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

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Version vom 21. November 2017, 03:19 Uhr

Id1.3.6.1.4.1.19376.1.3.10.9.26Effective Date valid from 2014‑12‑02 16:34:50
StatusKyellow.png DraftVersion Label2.0
NameTNMNObservationDisplay NameTNM N-Observation
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.26
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 5 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.3.10.4.2ContainmentKyellow.png TNM Stage Observation (2.0)2014‑05‑13 15:45:13
1.3.6.1.4.1.19376.1.3.10.4.1Link.pngKcancelledblue.png Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
Uses as NameVersion
1.3.6.1.4.1.19376.1.8.1.4.2ContainmentKyellow.png CDA author IHEDYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.6ContainmentKyellow.png CDA Informant(Header&Body) APSR2 (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.7ContainmentKyellow.png Additional participant in an entry APSR (Body)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen IdentifiedDYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.37ContainmentKyellow.png TNM Number of nodes (2.0)DYNAMIC
RelationshipSpecialization: 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="EVN" negationInd="false">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.9.26"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21900-6 " codeSystem="2.16.840.1.113883.6.1" displayName="Regional lymph nodes.pathology [Class] Cancer"/>  <statusCode code="completed"/>  <value xsi:type="CD" code="62455006" displayName="N0 category (finding)" codeSystem="2.16.840.1.113883.6.96">
    <qualifier>
      <name code="tnmCFactor" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="C1" displayName="C1" codeSystem="2.16.840.1.113883.15.6"/>    </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="396991001" codeSystem="2.16.840.1.113883.6.96" displayName="Biopsy site (observable entity)"/>      <value code="373193000" codeSystem="2.16.840.1.113883.6.96" displayName="Lymph node from sentinel lymph node dissection (specimen)"/>    </qualifier>  </value>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* R -->
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.37 'TNM Number of nodes' (dynamic) -->
  </entryRelationship></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1R(TNM…ion)
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1M(TNM…ion)
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.9.26
Treetree.pnghl7:id
II0 … *R(TNM…ion)
Treetree.pnghl7:code
CE CNE1 … 1M(TNM…ion)
 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)"
Treetree.pnghl7:text
ED0 … 1R(TNM…ion)
Treetree.pnghl7:statusCode
CS CNE1 … 1M(TNM…ion)
 ConstraintThe 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 (DYNAMIC)
Alert.pngError: Cannot find value set "1.3.6.1.4.1.19376.1.3.11.2"
Treetree.pnghl7:value
CD1 … 1R(TNM…ion)
 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 1.3.6.1.4.1.19376.1.3.11.44 UICC N category (DYNAMIC)
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1RC-Factor (Certainty)(TNM…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1R(TNM…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmCFactor
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CWE0 … 1R(TNM…ion)
 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)
Treeblank.pngTreetree.pnghl7:qualifier
CR CWE1 … 1Rc/p/...(TNM…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1R(TNM…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmCp
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CWE1 … 1R(TNM…ion)
 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)
Treeblank.pngTreetree.pnghl7:qualifier
CR CWE0 … 1Ci (Suffix) in pN0: ITC examined by Immunhistochemistry



(TNM…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1R(TNM…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmI
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CNE1 … 1R(TNM…ion)
 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)
Treeblank.pngTreetree.pnghl7:qualifier
CR CWE0 … 1Cmol (Suffix) in pN0: ITC examined by Molecular pathology techniques

(TNM…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1R(TNM…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmMol
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CNE1 … 1R(TNM…ion)
 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)
Treeblank.pngTreetree.pnghl7:qualifier
CR CWE0 … 1CQualifier for Sentinel node: 

sn (Suffix)


(TNM…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1R(TNM…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmSn
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CV CWE1 … 1R(TNM…ion)
 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)
Treetree.pnghl7:author
II0 … *CAuthor


   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)		(TNM…ion)
Treetree.pnghl7:informant
II0 … *RContains 1.3.6.1.4.1.19376.1.8.1.4.6 CDA Informant(Header&Body) APSR2 (DYNAMIC)(TNM…ion)
Treetree.pnghl7:participant
II0 … *RAdditional 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)		(TNM…ion)
Included1 … *R from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)
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
Treetree.pnghl7:entryRelationship
0 … 2RContains 1.3.6.1.4.1.19376.1.3.10.9.37 TNM Number of nodes (DYNAMIC)(TNM…ion)
Treeblank.png where [hl7:observation [hl7:code [(@code='118553007' and @codeSystem='2.16.840.1.113883.6.96')]]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
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