Aktuelle Version vom 22. Januar 2018, 03:27 Uhr

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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

Id 1.3.6.1.4.1.19376.1.8.1.2.6 Effective Date valid from 2014‑05‑13 19:33:12

Status Draft Version Label 2.0

Name ProcedureStepsSection Display Name Procedure 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.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.6

Label PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section

Classification CDA Section Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 1 template, Uses 2 templates

Used by	as	Name	Version
1.3.6.1.4.1.19376.1.8.1.1.1	Containment	Anatomic Pathology Structured Report Content Module (2.0)	2014‑05‑13 11:57:57
Uses	as	Name	Version
1.3.6.1.4.1.19376.1.8.1.4.2	Include	CDA author IHE	2016‑06‑21 14:02:11
1.3.6.1.4.1.19376.1.3.10.4.1	Containment	Specimen Procedure Step (2.0)	2016‑07‑08 13:20:59

Relationship Specialization: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)

Example

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Item DT Card Conf Description Label

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R

PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section

@classCode

cs

0 … 1

F

DOCSECT

@moodCode

cs

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EVN

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.

hl7:templateId

II

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PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section

@root

uid

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1.3.6.1.4.1.19376.1.8.1.2.6

hl7:code

CE

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PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section

@code

CONF

1 … 1

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46059-2

@codeSystem

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2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)

@codeSystemName

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LOINC

@displayName

1 … 1

F

Special treatments and procedures section

hl7:title

ST

1 … 1

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PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section

CONF

element content shall be "PROCEDURE STEPS SECTION"

hl7:text

SD.TEXT

1 … 1

M

PaLM 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>

Included

0 … *

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

hl7:author

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@typeCode

cs

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AUT

Example

author is a person

<author typeCode="AUT" contextControlCode="OP"> <time value="201306101654"/> <assignedAuthor classCode="ASSIGNED">  </assignedAuthor></author>

hl7:templateId

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.8.1.4.2

hl7:time

TS

1 … 1

M

The authoring time is the date & time that this author contributed to the document. It SHALL be provided.

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:assignedAuthor

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

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cs

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ASSIGNED

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:addr

AD

1 … *

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:telecom

TEL

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

Choice

1 … 1

The author is either an assigned person or an authoring device.

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice

hl7:assignedPerson

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C

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

Included 0 … * from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
The name(s) SHALL be given.

@classCode

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F

PSN

@determinerCode

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F

INSTANCE

hl7:name

PN

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:assignedAuthoringDevice

0 … 1

C

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@classCode

cs

0 … 1

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DEV

@determinerCode

cs

0 … 1

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INSTANCE

hl7:manufacturerModelName

SC

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:softwareName

SC

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:code

CE

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:representedOrganization

0 … 1

PaLM 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>

Included 0 … 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.

@classCode

0 … 1

F

ORG

@determinerCode

0 … 1

F

INSTANCE

hl7:id

II

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:name

ON

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:telecom

TEL

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:addr

AD

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:standardIndustryClassCode

CE

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:asOrganizationPartOf

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@classCode

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PART

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:code

CE

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@codeSystem

CONF

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2.16.840.1.113883.5.111 (Role Code)

hl7:statusCode

CS

0 … 1

PaLM 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)

hl7:effectiveTime

IVL_TS

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PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:wholeOrganization

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

@classCode

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ORG

@determinerCode

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F

INSTANCE

hl7:id

II

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:name

ON

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:telecom

TEL

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:addr

AD

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:standardIndustryClassCode

CE

0 … 1

SHALL be chosen from domain OrganizationIndustryClass

PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author

hl7:entry

0 … *

R

Specimen 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

where [@typeCode='COMP'] [hl7:procedure [hl7:templateId [@root='1.3.6.1.4.1.19376.1.3.10.4.1']]]

@typeCode

cs

1 … 1

F

COMP

@contextConductionInd

bl

0 … 1

List of all versions of this template

2014-05-13 19:33:12 (Under develeopment)

@@ Zeile 1: / Zeile 1: @@
 __NOTOC__
-<!-- ****** CAUTION Manual changes on this page are ineffective: the page is automagically generated by a transformed from an ART-DECOR project by a bot (ADBot). ****** -->
+<!-- ****** CAUTION Manual changes on this page are ineffective: the page is automagically generated by a transformer from an ART-DECOR project by a bot (ADBot). ****** -->
 {{Templatenote}}
 [[Category:Template]]
 =Template ''ProcedureStepsSection''=
 ==Description==
-<p>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.
+<p>
+    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.
 </p>
 ==Actual version==

1.3.6.1.4.1.19376.1.8.1.2.6: Unterschied zwischen den Versionen

Aktuelle Version vom 22. Januar 2018, 03:27 Uhr

Template ProcedureStepsSection

Description

Actual version

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