1.3.6.1.4.1.19376.1.3.10.4.4/static-2016-10-06T123629

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Id1.3.6.1.4.1.19376.1.3.10.4.4Effective Date2016‑10‑06 12:36:29
Other versions this id:
  • Kblank.png AssessmentScalesObservationScoringSystemsAPSR as of 2016‑10‑06 13:12:00
  • Kblank.png CDASupplyContainerAPSR2 as of 2016‑07‑29
StatusKcancelledblue.png CancelledVersion Label1.9
NameAssessmentScalesScoringSystemsAPSRDisplay NameAssessment Scales for Scoring Systems APSR2
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
Assessmant scale for Scoring Systems, e.g. Nottingham- (Elston-Ellis-) Grading for invasive breast cancers
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.4
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Uses
Uses 6 templates
Uses as NameVersion
2.16.840.1.113883.10.12.300ContainmentKgreen.png CDA Clinical StatementDYNAMIC
2.16.840.1.113883.2.6.60.6.10.46IncludeKyellow.png Elston-Ellis Tubule FormationDYNAMIC
2.16.840.1.113883.2.6.60.6.10.47ContainmentKyellow.png Elston-Ellis Nuclear PleomorphismDYNAMIC
2.16.840.1.113883.2.6.60.6.10.48ContainmentKyellow.png Elston-Ellis Mitotic Count ScoreDYNAMIC
2.16.840.1.113883.10.12.324ContainmentKgreen.png CDA ReferenceDYNAMIC
2.16.840.1.113883.10.12.329ContainmentKgreen.png CDA PreconditionDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Example
<observation negationInd="false" classCode="OBS" moodCode="DEF">
  <templateId root="2.16.840.1.113883.2.6.60.6.10.45"/>  <templateId root="2.16.840.1.113883.10.12.303"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="372276001" codeSystem="2.16.840.1.113883.6.96" displayName="Nottingham ccombined grade"/>  <derivationExpr/>  <text>Nottingham- (Elston-Ellis-) grading for breast cancer</text>  <statusCode code="normal"/>  <effectiveTime>
    <low value="20160525112005"/>  </effectiveTime>
  <priorityCode code="A" displayName="ASAP" codeSystem="2.16.840.1.113883.5.7"/>  <repeatNumber/>  <languageCode code="aa"/>  <value xsi:type="CD" code="369790002" displayName="Nottingham Combined Grade I: 3-5 points (finding)" codeSystem="2.16.840.1.113883.6.96"/>  <interpretationCode code="Carrier" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="0001" displayName="Complement fixation" codeSystem="2.16.840.1.113883.5.84"/>  <targetSiteCode code="--code--" codeSystem="2.16.840.1.113883.5.1052"/>  <specimen>
    <!-- template 2.16.840.1.113883.2.6.60.6.10.13 'Specimen Identification' (dynamic) -->
  </specimen>
  <entryRelationship typeCode="SPRT">
    <sequenceNumber value="1"/>    <!-- include template 2.16.840.1.113883.2.6.60.6.10.46 'Elston-Ellis Tubule Formation' (dynamic) 0..* O -->
    <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <sequenceNumber value="1"/>    <!-- include template 2.16.840.1.113883.2.6.60.6.10.47 'Elston-Ellis Nuclear Pleomorphism' (dynamic) 0..* O -->
    <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (dynamic) -->
  </entryRelationship>
  <entryRelationship typeCode="SPRT">
    <sequenceNumber value="1"/>    <!-- include template 2.16.840.1.113883.2.6.60.6.10.48 'Elston-Ellis Mitotic Count Score' (dynamic) 0..* O -->
    <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (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="Carrier" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>    </observationRange>
  </referenceRange>
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1C(Ass...PSR)
Treetree.png@classCode
cs0 … 1FOBS
Treetree.png@moodCode
cs1 … 1R
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.18943 x_ActMoodDocumentObservation (DYNAMIC)
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1M(Ass...PSR)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.2.6.60.6.10.52
Treetree.pnghl7:templateId
II1 … 1M(Ass...PSR)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.2.6.60.6.10.45
Treetree.pnghl7:templateId
II1 … 1R(Ass...PSR)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.303
Treetree.pnghl7:id
II0 … *(Ass...PSR)
Treetree.pnghl7:code
CD (extensible)1 … 1R(Ass...PSR)
Treeblank.pngTreetree.png@code
CONF0 … 1F372276001
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.96 (Snomed-CT)
Treeblank.pngTreetree.png@displayName
0 … 1FNottingham ccombined grade
Treeblank.pngTreetree.png@codeSystemName
0 … 1FSCT
Treetree.pnghl7:derivationExpr
ST0 … 1(Ass...PSR)
Treetree.pnghl7:text
ED0 … 1(Ass...PSR)
 CONF
element content shall be "Nottingham- (Elston-Ellis-) grading for breast cancer"
Treetree.pnghl7:statusCode
CS0 … 1(Ass...PSR)
 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(Ass...PSR)
Treetree.pnghl7:priorityCode
CE0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Treetree.pnghl7:repeatNumber
IVL_INT0 … 1(Ass...PSR)
Treetree.pnghl7:language​Code
CS0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Treetree.pnghl7:value
CD0 … *R(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.6.11.35 Nottingham combined grade (DYNAMIC)
Treetree.pnghl7:interpretationCode
CE0 … *(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Treetree.pnghl7:methodCode
CE0 … *(Ass...PSR)
Treeblank.pngTreetree.png@code
CONF0 … 1F0114
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.1.11.14079
Treeblank.pngTreetree.png@codeSystemName
0 … 1FHL7
Treetree.pnghl7:typeCode
CD0 … *(Ass...PSR)
Treeblank.pngTreetree.png@code
CONF0 … 1FMSRSCORE
Treeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.1.11.16226 (ObservationType)
Treeblank.pngTreetree.png@displayName
0 … 1FMeasure Scoring
Treeblank.pngTreetree.png@codeSystemName
0 … 1FHL7
Treetree.pnghl7:target​Site​Code
CD0 … *(Ass...PSR)
Treeblank.pngTreetree.png@codeSystem
CONF0 … 1F2.16.840.1.113883.5.1052 (Act Site)
Treetree.pnghl7:specimen
0 … *Contains
Alert.pngError: Cannot find template "2.16.840.1.113883.2.6.60.6.10.13" (DYNAMIC)
(Ass...PSR)
Treetree.pnghl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)(Ass...PSR)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1(Ass...PSR)
Included0 … * from 2.16.840.1.113883.2.6.60.6.10.46 Elston-Ellis Tubule Formation (DYNAMIC)
Treeblank.pngTreetree.pnghl7:observation
0 … *R(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FOBS
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs1 … 1FEVN
Treeblank.pngTreeblank.pngTreetree.png@negationInd
bl0 … 1 
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1M(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.2.6.60.6.10.46
Treeblank.pngTreeblank.pngTreetree.pnghl7:templateId
II1 … 1R(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.12.303
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD (extensible)1 … 1R(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1F371470008
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.96 (Snomed-CT)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FSCT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FTubule formation
Treeblank.pngTreeblank.pngTreetree.pnghl7:derivationExpr
ST0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
ED0 … 1(Ass...PSR)
 CONF
element content shall be "Tubule formation for Elston-Ellis Grading"
Treeblank.pngTreeblank.pngTreetree.pnghl7:statusCode
CS0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:effectiveTime
IVL_TS0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:priorityCode
CE0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:repeatNumber
IVL_INT0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:language​Code
CS0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD0 … *(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.6.60.6.11.36 Breast Tubule Formation (DYNAMIC)
Treeblank.pngTreeblank.pngTreetree.pnghl7:methodCode
CE0 … *(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1F0114
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.1.11.14079
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FHL7
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FLight Microscopy
Treeblank.pngTreeblank.pngTreetree.pnghl7:typeCode
CD0 … *(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1FMSRSCORE
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.1.11.16226 (ObservationType)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FHL7
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FMeasure Scoring
Treeblank.pngTreeblank.pngTreetree.pnghl7:specimen
0 … *(Ass...PSR)
Treetree.pnghl7:entryRelationship
0 … *Contains 2.16.840.1.113883.2.6.60.6.10.47 Elston-Ellis Nuclear Pleomorphism (DYNAMIC)(Ass...PSR)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1(Ass...PSR)
Treetree.pnghl7:entryRelationship
0 … *Contains 2.16.840.1.113883.2.6.60.6.10.48 Elston-Ellis Mitotic Count Score (DYNAMIC)(Ass...PSR)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treeblank.pngTreetree.pnghl7:sequenceNumber
INT0 … 1(Ass...PSR)
Treetree.pnghl7:reference
0 … *Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)(Ass...PSR)
Treetree.pnghl7:precondition
0 … *Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)(Ass...PSR)
Treetree.pnghl7:referenceRange
0 … *(Ass...PSR)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FREFV
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1R(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FOBS
Treeblank.pngTreeblank.pngTreetree.png@moodCode
cs0 … 1FEVN.CRT
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF0 … 1F2.16.840.1.113883.5.4 (Act Code)
Treeblank.pngTreeblank.pngTreetree.pnghl7:text
ED0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY0 … 1(Ass...PSR)
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1(Ass...PSR)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)