1.3.6.1.4.1.19376.1.8.1.2.6

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Template ProcedureStepsSection

Description

The Procedure steps section contains the description of tissue collection (sampling) and tissue dissection: representative specimens and derived specimens dissected for the routine workflow and other ancillary procedures (flow cytometry, cytogenetics, molecular studies, electron microscopy, etc.) or biorepository.

Actual version

Id1.3.6.1.4.1.19376.1.8.1.2.6Effective Date valid from 2014‑05‑13 19:33:12
StatusKyellow.png DraftVersion Label2.0
NameProcedureStepsSectionDisplay NameProcedure Steps Section
Description
The Procedure steps section contains the description of tissue dissection: representative specimens and derived specimens dissected for other ancillary procedures (flow cytometry, cytogenetics, molecular studies, electron microscopy, etc.) or biorepository.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.6
LabelPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 2 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.8.1.1.1ContainmentKyellow.png Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
Uses as NameVersion
1.3.6.1.4.1.19376.1.8.1.4.2IncludeKyellow.png CDA author IHE2016‑06‑21 14:02:11
1.3.6.1.4.1.19376.1.3.10.4.1ContainmentKyellow.png Specimen Procedure Step (2.0)2016‑07‑08 13:20:59
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example
Example
<section classCode="DOCSECT" moodCode="EVN">
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  <entry typeCode="COMP" contextConductionInd="false">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.4.1 'Specimen Procedure Step' (2016-07-08T13:20:59) -->
  </entry>
</section>
ItemDTCardConfDescriptionLabel
hl7:section
0 … 1RPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
Treetree.png@classCode
cs0 … 1FDOCSECT
Treetree.png@moodCode
cs0 … 1FEVN
 Constraint

   This section SHALL contain a code element populated with these attributes:
   

@code ="46059-2"

@codeSystem ="2.16.840.1.113883.6.1"

@displayName ="Special treatments and procedures section" 

This section SHALL contain 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 SHOULD contain as many Specimen Procedure Steps entry elements as there are procedure steps or groups thereof to be described. These entries provide the machine-readable data corresponding to the narrative block. 

Treetree.pnghl7:templateId
II1 … 1MPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
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Treetree.pnghl7:code
CE1 … 1MPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
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1 … 1FLOINC
Treeblank.pngTreetree.png@displayName
1 … 1FSpecial treatments and procedures section
Treetree.pnghl7:title
ST1 … 1RPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
 CONF
element content shall be "PROCEDURE STEPS SECTION"
Treetree.pnghl7:text
SD.TEXT1 … 1MPaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
 Example
example for use case#1
<text>
   RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE
BIOPSY)
  <br/>  
PARAFFIN BLOCK NUMBER: A1.:FOUR SECTIONS FOR EACH STAIN:
  <br/>  <paragraph ID="A7102400008">RIGHT BREAST FIVE CORES 8-9:00</paragraph>  <paragraph ID="block_A_1">PARAFFIN BLOCK NUMBER: A1</paragraph>  <paragraph ID="slide_A_1_HE">slide from block A1 HE stained</paragraph>  <paragraph ID="slide_A_1_ER">slide from block A1 ER Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_PR">slide from block A1 PR Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_EGFR">slide from block A1 EGFR (PharmDX) Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_HER2">slide from block A1 HER2 Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_HER2_FISH">slide block from A1 HER2 FISH</paragraph></text>
Included0 … *C from 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (2016‑06‑21 14:02:11)
Author

   
Source: PaLM Suppl.APSR 2.0‑3:6.3.6.2


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author is a person
<author typeCode="AUT" contextControlCode="OP">
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    <!-- ... -->
  </assignedAuthor>
</author>
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TEL1 … *MPaLM Suppl.APSR 2.0‑3:6.3.6.2 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.pngTreetree.pnghl7:assigned​Person
0 … 1CPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Included0 … * from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
The name(s) SHALL be given.
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0 … 1FPSN
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PN0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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cs0 … 1FDEV
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cs0 … 1FINSTANCE
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SC0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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CE0 … 1RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 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.
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0 … 1FORG
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II0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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ON0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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TEL0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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AD0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:asOrganizationPartOf
0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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0 … 1FPART
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II0 … *RPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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CE0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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CONF0 … 1F2.16.840.1.113883.5.111 (Role Code)
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CS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)
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IVL_TS0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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0 … 1PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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0 … 1FORG
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0 … 1FINSTANCE
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II0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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ON0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
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TEL0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:standardIndustryClassCode
CE0 … 1SHALL be chosen from domain OrganizationIndustryClassPaLM Suppl.APSR 2.0‑3:6.3.6.2 Author
Treetree.pnghl7:entry
0 … *RSpecimen procedure steps 

Source: PaLM Suppl.APSR 2.0‑3:6.2.5.3
Contains 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (2016‑07‑08 13:20:59)
PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section
Treeblank.png where [@typeCode='COMP'] [hl7:procedure [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.4.1']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1 

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