1.3.6.1.4.1.19376.1.3.10.9.28/static-2015-11-15T130118

Id	1.3.6.1.4.1.19376.1.3.10.9.28	Effective Date	valid from 2015‑11‑15 13:01:18
Status	Draft	Version Label	2.0
Name	TNMGrading	Display Name	TNM Grading
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF) Template for grading tumors in context of TNM tumor formula
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.28
Classification	CDA Entry Level Template
Open/Closed	Closed (only defined elements are allowed)
Associated with	Associated with 1 concept Id Name Data Set psr-data​element-53 Grading APSR 2.0
Used by / Uses	Used by 10 templates, Uses 2 templates 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 2.16.840.1.113883.10.12.318 Containment CDA Author (Body) DYNAMIC
Relationship	Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Example	Example <observation negationInd="false" classCode="OBS" moodCode="DEF">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.28"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="59541-3" codeSystem="2.16.840.1.113883.6.1" displayName="Grade pathology system"/>  <text/>  <statusCode code="normal"/>  <effectiveTime>     <low value="20170102160752"/>  </effectiveTime>  <value xsi:type="CD" code="1" displayName="G1" codeSystem="2.16.840.1.113883.15.6"/>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* R -->   <author>     <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (dynamic) -->   </author></observation>
Item DT Card Conf Description Label hl7:observation (TNMGrading) @classCode cs 0 … 1 F OBS @moodCode cs 1 … 1 R   CONF The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.18943 x_ActMoodDocumentObservation (DYNAMIC) @negationInd bl 0 … 1     Associated with concepts: psr-data​element-53 Grading APSR 2.0 hl7:templateId II 1 … 1 M (TNMGrading) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.28 hl7:id II 0 … * (TNMGrading) hl7:code CD CNE 1 … 1 R (TNMGrading) @code CONF 1 … 1 F 59541-3 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) @displayName 1 … 1 F Grade pathology system @codeSystemName 1 … 1 F LOINC hl7:text ST 1 … 1 R (TNMGrading) hl7:statusCode CS 1 … 1 R (TNMGrading)   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 1 … 1 R (TNMGrading) hl7:value CD 0 … 1 R (TNMGrading)   Constraint if grading system is not to recognize from sender, the value set for a 4 tiered grading has to be chosen.   CONF The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.31 UICC Grade 4 tiered (DYNAMIC) or The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.29 UICC Grade 3 tiered (DYNAMIC) or The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.30 UICC Grade 2 tiered (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 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   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 hl7:author 1 … 1 R Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) (TNMGrading)