| Id | 2.16.840.1.113883.2.6.60.6.10.6 | Gültigkeit | gültig ab 2014‑05‑13 14:25:17 |
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| Status |  Entwurf | Versions-Label | |
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| Name | MicroscopySection | Anzeigename | Microscopic Observation Section |
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| Beschreibung | The Microscopic Observation section contains optionally the histopathologic findings of the case and of all of its derived specimens. This section shpould be used to record the results of histochemical and immunohistochemical stains as well as of image-based molecular procedures.
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| Kontext | Elternknoten des Template-Element mit Id 2.16.840.1.113883.2.6.60.6.10.6 |
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| Klassifikation | CDA Section level template |
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| Offen/Geschlossen | Offen (auch andere als die definierten Elemente sind erlaubt) |
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| Assoziiert mit | | Assoziiert mit 1 Konzept | | Id | Name | Datensatz |
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| psr-dataelement-15 | | PSR |
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| Benutzt von / Benutzt | | Benutzt von 1 Template, Benutzt 1 Template | | Benutzt von Template-Id | als | Name | Version |
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| 2.16.840.1.113883.2.6.60.6.10.1 | Containment | Pathology Structured Report | 2014‑05‑13 11:57:57 | | Benutzt Template-Id | als | Name | Version |
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| 2.16.840.1.113883.2.6.60.6.10.34 | Containment | ProblemOrganizer | DYNAMIC |
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| Beziehung | Spezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07) |
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| Beispiel | | Beispiel | <section>
<templateId root="2.16.840.1.113883.10.12.201"/>
<templateId root="2.16.840.1.113883.2.6.60.6.10.6"/>
<templateId root="1.3.6.1.4.1.19376.1.8.1.2.4"/>
<code code="22635-7" codeSystem="2.16.840.1.113883.6.1" displayName="Pathology report microscopic observation"/>
<title>Microscopic observation</title> <text> Sections of part #1 confirm frozen section diagnosis of infiltrating duct carcinoma. It is to be noted that the tumor cells show considerable pleomorphism, and mitotic figures are frequent (as many as 4 per high power field). Total size of primary tumor is estimated to be 3cm in greatest dimension. Many foci of calcification are present within the tumor. Part #2 consists of fibrofatty tissue and includes 18 lymph nodes. All lymph nodes are free of disease with the exception of one lymph node, which contains several micrometastases. </text> <entry>
<!-- template 2.16.840.1.113883.2.6.60.6.10.34 'Problem Organizer' (dynamic) -->
</entry></section> |
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| Item | DT | Kard | Konf | Beschreibung | Label |
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| | 0 … 1 | R | | (MicroscopySection) | | |  | Ziel der Konzept Id(s): |  | hl7:templateId
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| II | 1 … 1 | R | | (MicroscopySection) |  | | @root
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| | 1 … 1 | F | 2.16.840.1.113883.10.12.201 | | hl7:templateId
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| II | 1 … 1 | M | | (MicroscopySection) | | | @root
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| | 1 … 1 | F | 2.16.840.1.113883.2.6.60.6.10.6 | | hl7:templateId
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| II | 1 … 1 | M | | (MicroscopySection) | | | @root
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| | 1 … 1 | F | 1.3.6.1.4.1.19376.1.8.1.2.4 | | hl7:code
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| CE | 1 … 1 | R | | (MicroscopySection) | | | @code
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| | 1 … 1 | F | 22635-7 | | | @codeSystem
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| | 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) | | | @displayName
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| | 1 … 1 | F | Pathology report microscopic observation | | | @codeSystemName
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| | 1 … 1 | F | LOINC | | hl7:title
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| ST | 0 … 1 | R | | (MicroscopySection) | | | CONF | | Elementinhalt muss "Microscopic observation" sein |
| | | Beispiel | <title>MICROSCOPIC OBSERVATION SECTION</title> | | hl7:text
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| SD.TEXT | 0 … 1 | R | | (MicroscopySection) | | | Beispiel | <text> Sections of part #1 confirm frozen section diagnosis of infiltrating duct carcinoma. It is to be noted that the tumor cells show considerable pleomorphism, and mitotic figures are frequent (as many as 4 per high power field). Total size of primary tumor is estimated to be 3cm in greatest dimension. Many foci of calcification are present within the tumor. Part #2 consists of fibrofatty tissue and includes 18 lymph nodes. All lymph nodes are free of disease with the exception of one lymph node, which contains several micrometastases. </text> | | hl7:entry
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| | 0 … * | | Beinhaltet 2.16.840.1.113883.2.6.60.6.10.34 Problem Organizer (DYNAMIC) | (MicroscopySection) |
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Entwurf
