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 Template  CCDA2 Indication (V2)

Template (intern) 2.16.840.1.113883.10.20.22.4.19.2 - ccda2-IndicationV2
Id 2.16.840.1.113883.10.20.22.4.19.2
Classificatie CDA entry level template
Versie geldig vanaf 2013‑12‑31 status Onder revisie vóór de publicatie
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Omschrijving CCDA2 Indication (V2)
This template represents the rationale for an action such as an encounter, a medication administration, or a procedure. The id element can be used to reference a problem recorded elsewhere in the document, or can be used with a code and value to record the problem. Indications for treatment are not lab results, rather the problem associated with the lab result should be sited (e.g., hypokalemia instead of a lab result of Potassium 2.0 mEq/L). Use the Drug Monitoring Act templateId 2.16.840.1.113883.10.20.22.4.123] to indicate if a particular drug needs special monitoring (e.g., anticoagulant therapy). Use Precondition for Substance Administration (V2) templateId 2.16.840.1.113883.10.20.22.4.25.2] to represent that a medication is to be administered only when the associated criteria are met.
Gebruikt door / Gebruikt
Gebruikt door / Gebruikt 1 template
Gebruikt door Template-id Naam Versie
2.16.840.1.113883.10.20.22.4.49.2 CCDA2 Encounter Activity 2013‑12‑31
Voorbeeld
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.20.22.4.19.2"/>
  <id root="db734647-fc99-424c-a864-7e3cda82e703"/>
  <code code="282291009" codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>
  <statusCode code="completed"/>
  <value xsi:type="CD" code="32398004" displayName="Bronchitis" codeSystem="2.16.840.1.113883.6.96"/>
</observation>
Item DT Card Conf Omschrijving Label
hl7:observation
1 .. 1 M (ccda2-IndicationV2)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree hl7:templateId
II 1 .. 1 M (ccda2-IndicationV2)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.19.2
treetree hl7:id
1 .. 1 M en-US Note: This observation/id must equal another entry/id in the same document instance. Application Software must be responsible for resolving the identifier back to its original object and then rendering the information in the correct place in the containing section's narrative text. Its purpose is to obviate the need to repeat the complete XML representation of the referred to entry when relating one entry to another. conf‑7483
treetree hl7:code
1 .. 1 M conf‑16886
CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.3221.7.2 Problem Type (DYNAMISCH)
treetree hl7:statusCode
CS 1 .. 1 M conf‑7487
treeblank treetree @code
1 .. 1 F completed
treetree hl7:effectiveTime
0 .. 1 R conf‑7488
treetree hl7:value
CD 0 .. 1 R conf‑7489
treeblank treetree @nullFlavor
0 .. 1  
CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMISCH)