2.16.840.1.113883.2.6.60.6.10.7/static-2014-05-13T115709

Template	Macroscopic Observation Section / MacroscopySection
Id	2.16.840.1.113883.2.6.60.6.10.7
Version	gültig ab 2014‑05‑13 11:57:09 Status In Entwicklung
Klassifikation	CDA Section level template
Kontext	Elternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.7
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Beschreibung	The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.
Assoziiert mit	Assoziiert mit 1 Konzept Id Name Datensatz psr-data​element-30 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="2.16.840.1.113883.2.6.60.6.10.7"/>   <code code="22634-0" codeSystem="2.16.840.1.113883.6.1" displayName="Pathology report gross observation"/>   <title>Macroscopic Observation</title>  <text> Part #1 is labeled “left breast biopsy” and is received fresh after frozen section preparation. It consists of a single firm nodule measuring 3cm in circular diameter and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale gray, slightly mottled appearance is revealed. Numerous sections are submitted for permanent processing. Part #2 is labeled "apical left axillary tissue" and is received fresh. It consists of two amorphous fibrofatty tissue masses without grossly discernible lymph nodes therein. Both pieces are rendered into numerous sections and submitted in their entirety for history. </text></section>
Item DT Kard Konf Beschreibung Label hl7:section 0 .. 1 R (MacroscopySection)   Ziel der Konzept Id(s): psr-data​element-30 hl7:templateId II 1 .. 1 R (MacroscopySection) @root 1 .. 1 F 2.16.840.1.113883.10.12.201 hl7:templateId II 1 .. 1 M (MacroscopySection) @root 1 .. 1 F 2.16.840.1.113883.2.6.60.6.10.7 hl7:id II 0 .. 1 (MacroscopySection) hl7:code CE 1 .. 1 R (MacroscopySection) @code 1 .. 1 F 22634-0 @codeSystem 1 .. 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 .. 1 F Pathology report gross observation @codeSystemName 1 .. 1 F LOINC hl7:title ST 0 .. 1 R (MacroscopySection)   CONF Elementinhalt muss "Macroscopic observation" sein   Beispiel <title>Macroscopic Observation</title> hl7:text SD.TEXT 0 .. 1 R (MacroscopySection)   Beispiel <text> Part #1 is labeled “left breast biopsy” and is received fresh after frozen section preparation. It consists of a single firm nodule measuring 3cm in circular diameter and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale gray, slightly mottled appearance is revealed. Numerous sections are submitted for permanent processing. Part #2 is labeled "apical left axillary tissue" and is received fresh. It consists of two amorphous fibrofatty tissue masses without grossly discernible lymph nodes therein. Both pieces are rendered into numerous sections and submitted in their entirety for history. </text> hl7:entry 0 .. * (MacroscopySection) @typeCode cs 1 .. 1 R   CONF Der Wert von @typeCode muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)   Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC)