Template APObservationEntry
Beschreibung
Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF).This Content Module is usable within a Problem Organizer.The “AP Observation” generic template is usable for all AP observations, including ancillary techniques.Each specific AP observation is associated to a specific template, child of the “AP Observation” generic template. This specific child template has exactly the same structure as the generic one, and brings only a number of vocabulary constraints related to the type of observation and to the type of organ source of the specimen observed: The code for the specific observation, defined as a value set bound to the observation/code element, containing a single triplet (code, codeSystem, displayName) representing this specific observation.The cardinalities and default type for the observation/value element carrying the results of this observation.The domain of values for this observation in case these values are coded. This domain of coded values is defined as a value set bound to the observation/value element, containing as many triplets (code, codeSystem, displayName) as there are admissible result values for this specific observation performed on a specimen taken from this specific organ.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.
Aktuelle Version
Id | 2.16.840.1.113883.2.6.60.6.10.9 | Gültigkeit | gültig ab 2014‑05‑14 17:09:54 |
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Status | Entwurf | Versions-Label | |
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Name | APObservationEntry | Anzeigename | AP Observation Entry |
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Beschreibung | Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF).
This Content Module is usable within a Problem Organizer. The “AP Observation” generic template is usable for all AP observations, including ancillary techniques. Each specific AP observation is associated to a specific template, child of the “AP Observation” generic template. This specific child template has exactly the same structure as the generic one, and brings only a number of vocabulary constraints related to the type of observation and to the type of organ source of the specimen observed: - The code for the specific observation, defined as a value set bound to the observation/code element, containing a single triplet (code, codeSystem, displayName) representing this specific observation.
- The cardinalities and default type for the observation/value element carrying the results of this observation.
- The domain of values for this observation in case these values are coded. This domain of coded values is defined as a value set bound to the observation/value element, containing as many triplets (code, codeSystem, displayName) as there are admissible result values for this specific observation performed on a specimen taken from this specific organ.
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.
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Kontext | Elternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.9 |
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Klassifikation | CDA Entry Level Template |
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Offen/Geschlossen | Geschlossen (nur definierte Elemente sind erlaubt) |
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Assoziiert mit | Assoziiert mit 1 Konzept | Id | Name | Datensatz |
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psr-dataelement-47 | | PSR |
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Benutzt von / Benutzt | Benutzt von 9 Templates, Benutzt 3 Templates | Benutzt von Template-Id | als | Name | Version |
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2.16.840.1.113883.2.6.60.6.10.36 | | TNM Grading | 2015‑11‑15 13:01:18 | 2.16.840.1.113883.2.6.60.6.10.14 | | TNM Observation | 2014‑05‑13 15:45:13 | 2.16.840.1.113883.2.6.60.6.10.34 | | Problem Organizer | 2015‑08‑13 10:24:55 | 2.16.840.1.113883.2.6.60.6.10.2 | | Intraoperative Observation Section | 2014‑05‑13 19:29:16 | 2.16.840.1.113883.2.6.60.6.10.1 | | Pathology Structured Report | 2014‑05‑13 11:57:57 | 2.16.840.1.113883.2.6.60.6.10.4 | | Diagnostic Conclusion Section | 2014‑05‑13 19:31:26 | 2.16.840.1.113883.2.6.60.6.10.5 | | Clinical Information Section | 2014‑05‑13 14:38:08 | 2.16.840.1.113883.2.6.60.6.10.6 | | Microscopic Observation Section | 2014‑05‑13 14:25:17 | 2.16.840.1.113883.2.6.60.6.10.7 | | Macroscopic Observation Section | 2014‑05‑13 11:57:09 | Benutzt Template-Id | als | Name | Version |
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2.16.840.1.113883.2.6.60.6.10.13 | Containment | SpecimenIdentification | DYNAMIC | 1.2.276.0.76.10.90014 | Containment | CDAPerformerBody | DYNAMIC | 1.2.276.0.76.10.90025 | Containment | CDAAuthorBody | DYNAMIC |
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Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.303 (2005‑09‑07) |
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Beispiel | Observation example | <observation negationInd="false" classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.12.303"/> <templateId root="2.16.840.1.113883.2.6.60.6.10.9"/> <id root="1.2.3.999" extension="--example only--"/> <code/> <derivationExpr/> <text/> <statusCode code="normal"/> <effectiveTime> <low value="20141217162315"/> </effectiveTime> <priorityCode code="A" displayName="ASAP" codeSystem="2.16.840.1.113883.5.7"/> <repeatNumber/> <languageCode code=""/> <value xsi:type="CD"/> <interpretationCode code="Carrier" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/> <methodCode code="0001" displayName="Complement fixation" codeSystem="2.16.840.1.113883.5.84"/> <targetSiteCode/> <subject> <!-- template CDASubjectBody (dynamic) --> </subject> <specimen> <!-- template Specimen Identification (dynamic) --> </specimen> <performer> <!-- template CDAPerformerBody (dynamic) --> </performer> <author> <!-- template CDAAuthorBody (dynamic) --> </author> <informant> <!-- template CDAinformantBody (dynamic) --> </informant> <participant> <!-- template CDAParticipantBody (dynamic) --> </participant> <entryRelationship negationInd="false" typeCode="CAUS" inversionInd="false" contextConductionInd="false"> <sequenceNumber value="1"/> <seperatableInd value="false"/> <reference> <!-- template CDAReference (dynamic) --> </reference> <precondition> <!-- template CDAPrecondition (dynamic) --> </precondition> <referenceRange typeCode="REFV"> <observationRange classCode="OBS" moodCode="EVN.CRT"> <code/> <text/> <value xsi:type="ANY"/> <interpretationCode code="Carrier" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/> </observationRange> </referenceRange> </entryRelationship></observation> |
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Zusammenstellung aller Versionen dieses Templates