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Procedure Specimens Taken Section

[Section: templateId 2.16.840.1.113883.10.20.22.2.31]

The Procedure Specimens Taken section records the tissues, objects, or samples taken from the patient during the procedure including biopsies, aspiration fluid, or other samples sent for pathological analysis. The narrative may include a description of the specimens.

  1. SHALL contain exactly one [1..1] templateId ( CONF:8086, CONF:10446 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.31"
  2. SHALL contain exactly one [1..1] code (CONF:15421)/@code="59773-2" Procedure Specimens Taken (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:15422)
  3. SHALL contain exactly one [1..1] text (CONF:8089)
  4. SHALL contain exactly one [1..1] title (CONF:8088)
  5. The Procedure Specimens Taken section SHALL list all specimens removed or SHALL explicitly state that no specimens were taken. (CONF:8742)