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pending Template  Assessment Section

Template 2.16.840.1.113883. - AssessmentSection
Id 2.16.840.1.113883.
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.
Open/Closed Open (other than defined elements are allowed)
Description The Assessment section (also referred to as “impression” or “diagnoses” outside of the context of CDA) represents the clinician's conclusions and working assumptions that will guide treatment of the patient. The assessment may be a list of specific disease entities or a narrative block.
Used by / Uses
Used by / Uses 4 templates
Used by Template id as Name Version
2.16.840.1.113883. Containment HistoryandPhysical History and Physical 2013‑01‑31
2.16.840.1.113883. Containment ConsultationNote Consultation Note 2013‑01‑31
2.16.840.1.113883. Containment ProcedureNote Procedure Note 2013‑01‑31
2.16.840.1.113883. Containment ProgressNote Progress Note 2013‑01‑31
Item DT Card Conf Description Label
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7711) such that it conf‑7711
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:14757). conf‑14757
treeblank treetree @code
1 .. 1 F 51848-0
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:16774). conf‑16774
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7713). conf‑7713