| Id | 2.16.840.1.113883.10.22.4.35 | Effective Date | valid from 2017‑06‑29 |
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| Status |  Draft | Version Label | |
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| Name | IPSSocialHistoryObsAlcoholUse | Display Name | IPS Social History Alcohol Use |
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| Description | This template is a specialization of the Social History Observation that may be used to represent alcohol consumption habits. |
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| Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.35 |
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Used by / Uses | | Used by 0 transactions and 2 templates, Uses 0 templates | | Used by | as | Name | Version |
|---|
| 2.16.840.1.113883.10.22.3.10 | Containment | IPS Social History Section | 2017‑04‑13 | | 2.16.840.1.113883.10.22.1.1 |  | International Patient Summary | 2017‑04‑11 |
|
|
|---|
| Relationship | Adaptation: template 2.16.840.1.113883.10.20.22.4.38 (2015‑08‑01)
Adaptation: template 2.16.840.1.113883.10.12.303 (2005‑09‑07) |
|---|
| Example | | Example | <observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.22.4.35"/> <id root="1.2.3.999" extension="--example only--"/> <code code="160573003" codeSystem="2.16.840.1.113883.6.96" displayName="Alcohol intake"/> <statusCode code="completed"/> <effectiveTime>
<low value="20170719113711"/> </effectiveTime> <value xsi:type="PQ" value="1"/></observation> |
|
| Item | DT | Card | Conf | Description | Label |
|---|
| | | | | (IPS…Use) |  | @classCode
|
| cs | 1 … 1 | F | OBS | | @moodCode
|
| cs | 1 … 1 | F | EVN | | hl7:templateId
|
| II | 1 … 1 | M | | (IPS…Use) |  | | @root
|
| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.35 | | hl7:id
|
| II | 0 … * | | | (IPS…Use) | | hl7:code
|
| CD.IPS | 1 … 1 | R | | (IPS…Use) | | | @code
|
| CONF | 1 … 1 | F | 160573003 | | | @codeSystem
|
| 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) | | | hl7:translation
|
| | 0 … * | R | | (IPS…Use) | | hl7:statusCode
|
| CS | 1 … 1 | M | | (IPS…Use) | | | @code
|
| CONF | 1 … 1 | F | completed | | hl7:effectiveTime
|
| IVL_TS | 1 … 1 | R | | (IPS…Use) | | hl7:value
|
| PQ | 1 … 1 | R | | (IPS…Use) | | | @xsi:type
|
| cs | 1 … 1 | F | PQ |
|
Draft
