Template 2.16.840.1.113883.10.20.22.2.39 Medical (General) History Section

2012‑01‑12

Template 2.16.840.1.113883.10.20.22.2.39 - MedicalGeneralHistorySection
Id 2.16.840.1.113883.10.20.22.2.39
Classification cdasectionlevel
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.2.39
Label conf‑727
Version valid from 2012‑01‑12 status draft
Description The Medical History section describes all aspects of the medical history of the patient even if not pertinent to the current procedure, and may include chief complaint, past medical history, social history, family history, surgical or procedure history, medication history, and other history information. The history may be limited to information pertinent to the current procedure or may be more comprehensive. The history may be reported as a collection of random clinical statements or it may be reported categorically. Categorical report formats may be divided into multiple subsections including Past Medical History, Social History.
Item DT Card Conf Desc Label
cda:section
conf-727
treetree cda:templateId
II 1..1 M conf‑8160
treeblank treetree @root
1..1 F 2.16.840.1.113883.10.20.22.2.39
treetree cda:code
CD 1..1 M conf‑8161
treeblank treetree @code
1..1 F 11329-0
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1
treeblank treetree @displayName
1..1 F Medical (General) History
treetree cda:title
ST 1..1 M conf‑8162
treetree cda:text
ED 1..1 M conf‑8163