1.3.6.1.4.1.19376.1.3.10.9.39/static-2015-12-09T171230

Id	1.3.6.1.4.1.19376.1.3.10.9.39	Effective Date	valid from 2015‑12‑09 17:12:30
Status	Draft	Version Label	2.0
Name	ICD-O-3Differentiation	Display Name	ICD-O-3 Differentiation
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF) Differentiation, sive grading code
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.39
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 1 template, Uses 2 templates Used by as Name Version 1.3.6.1.4.1.19376.1.3.10.4.3 Containment ICD-O-3 Typing and Grading Observation (2.0) 2015‑11‑29 17:03:18 Uses as Name Version 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified DYNAMIC 2.16.840.1.113883.10.12.300 Containment CDA Clinical Statement DYNAMIC
Relationship	Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example	for use case #1 <observation classCode="OBS" moodCode="EVN" negationInd="false">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.39"/>  <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_ICDO_D"/>  <code code="21858-6" codeSystem="2.16.840.1.113883.6.1" displayName="Grade Cancer"/>  <statusCode code="completed"/>  <value xsi:type="CD" code="1" displayName="1" codeSystem="2.16.840.1.113883.6.43.1"/>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* R -->   <specimen typeCode="SPC">     <specimenRole classCode="SPEC">       <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_slide_A1_HE"/>    </specimenRole>  </specimen>  <entryRelationship typeCode="EVN">     <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (dynamic) -->   </entryRelationship></observation>
Item DT Card Conf Description Label hl7:observation 0 … 1 R (ICDion) @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN @negationInd bl 0 … 1   hl7:templateId II 1 … 1 M (ICDion) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.39 hl7:id II 0 … * R (ICDion) hl7:code CD CNE 1 … 1 R (ICDion)   CONF @code shall be "263522009" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "SNOMED CT" @displayName shall be "Degree of differentiation (attribute)" or @code shall be "21858-6" @codeSystem shall be "2.16.840.1.113883.6.1" @codeSystemName shall be "LOINC" @displayName shall be "Grade Cancer" hl7:statusCode CS 1 … 1 M (ICDion)   CONF 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 (ICDion) hl7:value CD 1 … 1 R (ICDion)   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.35 ICD-O-3 Differentiation (DYNAMIC)   Example for use case #1 <value xsi:type="CD" code="2" displayName="2" codeSystem="2.16.840.1.113883.6.43.1"/> 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 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 hl7:entryRelationship 0 … * R Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC) (ICDion) where [hl7:act [hl7:code [@codeSystem='2.16.840.1.113883.5.4' or @nullFlavor]] or [hl7:code [@codeSystem=doc('include/voc-2.16.840.1.113883.1.11.16226-DYNAMIC.xml')//valueSet [1]/completeCodeSystem/@codeSystem or concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.1.11.16226-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor]] or [hl7:code [@code=doc('include/voc-2.16.840.1.113883.1.11.16117-DYNAMIC.xml')//valueSet [1]/conceptList/*/@code or @nullFlavor]]] @typeCode cs 1 … 1 F EVN