1.3.6.1.4.1.19376.1.3.10.4.4/static-2016-10-06T131200

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Id1.3.6.1.4.1.19376.1.3.10.4.4Effective Date valid from 2016‑10‑06 13:12:00

There are versions of templates with this id:
  • AssessmentScalesObservationScoringSystemsAPSR as of 2016‑10‑06 13:12:00
  • AssessmentScalesScoringSystemsAPSR as of 2016‑10‑06 12:36:29
  • CDASupplyContainerAPSR2 as of 2016‑07‑29
StatusKyellow.png DraftVersion Label2.0
NameAssessmentScalesObservationScoringSystemsAPSRDisplay NameAssessment Scales Observation for Scoring Systems APSR2
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

Assessment scale observation for Scoring Systems, e.g. Nottingham- (Elston-Ellis-) Grading for invasive breast cancers, describing the summarized scale value
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.4
LabelPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Associated with
Associated with 1 concept
IdNameData Set
psr-data​element-99Assessment ScalesAPSR 2.0
Used by / Uses
Used by 9 templates, Uses 3 templates
Used by Template id as NameVersion
1.3.6.1.4.1.19376.1.3.10.4.3ContainmentKyellow.png ICD-O-3 Typing and Grading Observation (2.0)2015‑11‑29 17:03:18
1.3.6.1.4.1.19376.1.8.1.3.6Link.pngKyellow.png Problem Organizer (2.0)2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.3.10.3.1Link.pngKyellow.png Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.8.1.1.1Link.pngKyellow.png Anatomic Pathology Structured Report (2.0)2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1Link.pngKyellow.png Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2Link.pngKyellow.png Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3Link.pngKyellow.png Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4Link.pngKyellow.png Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5Link.pngKyellow.png Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
Uses Template id as NameVersion
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen IdentifiedDYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.42ContainmentKyellow.png Assessment Scoring System APSR 2.0 (2.0)DYNAMIC
2.16.840.1.113883.10.12.324ContainmentKgreen.png CDA ReferenceDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Example
Example
<observation negationInd="false" classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.4.4"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="273249006" codeSystem="2.16.840.1.113883.6.96" displayName="Assessment scales"/>  <derivationExpr/>  <text/>  <statusCode code="normal"/>  <effectiveTime>
    <low value="20170131163655"/>  </effectiveTime>  <priorityCode code="A" displayName="ASAP" codeSystem="2.16.840.1.113883.5.7"/>  <repeatNumber/>  <languageCode code="aa"/>  <value xsi:type="INT" value="1"/>  <interpretationCode code="CAR" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="0114" codeSystem="2.16.840.1.113883.1.11.14079" displayName="Microscopy, Light"/>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 0..* O -->
  <entryRelationship typeCode="SPRT">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.42 'Assessment Scoring System APSR 2.0' (dynamic) -->
  </entryRelationship>  <reference>
    <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (dynamic) -->
  </reference>  <referenceRange typeCode="REFV">
    <observationRange classCode="OBS" moodCode="EVN.CRT">
      <code code="--code--" codeSystem="2.16.840.1.113883.5.4"/>      <text/>      <value xsi:type="ANY"/>      <interpretationCode code="CAR" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>    </observationRange>  </referenceRange></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1RPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.png@negationInd
bl0 … 1 
 Target.pngAssociated with concepts:
psr-data​element-99Assessment ScalesAPSR 2.0
Treetree.pnghl7:templateId
II1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.4.4
Treetree.pnghl7:id
II0 … *PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:code
CE CWE1 … 1MAssessment scale, e.g. grading by scoringPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
@code shall be "273249006"
@codeSystem shall be "2.16.840.1.113883.6.96"
@displayName shall be "Assessment scales"
@codeSystemName shall be "SCT"
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19918 ActCoverageAssessmentObservationValue (DYNAMIC)
Treetree.pnghl7:derivationExpr
ST0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:text
ED0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:statusCode
CS0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:priorityCode
CE0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:language​Code
CS0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Treetree.pnghl7:value
INT1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 Constraintany value of a scoring systems, e.g. Gleason score, van Nuys score, etc.
Treetree.pnghl7:interpretationCode
CE0 … *PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 Observation Interpretation (HL7) (DYNAMIC)
Treetree.pnghl7:methodCode
CE0 … *PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreetree.png@code
CONF1 … 1F0114
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.1.11.14079
Treeblank.pngTreetree.png@displayName
1 … 1FMicroscopy, Light
Treeblank.pngTreetree.png@codeSystemName
1 … 1FHL7
Included0 … * from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)
Treetree.pnghl7:specimen
0 … *RRequired 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
Treeblank.pngTreetree.png@typeCode
cs0 … 1FSPC
 Target.pngAssociated with concepts:
psr-data​element-17Specimen identificationAPSR 2.0
Treeblank.pngTreetree.pnghl7:specimenRole
1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FSPEC
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
 Target.pngAssociated with concepts:
psr-data​element-68Tissue section IDAPSR 2.0
psr-data​element-98Specimen IDAPSR 2.0
psr-data​element-66Part IDAPSR 2.0
psr-data​element-67Block IDAPSR 2.0
psr-data​element-95Parent IDAPSR 2.0
Treetree.pnghl7:entryRelationship
0 … *Contains 1.3.6.1.4.1.19376.1.3.10.9.42 Assessment Scoring System APSR 2.0 (DYNAMIC)PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:reference
0 … *Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treetree.pnghl7:referenceRange
0 … *PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFV
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1RPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FOBS
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN.CRT
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF1 … 1F2.16.840.1.113883.5.4 (Act Code)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
ED0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1PaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 Observation Interpretation (HL7) (DYNAMIC)
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