Source | hl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0) |
resourceType | StructureDefinition |
id | 2.16.840.1.113883.10.20.2.10 |
canonical | http://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.2.10 |
version | 2.1 |
status | active |
publisher | Health Level Seven |
name | PhysicalExamSection |
title | Physical Exam Section |
date | 2023-08-24T14:33:15+00:00 |
description | The section includes direct observations made by a clinician. The examination may include the use of simple instruments and may also describe simple maneuvers performed directly on the patient's body. It also includes observations made by the examining clinician using only inspection, palpation, auscultation, and percussion. It does not include laboratory or imaging findings. The exam may be limited to pertinent body systems based on the patient's chief complaint or it may include a comprehensive examination. The examination may be reported as a collection of random clinical statements or it may be reported categorically. The Physical Exam Section may contain multiple nested subsections. |
jurisdictions | us |
fhirVersion | 5.0.0 |
kind | logical |
abstract | false |
sdTtype | http://hl7.org/cda/stds/core/StructureDefinition/Section |
derivation | constraint |
base | http://hl7.org/cda/stds/core/StructureDefinition/Section |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Section | CDAR2.Section |
XML Namespace:
urn:hl7-org:v3 This logical model cannot be the target of a reference |
||
Slices for templateId | 1 .. | Slice: Unordered, Open by value:root, value:extension | ||
templateId:primary | 1..1 | |||
root | 1..1 | Required Pattern: 2.16.840.1.113883.10.20.2.10 | ||
extension | 1..1 | Required Pattern: 2015-08-01 | ||
code | 1..1 | |||
code | 1..1 | Required Pattern: 29545-1 | ||
codeSystem | 1..1 | Required Pattern: 2.16.840.1.113883.6.1 | ||
title | 1..1 | |||
text | 1..1 | |||
Slices for entry | Slice: Unordered, Open by type:$this | |||
entry:longCareWound | 0..* | |||
observation | 1..1 | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
Slices for component | Slice: Unordered, Open by value:section | |||
component:component1 | 0..* | |||
section | 1..1 | |||
code | 1..1 | Binding: Physical Exam Type ( preferred ) | ||
title | 1..1 | |||
text | 1..1 | |||
Documentation for this format |
Produced 08 Sep 2023