1.3.6.1.4.1.19376.1.8.1.2.7/static-2016-06-13T175442

Id	1.3.6.1.4.1.19376.1.8.1.2.7	Effective Date	valid from 2016‑06‑13 17:54:42
Status	Draft	Version Label	2.0
Name	ReportTextualSummary	Display Name	Report Textual Summary Section
Description Template CDA Section (prototype, directly derived from POCD_RM000040 MIF) The Report Textual Summary section is an optional sub-section of the Diagnostic Conclusion section. This section contains a textual summary of the AP report, which can be extracted from the document and inserted into other clinical documents. It addresses the use case where authors of other medical documents feel the need to include a segment such as "...the pathology report states '[...]'", the text content of this section filling the brackets.
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.7
Classification	CDA Section Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 0 templates, Uses 1 template Uses as Name Version 1.3.6.1.4.1.19376.1.8.1.4.2 Include CDA author IHE DYNAMIC
Relationship	Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Item DT Card Conf Description Label hl7:section 0 … 1 R (ReportTextualSummary) @classCode cs 0 … 1 F DOCSECT @moodCode cs 0 … 1 F EVN   Constraint This section SHALL contain a code element populated with these attributes: @code="35660-0"  @codeSystem="2.16.840.1.113883.6.1"  @displayName="Pathology report final diagnosis section - text"   This section SHALL contains a narrative block, represented by a text element, which renders the information to the human reader. This section SHOULD contain author elements in case the authors of this section differ from those declared at a higher level in the document. The section SHALL does not contain any entry element or any sub-section.  hl7:templateId II 1 … 1 M (ReportTextualSummary) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.8.1.2.7 hl7:templateId II 1 … 1 R (ReportTextualSummary) @root uid 1 … 1 F 2.16.840.1.113883.10.12.201 hl7:id II 0 … 1 R (ReportTextualSummary) hl7:code CE 1 … 1 M (ReportTextualSummary) @code CONF 1 … 1 F 35660-0 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 … 1 F Pathology report final diagnosis section - text @codeSystemName 1 … 1 F LOINC hl7:title ST 1 … 1 R (ReportTextualSummary)   CONF element content shall be "Report Textual Summary" hl7:text SD.TEXT 1 … 1 M (ReportTextualSummary) hl7:confidentialityCode CE 0 … 1 (ReportTextualSummary)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC) hl7:language​Code CS 0 … 1 (ReportTextualSummary)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC) hl7:author 0 … * C Source: PAT TF-3:6.2.6.2 (ReportTextualSummary) Included 0 … * C from 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (DYNAMIC) hl7:author 0 … * C PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @typeCode cs 1 … 1 F AUT   Example author is a person <author typeCode="AUT" contextControlCode="OP">   <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">     <!-- ... -->   </assignedAuthor></author> hl7:templateId 1 … 1 M PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.8.1.4.2 hl7:time TS 1 … 1 M The authoring time is the date & time that this author contributed to the document. It SHALL be provided. PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:assignedAuthor 0 … 1 C PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @classCode cs 0 … 1 F ASSIGNED hl7:id II 1 … 1 M PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:addr AD 1 … 1 M PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:telecom TEL 1 … 1 M PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author Choice 1 … 1 The author is either an assigned person or an authoring device. Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author Included 0 … * from 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC) The name(s) SHALL be given. @classCode 0 … 1 F PSN @determiner​Code 0 … 1 F INSTANCE hl7:name PN 0 … * PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:assigned​Authoring​Device 0 … 1 C PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:manufacturer​Model​Name SC 0 … 1 R PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:softwareName SC 0 … 1 R PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:code CE 0 … 1 R PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:represented​Organization 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author   Example represented organization for author as a device <representedOrganization classCode="ORG" determinerCode="INSTANCE">   <name>     <!-- ... -->   </name></representedOrganization> Included 0 … 1 from 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC) The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given. @classCode 0 … 1 F ORG @determiner​Code 0 … 1 F INSTANCE hl7:id II 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:name ON 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:telecom TEL 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author hl7:addr AD 0 … 1 PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author