Cancelled| 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. |
| Associated with 4 concepts | |||||||||||||||
|
Pathologist | Used by 0 transactions and 0 templates, Uses 1 template | ||||||||
|
ref
ad1bbr-
| Item | DT | Card | Conf | Description | Label | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| hl7:section | 0 … 1 | R | Repo mary | |||||||||
| @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 | Repomary | ||||||||
| @root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.8.1.2.7 | ||||||||
| hl7:templateId | II | 1 … 1 | R | Repomary | ||||||||
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.12.201 | ||||||||
| hl7:id | II | 0 … 1 | R | Repomary | ||||||||
| hl7:code | CE | 1 … 1 | M | Repomary | ||||||||
| @code | CONF | 1 … 1 | F | 35660-0 | ||||||||
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | |||||||||
| @displayName | 1 … 1 | F | Pathology report final diagnosis section - text | |||||||||
| @codeSystemName | 1 … 1 | F | LOINC | |||||||||
| hl7:title | ST | 1 … 1 | R | Repomary | ||||||||
| CONF |
| |||||||||||
| hl7:text | SD.TEXT | 1 … 1 | M | Repomary | ||||||||
| hl7:confidentialityCode | CE | 0 … 1 | Repomary | |||||||||
| CONF |
| |||||||||||
| hl7:languageCode | CS | 0 … 1 | Repomary | |||||||||
| CONF |
| |||||||||||
| hl7:author | 0 … * | C | Source: PAT TF-3:6.2.6.2 | Repomary | ||||||||
| Included | 0 … * | C | from 1.3.6.1.4.1.19376.1.8.1.4.2 Author (DYNAMIC) | |||||||||
| hl7:author | 0 … * | C | PaLM Suppl.APSR 2.0‑3:6.3.5.1 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 2.0‑3:6.3.5.1 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 2.0‑3:6.3.5.1 Author | |||||||
| hl7:assignedAuthor | 0 … 1 | C | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | |||||||||
| @classCode | cs | 0 … 1 | F | ASSIGNED | ||||||||
| hl7:id | II | 1 … * | M | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| hl7:addr | AD | 1 … * | M | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| ||||||||||||
| hl7:telecom | TEL | 1 … * | M | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| Choice | 1 … 1 | The author is either an assigned person or an authoring device. Elements to choose from:
| ||||||||||
| hl7:assignedPerson | 0 … 1 | C | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | |||||||||
| ||||||||||||
| Included | 1 … 1 | R | from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07) The name(s) SHALL be given. | |||||||||
| @classCode | cs | 0 … 1 | F | PSN | ||||||||
| @determinerCode | cs | 0 … 1 | F | INSTANCE | ||||||||
| hl7:name | PN | 1 … 1 | R | CDAPerson | ||||||||
| hl7:assignedAuthoringDevice | 0 … 1 | C | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | |||||||||
| @classCode | cs | 0 … 1 | F | DEV | ||||||||
| @determinerCode | cs | 0 … 1 | F | INSTANCE | ||||||||
| hl7:manufacturerModelName | SC | 0 … 1 | R | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| hl7:softwareName | SC | 0 … 1 | R | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| hl7:code | CE | 0 … 1 | R | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||
| hl7:representedOrganization | 0 … 1 | PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author | ||||||||||
| Example | represented organization for author as a device <representedOrganization classCode="ORG" determinerCode="INSTANCE"><name> <!-- ... --> </name></representedOrganization> | |||||||||||
| Included | 0 … 1 | from 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07) The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given. | ||||||||||
| @classCode | cs | 0 … 1 | F | ORG | ||||||||
| @determinerCode | cs | 0 … 1 | F | INSTANCE | ||||||||
| hl7:id | II | 0 … 1 | CDAOtion | |||||||||
| hl7:name | ON | 0 … 1 | CDAOtion | |||||||||
| hl7:telecom | TEL | 0 … 1 | CDAOtion | |||||||||
| hl7:addr | AD | 0 … 1 | CDAOtion | |||||||||
| hl7:standardIndustryClassCode | CE | 0 … 1 | SHALL be chosen from domain OrganizationIndustryClass | CDAOtion | ||||||||
| hl7:asOrganizationPartOf | 0 … 1 | CDAOtion | ||||||||||
| @classCode | cs | 0 … 1 | F | PART | ||||||||
| hl7:id | II | 0 … * | R | CDAOtion | ||||||||
| hl7:code | CE | 0 … 1 | CDAOtion | |||||||||
| CONF |
| |||||||||||
| hl7:statusCode | CS | 0 … 1 | CDAOtion | |||||||||
| CONF |
| |||||||||||
| hl7:effectiveTime | IVL_TS | 0 … 1 | CDAOtion | |||||||||
| hl7:wholeOrganization | 0 … 1 | CDAOtion | ||||||||||
| @classCode | cs | 0 … 1 | F | ORG | ||||||||
| @determinerCode | cs | 0 … 1 | F | INSTANCE | ||||||||
| hl7:id | II | 0 … * | CDAOtion | |||||||||
| hl7:name | ON | 0 … * | CDAOtion | |||||||||
| hl7:telecom | TEL | 0 … * | CDAOtion | |||||||||
| hl7:addr | AD | 0 … * | CDAOtion | |||||||||
| hl7:standardIndustryClassCode | CE | 0 … 1 | SHALL be chosen from domain OrganizationIndustryClass | CDAOtion | ||||||||
