Item | DT | Card | Conf | Description | Label |
---|
| | 1 … 1 | M | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| @classCode
|
| cs | 0 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | EVN |
| hl7:templateId
|
| II | 1 … 1 | M | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| | @root
|
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.10.4.3 |
| hl7:id
|
| II | 0 … 1 | R | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| hl7:code
|
| CD CWE | 1 … 1 | M | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| CONF | @code shall be "59847-4" | @codeSystem shall be "2.16.840.1.113883.6.1" | @displayName shall be "Histology and behavior ICD-O-3" | @codeSystemName shall be "LOINC" | or | @code shall be "397005006" | @codeSystem shall be "2.16.840.1.113883.6.96" | @displayName shall be "WHO tumor classification (observable entity)" | @codeSystemName shall be "SNOMED-CT" |
|
| hl7:derivationExpr
|
| ST | | NP | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| hl7:text
|
| ED | 0 … 1 | R | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| Example | <text> ICD-O-3: C50.3L_8500/32</text> |
| hl7:statusCode
|
| CS CNE | 1 … 1 | R | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| 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 | 0 … 1 | R | | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| hl7:value
|
| CV | 1 … 1 | R | Morphology axis code. A complete code consists of 6 digits (for morphology, behavior and grading), the latter both separated by "/" after the 4th digit in morphology.
Behavior and differentiation are coded as sub-observations | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| CONF | The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.33 ICD-O-3 Morphology (DYNAMIC) |
|
| | Associated with concepts:psr-dataelement-54 | Tumor classification (ICD-O-3) | APSR 2.0 |
|
| Example | invasive breast cancer, NST, moderately differentiated <value xsi:type="CV" code="8500/32" codeSystem="2.16.840.1.113883.6.43.1"/> |
| hl7:author
|
| | 0 … 1 | C | Contains 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author (DYNAMIC) | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
Included | 1 … * | R | from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC) |
| 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 |
| cs | 0 … 1 | F | SPEC |
| 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 |
|
| hl7:entryRelationship
|
| | 1 … 1 | R | 5th digit in the morphology code Contains 1.3.6.1.4.1.19376.1.3.10.9.38 ICD-O-3 Behavior (DYNAMIC) | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | 6th digit in the morphology code Contains 1.3.6.1.4.1.19376.1.3.10.9.39 ICD-O-3 Differentiation (DYNAMIC) | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | optional grading by a scoring system, e.g. by means of the Elston-Ellis-Scoring-System in case of invasive breast cancer (ICD-O C50)
Contains 1.3.6.1.4.1.19376.1.3.10.4.4 Assessment Scales Observation for Scoring Systems APSR2 (DYNAMIC) | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |
| | @typeCode
|
| cs | 1 … 1 | F | COMP |
| hl7:reference
|
| | 0 … * | | Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC) | PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3 |