1.3.6.1.4.1.19376.1.3.10.9.26/static-2014-12-02T163450: Unterschied zwischen den Versionen

Version vom 17. Juli 2017, 20:18 Uhr

Id 1.3.6.1.4.1.19376.1.3.10.9.26 Effective Date valid from 2014‑12‑02 16:34:50

Status Draft Version Label 2.0

Name TNMNObservation Display Name TNM N-Observation

Description Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.26

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 5 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
1.3.6.1.4.1.19376.1.3.10.9.37	Containment	TNM Number of nodes (2.0)	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

Item DT Card Conf Description Label

hl7:observation

0 … 1

R

()

@classCode

cs

1 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

@negationInd

bl

0 … 1

hl7:templateId

II

1 … 1

M

()

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.3.10.9.26

hl7:id

II

0 … *

R

()

hl7:code

CE CNE

1 … 1

M

()

CONF

@code shall be "21900-6"

@codeSystem shall be "2.16.840.1.113883.6.1"

@codeSystemName shall be "LOINC"

@displayName shall be "Regional lymph nodes.pathology [Class] Cancer"

or

@code shall be "277206009"

@codeSystem shall be "2.16.840.1.113883.6.96"

@codeSystemName shall be "SCT"

@displayName shall be "N category (observable entity)"

hl7:text

ED

0 … 1

R

()

hl7:statusCode

CS CNE

1 … 1

M

()

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 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)

or

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 ActStatusAbortedCompleted (DYNAMIC)

hl7:value

CD

1 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.13 UICC N category (SCT) (DYNAMIC)

or

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.16 UICC N category (DYNAMIC)

hl7:qualifier

CR CNE

0 … 1

R

C-Factor (Certainty)

()

hl7:name

CV CNE

1 … 1

R

()

@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 CWE

0 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.19 UICC C-Factor (DYNAMIC)

hl7:qualifier

CR CWE

1 … 1

R

c/p/...

()

hl7:name

CV CNE

1 … 1

R

()

@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

1 … 1

R

()

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 CWE

0 … 1

R

i (Suffix): ITC examined by Immunhistochemistry

()

hl7:name

CV CNE

1 … 1

R

()

@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 CNE

1 … 1

R

()

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 CWE

0 … 1

R

mol (Suffix): ITC examined by Molecular pathology

()

hl7:name

CV CNE

1 … 1

R

()

@code

cs

1 … 1

F

tnmMol

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

hl7:value

CD CNE

1 … 1

R

()

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 CWE

0 … 1

C

Qualifier for Sentinel node: sn (Suffix)

()

hl7:name

CV CNE

1 … 1

R

()

@code

cs

1 … 1

F

tnmSn

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

hl7:value

CV CWE

1 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.42 UICC Sentinel Node (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)

()

hl7:informant

II

0 … *

R

Contains 1.3.6.1.4.1.19376.1.8.1.4.6 CDA Informant(Header&Body) APSR2 (DYNAMIC)

()

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)

()

Included 1 … * R from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)

hl7:specimen

1 … *

R

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 … 2

R

Contains 1.3.6.1.4.1.19376.1.3.10.9.37 TNM Number of nodes (DYNAMIC)

()

@typeCode

cs

1 … 1

F

SPRT

@@ Zeile 1: / Zeile 1: @@
 <
 <div><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">Source: PaLM TF Suppl. APSR 2.0-3:</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);"> 6.3.6.2</span>
-</div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>CDA author IHE</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMNObs…</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>CDA Informant(Header&amp;Body) APSR2</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMNObs…</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:participant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Additional participants<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.6</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.7 <i>Additional participant in an entry APSR (Body)</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMNObs…</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 2</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Contains 1.3.6.1.4.1.19376.1.3.10.9.37 <i>TNM Number of nodes</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMNObs…</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPRT</td></tr></table></td></tr></table>
+</div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>CDA author IHE</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>CDA Informant(Header&amp;Body) APSR2</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:participant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Additional participants<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.6</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.7 <i>Additional participant in an entry APSR (Body)</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 2</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Contains 1.3.6.1.4.1.19376.1.3.10.9.37 <i>TNM Number of nodes</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPRT</td></tr></table></td></tr></table>

1.3.6.1.4.1.19376.1.3.10.9.26/static-2014-12-02T163450: Unterschied zwischen den Versionen

Version vom 17. Juli 2017, 20:18 Uhr

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