1.3.6.1.4.1.19376.1.3.10.3.1/static-2016-11-13T142808

Id	1.3.6.1.4.1.19376.1.3.10.3.1	Effective Date	valid from 2016‑11‑13 14:28:08
Status	Draft	Version Label	2.0
Name	AdditionalSpecifiedObservationSection	Display Name	Additional Specified Observation Section
Description	Template CDA Section (prototype, directly derived from POCD_RM000040 MIF) The Additional Specified Observation section includes additional pathologic finding(s) and the results of ancillary study(yes) with non-morphological methods (e.g. flow cytometry, cytogenetics, molecular pathology, etc.) and may include diagrams and still images or virtual slides, if taken. The only entry for this section is the Problem Organizer Entry module.
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.3.1
Label	PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section
Classification	CDA Section Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 1 concept Id Name Data Set psr-data​element-96 Additional Specified Observation APSR 2.0
Used by / Uses	Used by 1 template, Uses 3 templates Used by Template id as Name Version 1.3.6.1.4.1.19376.1.8.1.1.1 Containment Anatomic Pathology Structured Report (2.0) 2014‑05‑13 11:57:57 Uses Template id as Name Version 2.16.840.1.113883.10.12.318 Containment CDA Author (Body) DYNAMIC 1.3.6.1.4.1.19376.1.8.1.4.6 Containment CDA Informant(Header&Body) APSR2 (2.0) DYNAMIC 1.3.6.1.4.1.19376.1.8.1.3.6 Containment Problem Organizer (2.0) DYNAMIC
Relationship	Adaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Example	generated example <section classCode="DOCSECT" moodCode="EVN">   <templateId root="1.3.6.1.4.1.19376.1.3.10.3.1"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="57025-9" displayName="Data Criteria section" codeSystem="2.16.840.1.113883.6.1"/>  <title/>  <text/>  <languageCode code="aa"/>  <author>     <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (dynamic) -->   </author>  <informant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (dynamic) -->   </informant>  <entry typeCode="COMP" contextConductionInd="true">     <!-- template 1.3.6.1.4.1.19376.1.8.1.3.6 'Problem Organizer' (dynamic) -->   </entry></section>
Item DT Card Conf Description Label hl7:section 0 … * R PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section @classCode cs 0 … 1 F DOCSECT @moodCode cs 0 … 1 F EVN   Associated with concepts: psr-data​element-96 Additional Specified Observation APSR 2.0 hl7:templateId II 1 … 1 M PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.3.1 hl7:id II 0 … 1 PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section hl7:code CE 1 … 1 R PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section   Constraint The LOINC code SHALL be chosen according the specified observation type   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10871 DocumentSectionType (DYNAMIC) or @code shall be "xxxxx-x" @codeSystem shall be "2.16.840.1.113883.6.1" @displayName shall be "specified observation" @codeSystemName shall be "LOINC" hl7:title ST 1 … 1 R Title of the specified observation PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section   Example MP observation <text>Molecular Pathology observation</text> hl7:text SD.TEXT 1 … 1 R PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section hl7:language​Code CS 0 … 1 PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC) hl7:author 0 … * Source: PaLM Suppl. APSR 2.0-3: 6.3.6.2 Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section hl7:informant 0 … * Source: PaLM 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 (DYNAMIC) PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section hl7:entry 0 … * Source: PaLM Suppl. APSR 2.0-3: 6.2.5.2 Contains 1.3.6.1.4.1.19376.1.8.1.3.6 Problem Organizer (DYNAMIC) PaLM Suppl. 2.0‑3: 6.3.4.5 Addtional specified observation section @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 0 … 1 F true