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pending Template  General Status Section

Template 2.16.840.1.113883. - GeneralStatusSection
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 General Status section describes general observations and readily observable attributes of the patient, including affect and demeanor, apparent age compared to actual age, gender, ethnicity, nutritional status based on appearance, body build and habitus (e.g., muscular, cachectic, obese), developmental or other deformities, gait and mobility, personal hygiene, evidence of distress, and voice quality and speech.
Used by / Uses
Used by / Uses 2 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
Item DT Card Conf Description Label
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:7985) such that it conf‑7985
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:15472). conf‑15472
treeblank treetree @code
1 .. 1 F 10210-3
treetree cda:title
1 .. 1 M SHALL contain exactly one [1..1] title (CONF:7987). conf‑7987
treetree cda:text
1 .. 1 M SHALL contain exactly one [1..1] text (CONF:7988). conf‑7988