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History Of Present Illness Section

[Section: templateId 1.3.6.1.4.1.19376.1.5.3.1.3.4]

The History of Present Illness section describes the history related to the reason for the encounter.  It contains the historical details leading up to and pertaining to the patient's current complaint or reason for seeking medical care.

  1. SHALL contain exactly one [1..1] templateId ( CONF:10458 ) such that it
    1. SHALL contain exactly one [1..1] @root="1.3.6.1.4.1.19376.1.5.3.1.3.4"
  2. SHALL contain exactly one [1..1] code (CONF:15477)/@code="10164-2" HISTORY OF PRESENT ILLNESS (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15478)
  3. SHALL contain exactly one [1..1] title (CONF:7850)
  4. SHALL contain exactly one [1..1] text (CONF:7851)