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| {{DocumentPart}} | | {{DocumentPart}} |
| | | |
− | {{WorkBox|
| |
− | Abgleich mit dem Diagnoseleitfaden und dem TNM-Entry-Template in cdaab2!
| |
− | }}
| |
| | | |
− | ==Entry: TNM-Klassifikation== | + | ==Entry: TNM-Klassifikation (zur Übermittlung onkolog. Daten)== |
| | | |
| {| class="hl7table" | | {| class="hl7table" |
− | |bgcolor="ddddff"|Template ID|| colspan=2 | 1.2.276.0.76.3.1.131.1.10.3.5 | + | |bgcolor="ddddff"| || bgcolor="ddddff"| Template-Metadaten |
| |- | | |- |
− | |bgcolor="ddddff"| General Description|| colspan=2 | TNM-Klassifikation | + | |bgcolor="ddddff"|Template-Typ|| Entry |
− | |}
| |
− | | |
− | In einer Diagnostik-Sektion sind mehrere Entries des Typs TNM-Klassifikation zulässig, beispielsweise um sowohl die klinische als auch die pathologische Beurteilung zu übermitteln.
| |
− | | |
− | {{AlertBox|
| |
− | TODO: Abgleich mit dem Diagnoseleitfaden ist erforderlich!!
| |
− | }}
| |
− | | |
− | {{WorkBox|
| |
− | TODO: Diagramm ergänzen
| |
− | <br/>
| |
− | kann aus cdaab2 genommen werden!<br/>
| |
− | Oder besser dahin verschoben werden!
| |
− | }}
| |
− | | |
− | {| class="hl7table"
| |
− | ! Lvl
| |
− | ! RIM
| |
− | ! Name
| |
− | ! Desc
| |
− | ! DT
| |
− | ! Kard
| |
− | ! Conf
| |
− | ! Beschreibung
| |
− | | |
| |- | | |- |
− | | 3
| + | |bgcolor="ddddff"|Template ID|| 1.2.276.0.76.3.1.131.1.10.3.5 |
− | |bgcolor="ff8888"| act | |
− | | observation | |
− | |
| |
− | |
| |
− | | 1..1 | |
− | | required
| |
− | |
| |
− | | |
| |- | | |- |
− | | 4
| + | |bgcolor="ddddff"|generischeres Template || [[cdaab2:TNM-Klassifikation-Entry_(Template)]] |
− | |bgcolor="ff8888"| act | |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required | |
− | | fix | |
− | | |
| |- | | |- |
− | | 4
| + | |bgcolor="ddddff"|genutztes Templates || |
− | |bgcolor="ff8888"| act | |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required | |
− | | fix | |
− | | |
| |- | | |- |
− | | 4
| + | |bgcolor="ddddff"|nutzende Templates || [[cdaonk:Diagnostik-Section_(Template)]] |
− | |bgcolor="ff8888"| act | |
− | | templateId | |
− | | TNM-Klassifikation | |
− | | II
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
| |- | | |- |
− | | 5
| + | |bgcolor="ddddff"|abgeleitete Templates || |
− | |bgcolor="ff8888"| act | |
− | | @root
| |
− | | "1.2.276.0.76.3.1.131.1.10.3.5"
| |
− | |
| |
− | | 1..1
| |
− | | required | |
− | | fix | |
− | | |
| |- | | |- |
− | | 4
| + | |bgcolor="ddddff"|Schwester-Templates || |
− | |bgcolor="ff8888"| act | |
− | | id
| |
− | | ID der diagnostischen Angabe
| |
− | | II
| |
− | | 0..1
| |
− | | optional | |
− | | | |
− | | |
| |- | | |- |
− | |5
| + | |bgcolor="ddddff"|Generelle Beschreibung|| TNM-Klassifikation für die onkolog.Übermittlung |
− | |bgcolor="ff8888"|act | |
− | |@root | |
− | |OID für diagnostische Angaben | |
− | |
| |
− | |1..1
| |
− | |optional
| |
− | |OID des sendenden System, um diagnostische Angaben eindeutig zu identifizieren
| |
− | | |
| |- | | |- |
− | |5
| + | |bgcolor="ddddff"|allg. Erläuterung|| |
− | |bgcolor="ff8888"|act | |
− | |@extension
| |
− | |ID der diagnostischen Angabe im sendenden System
| |
− | |
| |
− | |1..1
| |
− | |optional | |
− | | | |
− | | |
| |- | | |- |
− | | 4
| + | |bgcolor="ddddff"|Verhältnis zu IHE|| neu |
− | |bgcolor="ff8888"| act | |
− | | code
| |
− | |
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required | |
− | | | |
− | | |
| |- | | |- |
− | |5
| + | |bgcolor="ddddff"|Ballotierungsstatus|| in Arbeit |
− | |bgcolor="ff8888"|act | |
− | |@code
| |
− | |"tnmStage"
| |
− | |
| |
− | |1..1
| |
− | |required | |
− | |fix | |
− | | |
| |- | | |- |
− | |5
| + | |bgcolor="ddddff"|Erweiterbarkeit|| geschlossen |
− | |bgcolor="ff8888"|act | + | |} |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | | | |
− | |1..1 | |
− | |required | |
− | |fix: DKG-Labels | |
| | | |
− | |-
| + | ===Beschreibung=== |
− | |4
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
| | | |
− | |-
| + | In einer Diagnostik-Sektion sind mehrere Entries des Typs TNM-Klassifikation zulässig, beispielsweise um sowohl die klinische als auch die pathologische Beurteilung zu übermitteln. |
− | | 4
| |
− | |bgcolor="ff8888"| act
| |
− | | effectiveTime
| |
− | | Zeitpunkt der Feststellung
| |
− | | TS
| |
− | | 0..1
| |
− | | optional
| |
− | | Das Datum, an dem die Diagnose gestellt wurde
| |
| | | |
− | |-
| + | ===Attribute=== |
− | |4
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das UICC-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
| | | |
− | |- | + | {{WorkBox| |
− | |5
| + | Hier müssen noch die Einschränkungen in Bezug auf das generischere Entry-Template hin! |
− | |bgcolor="ff8888"|act
| + | }} |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
| | | |
− | |- | + | {{AlertBox| |
− | |5
| + | TODO: Abgleich mit TNM-Template aus APSR 2.0 erforderlich! |
− | |bgcolor="ff8888"|act
| + | }} |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
| | | |
− | |- | + | {| class="hl7table" |
− | |5
| + | ! Lvl |
− | |bgcolor="ff8888"|act
| + | ! RIM |
− | |qualifier
| + | ! Name |
− | |
| + | ! DT |
− | |CR
| + | ! Kard |
− | |0..1
| + | ! Conf |
− | |optional
| + | ! Beschreibung |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | TNM a-Symbol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Stadium bei Autopsie festgestellt
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmASymbol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das a-Symbol
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"a"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | TNM y-Symbol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Stadium nach neoadjuvanter Therapie
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmYSymbol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das y-Symbol
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"y"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | TNM r-Symbol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Stadium eines Rezidivs
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmRSymbol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das r-Symbol
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"r"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | T-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Tumor
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmT"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das T-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | Art der Sicherung
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCp"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |klinisch oder pathologisch
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"c" oder "p"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | C-Faktor
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCFactor"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |C-Faktor (Certainty)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für Certainty Faktor
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | m-Symbol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmMSymbol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |m-Symbol
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |Multiplizität
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"m"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | N-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Nodalstatus
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmN"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das N-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | Art der Sicherung
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCp"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |klinisch oder pathologisch
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"c" oder "p"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | SN
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Feststellung durch Sentinel Node Biopsie
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmSn"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |SN
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |Multiplizität
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"SN"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | i
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Immunhistochemie
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmI"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |i (Immunhistochemie)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für Immunhistochemie ("i+" oder "i-")
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | mol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | RT-PCR
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmMol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |mol (RT-PCR)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für RT-PCR ("mol+" oder "mol-")
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | C-Faktor
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCFactor"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |C-Faktor (Certainty)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für Certainty Faktor
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | M-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Metastasen
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmM"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das M-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | Art der Sicherung
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCp"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |klinisch oder pathologisch
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"c" oder "p"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |elm
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | SN
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Feststellung durch Sentinel Node Biopsie
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmSn"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |SN
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |Multiplizität
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"SN"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | i
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | Immunhistochemie
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmI"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |i (Immunhistochemie)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für Immunhistochemie ("i+" oder "i-")
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | mol
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | | RT-PCR
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmMol"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |mol (RT-PCR)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für RT-PCR ("mol+" oder "mol-")
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ff8888"|act
| |
− | |qualifier
| |
− | |
| |
− | |CR
| |
− | |0..1
| |
− | |optional
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | name
| |
− | | C-Faktor
| |
− | | CV
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmCFactor"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |C-Faktor (Certainty)
| |
− | |CV
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |Code für Certainty Faktor
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | S-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Serumtumormarker
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmS"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− | | |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das S-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− | | |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− | | |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− | | |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− | | |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | L-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Lymphgefäßinvasion
| |
| | | |
| |- | | |- |
− | |7 | + | |1 |
| |bgcolor="ff8888"|act | | |bgcolor="ff8888"|act |
− | |@code | + | |observation |
− | |"tnmL"
| |
| | | | | |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das L-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
| | | | | |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
| | | | | |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
| | | | | |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | V-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Veneninvasion
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmV"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das V-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | Pn-Stadium
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | | Perineuralinvasion
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"tnmPn"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |Code für das Pn-Stadium
| |
− | |CD
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |eigentlicher Code
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |Codesystem 2.16.840.1.113883.15.6
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.15.6"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | untersuchte Lymphknoten
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"21894-1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.6.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: LOINC
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |
| |
− | |PQ
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@value
| |
− | |Anzahl untersuchter Lymphknoten
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@unit
| |
− | |"1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | befallene Lymphknoten
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"21893-3"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"2.16.840.1.113883.6.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: LOINC
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |
| |
− | |PQ
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@value
| |
− | |Anzahl befallener Lymphknoten
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@unit
| |
− | |"1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | untersuchte Sentinel-Lymphknoten
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"SentinelNodesExamined"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |
| |
− | |PQ
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@value
| |
− | |Anzahl untersuchter Sentinel-Lymphknoten
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@unit
| |
− | |"1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 4
| |
− | |bgcolor="ffaaaa"| rel
| |
− | | entryRelationship
| |
− | |
| |
− | |
| |
− | | 0..1
| |
− | | optional
| |
− | |
| |
− |
| |
− | |-
| |
− | |5
| |
− | |bgcolor="ffaaaa"| rel
| |
− | |@typeCode
| |
− | |"COMP"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | | 5
| |
− | |bgcolor="ff8888"| act
| |
− | | observation
| |
− | |
| |
− | |
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @classCode
| |
− | | "OBS"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | @moodCode
| |
− | | "EVN"
| |
− | | CS CNE
| |
− | | 1..1
| |
− | | required
| |
− | | fix
| |
− |
| |
− | |-
| |
− | | 6
| |
− | |bgcolor="ff8888"| act
| |
− | | code
| |
− | | befallene Sentinel-Lymphknoten
| |
− | | CD CWE
| |
− | | 1..1
| |
− | | required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@code
| |
− | |"SentinelNodesPositive"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@codeSystem
| |
− | |"1.2.276.0.76.3.1.131.1.5.1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix: DKG-Labels
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |text
| |
− | |textliche Beschreibung des codierten Inhalts der Observation
| |
− | |ED
| |
− | |1..1
| |
− | |required
| |
− | |i.d.R. vom sendenden System automatisch generiert
| |
− |
| |
− | |-
| |
− | |6
| |
− | |bgcolor="ff8888"|act
| |
− | |value
| |
− | |
| |
− | |PQ
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@value
| |
− | |Anzahl befallener Sentinel-Lymphknoten
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |
| |
− |
| |
− | |-
| |
− | |7
| |
− | |bgcolor="ff8888"|act
| |
− | |@unit
| |
− | |"1"
| |
− | |
| |
− | |1..1
| |
− | |required
| |
− | |fix
| |
| | | |
| |} | | |} |
| | | |
− | Das folgende Beispiel stellt das Maximum der möglichen Angaben dar, wohl wissend, dass dies aus medizinisch-fachlicher Sicht nicht korrekt ist.
| + | [[Kategorie:cdaonk|TNM-Klassifikation]] |
− | | |
− | <syntaxhighlight lang="XML">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <templateId root="1.2.276.0.76.3.1.131.1.10.3.5"/>
| |
− | <id extension="tnm12345"
| |
− | root="1.2.276.0.76.3.1.131.1.4.3.9999.9999.999909"/>
| |
− | <code code="tnmStage"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | Tumorklassifikation vom 26.03.2011: ayr UICC IV
| |
− | </text>
| |
− | <effectiveTime value="20110326"/>
| |
− | <value xsi:type="CD" code="IV"
| |
− | codeSystem="2.16.840.1.113883.15.6">
| |
− | <qualifier>
| |
− | <name code="tnmASymbol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="a"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmYSymbol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="y"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmRSymbol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="r"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | </value>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmT"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | pT3amC4
| |
− | </text>
| |
− | <value xsi:type="CD" code="T3a"
| |
− | codeSystem="2.16.840.1.113883.15.6">
| |
− | <qualifier>
| |
− | <name code="tnmCp"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="p"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmCFactor"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="C4"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmMSymbol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="m"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | </value>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmN"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | pN3(SN)(i+)(mol+)C5
| |
− | </text>
| |
− | <value xsi:type="CD" code="N3"
| |
− | codeSystem="2.16.840.1.113883.15.6">
| |
− | <qualifier>
| |
− | <name code="tnmCp"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="p"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmSn"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="SN"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmI"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="i+"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmMol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="mol+"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmCFactor"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="C5"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | </value>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmM"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | cM1(SN)(i+)(mol+)C2
| |
− | </text>
| |
− | <value xsi:type="CD" code="M1"
| |
− | codeSystem="2.16.840.1.113883.15.6">
| |
− | <qualifier>
| |
− | <name code="tnmCp"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="c"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmSn"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="SN"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmI"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="i+"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmMol"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="mol+"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | <qualifier>
| |
− | <name code="tnmCFactor"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <value xsi:type="CD" code="C2"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </qualifier>
| |
− | </value>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmS"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | S2
| |
− | </text>
| |
− | <value xsi:type="CD" code="S2"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmL"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | L1
| |
− | </text>
| |
− | <value xsi:type="CD" code="L1"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmV"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | V1
| |
− | </text>
| |
− | <value xsi:type="CD" code="V1"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="tnmPn"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | PnX
| |
− | </text>
| |
− | <value xsi:type="CD" code="PnX"
| |
− | codeSystem="2.16.840.1.113883.15.6"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="21894-1"
| |
− | codeSystem="2.16.840.1.113883.6.1"/>
| |
− | <text>
| |
− | Lymphknoten untersucht: 18
| |
− | </text>
| |
− | <value xsi:type="PQ" value="18" unit="1"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="21893-3"
| |
− | codeSystem="2.16.840.1.113883.6.1"/>
| |
− | <text>
| |
− | Lymphknoten befallen: 13
| |
− | </text>
| |
− | <value xsi:type="PQ" value="13" unit="1"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="SentinelNodesExamined"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | Sentinel-Lymphknoten untersucht: 5
| |
− | </text>
| |
− | <value xsi:type="PQ" value="5" unit="1"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | <entryRelationship typeCode="COMP">
| |
− | <observation classCode="OBS" moodCode="EVN">
| |
− | <code code="SentinelNodesPositive"
| |
− | codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
| |
− | <text>
| |
− | Sentinel-Lymphknoten befallen: 4
| |
− | </text>
| |
− | <value xsi:type="PQ" value="4" unit="1"/>
| |
− | </observation>
| |
− | </entryRelationship>
| |
− | </observation>
| |
− | </syntaxhighlight>
| |
− | | |
− | | |
| [[Kategorie:CDA Entry Level Template|TNM-Klassifikation]] | | [[Kategorie:CDA Entry Level Template|TNM-Klassifikation]] |