Id |
2.16.840.1.113883.10.20.22.4.80 ref (from repository: ccda-)
|
Effective Date |
valid from 2013‑01‑31 |
Status |
Under pre-publication review
|
Version Label |
1.1 |
Name |
EncounterDiagnosis |
Display Name |
Encounter Diagnosis |
Description |
This template wraps relevant problems or diagnoses at the close of a visit or that
need to be followed after the visit. If the encounter is associated with a Hospital
Discharge, the Hospital Discharge Diagnosis must be used. This entry requires at least
one Problem Observation entry.
|
Context |
Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.80 |
Classification |
CDA Entry Level Template |
Open/Closed |
Open (other than defined elements are allowed) |
Used by / Uses |
Used by 2 templates, Uses 1 template |
|
|
Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
|
|
(EncounterDiagnosis) |
 |
@classCode
|
|
|
1 … 1 |
F |
ACT |
conf‑14889 |
 |
@moodCode
|
|
|
1 … 1 |
F |
EVN |
conf‑14890 |
 |
cda:templateId
|
|
II |
1 … 1 |
M |
SHALL contain exactly one [1..1] templateId (CONF:14895) such that it |
conf‑14895 |
 |
 |
@root
|
|
|
1 … 1 |
F |
2.16.840.1.113883.10.20.22.4.80 |
conf‑14896 |
 |
cda:code
|
|
CD |
1 … 1 |
M |
SHALL contain exactly one [1..1] code (CONF:19182). |
conf‑19182 |
 |
 |
@code
|
|
|
1 … 1 |
F |
29308-4 |
 |
 |
@codeSystem
|
|
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
 |
cda:entryRelationship
|
|
|
1 … * |
M |
Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (2013‑01‑31)
|
conf‑14892 |
where [cda:observation [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.4']] |
|
 |
 |
@typeCode
|
|
|
1 … 1 |
F |
SUBJ |
conf‑14893 |
|