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 Content Module (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 … 1This optional field can be used to specify how the total score is calculated. In most cases the total score will be the sum of its components. But complex mathematical functions and/or logical operations are possible as well.
PaLM 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
CS1 … 1RPaLM Suppl. APSR 2.0‑3: 6.3.6.12 Assessment scales
 ConstraintThe observation statusCode is “completed” if the observation was actually performed and has produced a result in the value element. In other cases the status of the intended observation is “aborted” and the result will never come.
 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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