1.3.6.1.4.1.19376.1.8.1.2.7/static-2016-06-13T175442

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Id1.3.6.1.4.1.19376.1.8.1.2.7Effective Date2016‑06‑13 17:54:42
Other versions this id:
    StatusKcancelledblue.png CancelledVersion Label2.0
    NameReportTextualSummaryDisplay NameReport 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.


    ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.7
    ClassificationCDA Section Level Template
    Open/ClosedOpen (other than defined elements are allowed)
    Uses
    Uses 1 template
    Uses as NameVersion
    1.3.6.1.4.1.19376.1.8.1.4.2IncludeKyellow.png Author (2.0)DYNAMIC
    RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
    ItemDTCardConfDescriptionLabel
    hl7:section
    		0 … 1R(Rep...ary)
    Treetree.png@classCode
    		cs0 … 1FDOCSECT
    Treetree.png@moodCode
    		cs0 … 1FEVN
     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. 


    Treetree.pnghl7:templateId
    		II1 … 1M(Rep...ary)
    Treeblank.pngTreetree.png@root
    		uid1 … 1F1.3.6.1.4.1.19376.1.8.1.2.7
    Treetree.pnghl7:templateId
    		II1 … 1R(Rep...ary)
    Treeblank.pngTreetree.png@root
    		uid1 … 1F2.16.840.1.113883.10.12.201
    Treetree.pnghl7:id
    		II0 … 1R(Rep...ary)
    Treetree.pnghl7:code
    		CE1 … 1M(Rep...ary)
    Treeblank.pngTreetree.png@code
    		CONF1 … 1F35660-0
    Treeblank.pngTreetree.png@codeSystem
    		1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
    Treeblank.pngTreetree.png@displayName
    		1 … 1FPathology report final diagnosis section - text
    Treeblank.pngTreetree.png@codeSystemName
    		1 … 1FLOINC
    Treetree.pnghl7:title
    		ST1 … 1R(Rep...ary)
     CONF
    element content shall be "Report Textual Summary"
    Treetree.pnghl7:text
    		SD.TEXT1 … 1M(Rep...ary)
    Treetree.pnghl7:confidentialityCode
    		CE0 … 1(Rep...ary)
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16926 HL7 BasicConfidentialityKind (DYNAMIC)
    Treetree.pnghl7:language​Code
    		CS0 … 1(Rep...ary)
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
    Treetree.pnghl7:author
    		0 … *CSource: PAT TF-3:6.2.6.2(Rep...ary)
    Included0 … *C from 1.3.6.1.4.1.19376.1.8.1.4.2 Author (DYNAMIC)
    Treeblank.pngTreetree.pnghl7:author
    		0 … *CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    Target.png
    psr-data​element-4Kyellow.png Pathologist Kyellow.png APSR 2.0
    psr-data​element-79Kyellow.png Device Kyellow.png APSR 2.0
    Treeblank.pngTreeblank.pngTreetree.png@typeCode
    		cs1 … 1FAUT
     Example
    author is a person
    <author typeCode="AUT" contextControlCode="OP">
      <time value="201306101654"/>  <assignedAuthor classCode="ASSIGNED">
        <!-- ... -->
      </assignedAuthor>    </author>
    Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
    		1 … 1MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
    		uid1 … 1F1.3.6.1.4.1.19376.1.8.1.4.2
    Treeblank.pngTreeblank.pngTreetree.pnghl7:time
    		TS1 … 1MThe 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
    Treeblank.pngTreeblank.pngTreetree.pnghl7:assignedAuthor
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		cs0 … 1FASSIGNED
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
    		II1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
    		AD1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    Target.png
    psr-data​element-18Kyellow.png Address Kyellow.png APSR 2.0
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
    		TEL1 … *MPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Choice1 … 1
    The author is either an assigned person or an authoring device.
    Elements to choose from:
    • hl7:assigned​Person
    • hl7:assigned​Authoring​Device
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     
    Target.png
    psr-data​element-5Kyellow.png Name Kyellow.png APSR 2.0
    Included1 … 1R from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
    The name(s) SHALL be given.
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		0 … 1FPSN
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
    		0 … 1FINSTANCE
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
    		PN1 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
    		0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		cs0 … 1FDEV
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
    		cs0 … 1FINSTANCE
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
    		SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
    		SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
    		CE0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
    		0 … 1PaLM 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>
    Included0 … 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.
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		0 … 1FORG
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
    		0 … 1FINSTANCE
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
    		II0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
    		ON0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
    		TEL0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
    		AD0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:standardIndustryClassCode
    		CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:asOrganizationPartOf
    		0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		0 … 1FPART
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
    		II0 … *RPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
    		CE0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
    		CONF0 … 1F2.16.840.1.113883.5.111 (Role Code)
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:statusCode
    		CS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
    		IVL_TS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:wholeOrganization
    		0 … 1PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
    		0 … 1FORG
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
    		0 … 1FINSTANCE
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
    		II0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
    		ON0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
    		TEL0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
    		AD0 … *PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
    Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:standardIndustryClassCode
    		CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.5.1 Author
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