A section containing clinical details about the case such as presenting signs and
symptoms, onset date of symptoms, the specific diagnosis/condition names (e.g Ulceroglandular
tularemia), who made the diagnosis, their contact information, when the diagnosis
was made etc., past clinical hx, the overall condition of the patient, etc.
Context
Parent nodes van template element met id 2.16.840.1.113883.2.4.3.11.60.66.10.301
Classificatie
CDA section level template
Open/gesloten
Open (ook andere dan gedefinieerde elementen zijn toegestaan)
<section> <templateIdroot="2.16.840.1.113883.2.4.3.11.60.66.10.301"/> <codecode="55752-0"codeSystem="2.16.840.1.113883.6.1"displayName="Clinical information"/> <title>Informatie verwijzing</title><text>Patiënt met diabetes sinds mei 1991, goed ingesteld. Lichaamsgewicht 101 kg, HbA1c
8%. Hij wordt doorverwezen ivm kleurenzienstoornissen en refractie stoornissen.</text></section>
Template KEZO Clinical Information Section
A section containing clinical details about the case such as presenting signs and
symptoms, onset date of symptoms, the specific diagnosis/condition names (e.g Ulceroglandular
tularemia), who made the diagnosis, their contact information, when the diagnosis
was made etc., past clinical hx, the overall condition of the patient, etc.