1.3.6.1.4.1.19376.1.3.10.9.25/static-2014-12-02T155417: Unterschied zwischen den Versionen

Version vom 17. Juli 2017, 20:18 Uhr

Id 1.3.6.1.4.1.19376.1.3.10.9.25 Effective Date valid from 2014‑12‑02 15:54:17

Status Draft Version Label 2.0

Name TNMTObservation Display Name TNM T-Observation

Description

Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

     

     T-Observation:
The following details are provided as qualifiers:

clinical/phological
Certainty Factor
multiple tumors + multiplicity
mi-Symbol
Mucosa-level of infiltration
Submucosa-level of infiltration

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.25

Classification CDA Entry Level Template

Open/Closed Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 2 templates, Uses 4 templates

Used by	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
Uses	as	Name	Version
1.3.6.1.4.1.19376.1.3.3.1.7	Containment	Laboratory Performer (2008)	DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.2	Containment	CDA author IHE	DYNAMIC
1.3.6.1.4.1.19376.1.8.1.4.6	Containment	CDA Informant(Header&Body) APSR2 (2.0)	DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.1	Include	X Specimen Identified	DYNAMIC

Relationship Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)

Example

generated example

Item DT Card Conf Description Label

hl7:observation

0 … 1

R

()

@classCode

cs

1 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

@negationInd

bl

0 … 1

hl7:templateId

II

1 … 1

M

()

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.3.10.9.25

hl7:id

II

0 … *

R

()

hl7:code

CE CWE

1 … 1

M

()

CONF

@code shall be "21899-0"

@codeSystem shall be "2.16.840.1.113883.6.1"

@codeSystemName shall be "LOINC"

or

@code shall be "78873005"

@codeSystem shall be "2.16.840.1.113883.6.96"

@codeSystemName shall be "Snomed CT"

@displayName shall be "T category (observable entity)"

hl7:text

ED

0 … 1

R

()

hl7:statusCode

CS CNE

1 … 1

M

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.2 ActStatusAbortedCompleted (DYNAMIC)

hl7:effectiveTime

IVL_TS

1 … 1

M

()

hl7:value

CD CWE

1 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.12 UICC T category (SCT) (DYNAMIC)

or

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.15 UICC T category (7ed) (DYNAMIC)

hl7:qualifier

CR CWE

0 … 1

R

()

hl7:name

CV CNE

1 … 1

M

factor of Certainty

()

@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 CWE

0 … 1

R

()

Constraint in PSR only C4 allowed

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 CWE

0 … 1

R

()

hl7:name

CV CNE

1 … 1

M

clinical or pathological

()

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

@code

cs

1 … 1

F

tnmCp

hl7:value

CD CWE

0 … 1

R

()

Constraint in PSR only "p" allowed

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.22 UICC clinical/pathological (DYNAMIC)

hl7:qualifier

CR CWE

0 … 1

R

()

hl7:name

CV CNE

1 … 1

M

code for multiple tumors in one organ

()

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

@code

cs

1 … 1

F

tnmMultiplicity

hl7:value

CV CWE

0 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.37 UICC Multiplicity (DYNAMIC)

hl7:qualifier

CR CWE

0 … 1

R

()

hl7:name

CV CNE

1 … 1

M

()

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

@code

cs

1 … 1

F

tnmMucosaSymbol

hl7:value

CD CWE

0 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.26 UICC Mucosa (DYNAMIC)

hl7:qualifier

CR CWE

0 … 1

R

()

hl7:name

CV CNE

1 … 1

M

()

@codeSystem

oid

1 … 1

F

1.2.276.0.76.3.1.131.1.5.1

@code

cs

1 … 1

F

tnmSubmucosaSymbol

hl7:value

CD CWE

0 … 1

R

()

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.27 UICC Submucosa (DYNAMIC)

hl7:performer

II

0 … 1

C

Performing 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)

()

hl7:author

II

0 … *

C

Author

           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)

()

hl7:informant

II

0 … *

R

Informant

         
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)

()

Included 1 … * M from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)

hl7:specimen

1 … *

M

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

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

@@ Zeile 23: / Zeile 23: @@
          </li>
        </ul>
            <br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF-3: 6.3.2.20</span>
            <br />
-         <br />Contains 1.3.6.1.4.1.19376.1.3.3.1.7 <i>Laboratory Performer</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMTObs…</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Author<br />
+         <br />Contains 1.3.6.1.4.1.19376.1.3.3.1.7 <i>Laboratory Performer</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Author<br />
            <br />
            <div>
@@ Zeile 32: / Zeile 32: @@
              <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);"> 6.3.6.2</span>
            </div>
-         <br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>CDA author IHE</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMTObs…</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Informant<br />
+         <br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>CDA author IHE</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Informant<br />
            <br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span>
            <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.5</span>
            <br />
-         <br />Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>CDA Informant(Header&amp;Body) APSR2</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">(TNMTObs…</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr></table></td></tr></table>
+         <br />Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>CDA Informant(Header&amp;Body) APSR2</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">()</span></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (DYNAMIC)</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified</span></td></tr></table></td></tr></table>

1.3.6.1.4.1.19376.1.3.10.9.25/static-2014-12-02T155417: Unterschied zwischen den Versionen

Version vom 17. Juli 2017, 20:18 Uhr

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