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draft Template  IPS Patient Story Section

Id 2.16.840.1.113883.10.22.3.18 Effective Date 2024‑06‑12 09:26:02
Status draft Draft Version Label
Name IPSPatientStorySection Display Name IPS Patient Story Section
Description

A concise narrative from the patient’s perspective about their present health state. This is a record of the things that a person feels it is important to communicate about their needs, strengths, values, concerns and preferences to others providing support and care.

Patients unable to communicate can be supported by a proxy author. The patient’s story, provided here, may be told by the patient or by a proxy.

Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 3 templates
Used by as Name Version
2.16.840.1.113883.10.22.1.2 Containment draft International Patient Summary (2024) 2024‑08‑02 13:02:39
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Include pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.12.319 Containment active CDA Informant (Body) DYNAMIC
2.16.840.1.113883.10.22.3.15 Containment draft IPS Translation Section (2021) DYNAMIC
Item DT Card Conf Description Label
hl7:section
 		1 … 1 M
@classCode
 		cs 0 … 1 F DOCSECT
hl7:templateId
 		II 1 … 1 M
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.3.18
hl7:id
 		II 0 … * R
hl7:code
 		CE.IPS 1 … 1 M
@code
 		CONF 1 … 1 F 81338-6
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:title
 		ST 1 … 1 M

Patient’s story
hl7:text
 		SD.TEXT 1 … 1 M
Included 0 … * from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author
 		0 … *
hl7:templateId
 		II 1 … 1 M
@root
 		uid 1 … 1 F 2.16.840.1.113883.10.22.4.14
hl7:time
 		TS.IPS.TZ 1 … 1 R
hl7:assignedAuthor
 		1 … 1 M
hl7:id
 		II 1 … * R
hl7:code
 		0 … 1 R
Choice 0 … 1 Elements to choose from:
  • hl7:assignedPerson
  • hl7:assignedAuthoringDevice
hl7:assignedPerson
 		0 … 1 C
@classCode
 		cs 0 … 1 F PSN
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:name
 		PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document
  Example <name>
  <given>John</given>  <family>Español Smith</family></name>
hl7:family
 		1 … * R
hl7:given
 		1 … * R
hl7:assignedAuthoringDevice
 		0 … 1 C
  Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
  <softwareName displayName="Turriano"/></assignedAuthoringDevice>
Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)
@classCode
 		cs 0 … 1 F DEV
@determinerCode
 		cs 0 … 1 F INSTANCE
hl7:code
 		CE 0 … 1
hl7:manufacturerModelName
 		SC 0 … 1
hl7:softwareName
 		SC 0 … 1
hl7:representedOrganization
 		0 … 1
hl7:id
 		II 0 … *
hl7:name
 		0 … *
hl7:telecom
 		TEL 0 … *
hl7:addr
 		AD 0 … *
hl7:informant
 		0 … * Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)
hl7:component
 		0 … * Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)