| Id |
2.16.840.1.113883.3.1937.99.61.26.10.44 |
Effective Date |
valid from 2016‑12‑17 06:21:40 |
| Status |
 Draft
|
Version Label |
2.1 |
| Name |
ClinicalPresentationSection |
Display Name |
Clinical Presentation Section |
| Description |
This section records the patient’s reason for the patient's visit (as documented by
the provider). Local policy determines whether Reason for Visit and Chief Complaint
are in separate or combined sections.
|
| Context |
Parent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.26.10.44 |
| Classification |
CDA Section Level Template |
| Open/Closed |
Open (other than defined elements are allowed) |
| Used by / Uses |
| Used by 1 template, Uses 0 templates |
|
|
|
| Relationship |
Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Specialization: template 2.16.840.1.113883.10.20.22.2.12 (2015‑08‑13)
|
| Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
|
|
|
(ClinicalPresentationSection) |
 |
cda:templateId
|
|
II |
1 … 1 |
M |
SHALL contain exactly one [1..1] templateId (CONF:81-7836) such that it |
CONF:81‑7836 |
 |
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.6.2.20 |
CONF:81‑10448 |
| |
SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.6.2.20" (CONF:81-10448). |
|
cda:code
|
|
CE |
1 … 1 |
M |
SHALL contain exactly one [1..1] code (CONF:81-15429). |
CONF:81‑15429 |
|
|
@code
|
|
CONF |
1 … 1 |
F |
55108-5 |
|
|
@codeSystem
|
|
1 … 1 |
F |
2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
|
cda:title
|
|
ST |
1 … 1 |
|
SHALL contain exactly one [1..1] title (CONF:81-7838). |
CONF:81‑7838 |
|
cda:text
|
|
SD.TEXT |
1 … 1 |
M |
SHALL contain exactly one [1..1] text (CONF:81-7839). |
CONF:81‑7839 |
|