Back To Index  <<  Back To Templates

pending Template  Encounter Diagnosis

Template 2.16.840.1.113883.10.20.22.4.80 - EncounterDiagnosis
Id 2.16.840.1.113883.10.20.22.4.80
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.80
Open/Closed Open (other than defined elements are allowed)
Description This template wraps relevant problems or diagnoses at the close of a visit or that need to be followed after the visit. If the encounter is associated with a Hospital Discharge, the Hospital Discharge Diagnosis must be used. This entry requires at least one Problem Observation entry.
Used by / Uses
Used by / Uses 5 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.4.49 Containment EncounterActivities Encounter Activities 2013‑01‑31
2.16.840.1.113883.10.20.22.2.22 link EncountersSectionentriesoptional Encounters Section (entries optional) 2013‑01‑31
2.16.840.1.113883.10.20.22.1.2 link ContinuityofCareDocumentCCD Continuity of Care Document (CCD) 2013‑01‑31
2.16.840.1.113883.10.20.22.2.22.1 link EncountersSectionentriesrequired Encounters Section (entries required) 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:act
(EncounterDiagnosis)
treetree @classCode
1 .. 1 F ACT
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:14895) such that it conf‑14895
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.80
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:19182). conf‑19182
treeblank treetree @code
1 .. 1 F 29308-4
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']]
1 .. * M conf‑14892
treeblank treetree @typeCode
1 .. 1 F SUBJ
  Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (DYNAMIC)