| Id | 2.16.840.1.113883.10.22.4.35 | Effective Date | 2017‑06‑29 |
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| Status |  Under pre-publication review | Version Label | STU1 |
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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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| Associated with | | Associated with 2 concepts | | Id | Name | Data Set |
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| hl7ips-dataelement-151 |  Reference date range | CEN/TC 251 prEN 17269 | | hl7ips-dataelement-176 | Life Style Factor | CEN/TC 251 prEN 17269 |
|
|
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| Relationship | Adaptation: template 2.16.840.1.113883.10.20.22.4.38 Social History Observation (V3) (2015‑08‑01) ref ccda-
Adaptation: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- |
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| 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="74013-4" codeSystem="2.16.840.1.113883.6.96" displayName="Alcoholic drinks per day"/> <statusCode code="completed"/> <effectiveTime>
<low value="20170719113711"/> </effectiveTime> <value xsi:type="PQ" value="1" unit="d"/></observation> |
|
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| Item | DT | Card | Conf | Description | Label |
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| | | | | (IPS...Use) | | |  | | hl7ips-dataelement-176 | Life Style Factor | CEN/TC 251 prEN 17269 |
|  | @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 (preferred) | 1 … 1 | R | | (IPS...Use) | | | @code
|
| CONF | 0 … 1 | F | 74013-4 | | | @codeSystem
|
| 0 … 1 | F | 2.16.840.1.113883.6.1 (LOINC) | | | 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) | | | | | hl7ips-dataelement-151 | Reference date range | CEN/TC 251 prEN 17269 |
| | hl7:value
|
| PQ | 1 … 1 | R | | (IPS...Use) | | | @xsi:type
|
| cs | 1 … 1 | F | PQ | | | @unit
|
| | 1 … 1 | F | /d |
|
Under pre-publication review
