1.3.6.1.4.1.19376.1.3.10.9.27/static-2014-12-02T163230

Id	1.3.6.1.4.1.19376.1.3.10.9.27	Effective Date	valid from 2014‑12‑02 16:32:30
Status	Draft	Version Label	2.0
Name	TNMMObservation	Display Name	TNM M-Observation
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.27
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 1 concept Id Name Data Set psr-data​element-7 M-category APSR 2.0
Used by / Uses	Used by 10 templates, Uses 1 template Used by Template id 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 1.3.6.1.4.1.19376.1.8.1.3.6 Problem Organizer (2.0) 2015‑08‑13 10:24:55 1.3.6.1.4.1.19376.1.3.10.3.1 Additional Specified Observation Section (2.0) 2016‑11‑13 14:28:08 1.3.6.1.4.1.19376.1.8.1.1.1 Anatomic Pathology Structured Report (2.0) 2014‑05‑13 11:57:57 1.3.6.1.4.1.19376.1.8.1.2.1 Clinical Information Section (2.0) 2014‑05‑13 14:38:08 1.3.6.1.4.1.19376.1.8.1.2.2 Intraoperative Observation Section (2.0) 2014‑05‑13 19:29:16 1.3.6.1.4.1.19376.1.8.1.2.3 Macroscopic Observation Section (2.0) 2014‑05‑13 11:57:09 1.3.6.1.4.1.19376.1.8.1.2.4 Microscopic Observation Section (2.0) 2014‑05‑13 14:25:17 1.3.6.1.4.1.19376.1.8.1.2.5 Diagnostic Conclusion Section (2.0) 2014‑05‑13 19:31:26 Uses Template id as Name Version 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified DYNAMIC
Relationship	Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Example	Example <observation classCode="OBS" moodCode="EVN">   <templateId root="2.16.840.1.113883.2.6.60.6.10.21"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21901-4" codeSystem="2.16.840.1.113883.6.1"/>  <statusCode code="normal"/>  <value xsi:type="CD" code="M0" displayName="M0" codeSystem="2.16.840.1.113883.15.6">     <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="tnmI" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value/>    </qualifier>    <qualifier>       <name code="tnmMol" codeSystem="1.2.276.0.76.3.1.131.1.5.1"/>      <value/>    </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 (TNMMObservation) @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (TNMMObservation) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.27 hl7:id II 0 … * (TNMMObservation) hl7:code CD CNE 1 … 1 R (TNMMObservation)   CONF @code shall be "21901-4" @codeSystem shall be "2.16.840.1.113883.6.1" @codeSystemName shall be "LOINC" or @code shall be "371497001" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "SCT" hl7:statusCode CS 0 … 1 (TNMMObservation)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC) hl7:value CD 0 … 1 R (TNMMObservation)   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.17 UICC M category (DYNAMIC) or The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.14 UICC M category (SCT) (DYNAMIC)   Associated with concepts: psr-data​element-7 M-category APSR 2.0 hl7:qualifier CR CNE 0 … 1 R C factor (certainty) (TNMMObservation) hl7:name CV CNE 1 … 1 R (TNMMObservation) @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 CNE 0 … 1 R (TNMMObservation)   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 CNE 0 … 1 R i (suffix): ITC (isolated tumor cells) detected by immunohistochemistry (qualifier) true: i+ false: i- (TNMMObservation) hl7:name CV CNE 1 … 1 R (TNMMObservation) @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmI hl7:value BL CNE 0 … 1 R (TNMMObservation) hl7:qualifier CR CNE 0 … 1 R mol (suffix): ITC (isolated tumor cells) detected by molecular methods (qualifier) true: mol+ false: mol- (TNMMObservation) hl7:name CV CNE 1 … 1 R (TNMMObservation) @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmMol hl7:value BL 0 … 1 R (TNMMObservation) hl7:qualifier CR CNE 0 … 1 R mol (suffix): ITC (isolated tumor cells) detected by molecular methods (qualifier) true: mol+ false: mol- (TNMMObservation) hl7:name CV CNE 1 … 1 R (TNMMObservation) @codeSystem oid 1 … 1 F 1.2.276.0.76.3.1.131.1.5.1 @code cs 1 … 1 F tnmLoc hl7:value CD CNE 0 … 1 R (TNMMObservation)   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.28 UICC Localization of distant metastases (DYNAMIC) 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 when more than one specimen is documented at this level. This is often the case in APSR. PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified @typeCode cs 0 … 1 F SPC   Associated with concepts: psr-data​element-17 Specimen identification APSR 2.0 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   Associated with concepts: psr-data​element-68 Tissue section ID APSR 2.0 psr-data​element-98 Specimen ID APSR 2.0 psr-data​element-66 Part ID APSR 2.0 psr-data​element-67 Block ID APSR 2.0 psr-data​element-95 Parent ID APSR 2.0