Item | DT | Card | Conf | Description | Label |
---|
| | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| | psr-dataelement-99 | Assessment Scales | APSR 2.0 |
|
| @classCode
|
| cs | 0 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | EVN |
| @negationInd
|
| bl | 0 … 1 | | |
| hl7:templateId
|
| II | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| | @root
|
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.10.4.4 |
| hl7:id
|
| II | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:code
|
| CE (extensible) | 1 … 1 | M | Assessment scale, e.g. grading by scoring | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | @code shall be "273249006" | @codeSystem shall be "2.16.840.1.113883.6.96" | @codeSystemName shall be "SCT" | @displayName shall be "Assessment scales" | or | The value of @code should be drawn from value set 2.16.840.1.113883.1.11.19918 ActCoverageAssessmentObservationValue (2014‑03‑26) |
|
| Example | for use case #1 <code code="273249006" codeSystem="2.16.840.1.113883.6.96" displayName="Assessment scales (assessment scale)"/> |
| hl7:derivationExpr
|
| ST | 0 … 1 | R | This optional field can be used to specify how the total score is calculated. In most cases the total score will be the sum of its components. But complex mathematical functions and/or logical operations are possible as well. | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:text
|
| ED | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| Example | for use case #1 <text>Nottingham combined grad I (1 of 3)</text> |
| hl7:statusCode
|
| CS | 1 … 1 | M | The observation statusCode is “ completed ” if the observation was actually performed and has produced a result in the value element. In other cases the status of the intended observation is “ aborted ” and the result will never come. | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| Constraint | @code shall be "completed" | or | @code shall be "aborted" |
|
| CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (2014‑03‑26) |
|
| hl7:effectiveTime
|
| IVL_TS | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:value
|
| ANY | 1 … * | R | any total value of a scoring systems, e.g. Gleason score, van Nuys score, etc., either with data type INT or with data type CD or CO | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| Example | for use case #1, Nottingham combined grade I <value value="1"/> |
| hl7:interpretationCode
|
| CE | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (2014‑03‑26) |
|
| hl7:methodCode
|
| CE | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| | @code
|
| CONF | 0 … 1 | F | 0114 |
| | @codeSystem
|
| 0 … 1 | F | 2.16.840.1.113883.1.11.14079 (v3 Code System ObservationMethod) |
| | @codeSystemName
|
| 0 … 1 | F | HL7 |
| | @displayName
|
| 0 … 1 | F | Microscopy, Light |
| hl7:performer
|
| II | 0 … 1 | C | Performing lab
Source: PaLM TF-3: 6.3.2.20 Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (2008‑08‑08) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| Constraint | The performing laboratory is present at this level only if this particular observation was performed by a (subcontractor) laboratory distinct from the one issuing the rest of the observations in this organizer.
|
| hl7:author
|
| II | 0 … * | C | Author
Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.2 Contains 1.3.6.1.4.1.19376.1.8.1.4.2 Author (2016‑06‑21 14:02:11) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:informant
|
| II | 0 … * | R | Informant
Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.5 Contains 1.3.6.1.4.1.19376.1.8.1.4.6 Informant (2016‑07‑08 11:22:58) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:participant
|
| II | 0 … * | R | Additional participants
Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.6 Contains 1.3.6.1.4.1.19376.1.8.1.4.7 Additional participant in an entry (2016‑07‑12 18:44:06) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
Included | 0 … * | R | from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30) |
| 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 2.1‑3: 6.3.5.7 X Specimen identified |
| | psr-dataelement-17 | Specimen identification | APSR 2.0 |
|
| | @typeCode
|
| cs | 0 … 1 | F | SPC |
| | hl7:specimenRole
|
| | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified |
| cs | 0 … 1 | F | SPEC |
| II | 1 … 1 | R | Specimen ID, coming from the LIS | PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified |
| | psr-dataelement-66 | Part ID | APSR 2.0 | psr-dataelement-67 | Block ID | APSR 2.0 | psr-dataelement-68 | Tissue section ID | APSR 2.0 | psr-dataelement-95 | Parent ID | APSR 2.0 | psr-dataelement-98 | Specimen ID | APSR 2.0 |
|
| hl7:entryRelationship
|
| | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.10.9.42 Assessment Scoring System APSR 2.0 (2016‑10‑10 11:33:36) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| | @typeCode
|
| cs | 1 … 1 | F | SPRT |
| | hl7:sequenceNumber
|
| INT | 0 … 1 | | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:reference
|
| | 0 … * | R | Contains 2.16.840.1.113883.10.12.324 CDA Reference (2005‑09‑07) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| hl7:referenceRange
|
| | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| | @typeCode
|
| cs | 1 … 1 | F | REFV |
| | hl7:observationRange
|
| | 1 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| cs | 0 … 1 | F | OBS |
| cs | 0 … 1 | F | EVN.CRT |
| CD | 0 … 1 | | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | 0 … 1 | F | 2.16.840.1.113883.5.4 (Act Code) |
| ED | 0 … 1 | | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| ANY | 0 … 1 | | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CE | 0 … 1 | | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (2014‑03‑26) |
|