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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 | Under pre-publication review | Version Label | STU1
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 | Dataset
--- | --- | ---
hl7ips-dataelement-151 | Reference date range | CEN/TC 251 prEN 17269
hl7ips-dataelement-176 | Life Style Factor | 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 (TI-2020) | 2020‑05‑10 18:52:32
2.16.840.1.113883.10.22.1.2 |  | International Patient Summary (2024) | 2024‑08‑02 13:02:39
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-
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>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  |  |  |
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 |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.35
hl7:id | II | 0 … * |  |  |
hl7:code | CD.IPS (preferred) | 1 … 1 | R |  |
@code | CONF | 0 … 1 | F | 74013-4
@codeSystem | 0 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
hl7:translation |  | 0 … * | R |  |
hl7:statusCode | CS | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | completed
hl7:effectiveTime | IVL_TS | 1 … 1 | R |  |
hl7ips-dataelement-151 | Reference date range | CEN/TC 251 prEN 17269
hl7:value | PQ | 1 … 1 | R |  |
@xsi:type | cs | 1 … 1 | F | PQ
@unit |  | 1 … 1 | F | /d