Id1.3.6.1.4.1.19376.1.5.3.1.3.4
ref
ccda-
Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameHistoryofPresentIllnessSectionDisplay NameHistory of Present Illness Section
Description
The History of Present Illness section describes the history related to the reason for the encounter. It contains the historical details leading up to and pertaining to the patient’s current complaint or reason for seeking medical care.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.3.4
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 7 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.5Transactionfinal Procedure Note (US Realm – Release 1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.3Transactionfinal Discharge Summary (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.2Transactionfinal Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transactionfinal History and Physical (H and P) (Release 1.1)2013‑01‑31
1.3.6.1.4.1.12559.11.28.2.1.10.21Containmentactive MU2 Consultation Note (MU2)2016‑12‑20 13:18:06
1.3.6.1.4.1.12559.11.28.2.1.10.22Containmentactive MU2 Discharge Summary (MU2)2016‑12‑20 14:15:30
2.16.840.1.113883.10.20.22.1.3Containmentdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3Containmentactive MU2 H&P Note (MU2)2016‑12‑20 15:02:58
2.16.840.1.113883.10.20.22.1.4Containmentdraft Consultation Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.6Containmentdraft Procedure Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.8Containmentdraft Discharge Summary (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:section
Histdotstion
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:7848) such that itconf‑7848
@root
uid1 … 1F1.3.6.1.4.1.19376.1.5.3.1.3.4confdots0458
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15477).confdots5477
@code
CONF1 … 1F10164-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:7850).conf‑7850
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:7851).conf‑7851