| Item | DT | Card | Conf | Description | Label |
|---|
| | 0 … 1 | R | | PaLM… TNM |
 | @classCode
|
| cs | 1 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | ENV |
| @negationInd
|
| bl | 0 … 1 | | |
| hl7:templateId
|
| II | 1 … 1 | M | | PaLM… TNM |
 | | @root
|
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.10.4.2 |
| hl7:id
|
| II | 0 … * | R | | PaLM… TNM |
| hl7:code
|
| CE CWE | 1 … 1 | M | | PaLM… TNM |
| | CONF | | @code shall be "21902-2" | | @codeSystem shall be "2.16.840.1.113883.6.1" | | @codeSystemName shall be "LOINC" | | or | | @code shall be "tnmStage" | | @codeSystem shall be "1.2.276.0.76.3.1.131.1.5.1" | | @codeSystemName shall be "DKG Coding Scheme" | | @displayName shall be "tumor stage" |
|
| hl7:text
|
| ED | 0 … 1 | R | | PaLM… TNM |
| | Example | <text> PATHOLOGIC STAGE (AJCC 7th Edition): IIA </text> |
| hl7:statusCode
|
| CS CNE | 1 … 1 | M | | PaLM… TNM |
| | 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) | | or | The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 (DYNAMIC) | Error: Cannot find value set "1.3.6.1.4.1.19376.1.3.11.2" |
|
|
| hl7:effectiveTime
|
| IVL_TS | 1 … 1 | M | | PaLM… TNM |
| hl7:value
|
| CD CWE | 0 … 1 | R | | PaLM… TNM |
| | CONF | | The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.46 UICC Stage (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 Laboratory Performer (DYNAMIC) | PaLM… TNM |
| | 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 IHE (DYNAMIC) | PaLM… TNM |
| hl7:informant
|
| II | 0 … * | R | 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… TNM |
| hl7:participant
|
| II | 0 … * | R | 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… TNM |
| Included | 1 … * | M | from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC) |
| hl7:specimen
|
| | 1 … * | M | 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 |
| | 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 |
| hl7:entryRelationship
|
| | 0 … 1 | R | staged after multimodal (neoadjuvant) therapy
Contains 1.3.6.1.4.1.19376.1.3.10.9.32 TNM y (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | first staged at autopsy
Contains 1.3.6.1.4.1.19376.1.3.10.9.30 TNM a (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | staged after relapse
Contains 1.3.6.1.4.1.19376.1.3.10.9.31 TNM r (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 1 … 1 | R | T: T category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.25 TNM T-Observation (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 1 … 1 | R | N: N category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.26 TNM N-Observation (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | M: M category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.27 TNM M-Observation (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | Serum tumor markers stage descriptor
Contains 1.3.6.1.4.1.19376.1.3.10.9.33 TNM Serum tumor markers (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | Descriptor for lymphatic invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.34 TNM Lymphatic Invasion (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | Descriptor for venous invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.35 TNM Venous Invasion (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | Descriptor for perineurial invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.36 TNM Perineural Invasion (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 1 … 1 | R | TNM-Grading
Contains 1.3.6.1.4.1.19376.1.3.10.9.28 TNM Grading (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| hl7:entryRelationship
|
| | 0 … 1 | R | Status of residual tumor
Contains 1.3.6.1.4.1.19376.1.3.10.9.29 TNM R-status (DYNAMIC) | PaLM… TNM |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
Draft
