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.
Context
Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.212
Classificatie
CDA section level template
Open/gesloten
Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Hoeft vooralsnog niet gebruikt te worden, hier nog aanwezig ivm backward compatibiliteit Bevat 2.16.840.1.113883.2.4.3.36.10.315Specimen Diagnosis Entry (DYNAMISCH)
Template Diagnosis Section
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.
Conclusie
Conclusie v2020.01
Gestructureerde gegevensvastlegging Pathologie bevolkingsonderzoek darmkanker (v2014.04)
ion)