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Template Anamnesi Fisiologica-Patologica (RAP) 2022‑09‑21 13:54:39

Id2.16.840.1.113883.3.1937.777.63.10.135
ref
hl7itig-
Effective Date2022‑09‑21 13:54:39
Statusdraft DraftVersion LabelAFP
NameAFPDisplay NameAnamnesi Fisiologica-Patologica (RAP)
Descriptionen-US Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.777.63.10.135
LabelObservationAnamnesiFis‑Pat(RAP)
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.63.10.282Containmentdraft Anamnesi2023‑01‑26 10:32:47
Uses as NameVersion
2.16.840.1.113883.3.1937.777.63.10.136Containmentdraft Cronicità DYNAMIC
2.16.840.1.113883.3.1937.777.63.10.137Containmentdraft StatoDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1Ren-US

Elemento che riporta tutte le informazioni dettagliate relative all’anamnesi patologica prossima, patologica remota e anamnesi fisiologica.

ObsedotsRAP)
@classCode
cs0 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1MObsedotsRAP)
@root
uid1 … 1F2.16.840.1.113883.3.1937.777.63.10.135
hl7:code
CD1 … 1RObsedotsRAP)
@code
cs1 … 1F75326-9
@codeSystem
uid1 … 1F2.16.840.1.113883.6.1
@codeSystemName
st0 … 1FLOINC
@displayName
st0 … 1 en-US

Problem

 Example<code code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/>
hl7:text
ED0 … 1ObsedotsRAP)
hl7:statusCode
CS1 … 1RObsedotsRAP)
@code
CONF0 … 1Fcompleted
hl7:effectiveTime
IVL_TS1 … 1Ren-US

E' un elemento che distingue, attraverso un riferimento temporale, l’anamnesi patologica prossima dall’anamnesi patologica remota.

ObsedotsRAP)
 Example<effectiveTime>
  <low value="[DT_PRIMA_INSORG]"/>  <high value="[DT_ULTIMA_INSORG]"/></effectiveTime>
hl7:value
CD1 … 1Men-US

L'elemento può essere codificato od essere una stringa non codificata, in ogni caso il tipo di tale elemento deve essere sempre un valore codificato (xsi:type='CD').

ObsedotsRAP)
 Example
Esempio 1: value codificato
<value type="CD" code="60975-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Resistenza Vascolare"/>
 Example
Esempio 2: value non codificato
<value type="CD">
  <originalText>
    <reference value="#value_as_text"/>  </originalText></value>
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1937.777.63.10.136 Cronicità (DYNAMIC)ObsedotsRAP)
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.3.1937.777.63.10.137 Stato (DYNAMIC)ObsedotsRAP)
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)