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# Template Anamnesi (VPS)

Id | 2.16.840.1.113883.2.9.10.1.6.55 | Effective Date | 2018‑03‑19
Status | Active | Version Label | VPS
Name | AnamnesiVPS | Display Name | Anamnesi (VPS)
Description | History General (LOINC: 11329-0)
Classification | CDA Section Level Template
Open/Closed | Open (other than defined elements are allowed)
Used by / Uses |
Used by 0 transactions and 2 templates, Uses 3 templates
Used by | as | Name | Version
--- | --- | --- | ---
2.16.840.1.113883.2.9.10.1.6.56 | Containment | Inquadramento clinico iniziale (VPS) (VPS) | 2018‑03‑19
2.16.840.1.113883.2.9.10.1.6.1 |  | Verbale di Pronto Soccorso (VPS) | 2023‑05‑17 12:00:45
Uses | as | Name | Version
2.16.840.1.113883.3.1937.777.63.10.318 | Containment | assignedAuthor_BodyVPS (VPS) | DYNAMIC
2.16.840.1.113883.3.1937.777.63.10.316 | Containment | Anamnesi Fisiologica-Patologica (VPS) (VPS) | 2023‑05‑03 19:52:54
2.16.840.1.113883.3.1937.777.63.10.317 | Containment | Anamnesi Familiare (VPS) (VPS) | 2023‑05‑03 20:06:14
Relationship | Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07) ref ad1bbr-
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:section |  | 1 … 1 | R |  |
@classCode | cs | 0 … 1 | F | DOCSECT
@moodCode | cs | 0 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.2.9.10.1.6.55
hl7:id | II | 0 … 1 |  |  |
hl7:code | CE | 1 … 1 | R |  |
@code | cs | 1 … 1 | F | 11329-0
@codeSystem | oid | 1 … 1 | F | 2.16.840.1.113883.6.1
@codeSystemName | st | 0 … 1 | F | LOINC
@displayName | st | 0 … 1 | F | Anamnesi Generale
hl7:title | ST | 0 … 1 |  |  |
| CONF |
element content SHALL be "Anamnesi"
hl7:text | SD.TEXT | 1 … 1 | R | Blocco human readable: Note dell’anamnesi |
hl7:author |  | 0 … * |  | Include nome, cognome e codice fiscale dell’operatore autore dell’anamnesi |
hl7:time | TS | 1 … 1 | R | Data e ora dell’anamnesi |
hl7:assignedAuthor |  | 1 … 1 | R | Contains 2.16.840.1.113883.3.1937.777.63.10.318 assignedAuthor_BodyVPS (DYNAMIC) |
hl7:entry |  | 0 … 1 |  | Elemento OPZIONALE atto a riportare le informazioni dettagliate relative all’anamnesi patologica prossima, patologica remota e all’anamnesi fisiologica. Contains 2.16.840.1.113883.3.1937.777.63.10.316 Anamnesi Fisiologica-Patologica (VPS) (2023‑05‑03 19:52:54) |
@typeCode | cs | 1 … 1 | F | COMP
| Example | <observation moodCode="EVN" classCode="OBS"> <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/> <statusCode code="completed"/> <effectiveTime> <low value="20220410101010+0100"/> <high value="20220420101010+0100"/> </effectiveTime> <value code="153.5" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM" displayName="TUMORI MALIGNI DELL'APPENDICE"/> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <code code="89261-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Decorso Clinico"/> <text> <reference value="#[REF_CRON]"/> </text> <statusCode code="completed"/> <value code="LA28752-6" codeSystem="2.16.840.1.113883.6.1" displayName="Chronic"/> </observation> </entryRelationship> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <code code="33999-4" displayName="Stato" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> <text> <reference value="#[REF_STATO]"/> </text> <statusCode code="completed"/> <value code="LA16666-2" codeSystem="2.16.840.1.113883.6.1" displayName="Active"/> </observation> </entryRelationship></observation>
hl7:entry |  | 0 … * |  | Elemento OPZIONALE atto a raccogliere tutte le informazioni relative all’anamnesi familiare. Contains 2.16.840.1.113883.3.1937.777.63.10.317 Anamnesi Familiare (VPS) (2023‑05‑03 20:06:14) |
@typeCode | cs | 1 … 1 | F | COMP
| Example | <organizer classCode="CLUSTER" moodCode="EVN"> <code code="10157-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Storia di malattie di membri familiari"/> <statusCode code="completed"/> <effectiveTime value="20220423101010+0100"/> <subject typeCode="SBJ"> <relatedSubject classCode="PRS"> <code code="MTH" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Mother"/> <subject> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7 AdministrativeGender" displayName="Femmina"/> </subject> </relatedSubject> </subject> <component> <observation classCode="OBS" moodCode="EVN"> <code code="52797-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnosi codice ICD"/> <text> <reference value="#[REF_OBS]"/> </text> <statusCode code="completed"/> <effectiveTime value="20220410101010+0100"/> <value code="575.6" codeSystem="2.16.840.1.113883.6.103" codeSystemName="ICD-9-CM" displayName="COLESTEROLOSI DELLA COLECISTI"/> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <code code="35267-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Età diagnosi patologia"/> <value value="40" unit="a"/> </observation> </entryRelationship> <entryRelationship typeCode="SUBJ"> <observation classCode="OBS" moodCode="EVN"> <code code="39016-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Età_decesso"/> <value value="70" unit="a"/> </observation> </entryRelationship> </observation> </component></organizer>