Template Encounter Diagnosis

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

Used by Template id	as	Name	Version
2.16.840.1.113883.10.20.22.4.49	Containment	Encounter Activities (1.1)	2013‑01‑31
2.16.840.1.113883.10.20.22.2.2		Encounters Section (entries optional) (1.1)	2016‑10‑09 02:21:23
Uses Template id	as	Name	Version
2.16.840.1.113883.10.20.22.4.4	Containment	Problem Observation (1.1)	2013‑01‑31

Item DT Card Conf Description Label

cda:act

(EncounterDiagnosis)

@classCode

1 … 1

ACT

conf‑14889

@moodCode

1 … 1

EVN

conf‑14890

cda:templateId

1 … 1

SHALL contain exactly one [1..1] templateId (CONF:14895) such that it

conf‑14895

@root

1 … 1

2.16.840.1.113883.10.20.22.4.80

conf‑14896

cda:code

1 … 1

SHALL contain exactly one [1..1] code (CONF:19182).

conf‑19182

@code

CONF

1 … 1

29308-4

@codeSystem

1 … 1

2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)

cda:entryRelationship

1 … *

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

SUBJ

conf‑14893