Draft| Description |
The Assessment Section (also referred to as “impression” or “diagnoses” outside of the context of CDA) represents the clinician's conclusions and working assumptions that will guide treatment of the patient. The assessment may be a list of specific disease entities or a narrative block. |
| Used by 6 transactions and 8 templates, Uses 0 templates | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Transfer Summary (V2)ref
ad1bbr-
| Item | DT | Card | Conf | Description | Label |
|---|---|---|---|---|---|
| cda:section | Asse tion | ||||
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:81-7711) such that it | CONF7711 |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.2.8 | CONF0382 |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.8" (CONF:81-10382). | |||||
| cda:code | CE | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:81-14757). | CONF4757 |
| @code | CONF | 1 … 1 | F | 51848-0 | |
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | ||
| cda:title | ST | 1 … 1 | SHALL contain exactly one [1..1] title (CONF:81-16774). | CONF6774 | |
| cda:text | SD.TEXT | 1 … 1 | R | SHALL contain exactly one [1..1] text (CONF:81-7713). | CONF7713 |