1.3.6.1.4.1.19376.1.8.1.4.9/static-2014-05-14T170954: Unterschied zwischen den Versionen

Version vom 7. Februar 2017, 03:41 Uhr

Id 1.3.6.1.4.1.19376.1.8.1.4.9 Effective Date valid from 2014‑05‑14 17:09:54

Status Draft Version Label 2.0

Name APObservationEntry Display Name AP Observation Entry

Description

This content module is usable within a Problem organizer.

The “AP Observation” generic template is usable for all AP observations, including ancillary techniques.

An AP observation has a status and an effective time, may describe various participants (persons, devices, organizations), may have a number of additional properties (method, interpretation, text), and may contain embedded images, comments, and sub-observations, which are also AP observations.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.4.9

Label PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

Classification CDA Entry Level Template

Open/Closed Closed (only defined elements are allowed)

Associated with

Associated with 3 concepts

Id	Name	Data Set
psr-dataelement-47	Observation	APSR 2.0
psr-dataelement-65	Generic AP observation	APSR 2.0
psr-dataelement-57	Scoring systems	APSR 2.0

Used by / Uses

Used by 9 templates, Uses 8 templates

Used by Template id	as	Name	Version
1.3.6.1.4.1.19376.1.8.1.3.6	Containment	Problem Organizer (2.0)	2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.3.10.3.1		Additional Specified Observation Section (2.0)	2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.8.1.1.1		Anatomic Pathology Structured Report (2.0)	2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1		Clinical Information Section (2.0)	2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2		Intraoperative Observation Section (2.0)	2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3		Macroscopic Observation Section (2.0)	2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4		Microscopic Observation Section (2.0)	2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5		Diagnostic Conclusion Section (2.0)	2014‑05‑13 19:31:26
1.3.6.1.4.1.19376.1.8.1.4.9	Containment	AP Observation Entry (2.0)	2014‑05‑14 17:09:54
Uses Template id	as	Name	Version
1.3.6.1.4.1.19376.1.3.3.1.7	Containment	CDA Performer IHE (Body)	DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.2	Containment	CDA author	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
1.3.6.1.4.1.19376.1.8.1.4.10	Containment	Embedded Image IHE	DYNAMIC
2.16.840.1.113883.10.12.307	Containment	CDA RegionOfInterest	DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.1	Include	X Specimen Identified	DYNAMIC

Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)

Example

Observation example

Item DT Card Conf Description Label

hl7:observation

0 … *

R

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@classCode

cs

1 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

@negationInd

bl

0 … 1

Associated with concepts:

psr-dataelement-47	Observation	APSR 2.0
psr-dataelement-65	Generic AP observation	APSR 2.0
psr-dataelement-57	Scoring systems	APSR 2.0

hl7:templateId

II

1 … 1

M

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.8.1.4.9

hl7:id

II

0 … *

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:code

CE CWE

1 … 1

M

The Anatomic pathology observation code should be taken from a reference terminology, preferably the LOINC terminology. National terminologies may be used.

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@code

CONF

1 … 1

F

each_code_for_observable_entities_or_a_specific_procedure

@codeSystem

1 … 1

F

2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)

@displayName

1 … 1

F

see_above

@codeSystemName

1 … 1

F

LOINC

Example <code code="59847-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Histology and Behavior ICD-O-3"/>

hl7:text

ED

0 … 1

Narrative text about the observation

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:statusCode

CS CNE

1 … 1

M

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

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)

hl7:effectiveTime

IVL_TS

1 … 1

M

Observation time

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:value

ANY

0 … *

R

Observation values using the appropriate data type.

Numeric results use data type PQ, which includes the unit. The result is absent in case of ‘aborted’ observation.

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

Constraint The default data type, cardinalities and value set for the <value> element are dependant on the type of observation.

Constraint

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.11 AP Observation (DYNAMIC)

Example

for observation on tumor type

<value code="8500/3" codeSystem="2.16.840.1.113883.6.43.1" codeSystemName="ICD-O-3" displayName="Invasive carcinoma of the breast, no special type"/>

hl7:interpretationCode

CE CWE

0 … 1

R

One or more codes interpreting the result, expressed with ObservationInterpretation vocabulary (e.g., H = high, L = low). In case of a antimicrobial susceptibility test in microbiology, the vocabulary domain is ObservationInterpretationSusceptibility:

S = susceptible
R = resistant
I = intermediate
SDD = Susceptible-dose dependent

This element may be coded with other values than those of the ObservationInterpretation vocabulary, given that the coding strength is CWE (coded with exceptions).

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 Observation Interpretation (HL7) (DYNAMIC)

hl7:methodCode

CE CWE

0 … 1

R

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)

hl7:performer

II

0 … 1

C

Performing lab

Source: PaLM TF-3: 6.3.2.20

Contains 1.3.6.1.4.1.19376.1.3.3.1.7 CDA Performer IHE (Body) (DYNAMIC)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

Constraint The performing laboratory is present at this level only if this particular observation was performed by a (subcontractor) laboratory distinct from the one issuing the rest of the observations in this organizer.

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 (DYNAMIC)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:informant

II

0 … *

Informant

Source: PaLM TF 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 TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:participant

II

0 … *

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)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

hl7:entryRelationship

0 … *

Sub-Observation

The result obtained for an observation may lead to an additional AP observation to refine this result. This sub-observation is again an Anatomic Pathology Observation.

Source: Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.7

Contains 1.3.6.1.4.1.19376.1.8.1.4.9 AP Observation Entry (DYNAMIC)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@typeCode

cs

1 … 1

F

COMP

hl7:entryRelationship

0 … *

Embedded image.

This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest.

Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.8

Contains 1.3.6.1.4.1.19376.1.8.1.4.10 Embedded Image IHE (DYNAMIC)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@typeCode

cs

1 … 1

F

COMP

hl7:entryRelationship

0 … *

Region of Interest

Contains 2.16.840.1.113883.10.12.307 CDA RegionOfInterest (DYNAMIC)

PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation

@typeCode

cs

1 … 1

F

COMP

Constraint This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest.
In the latter case by an entryRelationship @typeCode="SUBJ"

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

Example

Example for specimen referencing

<specimen>  <specimenRole> <id root="1.3.6.1.4.1.19376.1.8.1.4.999999" extension="slide_A_1_PR"/> </specimenRole></specimen>

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

Associated with concepts:

psr-dataelement-17

Specimen identification

APSR 2.0

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

Associated with concepts:

psr-dataelement-68	Tissue section ID	APSR 2.0
psr-dataelement-98	Specimen ID	APSR 2.0
psr-dataelement-66	Part ID	APSR 2.0
psr-dataelement-67	Block ID	APSR 2.0
psr-dataelement-95	Parent ID	APSR 2.0

@@ Zeile 18: / Zeile 18: @@
 </div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.10 <i>Embedded Image IHE</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation</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">COMP</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 … *</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Region of Interest<br /><br /><br /><br /><br /><br />
 <div><span style="font-kerning: none"><br /></span>
-</div><br />Contains 2.16.840.1.113883.10.12.307 <i>CDA RegionOfInterest</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation</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">COMP</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. <br />In the latter case by an entryRelationship @typeCode="SUBJ"</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)<br />Specimen identification<br /></td></tr><tr class="explabel" style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>Example for specimen referencing</div><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">specimen</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- which specimen is used for this observation --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">specimenRole</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.999999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">slide_A_1_PR</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">&gt;</span></span></tt></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><span style="color: rgb(51, 51, 51); font-family: Verdana, Arial, sans-serif; font-size: 12px; background-color: rgb(255, 234, 234);">Required when more than one specimen is documented at this level. </span>This is often the case 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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">Specimen identification</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">Tissue section ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Specimen ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">Part ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">Block ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Parent ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr></table></td></tr></table>
+</div><br />Contains 2.16.840.1.113883.10.12.307 <i>CDA RegionOfInterest</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.0‑3: 6.3.6.7 AP observation</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">COMP</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. <br />In the latter case by an entryRelationship @typeCode="SUBJ"</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)<br />Specimen identification<br /></td></tr><tr class="explabel" style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>Example for specimen referencing</div><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppelement">specimen</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- which specimen is used for this observation --&gt;<br /></span></span><span style="display: block;" class="explrendered">  <span class="ppsign">&lt;</span><span class="ppelement">specimenRole</span><span class="ppsign">&gt;</span><br /><span style="display: block;" class="explrendered">    <span class="ppsign">&lt;</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.999999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">slide_A_1_PR</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">&gt;</span></span>  <span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">&gt;</span></span><span class="ppsign">&lt;/</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">&gt;</span></span></tt></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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">Specimen identification</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">Tissue section ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Specimen ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">Part ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">Block ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-data&#8203;element-</span>95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Parent ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr></table></td></tr></table>

1.3.6.1.4.1.19376.1.8.1.4.9/static-2014-05-14T170954: Unterschied zwischen den Versionen

Version vom 7. Februar 2017, 03:41 Uhr

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