1.3.6.1.4.1.19376.1.8.1.4.6/static-2016-07-08T112258: Unterschied zwischen den Versionen

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<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;">1.3.6.1.4.1.19376.1.8.1.4.6</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;"> valid from 2016‑07‑08 11:22:58</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;">CDAinformantHeaderBodyAPSR2</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">CDA Informant(Header&amp;Body) APSR2</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 Informant Body (prototype, directly derived from POCD_RM000040 MIF)<br /><span style="-webkit-text-stroke-color: rgb(0, 0, 0);"><br />Zero or more informant may be mentioned in the header of the report. An informant is either an assignedEntity (a professional participating to the healthcare process, and who was assigned a defined role in that process) or a relatedEntity (a person who knows the patient and has provided relevant information concerning the patient). Hence the condition is either assignedEntity is present or relatedEntity is present. These two elements are defined in the content module “Informant” in </span>PaLM Suppl. APSR 2.0-3: 6.3.6.5.<div><span style="font-kerning: none"><br /></span></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Label</th><td style="text-align: left;" colspan="3">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant<br /></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">Open (other than 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-data&#8203;element-</span>4</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / ">Pathologist</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 20 templates, Uses 2 templates</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;">1.3.6.1.4.1.19376.1.3.10.9.22</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] CDA Supply Container APSR2 (2.0)</td><td style="text-align: left;">2016‑07‑29 12:09:33</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:Kyellow.png|16px]] Specimen Procedure Step (2.0)</td><td style="text-align: left;">2016‑07‑08 13:20:59</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;">1.3.6.1.4.1.19376.1.8.1.2.6</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Procedure Steps Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:33:12</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 Content Module (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:57</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.29</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] TNM R-status (2.0)</td><td style="text-align: left;">2015‑06‑30 13:38:30</td></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;">[[File:Link.png|16px]]</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;">1.3.6.1.4.1.19376.1.8.1.3.6</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;">1.3.6.1.4.1.19376.1.8.1.2.1</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><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.33</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] TNM Serum tumor markers (2.0)</td><td style="text-align: left;">2015‑11‑06 14:28:44</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.43</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scoring Item APSR 2.0 (2.0)</td><td style="text-align: left;">2016‑10‑11 10:26:17</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.42</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scoring System APSR 2.0 (2.0)</td><td style="text-align: left;">2016‑10‑10 11:33:36</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.4</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scales Observation for Scoring Systems APSR2 (2.0)</td><td style="text-align: left;">2016‑10‑06 13:12:00</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.3</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] ICD-O-3 Typing and Grading Observation (2.0)</td><td style="text-align: left;">2015‑11‑29 17:03:18</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] AP Observation Entry (2.0)</td><td style="text-align: left;">2014‑05‑14 17:09:54</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;">2.16.840.1.113883.10.12.153</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] CDA AssignedEntity</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.316</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] CDA RelatedEntity</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">Adaptation: template 2.16.840.1.113883.10.12.319 (<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">Example</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppnamespace">art:</span><span class="ppelement">placeholder</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">INF</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- choice: 1..1<br />    element hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 (dynamic)<br />    element hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 (dynamic)<br />  --&gt;<br /></span></span><span class="ppsign">&lt;/</span><span class="ppnamespace">art:</span><span class="ppelement">placeholder</span><span class="ppsign">&gt;</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><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><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">INF</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-data&#8203;element-</span>4</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / ">Pathologist</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>@context&#8203;Control&#8203;Code<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">OP</td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Choice</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td></td><td colspan="2">Elements to choose from:<ul><li>hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 <i>CDA AssignedEntity</i> (DYNAMIC)</li><li>hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 <i>CDA RelatedEntity</i> (DYNAMIC)</li></ul></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:assignedEntity<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Contains 2.16.840.1.113883.10.12.153 <i>CDA AssignedEntity</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant</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:relatedEntity<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Contains 2.16.840.1.113883.10.12.316 <i>CDA RelatedEntity</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant</span></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;">1.3.6.1.4.1.19376.1.8.1.4.6</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;"> valid from 2016‑07‑08 11:22:58</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;">CDAinformantHeaderBodyAPSR2</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">CDA Informant(Header&amp;Body) APSR2</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 Informant Body (prototype, directly derived from POCD_RM000040 MIF)<br /><span style="-webkit-text-stroke-color: rgb(0, 0, 0);"><br />Zero or more informant may be mentioned in the header of the report. An informant is either an assignedEntity (a professional participating to the healthcare process, and who was assigned a defined role in that process) or a relatedEntity (a person who knows the patient and has provided relevant information concerning the patient). Hence the condition is either assignedEntity is present or relatedEntity is present. These two elements are defined in the content module “Informant” in </span>PaLM Suppl. APSR 2.0-3: 6.3.6.5.<div><span style="font-kerning: none"><br /></span></div></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Label</th><td style="text-align: left;" colspan="3">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant<br /></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">Open (other than 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-data&#8203;element-</span>4</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / ">Pathologist</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 21 templates, Uses 2 templates</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;">1.3.6.1.4.1.19376.1.3.10.9.22</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] CDA Supply Container APSR2 (2.0)</td><td style="text-align: left;">2016‑07‑29 12:09:33</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:Kyellow.png|16px]] Specimen Procedure Step (2.0)</td><td style="text-align: left;">2016‑07‑08 13:20:59</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;">1.3.6.1.4.1.19376.1.8.1.2.6</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Procedure Steps Section (2.0)</td><td style="text-align: left;">2014‑05‑13 19:33:12</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 Content Module (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:57</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.28</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] TNM Grading (2.0)</td><td style="text-align: left;">2015‑11‑15 13:01:18</td></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;">[[File:Link.png|16px]]</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;">1.3.6.1.4.1.19376.1.8.1.3.6</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;">1.3.6.1.4.1.19376.1.8.1.2.1</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><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.29</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] TNM R-status (2.0)</td><td style="text-align: left;">2015‑06‑30 13:38:30</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.33</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] TNM Serum tumor markers (2.0)</td><td style="text-align: left;">2015‑11‑06 14:28:44</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.43</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scoring Item APSR 2.0 (2.0)</td><td style="text-align: left;">2016‑10‑11 10:26:17</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.42</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scoring System APSR 2.0 (2.0)</td><td style="text-align: left;">2016‑10‑10 11:33:36</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.4</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] Assessment Scales Observation for Scoring Systems APSR2 (2.0)</td><td style="text-align: left;">2016‑10‑06 13:12:00</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.4.3</td><td style="text-align: left;">[[File:Link.png|16px]]</td><td style="text-align: left;">[[File:Kyellow.png|16px]] ICD-O-3 Typing and Grading Observation (2.0)</td><td style="text-align: left;">2015‑11‑29 17:03:18</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|16px]] AP Observation Entry (2.0)</td><td style="text-align: left;">2014‑05‑14 17:09:54</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;">2.16.840.1.113883.10.12.153</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] CDA AssignedEntity</td><td style="text-align: left;">DYNAMIC</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.316</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|16px]] CDA RelatedEntity</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">Adaptation: template 2.16.840.1.113883.10.12.319 (<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">Example</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign">&lt;</span><span class="ppnamespace">art:</span><span class="ppelement">placeholder</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">INF</span><span class="ppsign">"</span> <span class="ppattribute">contextControlCode</span><span class="ppsign">="</span><span class="ppcontent">OP</span><span class="ppsign">"</span><span class="ppsign">&gt;</span><br /><span style="display: block;">  <span style="color:green">&lt;!-- choice: 1..1<br />    element hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 (dynamic)<br />    element hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 (dynamic)<br />  --&gt;<br /></span></span><span class="ppsign">&lt;/</span><span class="ppnamespace">art:</span><span class="ppelement">placeholder</span><span class="ppsign">&gt;</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><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><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">INF</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-data&#8203;element-</span>4</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / ">Pathologist</td><td style="width: 35%; vertical-align: top;">APSR 2.0</td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>@context&#8203;Control&#8203;Code<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">OP</td></tr><tr class="choice"><td style="font-style: italic;" colspan="2">Choice</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td></td><td colspan="2">Elements to choose from:<ul><li>hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 <i>CDA AssignedEntity</i> (DYNAMIC)</li><li>hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 <i>CDA RelatedEntity</i> (DYNAMIC)</li></ul></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:assignedEntity<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Contains 2.16.840.1.113883.10.12.153 <i>CDA AssignedEntity</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant</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:relatedEntity<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong></strong></span></td><td><span style="color: color: black;;"><strong></strong></span></td><td>Contains 2.16.840.1.113883.10.12.316 <i>CDA RelatedEntity</i> (DYNAMIC)</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant</span></td></tr></table></td></tr></table>

Version vom 6. März 2017, 03:44 Uhr

Id1.3.6.1.4.1.19376.1.8.1.4.6Effective Date valid from 2016‑07‑08 11:22:58
StatusKyellow.png DraftVersion Label2.0
NameCDAinformantHeaderBodyAPSR2Display NameCDA Informant(Header&Body) APSR2
DescriptionTemplate CDA Informant Body (prototype, directly derived from POCD_RM000040 MIF)

Zero or more informant may be mentioned in the header of the report. An informant is either an assignedEntity (a professional participating to the healthcare process, and who was assigned a defined role in that process) or a relatedEntity (a person who knows the patient and has provided relevant information concerning the patient). Hence the condition is either assignedEntity is present or relatedEntity is present. These two elements are defined in the content module “Informant” in 
PaLM Suppl. APSR 2.0-3: 6.3.6.5.

LabelPaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 1 concept
IdNameData Set
psr-data​element-4PathologistAPSR 2.0
Used by / Uses
Used by 21 templates, Uses 2 templates
Used by Template id as NameVersion
1.3.6.1.4.1.19376.1.3.10.9.22ContainmentKyellow.png CDA Supply Container APSR2 (2.0)2016‑07‑29 12:09:33
1.3.6.1.4.1.19376.1.3.10.4.1Link.pngKyellow.png Specimen Procedure Step (2.0)2016‑07‑08 13:20:59
1.3.6.1.4.1.19376.1.3.10.4.1Link.pngKvalidblue.png Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
1.3.6.1.4.1.19376.1.8.1.2.6Link.pngKyellow.png Procedure Steps Section (2.0)2014‑05‑13 19:33:12
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
1.3.6.1.4.1.19376.1.3.10.9.28ContainmentKyellow.png TNM Grading (2.0)2015‑11‑15 13:01:18
1.3.6.1.4.1.19376.1.3.10.4.2Link.pngKyellow.png TNM Stage Observation (2.0)2014‑05‑13 15:45:13
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
1.3.6.1.4.1.19376.1.8.1.2.1Link.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
1.3.6.1.4.1.19376.1.3.10.9.29ContainmentKyellow.png TNM R-status (2.0)2015‑06‑30 13:38:30
1.3.6.1.4.1.19376.1.3.10.9.33ContainmentKyellow.png TNM Serum tumor markers (2.0)2015‑11‑06 14:28:44
1.3.6.1.4.1.19376.1.3.10.9.43ContainmentKyellow.png Assessment Scoring Item APSR 2.0 (2.0)2016‑10‑11 10:26:17
1.3.6.1.4.1.19376.1.3.10.9.42Link.pngKyellow.png Assessment Scoring System APSR 2.0 (2.0)2016‑10‑10 11:33:36
1.3.6.1.4.1.19376.1.3.10.4.4Link.pngKyellow.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
1.3.6.1.4.1.19376.1.8.1.4.9ContainmentKyellow.png AP Observation Entry (2.0)2014‑05‑14 17:09:54
Uses Template id as NameVersion
2.16.840.1.113883.10.12.153ContainmentKgreen.png CDA AssignedEntityDYNAMIC
2.16.840.1.113883.10.12.316ContainmentKgreen.png CDA RelatedEntityDYNAMIC
RelationshipAdaptation: template 2.16.840.1.113883.10.12.319 (2005‑09‑07)
Example
Example
<art:placeholder typeCode="INF" contextControlCode="OP">
  <!-- choice: 1..1
element hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 (dynamic)
element hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 (dynamic)
-->
</art:placeholder>
ItemDTCardConfDescriptionLabel
@typeCode
cs0 … 1FINF
 Target.pngAssociated with concepts:
psr-data​element-4PathologistAPSR 2.0
@context​Control​Code
cs0 … 1FOP
Choice1 … 1Elements to choose from:
  • hl7:assignedEntity containing template 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)
  • hl7:relatedEntity containing template 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC)
Treetree.pnghl7:assignedEntity
Contains 2.16.840.1.113883.10.12.153 CDA AssignedEntity (DYNAMIC)PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant
Treetree.pnghl7:relatedEntity
Contains 2.16.840.1.113883.10.12.316 CDA RelatedEntity (DYNAMIC)PaLM Suppl. APSR 2.0‑3: 6.3.6.5 Informant