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 Template  [4] Pielęgniarska skala oceny odleżyn

Template 2.16.840.1.113883.3.4424.13.10.4.41 - plCdaNursingPressureUlcerAssesmentEntry
Id 2.16.840.1.113883.3.4424.13.10.4.41
Classification CDA entry level template
Context Parent nodes of template element with id 2.16.840.1.113883.3.4424.13.10.4.41
Version 1.1.1 valid from 2017‑01‑02 status Active
Open/Closed Closed (only defined elements are allowed)
Description CDA template for Nursing badsore assessment entry
Used by / Uses
Used by / Uses 5 templates
Used by Template id Name Version
2.16.840.1.113883.3.4424.13.10.3.46 [3] Sekcja wywiad pielęgniarskiego 2015‑08‑15
2.16.840.1.113883.3.4424.13.10.3.47 [3] Sekcja pielęgniarskiego badania przedmiotowego 2015‑10‑26
Uses Template id Name Version
2.16.840.1.113883.3.4424.13.10.7.3 plCdaClinicalStatementText DYNAMIC
2.16.840.1.113883.3.4424.13.10.4.45 plCdaNursingPressureUlcerPresentEntry DYNAMIC
2.16.840.1.113883.3.4424.13.10.4.46 plCdaNursingPressureUlcerNotPresentEntry DYNAMIC
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.3.4424.13.10.4.41"/>
  <code code="SODL" codeSystem="2.16.840.1.113883.3.4424.13.5.2" codeSystemName="Słownik nazw skal ocen pielęgniarskich" displayName="Skala klasyfikacji odleżyn"/>
  <text>
    <reference value="#OBS_1"/>
  </text>
  <statusCode code="completed"/>
  <effectiveTime value="20150819"/>
  <!-- choice min/max: 1..* element hl7:entryRelationship containing template plCdaNursingPressureUlcerPresentEntry (dynamic) element hl7:entryRelationship containing template plCdaNursingPressureUlcerNotPresentEntry (dynamic) -->
</observation>
Item DT Card Conf Description Label
hl7:observation
1 .. 1 M (plCdaNursingPressureUlcerAssesmentEntry)
@classCode
0 .. 1 F OBS
@moodCode
cs 1 .. 1 F EVN
hl7:templateId
II 1 .. 1 M (plCdaNursingPressureUlcerAssesmentEntry)
@root
1 .. 1 F 2.16.840.1.113883.3.4424.13.10.4.41
hl7:id
II 0 .. * (plCdaNursingPressureUlcerAssesmentEntry)
hl7:code
CD 1 .. 1 M (plCdaNursingPressureUlcerAssesmentEntry)
@code
1 .. 1 F SODL
@codeSystem
1 .. 1 F 2.16.840.1.113883.3.4424.13.5.2
@codeSystemName
1 .. 1 F Słownik nazw skal ocen pielęgniarskich
@displayName
1 .. 1 F Skala klasyfikacji odleżyn
Included from 2.16.840.1.113883.3.4424.13.10.7.3 [7] Opis wyrażenia klinicznego (DYNAMIC) 0 .. 1
hl7:text
ED 0 .. 1 (plCdaNursingPressureUlcerAssesmentEntry)
hl7:reference
TEL 0 .. 1 (plCdaNursingPressureUlcerAssesmentEntry)
@value
st 1 .. 1  
Schematron assert role  error
test ancestor::hl7:section//*[@ID=substring(current()/@value,2)]
Message Referencja musi wskazywać na konkretny element tekstu sekcji o danym ID
Schematron report role  error
test ancestor::hl7:section/hl7:templateId[@root='2.16.840.1.113883.3.4424.13.10.3.55'] and hl7:reference
Message Nie może istnieć referencja do treści w sekcji postaci binarnej dokumentu
hl7:statusCode
CS 0 .. 1 (plCdaNursingPressureUlcerAssesmentEntry)
@code
1 .. 1 F completed
hl7:effectiveTime
IVL_TS 0 .. 1 (plCdaNursingPressureUlcerAssesmentEntry)
Choice min 1 element(s) and max * element(s). Elements to choose from:
  • hl7:entryRelationship[hl7:observation/hl7:code/@code='10025798'] containing hl7:observation from template [4] Obecność odleżyn (DYNAMIC)
  • hl7:entryRelationship[hl7:observation/hl7:code/@code='10029065'] containing hl7:observation from template [4] Brak odleżyn (DYNAMIC)
hl7:entryRelationship
where
[hl7:observation/hl7:code/@code='10025798']
0 .. * (plCdaNursingPressureUlcerAssesmentEntry)
@typeCode
cs 1 .. 1 F COMP
Contains 2.16.840.1.113883.3.4424.13.10.4.45 [4] Obecność odleżyn (DYNAMIC)
hl7:entryRelationship
where
[hl7:observation/hl7:code/@code='10029065']
0 .. 1 (plCdaNursingPressureUlcerAssesmentEntry)
@typeCode
cs 1 .. 1 F COMP
Contains 2.16.840.1.113883.3.4424.13.10.4.46 [4] Brak odleżyn (DYNAMIC)