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ref Template  Indication

Template 2.16.840.1.113883.10.20.22.4.19 - Indication ref (van repository: ccda-)
Id 2.16.840.1.113883.10.20.22.4.19
Versie 1.1 geldig vanaf 2013‑01‑31 status pending Onder revisie vóór de publicatie

Er zijn versies van templates met dit id:
  • IndicationV2 van 2014‑06‑09
  • Indication van 2013‑01‑31
Classificatie CDA entry level template
Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.19
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Omschrijving en-US The Indication Observation documents the rationale for an activity. It can do this with the id element to reference a problem recorded elsewhere in the document or with a code and value to record the problem type and problem within the Indication. For example, the indication for a prescription of a painkiller might be a headache that is documented in the Problems Section.
Gebruikt door / Gebruikt
Gebruikt door / Gebruikt 1 template
Gebruikt door Template-id als Naam Versie
2.16.840.1.113883.10.20.22.4.49 Containment EncounterActivities Encounter Activities 2013‑01‑31
Item DT Card Conf Omschrijving Label
cda:observation
(Indication)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:7482) such that it conf‑7482
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.19
treetree cda:id
1 .. 1 M en-US SHALL contain exactly one [1..1] id (CONF:7483).

Set the observation/id equal to an ID on the problem list to signify that problem as an indication.
conf‑7483
treetree cda:code
1 .. 1 M en-US SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type 2.16.840.1.113883.3.88.12.3221.7.2 STATIC 2012-06-01 (CONF:16886). conf‑16886
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.3221.7.2 Problem Type (2012‑06‑01)
treetree cda:statusCode
CS 1 .. 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:7487). conf‑7487
treeblank treetree @code
1 .. 1 F completed
treetree cda:effectiveTime
0 .. 1 R en-US SHOULD contain zero or one [0..1] effectiveTime (CONF:7488). conf‑7488
treetree cda:value
CD 0 .. 1 R en-US SHOULD contain zero or one [0..1] value with @xsi:type="CD" (CONF:7489).

If the diagnosis is unknown or the SNOMED code is unknown, @nullFlavor SHOULD be “UNK”. If the code is something other than SNOMED, @nullFlavor SHOULD be “OTH” and the other code SHOULD be placed in the translation element
conf‑7489
treeblank treetree @nullFlavor
0 .. 1  
treeblank treetree @code
0 .. 1  
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.3.88.12.3221.7.4 Problem (DYNAMISCH)