2.16.840.1.113883.2.6.60.6.10.4/static-2014-05-13T193126

Template	Diagnostic Conclusion Section / DiagnosticConclusionSection
Id	2.16.840.1.113883.2.6.60.6.10.4
Version	gültig ab 2014‑05‑13 19:31:26 Status In Entwicklung
Klassifikation	CDA Section level template
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.4
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Beschreibung	The Diagnostic Conclusion 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.
Assoziiert mit	Assoziiert mit 1 Konzept Id Name Datensatz psr-data​element-3 PSR
Benutzt von / Benutzt	Benutzt von / Benutzt 6 Templates Benutzt von Template-Id als Name Version 2.16.840.1.113883.2.6.60.6.10.1 Containment PathologyStructuredReport Pathology Structured Report 2014‑05‑13 11:57:57 Benutzt Template-Id als Name Version 1.2.276.0.76.10.90025 Containment CDAAuthorBody DYNAMIC 2.16.840.1.113883.2.6.60.6.10.34 Containment ProblemOrganizer DYNAMIC
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Beispiel	<section classCode="DOCSECT" moodCode="EVN">   <templateId root="2.16.840.1.113883.2.6.60.6.10.4"/>   <id root="1.2.3.999" extension="--example only--"/>   <code code="22637-3" codeSystem="2.16.840.1.113883.6.1" displayName="'Pathology report diagnosis"/>   <title>Diagnostic conclusion</title>  <text/>   <author>     <!-- template CDAAuthorBody (dynamic) -->   </author>  <entry>     <!-- template 2.16.840.1.113883.2.6.60.6.10.9 (dynamic) -->   </entry></section>
Item DT Kard Konf Beschreibung Label hl7:section 1 .. 1 M (DiagnosticConclusionSection) @classCode 0 .. 1 F DOCSECT @moodCode 0 .. 1 F EVN   Ziel der Konzept Id(s): psr-data​element-3 hl7:templateId II 1 .. 1 R (DiagnosticConclusionSection) @root 1 .. 1 F 2.16.840.1.113883.2.6.60.6.10.4 hl7:id II 0 .. 1 (DiagnosticConclusionSection) hl7:code CE 0 .. 1 (DiagnosticConclusionSection) @code 1 .. 1 F 22637-3 @codeSystem 1 .. 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 .. 1 F 'Pathology report diagnosis @codeSystemName 1 .. 1 F LOINC hl7:title ST 1 .. 1 M (DiagnosticConclusionSection)   CONF Elementinhalt muss "Diagnostic conclusion" sein hl7:text SD.TEXT 1 .. 1 M (DiagnosticConclusionSection)   Beispiel Diagnosis <text> Invasive breast cancer, no special type TNM: pT1c pN0(0/3sn) L0 V0 R0 G2 ICD-O-3: 8500/3 </text> hl7:author 0 .. * (DiagnosticConclusionSection)   Beinhaltet 1.2.276.0.76.10.90025 CDA Author (Body) (DYNAMIC) hl7:entry 1 .. * R (DiagnosticConclusionSection)   Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC)