2.16.840.1.113883.2.6.60.6.10.6/static-2014-05-13T142517

Template	Microscopic Observation Section / MicroscopySection
Id	2.16.840.1.113883.2.6.60.6.10.6
Version	gültig ab 2014‑05‑13 14:25:17 Status In Entwicklung
Klassifikation	CDA Section level template
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.6
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Beschreibung	The Microscopic Observation section contains optionally the histopathologic findings of the case and of all of its derived specimens. This section shpould be used to record the results of histochemical and immunohistochemical stains as well as of image-based molecular procedures.
Assoziiert mit	Assoziiert mit 1 Konzept Id Name Datensatz psr-data​element-15 PSR
Benutzt von / Benutzt	Benutzt von / Benutzt 2 Templates Benutzt von Template-Id als Name Version 2.16.840.1.113883.2.6.60.6.10.1 Containment PathologyStructuredReport Pathology Structured Report 2014‑05‑13 11:57:57 Benutzt Template-Id als Name Version 2.16.840.1.113883.2.6.60.6.10.34 Containment ProblemOrganizer DYNAMIC
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
Beispiel	<section>   <templateId root="2.16.840.1.113883.10.12.201"/>   <templateId root="2.16.840.1.113883.2.6.60.6.10.6"/>   <templateId root="1.3.6.1.4.1.19376.1.8.1.2.4"/>   <code code="22635-7" codeSystem="2.16.840.1.113883.6.1" displayName="Pathology report microscopic observation"/>   <title>Microscopic observation</title>  <text> Sections of part #1 confirm frozen section diagnosis of infiltrating duct carcinoma. It is to be noted that the tumor cells show considerable pleomorphism, and mitotic figures are frequent (as many as 4 per high power field). Total size of primary tumor is estimated to be 3cm in greatest dimension. Many foci of calcification are present within the tumor. Part #2 consists of fibrofatty tissue and includes 18 lymph nodes. All lymph nodes are free of disease with the exception of one lymph node, which contains several micrometastases. </text>  <entry>     <!-- template 2.16.840.1.113883.2.6.60.6.10.34 'Problem Organizer' (dynamic) -->   </entry></section>
Item DT Kard Konf Beschreibung Label hl7:section 0 .. 1 R (MicroscopySection)   Ziel der Konzept Id(s): psr-data​element-15 hl7:templateId II 1 .. 1 R (MicroscopySection) @root 1 .. 1 F 2.16.840.1.113883.10.12.201 hl7:templateId II 1 .. 1 M (MicroscopySection) @root 1 .. 1 F 2.16.840.1.113883.2.6.60.6.10.6 hl7:templateId II 1 .. 1 M (MicroscopySection) @root 1 .. 1 F 1.3.6.1.4.1.19376.1.8.1.2.4 hl7:code CE 1 .. 1 R (MicroscopySection) @code 1 .. 1 F 22635-7 @codeSystem 1 .. 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 .. 1 F Pathology report microscopic observation @codeSystemName 1 .. 1 F LOINC hl7:title ST 0 .. 1 R (MicroscopySection)   CONF Elementinhalt muss "Microscopic observation" sein   Beispiel <title>MICROSCOPIC OBSERVATION SECTION</title> hl7:text SD.TEXT 0 .. 1 R (MicroscopySection)   Beispiel <text> Sections of part #1 confirm frozen section diagnosis of infiltrating duct carcinoma. It is to be noted that the tumor cells show considerable pleomorphism, and mitotic figures are frequent (as many as 4 per high power field). Total size of primary tumor is estimated to be 3cm in greatest dimension. Many foci of calcification are present within the tumor. Part #2 consists of fibrofatty tissue and includes 18 lymph nodes. All lymph nodes are free of disease with the exception of one lymph node, which contains several micrometastases. </text> hl7:entry 0 .. * (MicroscopySection)   Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC)