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Template ID |
2.16.840.1.113883.10.20.22.2.37 |
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Name |
Complications |
|
Effective Date |
2012-07 |
|
Version Label |
DICOM-20150324 |
|
Status |
Active |
|
Description |
The Complications section records problems that occurred during the procedure or other activity. The complications may have been known risks or unanticipated problems. |
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Classification |
CDA Section Level |
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Relationships |
Included in 9.3 Imaging Procedure Description |
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Context |
parent node |
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Open/Closed |
Open |
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Revision History |
From Consolidated CDA r1.1 DICOM-20150324: Addition of optional entries |
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Card |
Elem/Attr Conf |
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Value Conf |
Value |
Subsidiary Template |
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Complications |
section |
1..1 |
SHALL |
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> |
templateId |
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>@ |
@root |
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SHALL |
2.16.840.1.113883.10.20.22.2.37 |
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id |
1..* |
SHALL |
II |
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> |
code |
1..1 |
SHALL |
CD |
SHALL |
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Title |
> |
title |
1..1 |
SHALL |
ST |
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Text |
> |
text |
1..1 |
COND |
ED |
9.1.1 Section Text 1.2.840.10008.9.19 |
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> |
entry |
0..* |
MAY |
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CodedObservation[*] |
>> |
observation |
10.1 Coded Observation 2.16.840.1.113883.10.20.6.2.13 |
Example 9.8.4-1. Complications section example
<section classCode="DOCSECT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.2.37"/>
<id root="1.2.840.10213.2.62.70444786655528.11428987524546666"/>
<code code="55109-3"
codeSystem="2.16.840.1.113883.6.1"
codeSystemName="LOINC"
displayName="Complications"/>
<title>Complications</title>
<text>Immediately following IV contrast injection, the patient reporting itching "all over".
Dr. Smith examined the patient and found multiple urticaria. The patient denied difficulty
breathing or swallowing. The patient was given Benadryl 50 mg PO and was followed for
30 minutes, during which time the symptoms subsided.</text>
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.6.2.13"/>
<!-- Coded Observation -->
...
</observation>
</entry>
</section>