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pending Template  History of Present Illness Section

Template 1.3.6.1.4.1.19376.1.5.3.1.3.4 - HistoryofPresentIllnessSection
Id 1.3.6.1.4.1.19376.1.5.3.1.3.4
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Section Level Template
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.4
Open/Closed Open (other than defined elements are allowed)
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.
Used by / Uses
Used by / Uses 4 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.1.3 Containment HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883.10.20.22.1.4 Containment ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.6 Containment ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883.10.20.22.1.8 Containment DischargeSummary Discharge Summary 2013‑01‑31
Item DT Card Conf Description Label
cda:section
(HistoryofPresentIllnessSection)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7848) such that it conf‑7848
treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.5.3.1.3.4
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:15477). conf‑15477
treeblank treetree @code
1 .. 1 F 10164-2
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:title
1 .. 1 M SHALL contain exactly one [1..1] title (CONF:7850). conf‑7850
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7851). conf‑7851