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pending Template  Preoperative Diagnosis

Template 2.16.840.1.113883.10.20.22.4.65 - PreoperativeDiagnosis
Id 2.16.840.1.113883.10.20.22.4.65
Version valid from 2013‑01‑31 status pending Under pre-publication review
Classification CDA Entry Level Template
Context Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.65
Open/Closed Open (other than defined elements are allowed)
Description The Preoperative Diagnosis entry encodes 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.
Used by / Uses
Used by / Uses 3 templates
Used by Template id as Name Version
2.16.840.1.113883.10.20.22.2.34 Containment PreoperativeDiagnosisSection Preoperative Diagnosis Section 2013‑01‑31
2.16.840.1.113883.10.20.22.1.7 link OperativeNote Operative Note 2013‑01‑31
Uses Template id as Name Version
2.16.840.1.113883.10.20.22.4.4 Containment ProblemObservation DYNAMIC
Item DT Card Conf Description Label
cda:act
(PreoperativeDiagnosis)
treetree @classCode
1 .. 1 F ACT
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M SHALL contain exactly one [1..1] templateId (CONF:16770) such that it conf‑16770
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.65
treetree cda:code
1 .. 1 M SHALL contain exactly one [1..1] code (CONF:19155). conf‑19155
treeblank treetree @code
1 .. 1 F 10219-4
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:entryRelationship
where
[cda:observation [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.4']]
1 .. * M conf‑10093
treeblank treetree @typeCode
1 .. 1 F SUBJ
  Contains 2.16.840.1.113883.10.20.22.4.4 Problem Observation (DYNAMIC)