1.3.6.1.4.1.19376.1.5.3.1.3.3

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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

Comment.gif 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 R Conditions Entry



Sample Hospital Admission Diagnosis Section
<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 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_1.3.6.1.4.1.19376.1.5.3.1.3.3'> 
 <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"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Hospital Admission Diagnosis Section must contain a(n) Conditions Entry Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.5.3.1.3.3
   </assert> 
 </rule> 
</pattern>
Uses

See Templates using the Hospital Admission Diagnosis Section