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

Preoperative Diagnosis

[Act: templateId 2.16.840.1.113883.10.20.22.4.65]

  1. SHALL contain exactly one [1..1] templateId ( CONF:16770, CONF:16771 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.65"
  2. SHALL contain exactly one [1..1] @classCode="ACT" Act (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:10090)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:10091)
  4. SHALL contain exactly one [1..1] code/@code="10219-4" (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:10092)
  5. SHALL contain at least one [1..*] entryRelationship (CONF:10093, CONF:10094, CONF:15605)
    1. Contains @typeCode="SUBJ" SUBJ
    2. Contains exactly one [1..1] Problem Observation (templateId: 2.16.840.1.113883.10.20.22.4.4)

Preoperative Diagnosis example

<act xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="1673951244"/>
  <code code="1117983029"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
  <entryRelationship>
    <observation>
      <id root="MDHT" extension="1956019805"/>
      <code code="1050004053"/>
      <effectiveTime>
        <low value="2013"/>
        <high value="2013"/>
      </effectiveTime>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="99428648"/>
          <code code="995679885"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="275931392"/>
          <code code="1883638590"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
      <entryRelationship>
        <observation>
          <id root="MDHT" extension="711632424"/>
          <code code="688665318"/>
          <effectiveTime>
            <low value="2013"/>
            <high value="2013"/>
          </effectiveTime>
        </observation>
      </entryRelationship>
    </observation>
  </entryRelationship>
</act>