1.3.6.1.4.1.19376.1.3.10.9.29/static-2015-06-30T133830: Unterschied zwischen den Versionen

Version vom 7. Februar 2017, 03:40 Uhr

Id 1.3.6.1.4.1.19376.1.3.10.9.29 Effective Date valid from 2015‑06‑30 13:38:30

Status Draft Version Label 2.0

Name TNMRstatus Display Name TNM R-status

Description Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
Residual Tumor Status after any therapy

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.29

Classification CDA Entry Level Template

Open/Closed Closed (only defined elements are allowed)

Associated with

Associated with 1 concept

Id	Name	Data Set
psr-dataelement-46	Residual tumor status	APSR 2.0

Used by / Uses

Used by 10 templates, Uses 1 template

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

Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)

Example

Generated example for R0

<observation negationInd="false" classCode="OBS" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.3.10.9.29"/> <id root="1.2.3.999" extension="--example only--"/> <code code="445200009 " codeSystem="2.16.840.1.113883.6.96"/> <derivationExpr/> <text>R-Status</text> <statusCode code="normal"/> <effectiveTime> <low value="20170131171929"/> </effectiveTime> <priorityCode code="A" displayName="ASAP" codeSystem="2.16.840.1.113883.5.7"/> <repeatNumber/> <languageCode/> <value xsi:type="CD" code="258254000" displayName="Residual tumor stage R0 (finding)" codeSystem="2.16.840.1.113883.6.96"/>  </observation>

Item DT Card Conf Description Label

hl7:observation

0 … 1

R

(TNMRstatus)

@classCode

cs

0 … 1

F

OBS

@moodCode

cs

1 … 1

F

EVN

@negationInd

bl

0 … 1

Associated with concepts:

psr-dataelement-46

Residual tumor status

APSR 2.0

hl7:templateId

II

1 … 1

M

(TNMRstatus)

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.3.10.9.29

hl7:id

II

0 … *

(TNMRstatus)

hl7:code

CD CWE

1 … 1

R

(TNMRstatus)

@code

CONF

1 … 1

F

445200009

@codeSystem

1 … 1

F

2.16.840.1.113883.6.96 (SNOMED Clinical Terms)

@codeSystemName

1 … 1

F

SCT

hl7:derivationExpr

ST

0 … 1

(TNMRstatus)

hl7:text

ED

0 … 1

(TNMRstatus)

CONF

element content shall be "R-Status"

hl7:statusCode

CS CNE

1 … 1

R

(TNMRstatus)

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

(TNMRstatus)

hl7:priorityCode

CE

0 … 1

(TNMRstatus)

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)

hl7:repeatNumber

IVL_INT

0 … 1

(TNMRstatus)

hl7:languageCode

CS

0 … 1

(TNMRstatus)

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)

hl7:value

CD

0 … 1

(TNMRstatus)

CONF

The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.21 UICC Residual tumor (R) classification (DYNAMIC)

Included 0 … * from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)

hl7:specimen

0 … *

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-dataelement-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-dataelement-68	Tissue section ID	APSR 2.0
psr-dataelement-98	Specimen ID	APSR 2.0
psr-dataelement-66	Part ID	APSR 2.0
psr-dataelement-67	Block ID	APSR 2.0
psr-dataelement-95	Parent ID	APSR 2.0

Version vom 2. Februar 2017, 13:46 Uhr (Quelltext anzeigen) ADbot (Diskussion \| Beiträge) (Automated ADBot page content)		Version vom 7. Februar 2017, 03:40 Uhr (Quelltext anzeigen) ADbot (Diskussion \| Beiträge) (Automated ADBot page content) Zum nächsten Versionsunterschied →
Zeile 1:		Zeile 1:
−	<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.29</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;"> valid from 2015‑06‑30 13:38:30</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png\|16px]] Draft</td><th style="width: 20em; text-align: left;">Version Label</th><td style="text-align: left;">2.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">TNMRstatus</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">TNM R-status</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Description</th><td style="text-align: left;" colspan="3">Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)<br />Residual Tumor Status after any therapy</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Context</th><td style="text-align: left;" colspan="3">Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.29</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Classification</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Open/Closed</th><td style="text-align: left;" colspan="3">Closed (only defined elements are allowed)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Associated with</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Associated with 1 concept</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Data Set</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">psr-dataelement-</span>46</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Diagnosis / Tumor formula (TNM) / ">Residual tumor status</td><td style="text-align: left; vertical-align: top;">APSR 2.0</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Used by / Uses</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Used by 10 templates, Uses 1 template</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Used by Template id</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] TNM Stage Observation (2.0)</td><td style="text-align: left;">2014‑05‑13 15:45:13</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kvalidblue.png\|16px]] Specimen Procedure Step (1.0)</td><td style="text-align: left;">2014‑07‑29 16:02:02</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.3.6</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Problem Organizer (2.0)</td><td style="text-align: left;">2015‑08‑13 10:24:55</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.3.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Additional Specified Observation Section (2.0)</td><td style="text-align: left;">2016‑11‑13 14:28:08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.1.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Anatomic Pathology Structured Report (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:57</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Clinical Information Section (2.0)</td><td style="text-align: left;">2014‑05‑13 14:38:08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.2</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Intraoperative Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:29:16</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.3</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Macroscopic Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:09</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.4</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Microscopic Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 14:25:17</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.5</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Diagnostic Conclusion Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:31:26</td></tr><tr><th style="width: 20%; text-align: left;">Uses Template id</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.1</td><td style="text-align: left;">Include</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] X Specimen Identified</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Relationship</th><td style="text-align: left;" colspan="3">Specialization: template 2.16.840.1.113883.10.12.303 (<i>2005‑09‑07</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td style="width: 20em; text-align: left;">Example</td><td colspan="3" class="explabelblue"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Generated example for R0</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">observation</span> <span class="ppattribute">negationInd</span><span class="ppsign">="</span><span class="ppcontent">false</span><span class="ppsign">"</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.3.10.9.29</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.3.999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">--example only--</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">445200009 </span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">derivationExpr</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext">R-Status</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">normal</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">effectiveTime</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20170131171929</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">priorityCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">A</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">ASAP</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.7</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">repeatNumber</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">languageCode</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CD</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">258254000</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Residual tumor stage R0 (finding)</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;"> <span style="color:green"><!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 0..* O --><br /></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">></span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Card</th><th style="width: 2em; text-align: left;">Conf</th><th style="text-align: left;">Description</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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: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">OBS</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:Treetree.png\|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</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:Treetree.png\|16px]]</td><td><tt><strong>@negationInd<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td> </td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>46</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Diagnosis / Tumor formula (TNM) / ">Residual tumor status</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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:templateId<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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.3.10.9.29</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:id<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></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:code<br /></strong></tt></td></tr></table></td><td><strong>CD</strong> <span title="shall have coding strength "CWE"">CWE</span></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td><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>@code<br /></strong></tt></td></tr></table></td><td rowspan="3" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">445200009 </td></tr><tr style="vertical-align: top;"><td><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>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">2.16.840.1.113883.6.96 (SNOMED Clinical Terms)</td></tr><tr style="vertical-align: top;"><td><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>@codeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">SCT</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:derivationExpr<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>element content shall be "R-Status"</td></tr></table></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:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> <span title="shall have coding strength "CNE"">CNE</span></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 <i>ActStatus </i>(DYNAMIC)</td></tr></table></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:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</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></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:priorityCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 <i>ActPriority </i>(DYNAMIC)</td></tr></table></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:repeatNumber<br /></strong></tt></td></tr></table></td><td><strong>IVL_INT</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:languageCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 <i>HumanLanguage </i>(DYNAMIC)</td></tr></table></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:value<br /></strong></tt></td></tr></table></td><td><strong>CD</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.21 <i>UICC Residual tumor (R) classification </i>(DYNAMIC)</td></tr></table></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>0 … </strong></span></td><td><span style="color: color: black;;"><strong></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>0 … *</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td>~~<span style="color: rgb(51, 51, 51); font-family: Verdana, Arial, sans-serif; font-size: 12px; background~~-~~color: rgb(255, 234, 234);">Required~~ when more than one specimen is documented at this level. ~~</span>This is often the case~~ 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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">Specimen identification</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">Tissue section ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Specimen ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">Part ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">Block ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Parent ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr></table></td></tr></table>	+	<table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.29</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;"> valid from 2015‑06‑30 13:38:30</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png\|16px]] Draft</td><th style="width: 20em; text-align: left;">Version Label</th><td style="text-align: left;">2.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">TNMRstatus</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">TNM R-status</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Description</th><td style="text-align: left;" colspan="3">Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)<br />Residual Tumor Status after any therapy</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Context</th><td style="text-align: left;" colspan="3">Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.29</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Classification</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Open/Closed</th><td style="text-align: left;" colspan="3">Closed (only defined elements are allowed)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Associated with</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Associated with 1 concept</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Data Set</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;"><span style="color: grey;">psr-dataelement-</span>46</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Diagnosis / Tumor formula (TNM) / ">Residual tumor status</td><td style="text-align: left; vertical-align: top;">APSR 2.0</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Used by / Uses</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Used by 10 templates, Uses 1 template</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Used by Template id</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] TNM Stage Observation (2.0)</td><td style="text-align: left;">2014‑05‑13 15:45:13</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kvalidblue.png\|16px]] Specimen Procedure Step (1.0)</td><td style="text-align: left;">2014‑07‑29 16:02:02</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.3.6</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Problem Organizer (2.0)</td><td style="text-align: left;">2015‑08‑13 10:24:55</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.3.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Additional Specified Observation Section (2.0)</td><td style="text-align: left;">2016‑11‑13 14:28:08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.1.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Anatomic Pathology Structured Report (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:57</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.1</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Clinical Information Section (2.0)</td><td style="text-align: left;">2014‑05‑13 14:38:08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.2</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Intraoperative Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:29:16</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.3</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Macroscopic Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:09</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.4</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Microscopic Observation Section (2.0)</td><td style="text-align: left;">2014‑05‑13 14:25:17</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.5</td><td style="text-align: left;">[[File:Link.png\|16px]]</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] Diagnostic Conclusion Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:31:26</td></tr><tr><th style="width: 20%; text-align: left;">Uses Template id</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.1</td><td style="text-align: left;">Include</td><td style="text-align: left;">[[File:Kyellow.png\|16px]] X Specimen Identified</td><td style="text-align: left;">DYNAMIC</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Relationship</th><td style="text-align: left;" colspan="3">Specialization: template 2.16.840.1.113883.10.12.303 (<i>2005‑09‑07</i>)</td></tr><tr class="explabel" style="vertical-align: top;"><td style="width: 20em; text-align: left;">Example</td><td colspan="3" class="explabelblue"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Generated example for R0</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">observation</span> <span class="ppattribute">negationInd</span><span class="ppsign">="</span><span class="ppcontent">false</span><span class="ppsign">"</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.3.10.9.29</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.2.3.999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">--example only--</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">445200009 </span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">derivationExpr</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><span class="pptext">R-Status</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">normal</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">effectiveTime</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">20170131171929</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">priorityCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">A</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">ASAP</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.7</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">repeatNumber</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">languageCode</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CD</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">258254000</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Residual tumor stage R0 (finding)</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;"> <span style="color:green"><!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 0..* O --><br /></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">></span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Card</th><th style="width: 2em; text-align: left;">Conf</th><th style="text-align: left;">Description</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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: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">OBS</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:Treetree.png\|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</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:Treetree.png\|16px]]</td><td><tt><strong>@negationInd<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td> </td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>46</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Diagnosis / Tumor formula (TNM) / ">Residual tumor status</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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:templateId<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>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.3.10.9.29</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:id<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></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:code<br /></strong></tt></td></tr></table></td><td><strong>CD</strong> <span title="shall have coding strength "CWE"">CWE</span></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td><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>@code<br /></strong></tt></td></tr></table></td><td rowspan="3" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">445200009 </td></tr><tr style="vertical-align: top;"><td><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>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">2.16.840.1.113883.6.96 (SNOMED Clinical Terms)</td></tr><tr style="vertical-align: top;"><td><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>@codeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td>F</td><td colspan="2">SCT</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:derivationExpr<br /></strong></tt></td></tr></table></td><td><strong>ST</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top; background-color: #FFEEEE;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4" style="background-color: white;"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>element content shall be "R-Status"</td></tr></table></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:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> <span title="shall have coding strength "CNE"">CNE</span></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 <i>ActStatus </i>(DYNAMIC)</td></tr></table></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:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</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></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:priorityCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 <i>ActPriority </i>(DYNAMIC)</td></tr></table></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:repeatNumber<br /></strong></tt></td></tr></table></td><td><strong>IVL_INT</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</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:languageCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 <i>HumanLanguage </i>(DYNAMIC)</td></tr></table></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:value<br /></strong></tt></td></tr></table></td><td><strong>CD</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">(TNMRstatus)</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.21 <i>UICC Residual tumor (R) classification </i>(DYNAMIC)</td></tr></table></td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>0 … </strong></span></td><td><span style="color: color: black;;"><strong></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>0 … *</strong></span></td><td><span style="color: color: black;;"><strong>R</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;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">Specimen identification</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></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><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td style="vertical-align: top; text-align: left;">[[File:Target.png\|16px]]</td><td colspan="4" style="background-color: #F4FFF4;" class="tabtab">Associated with concepts:<table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">Tissue section ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Specimen ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">Part ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">Block ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr><tr style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;"><span style="color: grey;">psr-dataelement-</span>95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">Parent ID</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr></table></td></tr></table>

1.3.6.1.4.1.19376.1.3.10.9.29/static-2015-06-30T133830: Unterschied zwischen den Versionen

Version vom 7. Februar 2017, 03:40 Uhr

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