1.3.6.1.4.1.19376.1.3.10.4.2/static-2014-05-13T154513: Unterschied zwischen den Versionen

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Version vom 18. Dezember 2017, 03:22 Uhr

Id1.3.6.1.4.1.19376.1.3.10.4.2Effective Date valid from 2014‑05‑13 15:45:13
StatusKyellow.png DraftVersion Label2.0
NameTNMStageObservationDisplay NameTNM Stage Observation
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

TNM stage with supporting categories
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.2
LabelPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 17 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.3.10.4.1ContainmentKcancelledblue.png Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.3.1.7ContainmentKgreen.png Laboratory Performer (2017)DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.2ContainmentKyellow.png CDA author IHEDYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.6ContainmentKyellow.png CDA Informant(Header&Body) APSR2 (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.7ContainmentKyellow.png Additional participant in an entry APSR (Body)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen IdentifiedDYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.32ContainmentKyellow.png TNM y (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.30ContainmentKyellow.png TNM a (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.31ContainmentKyellow.png TNM r (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.25ContainmentKyellow.png TNM T-Observation (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.26ContainmentKyellow.png TNM N-Observation (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.27ContainmentKyellow.png TNM M-Observation (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.33ContainmentKyellow.png TNM Serum tumor markers (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.34ContainmentKyellow.png TNM Lymphatic Invasion (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.35ContainmentKyellow.png TNM Venous Invasion (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.36ContainmentKyellow.png TNM Perineural Invasion (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.28ContainmentKyellow.png TNM Grading (2.0)DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.29ContainmentKyellow.png TNM R-status (2.0)DYNAMIC
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example
Generated example
<observation classCode="OBS" moodCode="ENV" negationInd="false">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.4.2"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21902-2" codeSystem="2.16.840.1.113883.6.1"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20170712152253"/>  </effectiveTime>
  <value xsi:type="CD" code="IIA" displayName="stage IIA" codeSystem="2.16.840.1.113883.15.6"/>  <performer>
    <!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'Laboratory Performer' (dynamic) -->
  </performer>
  <author>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (dynamic) -->
  </author>
  <informant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (dynamic) -->
  </informant>
  <participant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (dynamic) -->
  </participant>
  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* M -->
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.32 'TNM y' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.30 'TNM a ' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.31 'TNM r' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.25 'TNM T-Observation' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.26 'TNM N-Observation' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.27 'TNM M-Observation' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.33 'TNM Serum tumor markers' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.34 'TNM Lymphatic Invasion' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.35 'TNM Venous Invasion' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.36 'TNM Perineural Invasion' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.28 'TNM Grading' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.29 'TNM R-status' (dynamic) -->
  </entryRelationship>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … *RPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FENV
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.4.2
Treetree.pnghl7:id
II0 … *RPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treetree.pnghl7:code
CE extensible1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
 CONF
@code shall be "21902-2"
@codeSystem shall be "2.16.840.1.113883.6.1"
@codeSystemName shall be "LOINC"
or
@code shall be "tnmStage"
@codeSystem shall be "1.2.276.0.76.3.1.131.1.5.1"
@codeSystemName shall be "DKG Coding Scheme"
@displayName shall be "tumor stage"
Treetree.pnghl7:text
ED0 … 1RPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
 Example<text> PATHOLOGIC STAGE (AJCC 7th Edition): IIA </text>
Treetree.pnghl7:statusCode
CS required1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
 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)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 (DYNAMIC)
Alert.pngError: Cannot find value set "1.3.6.1.4.1.19376.1.3.11.2"
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treetree.pnghl7:value
CD extensible0 … 1RPaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.46 UICC Stage (DYNAMIC)
Treetree.pnghl7:performer
II0 … 1CPerforming lab


Source: PaLM TF-3: 6.3.2.20



Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.3.1.7']]
 ConstraintThe performing laboratory is present at this level only if this particular observation was performed by a (subcontractor) laboratory distinct from the one issuing the rest of the observations in this organizer.
Treetree.pnghl7:author
II0 … *CAuthor


   Source: PaLM TF Suppl. APSR 2.0-3:
    6.3.6.2

Contains 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [hl7:author [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.2']]]
Treetree.pnghl7:informant
II0 … *RInformant


Source: PaLM TF Suppl. APSR 2.0-3 : 6.3.6.5



Contains 1.3.6.1.4.1.19376.1.8.1.4.6 CDA Informant(Header&Body) APSR2 (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.6']]
Treetree.pnghl7:participant
II0 … *RAdditional participants


Source: PaLM TF Suppl. APSR 2.0-3 : 6.3.6.6



Contains 1.3.6.1.4.1.19376.1.8.1.4.7 Additional participant in an entry APSR (Body) (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.8.1.4.7']]
Included1 … *M from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)
Treetree.pnghl7:specimen
1 … *MRequired 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
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
Treetree.pnghl7:entryRelationship
0 … 1Rstaged after multimodal (neoadjuvant) therapy

Contains 1.3.6.1.4.1.19376.1.3.10.9.32 TNM y (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.32']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1Rfirst staged at autopsy
Contains 1.3.6.1.4.1.19376.1.3.10.9.30 TNM a (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.30']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1Rstaged after relapse
Contains 1.3.6.1.4.1.19376.1.3.10.9.31 TNM r (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.31']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RT: T category of TNM

Contains 1.3.6.1.4.1.19376.1.3.10.9.25 TNM T-Observation (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.25']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RN: N category of TNM

Contains 1.3.6.1.4.1.19376.1.3.10.9.26 TNM N-Observation (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.26']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RM: M category of TNM

Contains 1.3.6.1.4.1.19376.1.3.10.9.27 TNM M-Observation (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.27']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RSerum tumor markers stage descriptor
Contains 1.3.6.1.4.1.19376.1.3.10.9.33 TNM Serum tumor markers (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.33']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for lymphatic invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.34 TNM Lymphatic Invasion (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.34']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for venous invasion

Contains 1.3.6.1.4.1.19376.1.3.10.9.35 TNM Venous Invasion (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.35']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for perineurial invasion

Contains 1.3.6.1.4.1.19376.1.3.10.9.36 TNM Perineural Invasion (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.36']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RTNM-Grading
Contains 1.3.6.1.4.1.19376.1.3.10.9.28 TNM Grading (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.28']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RStatus of residual tumor
Contains 1.3.6.1.4.1.19376.1.3.10.9.29 TNM R-status (DYNAMIC)
PaLM Suppl. APSR 2.0‑3: 6.3.6.10 TNM
Treeblank.png where [@typeCode='SPRT'] [hl7:observation [hl7:templateId ​[@root​=​'1.3.6.1.4.1.19376.1.3.10.9.29']]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT