1.3.6.1.4.1.19376.1.3.10.4.2/static-2014-05-13T154513

Id	1.3.6.1.4.1.19376.1.3.10.4.2	Effective Date	valid from 2014‑05‑13 15:45:13
Status	Draft	Version Label	2.0
Name	TNMStageObservation	Display Name	TNM Stage Observation
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF) TNM stage with supporting categories
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.2
Label	PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 1 template, Uses 17 templates Used by as Name Version 1.3.6.1.4.1.19376.1.3.10.4.1 Containment Specimen Procedure Step (1.0) 2014‑07‑29 16:02:02 Uses as Name Version 1.3.6.1.4.1.19376.1.3.3.1.7 Containment Laboratory Performer (2017) 2008‑08‑08 1.3.6.1.4.1.19376.1.8.1.4.2 Containment CDA author IHE 2016‑06‑21 14:02:11 1.3.6.1.4.1.19376.1.8.1.4.6 Containment CDA Informant(Header&Body) APSR2 (2.0) 2016‑07‑08 11:22:58 1.3.6.1.4.1.19376.1.8.1.4.7 Containment Additional participant in an entry APSR (Body) 2016‑07‑12 18:44:06 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified 2014‑12‑22 15:54:30 1.3.6.1.4.1.19376.1.3.10.9.32 Containment TNM y (2.0) 2015‑06‑22 17:28:17 1.3.6.1.4.1.19376.1.3.10.9.30 Containment TNM a (2.0) 2015‑06‑22 15:13:46 1.3.6.1.4.1.19376.1.3.10.9.31 Containment TNM r (2.0) 2015‑06‑22 17:38:42 1.3.6.1.4.1.19376.1.3.10.9.25 Containment TNM T-Observation (2.0) 2014‑12‑02 15:54:17 1.3.6.1.4.1.19376.1.3.10.9.26 Containment TNM N-Observation (2.0) 2014‑12‑02 16:34:50 1.3.6.1.4.1.19376.1.3.10.9.27 Containment TNM M-Observation (2.0) 2014‑12‑02 16:32:30 1.3.6.1.4.1.19376.1.3.10.9.33 Containment TNM Serum tumor markers (2.0) 2015‑11‑06 14:28:44 1.3.6.1.4.1.19376.1.3.10.9.34 Containment TNM Lymphatic Invasion (2.0) 2015‑11‑16 14:01:58 1.3.6.1.4.1.19376.1.3.10.9.35 Containment TNM Venous Invasion (2.0) 2015‑11‑16 13:40:28 1.3.6.1.4.1.19376.1.3.10.9.36 Containment TNM Perineural Invasion (2.0) 2015‑11‑11 16:13:40 1.3.6.1.4.1.19376.1.3.10.9.28 Containment TNM Grading (2.0) 2015‑11‑15 13:01:18 1.3.6.1.4.1.19376.1.3.10.9.29 Containment TNM R-status (2.0) 2015‑06‑30 13:38:30
Relationship	Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example	Generated example <observation classCode="OBS" moodCode="ENV" negationInd="false">   <templateId root="1.3.6.1.4.1.19376.1.3.10.4.2"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21902-2" codeSystem="2.16.840.1.113883.6.1"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20170712152253"/>  </effectiveTime>  <value xsi:type="CD" code="IIA" displayName="stage IIA" codeSystem="2.16.840.1.113883.15.6"/>  <performer>     <!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'Laboratory Performer' (2008-08-08T00:00:00) -->   </performer>  <author>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (2016-06-21T14:02:11) -->   </author>  <informant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (2016-07-08T11:22:58) -->   </informant>  <participant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (2016-07-12T18:44:06) -->   </participant>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* M -->   <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.32 'TNM y' (2015-06-22T17:28:17) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.30 'TNM a ' (2015-06-22T15:13:46) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.31 'TNM r' (2015-06-22T17:38:42) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.25 'TNM T-Observation' (2014-12-02T15:54:17) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.26 'TNM N-Observation' (2014-12-02T16:34:50) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.27 'TNM M-Observation' (2014-12-02T16:32:30) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.33 'TNM Serum tumor markers' (2015-11-06T14:28:44) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.34 'TNM Lymphatic Invasion' (2015-11-16T14:01:58) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.35 'TNM Venous Invasion' (2015-11-16T13:40:28) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.36 'TNM Perineural Invasion' (2015-11-11T16:13:40) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.28 'TNM Grading' (2015-11-15T13:01:18) -->   </entryRelationship>  <entryRelationship>     <!-- template 1.3.6.1.4.1.19376.1.3.10.9.29 'TNM R-status' (2015-06-30T13:38:30) -->   </entryRelationship></observation>
Item DT Card Conf Description Label hl7:observation 0 … * R PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F ENV @negationInd bl 0 … 1   hl7:templateId II 1 … 1 M PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.4.2 hl7:id II 0 … * R PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM hl7:code CE (extensible) 1 … 1 M PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM   CONF @code shall be "21902-2" @codeSystem shall be "2.16.840.1.113883.6.1" @codeSystemName shall be "LOINC" or @code shall be "tnmStage" @codeSystem shall be "1.2.276.0.76.3.1.131.1.5.1" @codeSystemName shall be "DKG Coding Scheme" @displayName shall be "tumor stage" hl7:text ED 0 … 1 R PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM   Example <text> PATHOLOGIC STAGE (AJCC 7th Edition): IIA </text> hl7:statusCode CS (required) 1 … 1 M PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM   Constraint The observation statusCode is “ completed ” if the observation was actually performed and has produced a result in the  value  element. In other cases the status of the intended observation is “ aborted ” and the result will never come.   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 (DYNAMIC) Error: Cannot find value set "1.3.6.1.4.1.19376.1.3.11.2" or The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (2014‑03‑26) hl7:effectiveTime IVL_TS 1 … 1 M PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM hl7:value CD (extensible) 0 … 1 R PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM   CONF The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.46 UICC Stage (2017‑07‑21 10:43:31) hl7:performer II 0 … 1 C Performing lab Source: PaLM TF-3: 6.3.2.20 Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (2008‑08‑08) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.3.1.7']]   Constraint The performing laboratory is present at this level only if this particular observation was performed by a (subcontractor) laboratory distinct from the one issuing the rest of the observations in this organizer. hl7:author II 0 … * C Author Source: PaLM TF Suppl. APSR 2.0-3:  6.3.6.2 Contains 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (2016‑06‑21 14:02:11) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [hl7:author [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.2']]] hl7:informant II 0 … * R Informant Source: PaLM TF Suppl. APSR 2.0-3 : 6.3.6.5 Contains 1.3.6.1.4.1.19376.1.8.1.4.6 CDA Informant(Header&Body) APSR2 (2016‑07‑08 11:22:58) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.6']] hl7:participant II 0 … * R Additional participants Source: PaLM TF Suppl. APSR 2.0-3 : 6.3.6.6 Contains 1.3.6.1.4.1.19376.1.8.1.4.7 Additional participant in an entry APSR (Body) (2016‑07‑12 18:44:06) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.7']] Included 1 … * M from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30) hl7:specimen 1 … * M Required 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 @typeCode cs 0 … 1 F SPC hl7:specimenRole 1 … 1 M PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified @classCode cs 0 … 1 F SPEC hl7:id II 1 … 1 R Specimen ID, coming from the LIS PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified hl7:entryRelationship 0 … 1 R staged after multimodal (neoadjuvant) therapy Contains 1.3.6.1.4.1.19376.1.3.10.9.32 TNM y (2015‑06‑22 17:28:17) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.32']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R first staged at autopsy Contains 1.3.6.1.4.1.19376.1.3.10.9.30 TNM a (2015‑06‑22 15:13:46) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.30']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R staged after relapse Contains 1.3.6.1.4.1.19376.1.3.10.9.31 TNM r (2015‑06‑22 17:38:42) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.31']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 1 … 1 R T: T category of TNM Contains 1.3.6.1.4.1.19376.1.3.10.9.25 TNM T-Observation (2014‑12‑02 15:54:17) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.25']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 1 … 1 R N: N category of TNM Contains 1.3.6.1.4.1.19376.1.3.10.9.26 TNM N-Observation (2014‑12‑02 16:34:50) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.26']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R M: M category of TNM Contains 1.3.6.1.4.1.19376.1.3.10.9.27 TNM M-Observation (2014‑12‑02 16:32:30) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.27']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R Serum tumor markers stage descriptor Contains 1.3.6.1.4.1.19376.1.3.10.9.33 TNM Serum tumor markers (2015‑11‑06 14:28:44) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.33']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R Descriptor for lymphatic invasion Contains 1.3.6.1.4.1.19376.1.3.10.9.34 TNM Lymphatic Invasion (2015‑11‑16 14:01:58) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.34']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R Descriptor for venous invasion Contains 1.3.6.1.4.1.19376.1.3.10.9.35 TNM Venous Invasion (2015‑11‑16 13:40:28) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.35']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R Descriptor for perineurial invasion Contains 1.3.6.1.4.1.19376.1.3.10.9.36 TNM Perineural Invasion (2015‑11‑11 16:13:40) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.36']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 1 … 1 R TNM-Grading Contains 1.3.6.1.4.1.19376.1.3.10.9.28 TNM Grading (2015‑11‑15 13:01:18) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.28']]] @typeCode cs 1 … 1 F SPRT hl7:entryRelationship 0 … 1 R Status of residual tumor Contains 1.3.6.1.4.1.19376.1.3.10.9.29 TNM R-status (2015‑06‑30 13:38:30) PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.29']]] @typeCode cs 1 … 1 F SPRT