Template DiagnosisSection - 2.16.840.1.113883.2.4.3.36.10.212 Diagnosis Section

2012‑04‑10

Template DiagnosisSection - 2.16.840.1.113883.2.4.3.36.10.212
Id 2.16.840.1.113883.2.4.3.36.10.212
Context Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.212
Versie geldig vanaf 2012‑04‑10 status In ontwikkeling
Omschrijving en-US The Diagnosis section contains diagnoses on all specimens that are delivered to the pathology department from one operation or patient visit to a single clinician on a particular day. The diagnoses for each specimen or group of specimens are reported separately. This section includes additional pathologic finding(s) and the results of ancillary study(ies) and may include diagrams and still images or virtual slides, if taken. In case of cancer, this section includes the cancer checklist.
Gebruikt in
Gebruikt in 1 template
Id Naam vanaf
2.16.840.1.113883.2.4.3.36.10.20 nspbcpa  Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2012‑07‑04
Voorbeeld
<section classCode="DOCSECT">
  <templateId root="2.16.840.1.113883.2.4.3.36.10.212"/>
  <code code="22637-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pathology report diagnosis"/>
  <title>Conclusie en diagnosen</title>
  <text>
    <list>
      <!-- .. -->
    </list>
  </text>
  <entry typeCode="DRIV">
    <!--
Specimen Diagnosis Entry
...
-->
  </entry>
</section>
Item DT Card Conf Desc Label
hl7:section
(DiagnosisSection)
treetree @classCode
1..1 F DOCSECT
treetree hl7:templateId
II 1..1 (DiagnosisSection)
treeblank treetree @root
1..1 F 2.16.840.1.113883.2.4.3.36.10.212
treetree hl7:code
CD 1..1 M (DiagnosisSection)
treeblank treetree @code
1..1 F 22637-3
treeblank treetree @codeSystem
1..1 F 2.16.840.1.113883.6.1 (LOINC)
treetree hl7:title
ST 1..1 M (DiagnosisSection)
CONF
elementinhoud moet "Conclusie en diagnosen" zijn
treetree hl7:text
ST 1..1 M (DiagnosisSection)
treetree hl7:entry
waar
[hl7:organizer [hl7:templateId [@root='2.16.840.1.113883.2.4.3.36.10.315']]]
0..* O (DiagnosisSection)
treeblank treetree @typeCode
1..1 F DRIV
Bevat geërfde templateregels SpecimenDiagnosisEntry met overschreven kardinaliteit 0 .. * 
treetree hl7:entry
waar
[hl7:observation [hl7:code [@code='VBN' and @codeSystem='2.16.840.1.113883.2.4.3.36.77.5.100']]]
1..1 R (DiagnosisSection)
treeblank treetree @typeCode
1..1 F DRIV
Bevat geërfde templateregels Verderebehandelingnoodzakelijk met overschreven kardinaliteit 1 .. 1 required