Id | 1.3.6.1.4.1.19376.1.5.3.1.3.4 ref ccda- | Effective Date | 2015‑08‑13Other versions this id: - IHEHistoryofPresentIllnessSection as of 2013‑01‑31
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Status | Under pre-publication review | Version Label | 2.1 |
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Name | HistoryofPresentIllnessSection | Display Name | History of Present Illness Section |
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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. |
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Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.4 |
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Classification | CDA Section Level Template |
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Open/Closed | Open (other than defined elements are allowed) |
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Relationship | Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07) |
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Item | DT | Card | Conf | Description | Label |
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| | | | | (His...ion) | | cda:templateId
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| II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:81-7848) such that it | CONF...7848 | | | @root
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| | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.3.4 | CONF...0458 | | SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.4" (CONF:81-10458). | | cda:code
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| CE | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:81-15477). | CONF...5477 | | | @code
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| CONF | 1 … 1 | F | 10164-2 | | | @codeSystem
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| 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) | | cda:title
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| ST | 1 … 1 | | SHALL contain exactly one [1..1] title (CONF:81-7850). | CONF...7850 | | cda:text
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| SD.TEXT | 1 … 1 | R | SHALL contain exactly one [1..1] text (CONF:81-7851). | CONF...7851 |
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