Elston-Ellis-Score-Entry (Template)
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Version vom 2. Oktober 2013, 09:25 Uhr
Dieses Material ist Teil des Leitfadens Arztbrief 2.x.
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Inhaltsverzeichnis
Elston-Ellis-Score Entry (Template) (Nottingham-Grading)
Template-Metadaten | |
Template-Typ | Entry |
Template ID | <OID für das Template> |
generischeres Template | Assessment Scales |
genutzte Templates | |
nutzende Templates | Grading |
abgeleitete Templates | |
Generelle Beschreibung | Diese Seite beschreibt die Darstellung des Elston-Ellis-Scores |
allg. Erläuterung | Scores_und_Assessments |
Verhältnis zu IHE | neu |
Ballotierungsstatus | in Arbeit |
Erweiterbarkeit | geschlossen |
Übersicht
Die Elemente werden, sofern spezialisiert/abweichend vom übergeordneten Template, hier als Walk Through beschrieben:
Lvl | RIM | Name | DT | Kard | Conf | Beschreibung |
---|---|---|---|---|---|---|
1 | act | observation | 1..1 | M | Elston-Ellis-Score (Nottingham) | |
2 | ... | ... | ... | ... | ... | ... |
3 | act | code | CD CWE | 1..1 | F | @code: "396293007", @codeSystem: 2.16.840.1.113883.6.96 |
3 | act | value | CD CWE | 1..1 | M | Wert aus dem Scoresystem. Value Set: todo.valueset.xxy004 |
4 | ... | ... | ... | ... | ... | ... |
6 | rel | entryRelationship | 0..1 | O | ||
7 | act | observation | 1..1 | O | Tubulusbildung (Tubule formation score) | |
8 | act | code | CD CWE | 1..1 | F | @code: "371470008", @codeSystem: 2.16.840.1.113883.6.96 |
8 | act | value | CD CWE | 1..1 | M | Value Set: todo.valueset.xxy005 |
6 | rel | entryRelationship | 0..1 | O | ||
7 | act | observation | 1..1 | O | Kernpolymorphie (Nuclear pleomorphism score) | |
8 | act | code | CD CWE | 1..1 | F | @code: "371471007", @codeSystem: 2.16.840.1.113883.6.96 |
8 | act | value | CD CWE | 1..1 | M | Value Set: todo.valueset.xxy006 |
6 | rel | entryRelationship | 0..1 | O | ||
7 | act | observation | 1..1 | O | Mitoserate (Number of mitoses per 10 high power fields) | |
8 | act | code | CD CWE | 1..1 | F | @code: "406094009", @codeSystem: 2.16.840.1.113883.6.96 |
8 | act | value | CD CWE | 1..1 | M | Value Set: todo.valueset.xxy007 |
Value Sets
Elston-Ellis-Score
Value Set OID: todo.valueset.xxy004
Code System OID: todo.codesystem.xxy004
Code | Bedeutung (Kurztext) | Bemerkung |
---|---|---|
3 | Elston-Ellis-Score 3 | |
4 | Elston-Ellis-Score 4 | |
5 | Elston-Ellis-Score 5 | |
6 | Elston-Ellis-Score 6 | |
7 | Elston-Ellis-Score 7 | |
8 | Elston-Ellis-Score 8 | |
9 | Elston-Ellis-Score 9 |
Tubulusbildung
Value Set OID: todo.valueset.xxy005
Code System OID: 2.16.840.1.113883.6.96
Code | Bedeutung (Kurztext) | Bemerkung |
---|---|---|
369778004 | > 75% | Breast tubule formation: Majority of tumor >75% (score = 1) |
369779007 | 10-75% | Breast tubule formation: Moderate 10% to 75% (score = 2) |
369780005 | < 10% | Breast tubule formation: Minimal <10% (score = 3) |
Kernpolymorphie
Value Set OID: todo.valueset.xxy006
Code System OID: 2.16.840.1.113883.6.96
Code | Bedeutung (Kurztext) | Bemerkung |
---|---|---|
384735004 | gering | Nuclear pleomorphism: small regular nuclei (score=1) |
384737007 | mäßig | Nuclear pleomorphism: moderate increase in size, etc (score = 2) |
384738002 | stark | Nuclear pleomorphism: marked variation in size, nucleoli, chromatin clumping, etc (score = 3) |
Mitoserate
Mitosen/10 HPF
Value Set OID: todo.valueset.xxy007
Code System OID: 2.16.840.1.113883.6.96
Code | Bedeutung (Kurztext) | Bemerkung |
---|---|---|
369784001 | SFZ 25: 0-10 / SFZ 20: 0-8 | Less than 10 mitoses per 10 HPF (score = 1) |
369785000 | SFZ 25: 11-20 / SFZ 20: 9-16 | 10-20 mitoses per 10 HPF (score = 2) |
369786004 | SFZ 25: > 20 / SFZ 20: > 16 | Greater than 20 mitoses per 10 HPF (score = 3) |
Beispiel
<observation moodCode='EVN' classCode='OBS'>
<templateID root='' />
<id root='' extension='' />
<code code='396293007' codeSystem='2.16.840.1.113883.6.96' />
<statusCode code='completed'/>
<value xsi:type='CD' code='7' codeSystem='todo.codesystem.xxy004'/>
<entryRelationship typeCode='COMP'>
<observation moodCode='EVN' classCode='OBS'>
<code code='371470008' codeSystem='2.16.840.1.113883.6.96' />
<statusCode code='completed'/>
<value xsi:type='CD' code='369780005' codeSystem='2.16.840.1.113883.6.96'/>
</observation>
</entryRelationship>
<entryRelationship typeCode='COMP'>
<observation moodCode='EVN' classCode='OBS'>
<code code='371471007' codeSystem='2.16.840.1.113883.6.96' />
<statusCode code='completed'/>
<value xsi:type='CD' code='384737007' codeSystem='2.16.840.1.113883.6.96'/>
</observation>
</entryRelationship>
<entryRelationship typeCode='COMP'>
<observation moodCode='EVN' classCode='OBS'>
<code code='406094009' codeSystem='2.16.840.1.113883.6.96' />
<statusCode code='completed'/>
<value xsi:type='CD' code='369785000' codeSystem='2.16.840.1.113883.6.96'/>
</observation>
</entryRelationship>
</observation>