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pending Template  History of Past Illness Section

Template 2.16.840.1.113883.10.20.22.2.20 - HistoryofPastIllnessSection
Id 2.16.840.1.113883.10.20.22.2.20
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 2.16.840.1.113883.10.20.22.2.20
Open/Closed Open (other than defined elements are allowed)
Description This section describes the history related to the patient’s past complaints, problems, or diagnoses. It records these details up until, and possibly pertinent to, the patient’s current complaint or reason for seeking medical care.
Used by / Uses
Used by / Uses 5 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
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.4 Containment ProblemObservation DYNAMIC
Item DT Card Conf Description Label
cda:section
(HistoryofPastIllnessSection)
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7828) such that it conf‑7828
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.2.20
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:15474). conf‑15474
treeblank treetree @code
1 .. 1 F 11348-0
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:7830). conf‑7830
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7831). conf‑7831
treetree cda:entry
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']]
0 .. * conf‑8791
  Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (DYNAMIC)