| Template |
2.16.840.1.113883.2.4.3.36.10.212 - DiagnosisSection |
| Id |
2.16.840.1.113883.2.4.3.36.10.212 |
| Versie |
geldig vanaf 2012‑04‑10 status  Actief
Er zijn versies van templates met dit id:
- DiagnosisSection van 2015‑02‑14
- DiagnosisSection van 2012‑04‑10
|
| Classificatie |
CDA section level template |
| Context |
Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.212 |
| Open/gesloten |
Open (ook andere dan gedefinieerde elementen zijn toegestaan) |
| Omschrijving |
 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 door / Gebruikt |
| Gebruikt door 1 template, Gebruikt 3 templates |
|
|
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| 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"/>
</section> |
| Item |
DT |
Card |
Conf |
Omschrijving |
Label |
hl7:section
|
|
|
|
|
(DiagnosisSection) |
@classCode
|
|
1 .. 1 |
F |
DOCSECT |
hl7:templateId
|
II |
1 .. 1 |
|
|
(DiagnosisSection) |
@root
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.3.36.10.212 |
hl7:code
|
CD |
1 .. 1 |
M |
|
(DiagnosisSection) |
@code
|
|
1 .. 1 |
F |
22637-3 |
@codeSystem
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
hl7:title
|
ST |
1 .. 1 |
M |
|
(DiagnosisSection) |
| |
CONF |
| elementinhoud moet "Conclusie en diagnosen" zijn |
|
hl7:text
|
SD.TEXT |
1 .. 1 |
M |
|
(DiagnosisSection) |
hl7:entry
waar
[hl7:organizer [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.315']] |
|
0 .. * |
|
Hoeft vooralsnog niet gebruikt te worden, hier nog aanwezig ivm backward compatibiliteit |
(DiagnosisSection) |
@typeCode
|
|
1 .. 1 |
F |
DRIV |
| |
Bevat |
2.16.840.1.113883.2.4.3.36.10.315 Specimen Diagnosis Entry (DYNAMISCH)
|
hl7:entry
waar
[hl7:act [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.429']] |
|
0 .. * |
|
|
(DiagnosisSection) |
@typeCode
|
|
1 .. 1 |
F |
DRIV |
| |
Bevat |
2.16.840.1.113883.2.4.3.36.10.429 Consult materiaal aangevraagd (DYNAMISCH)
|
hl7:entry
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.430']] |
|
0 .. * |
|
|
(DiagnosisSection) |
@typeCode
|
|
1 .. 1 |
F |
DRIV |
| |
Bevat |
2.16.840.1.113883.2.4.3.36.10.430 Version number protocol (DYNAMISCH)
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