2.16.840.1.113883.2.6.60.6.10.23: Unterschied zwischen den Versionen

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=Template ''TNMTObservation''=
 
=Template ''TNMTObservation''=
 
==Beschreibung==
 
==Beschreibung==
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<p>Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)
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<p>Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)T-Observation:The following details are provided as qualifiers:clinical/phologicalCertainty Factormultiple tumors + multiplicitymi-SymbolMucosa-level of infiltrationSubmucosa-level of infiltration</p>
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                    T-Observation:The following details are provided as qualifiers:
 
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                            clinical/phological
 
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                            Certainty Factor
 
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                            multiple tumors + multiplicity
 
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                            mi-Symbol
 
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                            Mucosa-level of infiltration
 
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                            Submucosa-level of infiltration
 
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                </p>
 
 
==Aktuelle Version==
 
==Aktuelle Version==
 
{{:{{BASEPAGENAME}}/dynamic}}
 
{{:{{BASEPAGENAME}}/dynamic}}

Aktuelle Version vom 10. Juni 2016, 11:11 Uhr

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Template TNMTObservation

Beschreibung

Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)T-Observation:The following details are provided as qualifiers:clinical/phologicalCertainty Factormultiple tumors + multiplicitymi-SymbolMucosa-level of infiltrationSubmucosa-level of infiltration

Aktuelle Version

Id2.16.840.1.113883.2.6.60.6.10.23Gültigkeit gültig ab 2014‑12‑02 15:54:17
StatusKyellow.png EntwurfVersions-Label
NameTNMTObservationAnzeigenameTNM T-Observation
BeschreibungTemplate CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)

T-Observation:
The following details are provided as qualifiers:
  • clinical/phological
  • Certainty Factor
  • multiple tumors + multiplicity
  • mi-Symbol
  • Mucosa-level of infiltration
  • Submucosa-level of infiltration

KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.23
KlassifikationCDA Entry Level Template
Offen/GeschlossenGeschlossen (nur definierte Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 1 Konzept
IdNameDatensatz
psr-data​element-6PSR
Benutzt von / Benutzt
Benutzt von 8 Templates, Benutzt 1 Template
Benutzt von Template-Id als NameVersion
2.16.840.1.113883.2.6.60.6.10.14TNM Observation2014‑05‑13 15:45:13
2.16.840.1.113883.2.6.60.6.10.34Link.pngProblem Organizer2015‑08‑13 10:24:55
2.16.840.1.113883.2.6.60.6.10.2Link.pngIntraoperative Observation Section2014‑05‑13 19:29:16
2.16.840.1.113883.2.6.60.6.10.1Link.pngPathology Structured Report2014‑05‑13 11:57:57
2.16.840.1.113883.2.6.60.6.10.4Link.pngDiagnostic Conclusion Section2014‑05‑13 19:31:26
2.16.840.1.113883.2.6.60.6.10.5Link.pngClinical Information Section2014‑05‑13 14:38:08
2.16.840.1.113883.2.6.60.6.10.6Link.pngMicroscopic Observation Section2014‑05‑13 14:25:17
2.16.840.1.113883.2.6.60.6.10.7Link.pngMacroscopic Observation Section2014‑05‑13 11:57:09
Benutzt Template-Id als NameVersion
2.16.840.1.113883.2.6.60.6.10.13ContainmentSpecimenIdentificationDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Beispiel
Beispiel
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.2.6.60.6.10.23"/>
  <templateId root="2.16.840.1.113883.10.12.303"/>
  <id root="1.2.3.999" extension="--example only--"/>
  <code code="21899-0" codeSystem="2.16.840.1.113883.6.1"/>
  <statusCode code="normal"/>
  <effectiveTime>
    <low value="20151116093021"/>
  </effectiveTime>  <value xsi:type="CD" code="261663004" displayName="Tumor stage Ta (tumor staging)" 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="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="tnmMultiple" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
      <value value="false"/>
    </qualifier>    <qualifier value="1">
      <name code="tnmMultiplicity" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
    </qualifier>    <qualifier>
      <name code="tnmMucosaSymbol" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
      <value code="m1" displayName="m1" codeSystem="2.16.840.1.113883.15.6"/>
    </qualifier>    <qualifier>
      <name code="tnmSubmucosaSymbol" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>
      <value code="sm1" displayName="sm1" codeSystem="2.16.840.1.113883.15.6"/>
    </qualifier>  </value>  <specimen>
    <!-- template 2.16.840.1.113883.2.6.60.6.10.13 'Specimen Identification' (dynamic) -->
  </specimen></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
1 … 1M(TNMTObservation)
Treetree.png@classCode
1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(TNMTObservation)
Treeblank.pngTreetree.png@root
1 … 1F2.16.840.1.113883.2.6.60.6.10.23
Treetree.pnghl7:templateId
II1 … 1R(TNMTObservation)
Treeblank.pngTreetree.png@root
1 … 1F2.16.840.1.113883.10.12.303
Treetree.pnghl7:id
II0 … *(TNMTObservation)
Treetree.pnghl7:code
CD CNE1 … 1Mthe observation can be indicated either by a LOINC or Snomed code.
(TNMTObservation)
 CONF
@code muss "21899-0" sein
@codeSystem muss "2.16.840.1.113883.6.1" sein
@codeSystemName muss "LOINC" sein
oder
@code muss "78873005" sein
@codeSystem muss "2.16.840.1.113883.6.96" sein
@displayName muss "T category (observable entity)" sein
@codeSystemName muss "Snomed CT" sein
Treetree.pnghl7:statusCode
CS1 … 1R(TNMTObservation)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1(TNMTObservation)
Treetree.pnghl7:value
CD1 … 1M(TNMTObservation)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.5 UICC T category (SCT) (DYNAMIC)
oder
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.22 UICC T category (DYNAMIC)
 Target.pngZiel der Konzept Id(s):
psr-data​element-6PSR
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1RC-Factor (Certainty)(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 CNE1 … 1M(TNMTObservation)
 ConstraintEN-US.png in PSR only C4 allowed
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.8 UICC C-Factor (SCT) (DYNAMIC)
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1how is the T-value determined:
- clinically ("c")
-- ultrasound
-- CT
-- MR
- pathologically, postoperatively ("p")
(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 CNE1 … 1M(TNMTObservation)
 ConstraintEN-US.png in PSR only "p" allowed
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.11 UICC clinical/pathological (DYNAMIC)
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1RtnmMuliple:
multiple, simultaneous tumors in one organ;
here: a boolean indicator that there are multiple tumors  ("m") without any numbers
(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 … 1FtnmMultiple
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
BL1 … 1M(TNMTObservation)
Treeblank.pngTreetree.pnghl7:qualifier
INT.​NONNEG0 … 1RtnmMultiplicity:
multiple, simultaneous tumors in one organ;
here the number is given ("number of tumors");
(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.png@value
int1 … 1R
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 … 1FtnmMultiplicity
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1RMukosa:

(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 … 1FtnmMucosaSymbol
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CNE1 … 1M(TNMTObservation)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.15 UICC Mucosa (DYNAMIC)
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1RSubmucosa:(TNMTObservation)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(TNMTObservation)
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 … 1FtnmSubmucosaSymbol
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD CNE1 … 1M(TNMTObservation)
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.2.6.60.6.11.16 UICC Submucosa (DYNAMIC)
Treetree.pnghl7:specimen
0 … *Beinhaltet 2.16.840.1.113883.2.6.60.6.10.13 Specimen Identification (DYNAMIC)(TNMTObservation)

Zusammenstellung aller Versionen dieses Templates

Abgerufen von „https://wiki.hl7.de/index.php?title=2.16.840.1.113883.2.6.60.6.10.23&oldid=30328“