Id2.16.840.1.113883.10.20.22.2.34Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NamePreoperativeDiagnosisSectionDisplay NamePreoperative Diagnosis Section
Description
The Preoperative Diagnosis section records 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 2.16.840.1.113883.10.20.22.2.34
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 1 template, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.6Transactionfinal Operative Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.7Containmentdraft Operative Note (1.1)2013‑01‑31
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.65Containmentdraft Preoperative Diagnosis (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:section
Preodotstion
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:8097) such that itconf‑8097
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.34confdots0439
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:15405).confdots5405
@code
CONF1 … 1F10219-4
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:8099).conf‑8099
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:8100).conf‑8100
cda:entry
0 … 1RContains 2.16.840.1.113883.10.20.22.4.65 Preoperative Diagnosis (2013‑01‑31)confdots0096