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draft Template  History of Present Illness Section

Id 1.3.6.1.4.1.19376.1.5.3.1.3.4 Effective Date 2019‑03‑29 07:01:27
Status draft Draft Version Label 2.1
Name HistoryofPresentIllnessSection Display Name History of Present Illness Section
Description
The History of Present Illness section describes the history related to the reason for the encounter. It contains the historical details leading up to and pertaining to the patient’s current complaint or reason for seeking medical care.
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.4
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as Name Version
2.16.840.1.113883.3.51.60.2.4.1 Containment draft BC CDA ClinicalDocumentDischargeSummary (V3) (2.1) 2019‑03‑19 14:15:51
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.3.4 History of Present Illness Section (2015‑08‑13)
ref
ccda-

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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ad1bbr-
Item DT Card Conf Description Label
cda:section
(Hisdotsion)
treetree hl7:templateId
II 1 … 1 M (Hisdotsion)
treeblank treetree @root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.4
treetree cda:templateId
II 1 … 1 M SHALL contain exactly one [1..1] templateId (CONF:81-7848) such that it CONFdots7848
treeblank treetree @root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.4 CONFdots0458
  SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.4" (CONF:81-10458).
treetree cda:code
CE 1 … 1 M SHALL contain exactly one [1..1] code (CONF:81-15477). CONFdots5477
treeblank treetree @code
CONF 1 … 1 F 10164-2
treeblank treetree @codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:title
ST 1 … 1 SHALL contain exactly one [1..1] title (CONF:81-7850). CONFdots7850
treetree cda:text
SD.TEXT 1 … 1 R SHALL contain exactly one [1..1] text (CONF:81-7851). CONFdots7851