| 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 |
| Versie |
geldig vanaf 2012‑04‑10 status  Actief
|
| Classificatie |
CDA section level template |
| Context |
Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.200 |
| 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 5 templates, Gebruikt 0 templates |
|
|
|
| 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 |
hl7:section
|
|
|
|
|
(ClinicalInformationSection) |
@classCode
|
|
1 .. 1 |
F |
DOCSECT |
hl7:templateId
|
II |
0 .. 1 |
|
|
(ClinicalInformationSection) |
@root
|
|
1 .. 1 |
F |
1.3.6.1.4.1.19376.1.8.1.2.1 |
hl7:templateId
|
II |
1 .. 1 |
|
|
(ClinicalInformationSection) |
@root
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.3.36.10.200 |
hl7:code
|
CD |
1 .. 1 |
M |
|
(ClinicalInformationSection) |
@code
|
|
1 .. 1 |
F |
22636-5 |
@codeSystem
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
hl7:title
|
ST |
1 .. 1 |
M |
|
(ClinicalInformationSection) |
| |
CONF |
| elementinhoud moet "Klinische gegevens" zijn |
|
hl7:text
|
SD.TEXT |
1 .. 1 |
M |
|
(ClinicalInformationSection) |
|