11. 3. Diagnosis record information module
Element structure

 

Namespace declaration

Namespace declaration of this module is as follows.

xmlns:mmlRd="http://www.medxml.net/MML/ContentModule/RegisteredDiagnosis/1.0"

Element list

 

Element

Attribute

Datatypes

Occurrence

Table id

1.

mmlRd:RegisteredDiagnosisModule

 

 

 

 

1.1.

mmlRd:diagnosis

 

string

 

 

 

 

mmlRd:code

string

#IMPLIED

 

 

 

mmlRd:system

string

#IMPLIED

 

1.2.

mmlRd:diagnosisContents

 

 

?

 

1.2.1.

mmlRd:dxItem

 

 

+

 

1.2.2.

mmlRd:name

 

string

 

 

 

 

mmlRd:code

string

#IMPLIED

 

 

 

mmlRd:system

string

#IMPLIED

 

1.3.

mmlRd:categories

 

 

?

 

1.3.1.

mmlRd:category

 

string

+

optional

 

 

mmlRd:tableId

string

#REQUIRED

 

1.4.

mmlRd:startDate

 

date

?

 

1.5.

mmlRd:endDate

 

date

?

 

1.6.

mmlRd:outcome

 

string

?

MML0016

1.7.

mmlRd:firstEncounterDate

 

date

?

 

1.8.

mmlRd:relatedHealthInsurance

 

 

?

 

 

 

mmlRd:uid

string

#IMPLIED

 

Occurrence; blank: 1 appearance without fail, ?: 0 or 1 appearance, +: 1 or more appearances, *: 0 or more appearances

#REQUIRED: Required attribute, #IMPLIED: Omissible attribute

 

Element explanation

1.mmlRd:RegisteredDiagnosisModule

Description: diagnosis record information. Enter only one disease name in one module. If there are multiple diseases, <paragraph> should be repeated. Select either to enter a full disease name including modifiers (1.1.) or enter a name divided into a main disease part and modifiers (1.2.).

1.1.mmlRd:diagnosis

Description: disease name. A full name including modifiers is stored.

Data type: string

Omission: not allowed

Attribute:

Attribute name

Data type

Omission

Remarks

mmlRd:code

string

#IMPLIED

Disease code

mmlRd:system

string

#IMPLIED

Disease code system name

 

Example: a case of colon carcinoid (ICD10 code: C189-.006)

<mmlRd:diagnosis mmlRd:code = " C189-.006" mmlRd:system = "ICD10">colon carcinoid</mmlRd:diagnosis>

1.2.mmlRd:diagnosisContents

Description: a disease name divided into the main disease and modifiers is stored. Select either one of the above or this method.

Omission: allowed

1.2.1.mmlRd:dxItem

Description: element for repetition

Omission: not allowed

Repetition: allowed. The element should be repeated the same number of times as the number of elements.

1.2.2.mmlRd:name

Description: disease element name

Data type: string

Omission: not allowed

Attribute:

Attribute name

Data type

Omission

Remarks

mmlRd:code

string

#IMPLIED

Disease code

mmlRd:system

string

#IMPLIED

Disease code system name

 

Example: a case that paroxysmal atrial fibrillation is described, separated into paroxysmal and atrial fibrillation.

<mmlRd:diagnosisContents>

<mmlRd:dxItem >

<mmlRd:name mmlRd:code = " I48--.004" mmlRd:system = "ICD10">

atrial fibrillation

</mmlRd:name>

</mmlRd:dxItem>

<mmlRd:dxItem >

<mmlRd:name>paroxysmal</mmlRd:name>

</mmlRd:dxItem>

</mmlRd:diagnosisContents>

 

1.3.mmlRd:categories

Description: category of diagnosis

Omission: allowed

1.3.1.mmlRd:category

Description: category name. Use tables from MML0012 to MML0015. Specific operation methods of each category is defined by users.

Data type: string

Omission: not allowed

Repetition: allowed. If multiple categories are available, the element should be repeated.

Attribute:

Attribute name

Data type

Omission

Remarks

mmlRd:tableId

string

#REQUIRED

Category type code

 

Example: when the diagnosis is a main diagnosis, academic diagnosis, pathological diagnosis and confirmed diagnosis

<mmlRd:categories>

<mmlRd:category mmlRd:tableId = "MML0012">mainDiagnosis</mmlRd:category>

<mmlRd:category mmlRd:tableId = "MML0013">academicDiagnosis</mmlRd:category>

<mmlRd:category mmlRd:tableId = "MML0014">pathologicalDiagnosis</mmlRd:category>

<mmlRd:category mmlRd:tableId = "MML0015">confirmedDiagnosis</mmlRd:category>

</mmlRd:categories>

1.4.mmlRd:startDate

Description: start date of a disease

Data type: date èëéÆÅFCCYY-MM-DD

Omission: allowed

1.5.mmlRd:endDate

Description: end date of a disease

Data type: date Format: CCYY-MM-DD

Omission: allowed

1.6.mmlRd:outcome

Description: outcome. Use table MML0016.

Data type: string

Omission: allowed

1.7.mmlRd:firstEncounterDate

Description: first visit date

Data type: date Format: CCYY-MM-DD

Omission: allowed

1.8.mmlRd:relatedHealthInsurance

Description: related health insurance information. This is an empty tag. Enter the document uid of related health insurance information in the attribute. This element is used only when the mmlRd:RegisteredDiagnosisModule is used in the mmlSg:SurgeryModule or mmlSm:SummaryModule. When the mmlRd:RegisteredDiagnosisModule is used as a single MML content, enter the document uid of related health insurance information in the parentId (docInfo module).

Omission: allowed

Attribute:

Attribute name

Data type

Omission

Remarks

mmlRd:uid

string

#IMPLIED

Enter the uid of the mmlHi:HealthInsuranceModule of the health insurance related to a disease.

Example:

<mmlRd:relatedHealthInsurance mmlRd:uid = "0aae5960-667c-11d3-9751-00105a6792e8"/>


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