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Template
IPS Social History Alcohol Use
Id
2.16.840.1.113883.10.22.4.35
Effective Date
2017‑06‑29
Status
Draft
Version Label
Name
IPSSocialHistoryObsAlcoholUse
Display Name
IPS Social History Alcohol Use
Description
This template is a specialization of the Social History Observation that may be used to represent alcohol consumption habits.
Context
Parent nodes of template element with id 2.16.840.1.113883.10.22.4.35
Classification
CDA Entry Level Template
Open/Closed
Open (other than defined elements are allowed)
Associated with
Associated with 2 concepts
Id
Name
Data Set
hl7ips-dataelement-
176
Life Style Factor
CEN/TC 251 prEN 17269
hl7ips-dataelement-
151
Reference date range
CEN/TC 251 prEN 17269
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
="
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
>
Expand All
Collapse All
Item
DT
Card
Conf
Description
Label
hl7:observation
(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 (Logical Observation Identifier Names and Codes)
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