193-1 | R | BREASTS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.28'/>
<id root=' ' extension=' '/>
<code code='10193-1' displayName='BREASTS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.28'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.28"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Breast can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10193-1"]'>
Error: The section type code of a Breast must be 10193-1
</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 Breast Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.28
Parent Template None
General Description The breast section shall contain a description of any type of breast exam.
Valid LOINC CODES Opt Description
10193-1 R BREASTS
Heart
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
Heart Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.29 | |
|---|---|---|
| General Description | The heart section shall contain a description of any type of heart exam. | |
| LOINC Code | Opt | Description |
| 10200-4 | R | HEART |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.29'/>
<id root=' ' extension=' '/>
<code code='10200-4' displayName='HEART'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.29'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.29"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Heart can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10200-4"]'>
Error: The section type code of a Heart must be 10200-4
</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 Heart Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.29
Parent Template None
Section Title Heart
General Description The heart section shall contain a description of any type of heart exam.
Valid LOINC CODES Opt Description
10200-4 R HEART
Respiratory System
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
Respiratory System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.30 | |
|---|---|---|
| General Description | The respiratory system section shall contain a description of any type of respiratory exam. | |
| LOINC Code | Opt | Description |
| 11412-4 | R | RESPIRATORY SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.30'/>
<id root=' ' extension=' '/>
<code code='11412-4' displayName='RESPIRATORY SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.30'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.30"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Respiratory System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11412-4"]'>
Error: The section type code of a Respiratory System must be 11412-4
</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 Respiratory System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.30
Parent Template None
General Description The respiratory system section shall contain a description of any type of respiratory exam.
Valid LOINC CODES Opt Description
11412-4 R RESPIRATORY SYSTEM
Abdomen
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
Abdomen Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.31 | |
|---|---|---|
| General Description | The abdomen system section shall contain a description of any type of abdominal exam. | |
| LOINC Code | Opt | Description |
| 10191-5 | R | ABDOMEN |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.31'/>
<id root=' ' extension=' '/>
<code code='10191-5' displayName='ABDOMEN'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.31'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.31"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Abdomen can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10191-5"]'>
Error: The section type code of a Abdomen must be 10191-5
</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 Abdomen Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.31
Parent Template None
General Description The abdomen system section shall contain a description of any type of abdominal exam.
Valid LOINC CODES Opt Description
10191-5 R ABDOMEN
Lymphatic System
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
Lymphatic System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.32 | |
|---|---|---|
| General Description | The lymphatic system section shall contain a description of any type of lymphatic exam. | |
| LOINC Code | Opt | Description |
| 11447-0 | R | HEMATOLOGIC+LYMPHATIC+IMMUNOLOGIC SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.32'/>
<id root=' ' extension=' '/>
<code code='11447-0' displayName='HEMATOLOGIC+LYMPHATIC+IMMUNOLOGIC SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.32'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.32"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Lymphatic System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11447-0"]'>
Error: The section type code of a Lymphatic System must be 11447-0
</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 Lymphatic System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.32
Parent Template None
General Description The lymphatic system section shall contain a description of any type of lymphatic exam.
Valid LOINC CODES Opt Description
11447-0 R HEMATOLOGIC+LYMPHATIC+IMMUNOLOGIC SYSTEM
Vessels
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
Vessels Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.33 | |
|---|---|---|
| General Description | The vessels section shall contain a description of any type of vessels exam. | |
| LOINC Code | Opt | Description |
| 10208-7 | R | VESSELS |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.33'/>
<id root=' ' extension=' '/>
<code code='10208-7' displayName='VESSELS'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.33'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.33"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Vessels can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10208-7"]'>
Error: The section type code of a Vessels must be 10208-7
</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 Vessels Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.33
Parent Template None
General Description The vessels section shall contain a description of any type of vessels exam.
Valid LOINC CODES Opt Description
10208-7 R VESSELS
Musculoskeletal System
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
Musculoskeletal System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.34 | |
|---|---|---|
| General Description | The musculoskeletal system section shall contain a description of any type of musculoskeletal exam. | |
| LOINC Code | Opt | Description |
| 11410-8 | R | MUSCULOSKELETAL SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.34'/>
<id root=' ' extension=' '/>
<code code='11410-8' displayName='MUSCULOSKELETAL SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.34'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.34"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Musculoskeletal System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11410-8"]'>
Error: The section type code of a Musculoskeletal System must be 11410-8
</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 Musculoskeletal System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.34
Parent Template None
General Description The musculoskeletal system section shall contain a description of any type of musculoskeletal exam.
Valid LOINC CODES Opt Description
11410-8 R MUSCULOSKELETAL SYSTEM
Neurologic System
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
Neurologic System Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.35 | |
|---|---|---|
| General Description | The neurologic system section shall contain a description of any type of neurologic exam. | |
| LOINC Code | Opt | Description |
| 10202-0 | R | NEUROLOGIC SYSTEM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.35'/>
<id root=' ' extension=' '/>
<code code='10202-0' displayName='NEUROLOGIC SYSTEM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.35'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.35"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Neurologic System can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10202-0"]'>
Error: The section type code of a Neurologic System must be 10202-0
</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 Neurologic System Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.35
Parent Template None
General Description The neurologic system section shall contain a description of any type of neurologic exam.
Valid LOINC CODES Opt Description
10202-0 R NEUROLOGIC SYSTEM
Genitalia
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
Genitalia Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.36 | |
|---|---|---|
| General Description | The genitalia section shall contain a description of any type of genital exam. | |
| LOINC Code | Opt | Description |
| 11400-9 | R | GENITALIA |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.36'/>
<id root=' ' extension=' '/>
<code code='11400-9' displayName='GENITALIA'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.36'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.36"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Genitalia can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11400-9"]'>
Error: The section type code of a Genitalia must be 11400-9
</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 Genitalia Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.36
Parent Template None
General Description The genitalia section shall contain a description of any type of genital exam.
Valid LOINC CODES Opt Description
11400-9 R GENITALIA
Rectum
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
Rectum Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.37 | |
|---|---|---|
| General Description | The rectum section shall contain a description of any type of rectal exam. | |
| LOINC Code | Opt | Description |
| 10205-3 | R | RECTUM |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.37'/>
<id root=' ' extension=' '/>
<code code='10205-3' displayName='RECTUM'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.37'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.37"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Rectum can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "10205-3"]'>
Error: The section type code of a Rectum must be 10205-3
</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 Rectum Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.37 Parent Template None General Description The rectum section shall contain a description of any type of rectal exam. Valid LOINC CODES Opt Description 10205-3 R RECTUM
Relevant Studies
Results
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
Results Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.27 | |
|---|---|---|
| General Description | The results section shall contain a narrative description of the patient’s relevant studies. | |
| LOINC Code | Opt | Description |
| 30954-2 | R | STUDIES SUMMARY |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.27'/>
<id root=' ' extension=' '/>
<code code='30954-2' displayName='STUDIES SUMMARY'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.27'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.27"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Results can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "30954-2"]'>
Error: The section type code of a Results must be 30954-2
</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 Results Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.27
General Description The results section shall contain a narrative description of the patient’s relevant studies.
Valid LOINC CODES Opt Description
30954-2 R STUDIES SUMMARY
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
Coded Results Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.28 | |
|---|---|---|
| General Description | The results section shall contain a narrative description of the relevant diagnostic procedures the patient received in the past. It shall include entries for procedures and references to procedure reports when known as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 30954-2 | R | STUDIES SUMMARY |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | R | Procedure Entry |
| 1.3.6.1.4.1.19376.1.5.3.1.4.4 | R2 | References Entry |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13 | O | Simple Observation |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.28'/>
<id root=' ' extension=' '/>
<code code='30954-2' displayName='STUDIES SUMMARY'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Procedure Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.19'/>
:
</entry>
<entry>
:
<!-- Required if known References Entry element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.4'/>
:
</entry>
<entry>
:
<!-- Optional Simple Observation element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.4.13'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.28'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.28"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Results can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "30954-2"]'>
Error: The section type code of a Coded Results must be 30954-2
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Results Section must contain a(n) Procedure Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.28
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.4"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Coded Results Section should contain a(n) References Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.28
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13"]'>
<!-- Note any missing optional elements -->
Note: This Coded Results Section does not contain a(n) Simple Observation Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.28
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Results Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.28 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.27 General Description The results section shall contain a narrative description of the relevant diagnostic procedures the patient received in the past. It shall include entries for procedures and references to procedure reports when known as described in the Entry Content Modules. Valid LOINC CODES Opt Description 30954-2 R STUDIES SUMMARY Entries Description 1.3.6.1.4.1.19376.1.5.3.1.4.16 R 5.4.4.30 Procedure Entry 1.3.6.1.4.1.19376.1.5.3.1.4.4 R2 5.4.4.8 References Entry
Hospital Studies Summary
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
Hospital Studies Summary Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.29 | |
|---|---|---|
| General Description | The hospital studies summary section shall contain a narrative description of the relevant diagnostic procedures the patient received during the hospital admission. | |
| LOINC Code | Opt | Description |
| 11493-4 | R | HOSPITAL DISCHARGE STUDIES SUMMARY |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.29'/>
<id root=' ' extension=' '/>
<code code='11493-4' displayName='HOSPITAL DISCHARGE STUDIES SUMMARY'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.29'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.29"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Hospital Studies Summary can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11493-4"]'>
Error: The section type code of a Hospital Studies Summary must be 11493-4
</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 Hospital Studies Summary Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.29
General Description The hospital studies summary section shall contain a narrative description of the relevant diagnostic procedures the patient received during the hospital admission.
Valid LOINC CODES Opt Description
11493-4 R HOSPITAL DISCHARGE STUDIES SUMMARY
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
Coded Hospital Studies Summary Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.30 | |
|---|---|---|
| Parent Template | Hospital Studies Summary (1.3.6.1.4.1.19376.1.5.3.1.3.29) | |
| General Description | The hospital studies summary section shall include entries for diagnostic procedures and references to procedure reports when known as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 11493-4 | R | HOSPITAL DISCHARGE STUDIES SUMMARY |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | R | Procedure Entry |
| 1.3.6.1.4.1.19376.1.5.3.1.4.4 | R2 | References Entry |
Parent Template
The parent of this template is Hospital Studies Summary.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.30'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.30"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Hospital Studies Summary can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.29"]'>
Error: The parent template identifier for Coded Hospital Studies Summary is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11493-4"]'>
Error: The section type code of a Coded Hospital Studies Summary must be 11493-4
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Hospital Studies Summary Section must contain a(n) Procedure Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.30
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.4"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Coded Hospital Studies Summary Section should contain a(n) References Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.30
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Hospital Studies Summary Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.30
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.29
General Description The hospital studies summary section shall include entries for diagnostic procedures and references to procedure reports when known as described in the Entry Content Modules.
Valid LOINC CODES Opt Description
11493-4 R HOSPITAL DISCHARGE STUDIES SUMMARY
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.16 R 5.4.4.30 Procedure Entry
1.3.6.1.4.1.19376.1.5.3.1.4.4 R2 5.4.4.8 References Entry
Blood Type
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
Coded Vital Signs Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 | |
|---|---|---|
| Parent Template | Vital Signs (1.3.6.1.4.1.19376.1.5.3.1.3.25) | |
| General Description | The vital signs section contains coded measurement results of a patient’s vital signs. | |
| LOINC Code | Opt | Description |
| 8716-3 | R | VITAL SIGNS |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13.1 | R | Vital Signs Organizer |
Parent Template
The parent of this template is Vital Signs.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Vital Signs can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.25"]'>
Error: The parent template identifier for Coded Vital Signs is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "8716-3"]'>
Error: The section type code of a Coded Vital Signs must be 8716-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13.1"]'>
<!-- Verify that all required data elements are present -->
Error: The Coded Vital Signs Section must contain a(n) Vital Signs Organizer Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Vital Signs Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.2 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.27 General Description The results section shall contain an observation of the patients blood type. Entries Description
Move to PCC TF-3 LOINC CODE Description Type Units or Vocabulary 882-1 ABO+RH GROUP CE SNOMED CT, ISBT 129
Plans of Care
This section provides content modules for sections that describe the plan of care intended for the patient.
Care Plan
Note: specific templates for entries within plans of care may be found in other categories such as the medications category.
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
Care Plan Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.31 | |
|---|---|---|
| Parent Template | CCD 3.16 (2.16.840.1.113883.10.20.1.10) | |
| General Description | The care plan section shall contain a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. | |
| LOINC Code | Opt | Description |
| 61145-9 | R | TREATMENT PLAN |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1 | O | Observation Requests The care plan may include observation requests in intent, goal or proposal mood to identify intended observations that are part of the care plan, goals of the plan, or proposed observations (e.g., from clinical decision support). |
| 1.3.6.1.4.1.19376.1.5.3.1.4.7 | O | Medication The care plan may include medication entries to identify those medications that are or are proposed to be part of the care plan. |
| 1.3.6.1.4.1.19376.1.5.3.1.4.12 | O | Immunization The care plan may include immunization entries to identify those immunizations that are or are proposed to be part of the care plan. |
| 1.3.6.1.4.1.19376.1.5.3.1.4.19 | O | Procedure The care plan may include procedure entries to identify those procedures that are or are proposed to be part of the care plan. |
| 1.3.6.1.4.1.19376.1.5.3.1.4.14 | O | Encounter The care plan may include encounter entries in to identify those encounters that are or are proposed to be part of the care plan. |
Parent Template
The parent of this template is CCD 3.16.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.31'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.31"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Care Plan can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.10"]'>
Error: The parent template identifier for Care Plan is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "61145-9"]'>
Error: The section type code of a Care Plan must be 61145-9
</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 = "1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1"]'>
<!-- Note any missing optional elements -->
Note: This Care Plan Section does not contain a(n) Observation Requests Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.7"]'>
<!-- Note any missing optional elements -->
Note: This Care Plan Section does not contain a(n) Medication Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.12"]'>
<!-- Note any missing optional elements -->
Note: This Care Plan Section does not contain a(n) Immunization Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.19"]'>
<!-- Note any missing optional elements -->
Note: This Care Plan Section does not contain a(n) Procedure Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.14"]'>
<!-- Note any missing optional elements -->
Note: This Care Plan Section does not contain a(n) Encounter Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.31
</assert>
</rule>
</pattern>
Uses
See Templates using the Care Plan Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.31
General Description The care plan section shall contain a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.
Valid LOINC CODES Opt Description
18776-5 R TREATMENT PLAN
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
Care Plan Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1 | |
|---|---|---|
| Parent Template | Care Plan (1.3.6.1.4.1.19376.1.5.3.1.3.31) | |
| General Description | The plan of care section contains descriptions of the expectations for care including proposals, order requests, the intended transporation mode and estimated time of arrival to the ED, as well as intended disposition from the ED. | |
| LOINC Code | Opt | Description |
| 18776-5 | R | TREATMENT PLAN |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2 | R2 | Intended Encounter Disposition This required entry describes the expected disposition of the patient after the emergency department encounter has been completed. |
| Subsections | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 | R | Transport Mode This required entry describes the expected disposition of the patient after the emergency department encounter has been completed. |
Parent Template
The parent of this template is Care Plan.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Care Plan can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.31"]'>
Error: The parent template identifier for Care Plan is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18776-5"]'>
Error: The section type code of a Care Plan must be 18776-5
</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 = "1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Care Plan Section should contain a(n) Intended Encounter Disposition Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1
</assert>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2"]'>
<!-- Verify that all required data elements are present -->
Error: The Care Plan Section must contain a(n) Transport Mode Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1
</assert>
</rule>
</pattern>
Uses
See Templates using the Care Plan Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.1 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.31 General Description The plan of care section contains descriptions of the expectations for care including proposals, order requests, the intended transporation mode and estimated time of arrival to the ED, as well as intended disposition from the ED. Valid LOINC CODES Opt Description 18776-5 R2 TREATMENT PLAN Sub-sections Description 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 R 5.4.3.6.9 Transport ModeThis required subsection describes the expected mode and time of arrival of the patient to the emergency department. Valid Entries Description 1.3.6.1.4.1.19376.1.5.3.1.1.10.4.2 R2 5.4.4.32 Intended Encounter DispositionThis required entry describes the expected disposition of the patient after the emergency department encounter has been completed.
Discharge Disposition
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.32 General Description The plan of care section shall contain a narrative description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient, specifically used in a discharge from a facility such as an emergency department, hospital, or nursing home. Valid LOINC CODES Opt Description 18776-5 R TREATMENT PLAN
Discharge Diet
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
Discharge Diet Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.33 | |
|---|---|---|
| General Description | The discharge diet section shall contain a narrative description of the expectations for diet including proposals, goals, and order requests for monitoring, tracking, or improving the dietary control of the patient, specifically used in a discharge from a facility such as an emergency department, hospital, or nursing home. | |
| LOINC Code | Opt | Description |
| 42344-2 | R | DISCHARGE DIET |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.33'/>
<id root=' ' extension=' '/>
<code code='42344-2' displayName='DISCHARGE DIET'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.33'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.33"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Discharge Diet can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42344-2"]'>
Error: The section type code of a Discharge Diet must be 42344-2
</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 Discharge Diet Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.33
General Description The discharge diet section shall contain a narrative description of the expectations for diet including proposals, goals, and order requests for monitoring, tracking, or improving the dietary control of the patient, specifically used in a discharge from a facility such as an emergency department, hospital, or nursing home.
Valid LOINC CODES Opt Description
42344-2 R DISCHARGE DIET
Advance Directives
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
Advance Directives Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.34 | |
|---|---|---|
| Parent Template | CCD 3.2 (2.16.840.1.113883.10.20.1.1) | |
| General Description | The advance directive section shall contain a narrative description of the list of documents that define the patient’s expectations and requests for care along with the locations of the documents. | |
| LOINC Code | Opt | Description |
| 42348-3 | R | ADVANCE DIRECTIVES |
Parent Template
The parent of this template is CCD 3.2. This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.1
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.34'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.34"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Advance Directives can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.1"]'>
Error: The parent template identifier for Advance Directives is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42348-3"]'>
Error: The section type code of a Advance Directives must be 42348-3
</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 Advance Directives Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.34 Parent Template 2.16.840.1.113883.10.20.1.1 General Description The advance directive section shall contain a narrative description of the list of documents that define the patient’s expectations and requests for care along with the locations of the documents. Valid LOINC CODES Opt Description 42348-3 R ADVANCE DIRECTIVES
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
Coded Advance Directives Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.3.35 | |
|---|---|---|
| Parent Template | Advance Directives (1.3.6.1.4.1.19376.1.5.3.1.3.34) | |
| General Description | The advance directive section shall include entries for references to consent and advance directive documents when known as described in the Entry Content Modules. | |
| LOINC Code | Opt | Description |
| 42348-3 | R | ADVANCE DIRECTIVES |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.13.7 | R2 | Advance Directive Observation |
Parent Template
The parent of this template is Advance Directives.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.3.35'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.3.35"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Coded Advance Directives can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.34"]'>
Error: The parent template identifier for Coded Advance Directives is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "42348-3"]'>
Error: The section type code of a Coded Advance Directives must be 42348-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.4.13.7"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Coded Advance Directives Section should contain a(n) Advance Directive Observation Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.35
</assert>
</rule>
</pattern>
Uses
See Templates using the Coded Advance Directives Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.3.35
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.34
General Description The advance directive section shall include entries for references to consent and advance directive documents when known as described in the Entry Content Modules.
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.13.3 R2 5.4.4.26 Advance Directive Observation
Procedure Care Plan
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
Procedure Care Plan Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.40 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.31 (1.3.6.1.4.1.19376.1.5.3.1.3.31) | |
| General Description | The procedure care plan section shall contain a description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient prior, during and after a procedure with goals of educating the patient, reducing the modifiable risks of the procedure and anethesia and otherwise optimizing the outcomes. The care plan will often be updated immediately following the addition of new impressions during the course of pre-procedure evaluation. | |
| LOINC Code | Opt | Description |
| 18776-5 | R | TREATMENT PLAN |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.31.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.40'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.40"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Procedure Care Plan can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.31"]'>
Error: The parent template identifier for Procedure Care Plan is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18776-5"]'>
Error: The section type code of a Procedure Care Plan must be 18776-5
</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 Procedure Care Plan Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.40
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.31
General Description The procedure care plan section shall contain a description of the expectations for care including proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient prior, during and after a procedure with goals of educating the patient, reducing the modifiable risks of the procedure and anethesia and otherwise optimizing the outcomes. The care plan will often be updated immediately following the addition of new impressions during the course of pre-procedure evaluation.
Valid LOINC CODES Opt Description
18776-5 R TREATMENT PLAN
Procedure Care Plan Status Report
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
Procedure Care Plan Status Report Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.45 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.1.9.40 (1.3.6.1.4.1.19376.1.5.3.1.1.9.40) | |
| General Description | The procedure care plan status report section shall contain a description of the progress towards completing expectations for care including actions completed in fulfilment of proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient prior to the procedure. | |
| LOINC Code | Opt | Description |
| 18776-5 | R | TREATMENT PLAN |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.1.9.40.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.45'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.45"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Procedure Care Plan Status Report can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.40"]'>
Error: The parent template identifier for Procedure Care Plan Status Report is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18776-5"]'>
Error: The section type code of a Procedure Care Plan Status Report must be 18776-5
</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 Procedure Care Plan Status Report Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.45
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.1.9.40
General Description The procedure care plan status report section shall contain a description of the progress towards completing expectations for care including actions completed in fulfilment of proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient prior to the procedure.
Valid LOINC CODES Opt Description
18776-5 R TREATMENT PLAN
Health Maintenance Care Plan
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
Health Maintenance Care Plan Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.50 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.31 (1.3.6.1.4.1.19376.1.5.3.1.3.31) | |
| General Description | The health maintenance care plan section shall contain a description of the expectations for wellness care including proposals, goals, and order requests for monitoring, tracking, or improving the lifetime condition of the patient with goals of educating the patient on how to reduce the modifiable risks of the patient’s genetic, behavioral, and environmental pre-conditions and otherwise optimizing lifetime outcomes. | |
| LOINC Code | Opt | Description |
| 18776-5 | R | TREATMENT PLAN |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.31.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.50'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.50"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Health Maintenance Care Plan can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.31"]'>
Error: The parent template identifier for Health Maintenance Care Plan is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18776-5"]'>
Error: The section type code of a Health Maintenance Care Plan must be 18776-5
</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 Health Maintenance Care Plan Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.50
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.31
General Description The health maintenance care plan section shall contain a description of the expectations for wellness care including proposals, goals, and order requests for monitoring, tracking, or improving the lifetime condition of the patient with goals of educating the patient on how to reduce the modifiable risks of the patient’s genetic, behavioral, and environmental pre-conditions and otherwise optimizing lifetime outcomes.
Valid LOINC CODES Opt Description
18776-5 R TREATMENT PLAN
Health Maintenance Care Plan Status Report
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
Health Maintenance Care Plan Status Report Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.41 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.1.9.50 (1.3.6.1.4.1.19376.1.5.3.1.1.9.50) | |
| General Description | The health maintenance status report section shall contain a description of the progress towards completing expectations for care including actions completed in fulfilment of proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient. | |
| LOINC Code | Opt | Description |
| 18776-5 | R | TREATMENT PLAN |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.1.9.50.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.41'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.41"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Health Maintenance Care Plan Status Report can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.50"]'>
Error: The parent template identifier for Health Maintenance Care Plan Status Report is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "18776-5"]'>
Error: The section type code of a Health Maintenance Care Plan Status Report must be 18776-5
</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 Health Maintenance Care Plan Status Report Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.41
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.1.9.50
General Description The health maintenance status report section shall contain a description of the progress towards completing expectations for care including actions completed in fulfilment of proposals, goals, and order requests for monitoring, tracking, or improving the condition of the patient.
Valid LOINC CODES Opt Description
18776-5 R TREATMENT PLAN
Transport Mode
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
Transport Mode Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2 | |
|---|---|---|
| General Description | The transport mode section contains a description of the mode of transport and the time of departure or arrival of the patient to a facility. | |
| LOINC Code | Opt | Description |
| 11459-5 | R | TRANSPORT MODE |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1 | R | Transport This entry provides coded values giving the mode and time of departure or arrival of the patient to a facility. |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2'/>
<id root=' ' extension=' '/>
<code code='11459-5' displayName='TRANSPORT MODE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
<entry>
:
<!-- Required Transport element -->
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1'/>
:
</entry>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Transport Mode can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11459-5"]'>
Error: The section type code of a Transport Mode must be 11459-5
</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 = "1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1"]'>
<!-- Verify that all required data elements are present -->
Error: The Transport Mode Section must contain a(n) Transport Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
</assert>
</rule>
</pattern>
Uses
See Templates using the Transport Mode Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
Parent Template None
General Description The transport mode section contains a description of the expected mode of transport and estimated time of arrival.to the Emergency department.
Valid LOINC CODES Opt Description
11459-5 R TRANSPORT MODE
Valid Entries Description
1.3.6.1.4.1.19376.1.5.3.1.1.10.4.1 R 5.4.4.31 Transport This entry provides coded values giving the expected mode and time of arrival of the patient to the emergency department.
5.4.3.7 Procedures Performed
Patient Education and Consents
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
Patient Education and Consents Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.38 | |
|---|---|---|
| General Description | The patient education and consents section shall contain a description of the patient education the patient received, the results of the education, and the consents the patient signed. | |
| LOINC Code | Opt | Description |
| 34895-3 | R | EDUCATION NOTE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.38'/>
<id root=' ' extension=' '/>
<code code='34895-3' displayName='EDUCATION NOTE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.38'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.38"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Patient Education and Consents can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "34895-3"]'>
Error: The section type code of a Patient Education and Consents must be 34895-3
</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 Patient Education and Consents Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.38
Parent Template None
General Description The patient education and consents section shall contain a description of the patient education the patient received, the results of the education, and the consents the patient signed.
Valid LOINC CODES Opt Description
34895-3 R EDUCATION NOTE
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
Patient Education and Consents Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.38 | |
|---|---|---|
| General Description | The patient education and consents section shall contain a description of the patient education the patient received, the results of the education, and the consents the patient signed. | |
| LOINC Code | Opt | Description |
| 34895-3 | R | EDUCATION NOTE |
<component>
<section>
<templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.9.38'/>
<id root=' ' extension=' '/>
<code code='34895-3' displayName='EDUCATION NOTE'
codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
<text>
Text as described above
</text>
</section>
</component>
|
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.38'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.38"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Patient Education and Consents can only be used on sections.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "34895-3"]'>
Error: The section type code of a Patient Education and Consents must be 34895-3
</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 Patient Education and Consents Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.39 Parent Template 1.3.6.1.4.1.19376.1.5.3.1.1.9.38 General Description The patient education and consents section shall contain a description of the patient education the patient received, the results of the education, and references to the consents the patient signed. It shall include entries for procedures and references to consent documents as described in the Entry Content Modules. Valid LOINC CODES Opt Description 34895-3 R EDUCATION NOTE Entries Description 1.3.6.1.4.1.19376.1.5.3.1.4.16 R 5.4.4.30 Procedure Entry The procedures shall be in INT mood 1.3.6.1.4.1.19376.1.5.3.1.4.13 R2 5.4.4.18 Simple Observations 1.3.6.1.4.1.19376.1.5.3.1.4.4 R2 5.4.4.8.1 External References
Impressions
Pre-procedure Impressions
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
Pre-procedure Impressions Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.42 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.6 (1.3.6.1.4.1.19376.1.5.3.1.3.6) | |
| General Description | The Impressions section shall contain only the required and optional subsections dealing with the updated problem list, the general risks the patient faces from the procedures, and the fixed and modifiable risks the patient faces because of specific patient findings. | |
| LOINC Code | Opt | Description |
| 34895-3 | R | EDUCATION NOTE |
| Subsections | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.1.9.44 | R | Pre-procedure Risk Assessment |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.6.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.42'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.42"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Pre-procedure Impressions can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.6"]'>
Error: The parent template identifier for Pre-procedure Impressions is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "34895-3"]'>
Error: The section type code of a Pre-procedure Impressions must be 34895-3
</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>
<assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.1.9.44"]'>
<!-- Verify that all required data elements are present -->
Error: The Pre-procedure Impressions Section must contain a(n) Pre-procedure Risk Assessment Section.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.42
</assert>
</rule>
</pattern>
Uses
See Templates using the Pre-procedure Impressions Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.42
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.6
General Description The Impressions section shall contain only the required and optional subsections dealing with the updated problem list, the general risks the patient faces from the procedures, and the fixed and modifiable risks the patient faces because of specific patient findings.
Sub-sections Description
1.3.6.1.4.1.19376.1.5.3.1.1.9.44 R Pre-procedure Risk Assessment
Pre-procedure Risk Assessment
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
Pre-procedure Risk Assessment Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.9.44 | |
|---|---|---|
| Parent Template | 1.3.6.1.4.1.19376.1.5.3.1.3.6 (1.3.6.1.4.1.19376.1.5.3.1.3.6) | |
| General Description | The pre-procedure risk section shall contain a description of the risks the patient faces because of the planned procedure and associated anethesia, especially in the context of modifiable risks identified by patient findings. It shall include entries for patient risks as described in the Entry Content Module. | |
| LOINC Code | Opt | Description |
| 11450-4 | R | PROBLEM LIST |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.5 | R | Conditions Entry |
Parent Template
The parent of this template is 1.3.6.1.4.1.19376.1.5.3.1.3.6.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.9.44'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.9.44"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Pre-procedure Risk Assessment can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.3.6"]'>
Error: The parent template identifier for Pre-procedure Risk Assessment is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "11450-4"]'>
Error: The section type code of a Pre-procedure Risk Assessment must be 11450-4
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.5"]'>
<!-- Verify that all required data elements are present -->
Error: The Pre-procedure Risk Assessment Section must contain a(n) Conditions Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.9.44
</assert>
</rule>
</pattern>
Uses
See Templates using the Pre-procedure Risk Assessment Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.9.44
Parent Template 1.3.6.1.4.1.19376.1.5.3.1.3.6
General Description The pre-procedure risk section shall contain a description of the risks the patient faces because of the planned procedure and associated anethesia, especially in the context of modifiable risks identified by patient findings. It shall include entries for patient risks as described in the Entry Content Module.
Valid LOINC CODES Opt Description
11450-4 R PROBLEM LIST
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.5 R 5.4.4.9 Conditions Entry
Administrative and Other Information
Payers
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
Payers Section
| Template ID | 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7 | |
|---|---|---|
| Parent Template | CCD 3.1 (2.16.840.1.113883.10.20.1.9) | |
| General Description | The Payers section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination. | |
| LOINC Code | Opt | Description |
| 48768-6 | R | PAYMENT SOURCES |
| Entries | Opt | Description |
| 1.3.6.1.4.1.19376.1.5.3.1.4.17 | R2 | Coverage Entry |
Parent Template
The parent of this template is CCD 3.1.
<component> <section> |
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7'>
<rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7"]'>
<!-- Verify that the template id is used on the appropriate type of object -->
<assert test='../cda:section'>
Error: The Payers can only be used on sections.
</assert>
<!-- Verify that the parent templateId is also present. -->
<assert test='cda:templateId[@root="2.16.840.1.113883.10.20.1.9"]'>
Error: The parent template identifier for Payers is not present.
</assert>
<!-- Verify the section type code -->
<assert test='cda:code[@code = "48768-6"]'>
Error: The section type code of a Payers must be 48768-6
</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 = "1.3.6.1.4.1.19376.1.5.3.1.4.17"]'>
<!-- Alert on any missing required if known elements -->
Warning: The Payers Section should contain a(n) Coverage Entry Entry.
See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
</assert>
</rule>
</pattern>
Uses
See Templates using the Payers Section
TemplateID 1.3.6.1.4.1.19376.1.5.3.1.1.5.3.7
Parent TemplateID 2.16.840.1.113883.10.20.1.9
General Description The Payers section contains data on the patient’s payers, whether a ‘third party’ insurance, self-pay, other payer or guarantor, or some combination.
Valid LOINC CODES Opt Description
48768-6 R PAYMENT SOURCES
Entries Description
1.3.6.1.4.1.19376.1.5.3.1.4.17 R2 5.4.4.33 Coverage Entry
- CDA Section Templates
- Status: Trial Implementation
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.13
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.5
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.1
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.5.2
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.19
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.4
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.3
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.2
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.40
- Children of 2.16.840.1.113883.10.20.1.11
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.14
- Children of 2.16.840.1.113883.10.20.1.3
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.4
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.11
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.5.3
- Children of 2.16.840.1.113883.10.20.1.2
- CCD Compatible Templates
- Children of 2.16.840.1.113883.10.20.1.4
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.15
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.14
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- Children of 2.16.840.1.113883.10.20.1.15
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.46
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.14
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.18
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.13.5
- Children of 2.16.840.1.11383.10.20.1.7
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.7
- Children of 2.16.840.1.113883.10.20.1.8
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.12
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.16
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.48
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.17
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.18
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.20
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.21
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.22
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.23
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.24
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.25
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.27
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.28
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.29
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.30
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.31
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.9.32
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.16.2.1
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.24
- Children of 2.16.840.1.113883.10.20.1.16
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.13.1
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.25
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.29
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.20.3.1
- Children of 2.16.840.1.113883.10.20.1.10
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- Templates using 1.3.6.1.4.1.19376.1.5.3.1.1.10.3.2
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.31
- Children of 2.16.840.1.113883.10.20.1.1
- Templates using 1.3.6.1.4.1.19376.1.5.3.1.4.13.7
- Children of 1.3.6.1.4.1.19376.1.5.3.1.3.34
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