1.3.6.1.4.1.19376.1.3.10.9.27/static-2014-12-02T163230

Id	1.3.6.1.4.1.19376.1.3.10.9.27	Effective Date	valid from 2014‑12‑02 16:32:30
Status	Draft	Version Label	2.0
Name	TNMMObservation	Display Name	TNM M-Observation
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.27
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 2 templates, Uses 4 templates Used by as Name Version 1.3.6.1.4.1.19376.1.3.10.4.2 Containment TNM Stage Observation (2.0) 2014‑05‑13 15:45:13 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (1.0) 2014‑07‑29 16:02:02 Uses as Name Version 1.3.6.1.4.1.19376.1.8.1.4.2 Containment CDA author IHE DYNAMIC 1.3.6.1.4.1.19376.1.8.1.4.6 Containment CDA Informant(Header&Body) APSR2 (2.0) DYNAMIC 1.3.6.1.4.1.19376.1.8.1.4.7 Containment Additional participant in an entry APSR (Body) DYNAMIC 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified DYNAMIC
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 negationInd="false" classCode="OBS" moodCode="EVN">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.27"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21901-4" codeSystem="2.16.840.1.113883.6.1"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20170710111720"/>  </effectiveTime>  <value xsi:type="CD" code="M0" displayName="M0" codeSystem="2.16.840.1.113883.15.6">     <qualifier>       <name code="tnmCFactor" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="84068000" displayName="C1 - TNM certainty factor" codeSystem="2.16.840.1.113883.6.96"/>    </qualifier>    <qualifier>       <name code="tnmCp" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="p" displayName="p" codeSystem="1.2.276.0.76.11.9"/>    </qualifier>    <qualifier>       <name code="tnmI" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="i+" displayName="(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 code="mol+" displayName="(mol+)" codeSystem="2.16.840.1.113883.15.6"/>    </qualifier>    <qualifier>       <name code="tnmLoc" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="PUL" displayName="PUL" codeSystem="2.16.840.1.113883.15.6"/>    </qualifier>  </value>  <author>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (dynamic) -->   </author>  <informant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (dynamic) -->   </informant>  <participant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (dynamic) -->   </participant>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 0..* C --> </observation>
Item DT Card Conf Description Label hl7:observation 0 … 1 R (TNMMObs… @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN @negationInd bl 0 … 1   hl7:templateId II 1 … 1 M (TNMMObs… @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.27 hl7:id II 0 … * R (TNMMObs… hl7:code CD CNE 1 … 1 M (TNMMObs…   CONF @code shall be "21901-4" @codeSystem shall be "2.16.840.1.113883.6.1" @codeSystemName shall be "LOINC" or @code shall be "371497001" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "SCT" hl7:text ED 0 … 1 R (TNMMObs… hl7:statusCode CS 1 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 ActStatusAbortedCompleted (DYNAMIC) hl7:effectiveTime IVL_TS 0 … 1 R (TNMMObs… hl7:value CD 0 … * R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.17 UICC M category (DYNAMIC) or The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.14 UICC M category (SCT) (DYNAMIC) hl7:qualifier CR CNE 0 … 1 R C factor (certainty) (TNMMObs… hl7:name CV CNE 1 … 1 R (TNMMObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmCFactor hl7:value CD CNE 0 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.20 UICC C-Factor (SCT) (DYNAMIC) hl7:qualifier CR CNE 0 … 1 R c/p ... (TNMMObs… hl7:name CV CNE 1 … 1 R (TNMMObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmCp hl7:value CD CWE 0 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.22 UICC clinical/pathological (DYNAMIC) hl7:qualifier CR CNE 0 … 1 R i (suffix): ITC (isolated tumor cells) detected by immunohistochemistry (qualifier) true: i+ false: i- (TNMMObs… hl7:name CV CNE 1 … 1 R (TNMMObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmI hl7:value CD CWE 0 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (DYNAMIC) hl7:qualifier CR CNE 0 … 1 R mol (suffix): ITC (isolated tumor cells) detected by non-morphological (molecular) methods (qualifier) (TNMMObs… hl7:name CV CNE 1 … 1 R (TNMMObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmMol hl7:value CD CWE 0 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (DYNAMIC) hl7:qualifier CR CNE 0 … 11 R Suffix for localization of distant metastases in M1  (TNMMObs… hl7:name CV CNE 1 … 1 R (TNMMObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmLoc hl7:value CD CNE 0 … 1 R (TNMMObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.28 UICC Localization of distant metastases (DYNAMIC) 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 (DYNAMIC) (TNMMObs… hl7:informant II 0 … * R Contains 1.3.6.1.4.1.19376.1.8.1.4.6 CDA Informant(Header&Body) APSR2 (DYNAMIC) (TNMMObs… 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) (DYNAMIC) (TNMMObs… Included 0 … * C from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC) hl7:specimen 0 … * C 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