1.3.6.1.4.1.19376.1.3.10.9.25/static-2014-12-02T155417

Id	1.3.6.1.4.1.19376.1.3.10.9.25	Effective Date	valid from 2014‑12‑02 15:54:17
Status	Draft	Version Label	2.0
Name	TNMTObservation	Display Name	TNM T-Observation
Description Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF) T-Observation: The following details are provided as qualifiers: clinical/phological Certainty Factor multiple tumors + multiplicity mi-Symbol Mucosa-level of infiltration Submucosa-level of infiltration
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.25
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 2 templates, Uses 1 template Used by as Name Version 1.3.6.1.4.1.19376.1.3.10.4.2 Containment TNM Stage Observation (2.0) 2014‑05‑13 15:45:13 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (1.0) 2014‑07‑29 16:02:02 Uses as Name Version 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified DYNAMIC
Relationship	Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example	Example <observation classCode="OBS" moodCode="EVN" negationInd="false">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.25"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21899-0" codeSystem="2.16.840.1.113883.6.1"/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20170308180152"/>  </effectiveTime>  <value xsi:type="CD" code="261663004" displayName="Tumor stage Ta (tumor staging)" codeSystem="2.16.840.1.113883.6.96">     <qualifier>       <name code="tnmCFactor" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="84068000" displayName="C1 - TNM certainty factor" codeSystem="2.16.840.1.113883.6.96"/>    </qualifier>    <qualifier>       <name code="tnmCp" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="p" displayName="p" codeSystem="1.2.276.0.76.11.9"/>    </qualifier>    <qualifier>       <name code="tnmMultiplicity" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="m" displayName="(m)" codeSystem="2.16.840.1.113883.15.6"/>    </qualifier>    <qualifier>       <name code="tnmMucosaSymbol" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="m1" displayName="m1" codeSystem="2.16.840.1.113883.15.6"/>    </qualifier>    <qualifier>       <name code="tnmSubmucosaSymbol" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value code="sm1" displayName="sm1" codeSystem="2.16.840.1.113883.15.6"/>    </qualifier>  </value>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* R --> </observation>
Item DT Card Conf Description Label hl7:observation 0 … 1 R (TNMTObs… @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN @negationInd bl 0 … 1   hl7:templateId II 1 … 1 M (TNMTObs… @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.25 hl7:id II 0 … * R (TNMTObs… hl7:code CD CNE 1 … 1 M (TNMTObs…   CONF @code shall be "21899-0" @codeSystem shall be "2.16.840.1.113883.6.1" @codeSystemName shall be "LOINC" or @code shall be "78873005" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "Snomed CT" @displayName shall be "T category (observable entity)" hl7:text ED 0 … 1 R (TNMTObs… hl7:statusCode CS 1 … 1 M (TNMTObs…   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 (TNMTObs… hl7:value CD 0 … * R (TNMTObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.12 UICC T category (SCT) (DYNAMIC) or The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.15 UICC T category (DYNAMIC) hl7:qualifier CR CWE 0 … 1 R (TNMTObs… hl7:name CV CNE 1 … 1 M factor of Certainty (TNMTObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmCFactor hl7:value CD CWE 0 … 1 R (TNMTObs…   Constraint in PSR only C4 allowed   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.20 UICC C-Factor (SCT) (DYNAMIC) hl7:qualifier CR CWE 0 … 1 R (TNMTObs… hl7:name CV CNE 1 … 1 M clinical or pathological  (TNMTObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmCp hl7:value CD CWE 0 … 1 R (TNMTObs…   Constraint in PSR only "p" allowed   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.22 UICC clinical/pathological (DYNAMIC) hl7:qualifier CR CWE 0 … 1 R (TNMTObs… hl7:name CV CNE 1 … 1 M code for multiple tumors in one organ (TNMTObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmMultiplicity hl7:value CV CWE 0 … 1 R (TNMTObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.37 UICC Multiplicity (DYNAMIC) hl7:qualifier CR CWE 0 … 1 R (TNMTObs… hl7:name CV CNE 1 … 1 M (TNMTObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmMucosaSymbol hl7:value CD CWE 0 … 1 R (TNMTObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.26 UICC Mucosa (DYNAMIC) hl7:qualifier CR CWE 0 … 1 R (TNMTObs… hl7:name CV CNE 1 … 1 M (TNMTObs… @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmSubmucosaSymbol hl7:value CD CWE 0 … 1 R (TNMTObs…   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.27 UICC Submucosa (DYNAMIC) 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 @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