2.16.840.1.113883.2.6.60.6.10.7

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Template MacroscopySection

Beschreibung

The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.

Aktuelle Version

Id2.16.840.1.113883.2.6.60.6.10.7Gültigkeit gültig ab 2014‑05‑13 11:57:09
StatusKyellow.png EntwurfVersions-Label
NameMacroscopySectionAnzeigenameMacroscopic Observation Section
Beschreibung

The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.

KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.7
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 1 Konzept
IdNameDatensatz
psr-data​element-30PSR
Benutzt von / Benutzt
Benutzt von 1 Template, Benutzt 1 Template
Benutzt von Template-Id als NameVersion
2.16.840.1.113883.2.6.60.6.10.1ContainmentPathology Structured Report2014‑05‑13 11:57:57
Benutzt Template-Id als NameVersion
2.16.840.1.113883.2.6.60.6.10.34ContainmentProblemOrganizerDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Beispiel
Beispiel
<section>
  <templateId root="2.16.840.1.113883.10.12.201"/>
  <templateId root="2.16.840.1.113883.2.6.60.6.10.7"/>
  <code code="22634-0" codeSystem="2.16.840.1.113883.6.1" displayName="Pathology report gross observation"/>
  <title>Macroscopic Observation</title>  <text> Part #1 is labeled “left breast biopsy” and is received fresh after frozen section preparation. It consists of a single firm nodule measuring 3cm in circular diameter and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale gray, slightly mottled appearance is revealed. Numerous sections are submitted for permanent processing. Part #2 is labeled "apical left axillary tissue" and is received fresh. It consists of two amorphous fibrofatty tissue masses without grossly discernible lymph nodes therein. Both pieces are rendered into numerous
sections and submitted in their entirety for history.
</text>
</section>
ItemDTKardKonfBeschreibungLabel
hl7:section
0 … 1R(MacroscopySection)
 Target.pngZiel der Konzept Id(s):
psr-data​element-30PSR
Treetree.pnghl7:templateId
II1 … 1R(MacroscopySection)
Treeblank.pngTreetree.png@root
1 … 1F2.16.840.1.113883.10.12.201
Treetree.pnghl7:templateId
II1 … 1M(MacroscopySection)
Treeblank.pngTreetree.png@root
1 … 1F2.16.840.1.113883.2.6.60.6.10.7
Treetree.pnghl7:id
II0 … 1(MacroscopySection)
Treetree.pnghl7:code
CE1 … 1R(MacroscopySection)
Treeblank.pngTreetree.png@code
1 … 1F22634-0
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 gross observation
Treeblank.pngTreetree.png@codeSystemName
1 … 1FLOINC
Treetree.pnghl7:title
ST0 … 1R(MacroscopySection)
 CONF
Elementinhalt muss "Macroscopic observation" sein
 Beispiel<title>Macroscopic Observation</title>
Treetree.pnghl7:text
SD.TEXT0 … 1R(MacroscopySection)
 Beispiel<text> Part #1 is labeled “left breast biopsy” and is received fresh after frozen section preparation. It consists of a single firm nodule measuring 3cm in circular diameter and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale gray, slightly mottled appearance is revealed. Numerous sections are submitted for permanent processing. Part #2 is labeled "apical left axillary tissue" and is received fresh. It consists of two amorphous fibrofatty tissue masses without grossly discernible lymph nodes therein. Both pieces are rendered into numerous
sections and submitted in their entirety for history.
</text>
Treetree.pnghl7:entry
0 … *Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC)(MacroscopySection)
Treeblank.pngTreetree.png@typeCode
cs1 … 1R
 CONF
Der Wert von @typeCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)

Zusammenstellung aller Versionen dieses Templates