Template |
2.16.840.1.113883.2.4.3.36.10.200 - ClinicalInformationSection |
Id |
2.16.840.1.113883.2.4.3.36.10.200 |
Classificatie |
CDA section level template |
Context |
Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.200 |
Versie |
geldig vanaf 2012‑04‑10 status Actief |
Open/gesloten |
Open (ook andere dan gedefinieerde elementen zijn toegestaan) |
Omschrijving |
The Clinical Information section contains the information provided by the ordering
physician: Clinical history, preoperative diagnosis, postoperative diagnosis, clinical
laboratory data, specimen(s) description, collection procedure, reason for anatomic
pathology procedure |
Gebruikt door / Gebruikt |
Gebruikt door / Gebruikt 5 templates |
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Voorbeeld |
<section classCode="DOCSECT"> <templateId root="2.16.840.1.113883.2.4.3.36.10.200"/> <code code="22636-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Pathology report relevant history"/> <title>Klinische gegevens</title> <text> <!-- .. --> </text></section> |
Item |
DT |
Card |
Conf |
Omschrijving |
Label |
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(ClinicalInformationSection) |
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@classCode
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1 .. 1 |
F |
DOCSECT |
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hl7:templateId
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II |
0 .. 1 |
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(ClinicalInformationSection) |
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@root
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1 .. 1 |
F |
1.3.6.1.4.1.19376.1.8.1.2.1 |
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hl7:templateId
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II |
1 .. 1 |
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(ClinicalInformationSection) |
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@root
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1 .. 1 |
F |
2.16.840.1.113883.2.4.3.36.10.200 |
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hl7:code
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CD |
1 .. 1 |
M |
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(ClinicalInformationSection) |
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@code
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1 .. 1 |
F |
22636-5 |
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@codeSystem
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1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
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hl7:title
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ST |
1 .. 1 |
M |
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(ClinicalInformationSection) |
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CONF |
elementinhoud moet "Klinische gegevens" zijn |
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hl7:text
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SD.TEXT |
1 .. 1 |
M |
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(ClinicalInformationSection) |
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