2.16.840.1.113883.2.6.60.6.10.4/static-2014-05-13T193126

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Template Diagnostic Conclusion Section / DiagnosticConclusionSection
Id2.16.840.1.113883.2.6.60.6.10.4
Version gültig ab 2014‑05‑13 19:31:26 Status Kyellow.png In Entwicklung
KlassifikationCDA Section level template
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.4
Offen/GeschlossenOffen (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
IdNameDatensatz
psr-data​element-3PSR
Benutzt von / Benutzt
Benutzt von / Benutzt 7 Templates
Benutzt von Template-Id als NameVersion
2.16.840.1.113883.2.6.60.6.10.1ContainmentPathologyStructuredReport Pathology Structured Report2014‑05‑13 11:57:57
Benutzt Template-Id als NameVersion
1.2.276.0.76.10.90025ContainmentCDAAuthorBody DYNAMIC
2.16.840.1.113883.2.6.60.6.10.34ContainmentProblemOrganizer DYNAMIC
BeziehungSpezialisierung: 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>
ItemDTKardKonfBeschreibungLabel
hl7:section
1 .. 1M(DiagnosticConclusionSection)
Treetree.png@classCode
0 .. 1FDOCSECT
Treetree.png@moodCode
0 .. 1FEVN
 Target.pngZiel der Konzept Id(s):
psr-data​element-3
Treetree.pnghl7:templateId
II1 .. 1R(DiagnosticConclusionSection)
Treeblank.pngTreetree.png@root
1 .. 1F2.16.840.1.113883.2.6.60.6.10.4
Treetree.pnghl7:id
II0 .. 1(DiagnosticConclusionSection)
Treetree.pnghl7:code
CE0 .. 1(DiagnosticConclusionSection)
Treeblank.pngTreetree.png@code
1 .. 1F22637-3
Treeblank.pngTreetree.png@codeSystem
1 .. 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treeblank.pngTreetree.png@displayName
1 .. 1F'Pathology report diagnosis
Treeblank.pngTreetree.png@codeSystemName
1 .. 1FLOINC
Treetree.pnghl7:title
ST1 .. 1M(DiagnosticConclusionSection)
 CONF
Elementinhalt muss "Diagnostic conclusion" sein
Treetree.pnghl7:text
SD.TEXT1 .. 1M(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>
Treetree.pnghl7:author
0 .. *(DiagnosticConclusionSection)
 Beinhaltet 1.2.276.0.76.10.90025 CDA Author (Body) (DYNAMIC)
Treetree.pnghl7:entry
1 .. *R(DiagnosticConclusionSection)
 Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC)