1.3.6.1.4.1.19376.1.3.10.9.41: Unterschied zwischen den Versionen

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Aktuelle Version vom 18. Oktober 2017, 02:59 Uhr

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Template ICD-O-3Topography

Description

Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)

Actual version

Id1.3.6.1.4.1.19376.1.3.10.9.41Effective Date valid from 2015‑11‑16 18:38:07
StatusKyellow.png DraftVersion Label2.0
NameICD-O-3TopographyDisplay NameICD-O-3 Topography
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.41
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 1 template
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen Identified2014‑12‑22 15:54:30
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example
example for use case #1
<observation classCode="OBS" moodCode="EVN" negationInd="false">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.9.41"/>  <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_ICDO_T"/>  <code code="42129-7" codeSystem="2.16.840.1.113883.6.1" displayName="Site coding system.current"/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="201001041405-0500"/>  </effectiveTime>
  <value xsi:type="CV" code="C50.4" displayName="Breast, upper outer quadrant" codeSystem="2.16.840.1.113883.6.43.1">
    <qualifier>
      <name code="20228-3" codeSystem="2.16.840.1.113883.6.1" displayName="Anatomic part Laterality"/>      <value value="L" codeSystem="2.16.840.1.113883.6.1" displayName="Left"/>    </qualifier>
  </value>
  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* R -->
  <specimen typeCode="SPC">
    <specimenRole classCode="SPEC">
      <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_slide_A1_HE"/>    </specimenRole>
  </specimen>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1R(ICD...phy)
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1M(ICD...phy)
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.9.41
Treetree.pnghl7:id
II0 … *R(ICD...phy)
Treetree.pnghl7:code
CD (extensible)1 … 1M(ICD...phy)
 CONF
@code shall be "42129-7"
@codeSystem shall be "2.16.840.1.113883.6.1"
@codeSystemName shall be "LOINC"
@displayName shall be "Site coding system.current"
or
@code shall be "371480007"
@codeSystem shall be "2.16.840.1.113883.6.96"
@codeSystemName shall be "SNOMED CT"
@displayName shall be "Tumor site (observable entity)"
Treetree.pnghl7:statusCode
CS (required)1 … 1M(ICD...phy)
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 (DYNAMIC)
Alert.pngError: Cannot find value set "1.3.6.1.4.1.19376.1.3.11.2"
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1R(ICD...phy)
Treetree.pnghl7:value
CV1 … 1RCodes for topography axis (C-axis) of ICD-O-3(ICD...phy)
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.36 ICD-O-3 Topography (2015‑11‑13 19:16:23)
 Example
for use case #1
<value xsi:type="CV" code="50.3" displayName="C50.3" codeSystem="2.16.840.1.113883.6.43.1"/>
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)0 … 1CCode system for laterality(ICD...phy)
 ConstraintFor reports to German cancer registries
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1R(ICD...phy)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1F20228-3
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FLOINC
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FAnatomic part Laterality
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CV (required)1 … 1R(ICD...phy)
 CONF
The value of @code shall be drawn from value set 1.2.276.0.76.11.412 Lateralität (2017‑02‑08)
Included1 … *R from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30)
Treetree.pnghl7:specimen
1 … *RRequired in XD-LAB when more than one specimen is documented at this level. Always required in APSR.
PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
Treeblank.pngTreetree.png@typeCode
cs0 … 1FSPC
Treeblank.pngTreetree.pnghl7:specimenRole
1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FSPEC
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified

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