1.3.6.1.4.1.19376.1.3.10.9.42/static-2016-10-10T113336

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Id1.3.6.1.4.1.19376.1.3.10.9.42Effective Date valid from 2016‑10‑10 11:33:36
StatusKyellow.png DraftVersion Label2.0
NameAssessmentScoringSystemAPSR2.0Display NameAssessment Scoring System APSR 2.0
DescriptionTemplate CDA Observation (prototype, directly derived from PO.0CD_RM000040 MIF)

Supportive Observation entry for describing a scoring system
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.42
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 10 templates, Uses 4 templates
Used by Template id as NameVersion
1.3.6.1.4.1.19376.1.3.10.4.4ContainmentKyellow.png Assessment Scales Observation for Scoring Systems APSR2 (2.0)2016‑10‑06 13:12:00
1.3.6.1.4.1.19376.1.3.10.4.3Link.pngKyellow.png ICD-O-3 Typing and Grading Observation (2.0)2015‑11‑29 17:03:18
1.3.6.1.4.1.19376.1.8.1.3.6Link.pngKyellow.png Problem Organizer (2.0)2015‑08‑13 10:24:55
1.3.6.1.4.1.19376.1.3.10.3.1Link.pngKyellow.png Additional Specified Observation Section (2.0)2016‑11‑13 14:28:08
1.3.6.1.4.1.19376.1.8.1.1.1Link.pngKyellow.png Anatomic Pathology Structured Report Content Module (2.0)2014‑05‑13 11:57:57
1.3.6.1.4.1.19376.1.8.1.2.1Link.pngKyellow.png Clinical Information Section (2.0)2014‑05‑13 14:38:08
1.3.6.1.4.1.19376.1.8.1.2.2Link.pngKyellow.png Intraoperative Observation Section (2.0)2014‑05‑13 19:29:16
1.3.6.1.4.1.19376.1.8.1.2.3Link.pngKyellow.png Macroscopic Observation Section (2.0)2014‑05‑13 11:57:09
1.3.6.1.4.1.19376.1.8.1.2.4Link.pngKyellow.png Microscopic Observation Section (2.0)2014‑05‑13 14:25:17
1.3.6.1.4.1.19376.1.8.1.2.5Link.pngKyellow.png Diagnostic Conclusion Section (2.0)2014‑05‑13 19:31:26
Uses Template id as NameVersion
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen IdentifiedDYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.43ContainmentKyellow.png Assessment Scoring Item APSR 2.0 (2.0)DYNAMIC
2.16.840.1.113883.10.12.324ContainmentKgreen.png CDA ReferenceDYNAMIC
2.16.840.1.113883.10.12.329ContainmentKgreen.png CDA PreconditionDYNAMIC
RelationshipAdaptation: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Example
Example
<observation negationInd="false" classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.9.42"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="278061009" displayName="Scores (qualifier value)"/>  <text/>  <statusCode code="normal"/>  <effectiveTime>
    <low value="20170102194133"/>  </effectiveTime>
  <value/>  <methodCode code="0001" displayName="Complement fixation" codeSystem="2.16.840.1.113883.5.84"/>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (dynamic) 1..* R -->
  <entryRelationship negationInd="false" typeCode="COMP" inversionInd="false" contextConductionInd="true">
    <sequenceNumber value="1"/>    <seperatableInd value="false"/>    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.43 'Assessment Scoring Item APSR 2.0' (dynamic) -->
  </entryRelationship>
  <reference>
    <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (dynamic) -->
  </reference>
  <precondition>
    <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (dynamic) -->
  </precondition>
  <referenceRange typeCode="REFV">
    <observationRange classCode="OBS" moodCode="EVN.CRT">
      <code code="--code--" codeSystem="2.16.840.1.113883.5.4"/>      <text/>      <value xsi:type="ANY"/>      <interpretationCode code="CAR" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>    </observationRange>
  </referenceRange>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1R(AssessmentScoringSystemAPSR2.0)
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1M(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.9.42
Treetree.pnghl7:id
II0 … *(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:code
CV CWE1 … 1R(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreetree.png@code
CONF1 … 1F278061009
Treeblank.pngTreetree.png@displayName
1 … 1FScores (qualifier value)
Treeblank.pngTreetree.png@codeSystemName
1 … 1FSCT
Treetree.pnghl7:text
ED0 … 1Scoring system used(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:statusCode
CS CNE1 … 1R(AssessmentScoringSystemAPSR2.0)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS0 … 1(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:value
CE CWE0 … 1R(AssessmentScoringSystemAPSR2.0)
 CONF
shall be drawn from concept domain "any scoring code system"
Treetree.pnghl7:methodCode
CE0 … *(AssessmentScoringSystemAPSR2.0)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
Included1 … *R from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (DYNAMIC)
Treetree.pnghl7:specimen
1 … *RRequired in XD-LAB when more than one specimen is documented at this level. Always required in APSR.
PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
Treeblank.pngTreetree.png@typeCode
cs0 … 1FSPC
 Target.pngAssociated with concepts:
psr-data​element-17Specimen identificationAPSR 2.0
Treeblank.pngTreetree.pnghl7:specimenRole
1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FSPEC
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
 Target.pngAssociated with concepts:
psr-data​element-68Tissue section IDAPSR 2.0
psr-data​element-98Specimen IDAPSR 2.0
psr-data​element-66Part IDAPSR 2.0
psr-data​element-67Block IDAPSR 2.0
psr-data​element-95Parent IDAPSR 2.0
Treetree.pnghl7:entryRelationship
0 … *RContains 1.3.6.1.4.1.19376.1.3.10.9.43 Assessment Scoring Item APSR 2.0 (DYNAMIC)(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl0 … 1Ftrue
Treeblank.pngTreetree.png@inversionInd
bl0 … 1 
Treeblank.pngTreetree.png@negationInd
bl0 … 1 
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreetree.pnghl7:seperatableInd
BL0 … 1(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:reference
0 … *Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:precondition
0 … *Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)(AssessmentScoringSystemAPSR2.0)
Treetree.pnghl7:referenceRange
0 … *(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFV
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1R(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FOBS
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN.CRT
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD0 … 1(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF1 … 1F2.16.840.1.113883.5.4 (Act Code)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
ED0 … 1(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY0 … 1(AssessmentScoringSystemAPSR2.0)
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1(AssessmentScoringSystemAPSR2.0)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 Observation Interpretation (HL7) (DYNAMIC)