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Template Preoperative Diagnosis (V3) 2015‑08‑01

Id2.16.840.1.113883.10.20.22.4.65Effective Date2015‑08‑01
Statusdraft DraftVersion Label2.1
NamePreoperativeDiagnosisV3Display NamePreoperative Diagnosis (V3)
Description
This template represents the surgical diagnosis or diagnoses assigned to the patient before the surgical procedure and is the reason for the surgery. The preoperative diagnosis is, in the opinion of the surgeon, the diagnosis that will be confirmed during surgery.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.65
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 9 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.27Transactionfinal Operative Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.21Transactionfinal Care Plan (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.61.30.10.54Containmentcancelled Health Concern Act (harmonized) (0.1)2020‑10‑08 10:55:41
2.16.840.1.113883.3.1937.99.61.67.10.24Containmentcancelled XeH Alert Act2021‑04‑20 10:00:04
2.16.840.1.113883.3.1937.99.61.67.10.25Containmentcancelled XeH Risk Concern Act2021‑04‑20 10:06:56
2.16.840.1.113883.10.20.22.1.7linkdraft Operative Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.15linkdraft Care Plan (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.34Containmentdraft Preoperative Diagnosis Section (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.2.58linkdraft Health Concerns Section (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.132Containmentdraft Health Concern Act (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.4.136Containmentdraft Risk Concern Act (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.4Containmentdraft Problem Observation (V3) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:act
PreodotsisV3
@classCode
cs1 … 1FACTCONFdots0090
 SHALL contain exactly one [1..1] @classCode="ACT" (CONF:1198-10090).
@moodCode
cs1 … 1FEVNCONFdots0091
 SHALL contain exactly one [1..1] @moodCode="EVN" (CONF:1198-10091).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.65
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1198-16770) such that itCONFdots6770
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.65CONFdots6771
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.65" (CONF:1198-16771).
@extension
st1 … 1F2015-08-01CONFdots2540
 SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32540).
cda:code
CD1 … 1MSHALL contain exactly one [1..1] code (CONF:1198-19155).CONFdots9155
@code
CONF1 … 1F10219-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:entryRelationship
1 … *MContains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (V3) (2015‑08‑01)CONFdots0093
@typeCode
cs1 … 1FSUBJCONFdots0094
 SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-10094).