Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Hospital Admission Diagnosis

[Act: templateId 2.16.840.1.113883.10.20.22.4.34]

The Hospital Admission Diagnosis entry describes the relevant problems or diagnoses at the time of admission.

  1. SHALL contain exactly one [1..1] templateId ( CONF:16747, CONF:16748 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.34"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood)
  4. SHALL contain exactly one [1..1] code/@code="46241-6" Admission diagnosis (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:7673)
  5. SHALL contain at least one [1..*] entryRelationship (CONF:7674, CONF:7675, CONF:15535)
    1. Contains @typeCode="SUBJ" SUBJ
    2. Contains exactly one [1..1] Problem Observation (templateId: 2.16.840.1.113883.10.20.22.4.4)

Hospital Admission Diagnosis example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="1641237876"/>
  <code code="507053245"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="204588133"/>
      <code code="1653138579"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1591351858"/>
          <code code="1960715287"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="1048867421"/>
          <code code="1091260435"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="536131765"/>
          <code code="412142872"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</act>