1.3.6.1.4.1.19376.1.5.3.1.3.8

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

Sample History of Past Illness Section

<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