Be.en.hd.TransferTextResult.Review

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General

Name: be.en.hd.TransferTextResult
Version: 0.0.1
Status: Draft

Metadata

DCM::CoderList healthdata.be
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group & healthdata.be
DCM::CreationDate 14-12-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.13.2
DCM::KeywordList laboratorium uitslagen, verslagen
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.TransferTextResult
DCM::PublicationDate
DCM::PublicationStatus
DCM::ReviewerList Clinical Building Blocks Expert Group & healthdata.be
DCM::RevisionDate 05-01-2016
DCM::Superseeds
DCM::Version 0.0.1

Revision History

Concept

Textual results describe the findings and interpretation of diagnostic or therapeutic procedures carried out on patients or on specimens from the patient.

Purpose

Recording the results of diagnostic procedures for the purpose of communicating these with the person requesting the procedure and documenting the findings resulting from therapeutic procedures.

Information model

Be.en.hd.TransferTextResultModel.png
Refer to the legend page for more information about the used types and data types

rootconcept TextResult
Definition Root concept of the TextResultTransfer building block. This root concept contains all data elements of the TextResultTransfer building block.
Type Zib.png
DCM::DefinitionCode NL-CM:13.2.1
data TextResultDateTime
Definition Date and if possible time of the result.

Date on which the procedure took place as recorded in the ProcedureTransfer building block.

Datatype TS.png
DCM::DefinitionCode NL-CM:13.2.3
DCM::ExampleValue 10-12-2012
data Procedure
Definition Reference to the ProcedureTransfer building block including the date of the procedure, requesting and executive specialty.
Datatype Container.png
DCM::DefinitionCode NL-CM:13.2.5
DCM::ReferencedDefinitionCode NL-CM:14.1.1 Dit is een verwijzing naar het concept Verrichting in de bouwsteen OverdrachtVerrichting.
data TextResultReport
Definition The text report detailing the actual results of the test or procedure.
Datatype ST.png
DCM::DefinitionCode NL-CM:13.2.2
data TextResultStatus
Definition The status of the result.
Datatype CD.png
DCM::DefinitionCode NL-CM:13.2.6
DCM::ExampleValue Definitief
DCM::ValueSet File:List.png TestStatusCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2
data TextResultType
Definition The type of result.
Datatype CD.png
DCM::DefinitionCode NL-CM:13.2.4
DCM::ExampleValue Pathologie
DCM::ValueSet File:List.png TextResultTypeCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1

Code Lists

TestStatusCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2

Concept Name Concept Code CodeSys. Name CodeSystem OID Description
Pending pending ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Uitslag volgt
Preliminary preliminary ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Voorlopig
Final final ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Definitief
Appended appended ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Aanvullend
Corrected corrected ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Gecorrigeerd

TextResultTypeCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1

Concept Name Concept Code Coding Syst. Name Coding System OID Omschrijving
Microbiology 19851009 SNOMED CT 2.16.840.1.113883.6.96 microbiologie
Imaging 363679005 SNOMED CT 2.16.840.1.113883.6.96 overige beeld vormende techniek
X-ray 363680008 SNOMED CT 2.16.840.1.113883.6.96 r\'f6ntgen
Ultrasound 16310003 SNOMED CT 2.16.840.1.113883.6.96 echografie
CT 77477000 SNOMED CT 2.16.840.1.113883.6.96 CT
MRI 113091000 SNOMED CT 2.16.840.1.113883.6.96 MRI
Angiography 77343006 SNOMED CT 2.16.840.1.113883.6.96 angiografie
Cardiac Echo 40701008 SNOMED CT 2.16.840.1.113883.6.96 echocardiografie
Nuclear Medicine 371572003 SNOMED CT 2.16.840.1.113883.6.96 nucleaire geneeskunde
Pathology 108257001 SNOMED CT 2.16.840.1.113883.6.96 pathologie
Procedure 71388002 SNOMED CT 2.16.840.1.113883.6.96 procedure

References