| Id | 1.3.6.1.4.1.19376.1.3.10.9.44 | Effective Date | 2014‑10‑26 17:06:28 |
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| Status |  Draft | Version Label | 2.0 |
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| Name | CDAParticipantBodyProcedureStepsAPSR2 | Display Name | CDA Participant (Body) Procedure Steps APSR2 |
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| Description | Template CDA Participant (Body) (prototype, directly derived from POCD_RM000040 MIF)
This template is used for the Specimen Procedure steps entry construct. It describes the product of a specimen procedure, both being the resulting specimen and the additive to the specimen used in this procedure step. |
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| Label | PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps
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| Classification | CDA Entry Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Associated with | | Associated with 8 concepts | | Id | Name | Data Set |
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| psr-dataelement-1 | Specimen | APSR 2.0 | | psr-dataelement-100 | Work order ID | APSR 2.0 | | psr-dataelement-34 | Part | APSR 2.0 | | psr-dataelement-35 | Block | APSR 2.0 | | psr-dataelement-36 | Tissue section | APSR 2.0 | | psr-dataelement-83 | Order filler ID | APSR 2.0 | | psr-dataelement-84 | Work order | APSR 2.0 | | psr-dataelement-85 | Work order step ID | APSR 2.0 |
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| Uses | | Uses 1 template | | Uses | as | Name | Version |
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| 1.3.6.1.4.1.19376.1.3.10.9.21 | Containment | CDA PlayingEntitySpecimen APSR2 (2.0) | 2014‑10‑26 17:50:07 |
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| Relationship | Specialization: template 2.16.840.1.113883.10.12.321 CDA Participant (Body) (2005‑09‑07) ref ad1bbr- |
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| Example | | for use case #1, product of specimen collection | <participant typeCode="PRD" contextControlCode="OP">
<time>
<low value="200931121005-0500"/> </time> <participantRole classCode="SPEC">
<!-- ID of the specimen produced, coming from the LIS -->
<id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008"/> <code code="P" displayName="patient" codeSystem="2.16.840.1.113883.5.111"/> <playingEntity classCode="ENT" determinerCode="INSTANCE">
<code code="TISS" displayName="Tissue, unspecified" codeSystem="2.16.840.1.113883.5.1060"/> </playingEntity> </participantRole></participant> |
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| Example | | for use case #1, additive in specimen collection | <participant typeCode="CSM" contextControlCode="OP">
<time>
<low value="200931121005-0500"/> <high value="201001030805-0500"/> </time> <participantRole classCode="ADTV">
<playingEntity classCode="ENT" determinerCode="INSTANCE">
<code code="BF10" displayName="Buffered 10% formalin" codeSystem="2.16.840.1.113883.1.11.16041"/> </playingEntity> </participantRole></participant> |
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| Item | DT | Card | Conf | Description | Label |
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| cs | 1 … 1 | R | Product (PRD) of a specimen procedure step, or consumable (CSM) in a specimen procedure step (additive to the specimen) | | | CONF | | The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.10901 ParticipationType (2014‑03‑26) |
| | |  | | psr-dataelement-1 | Specimen | APSR 2.0 |
| | cs | 1 … 1 | F | OP | | IVL_TS | 0 … 1 | R | | PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps | | | 1 … 1 | M | | PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps | | | | | psr-dataelement-34 | Part | APSR 2.0 | | psr-dataelement-35 | Block | APSR 2.0 | | psr-dataelement-36 | Tissue section | APSR 2.0 |
|  | @classCode
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| cs | 1 … 1 | R | Role of the participant, either specimen (SPEC) or additive to the specimen (ADTV) | | | CONF | | The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.10429 RoleClassPartitive (2014‑03‑26) |
| | hl7:id
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| II | 0 … * | R | Specimen ID, coming from the LIS.
No ID for Additive | PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps | | | | | psr-dataelement-100 | Work order ID | APSR 2.0 | | psr-dataelement-83 | Order filler ID | APSR 2.0 | | psr-dataelement-84 | Work order | APSR 2.0 | | psr-dataelement-85 | Work order step ID | APSR 2.0 |
| | hl7:code
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| CE | 0 … 1 | R | Code for roleType of the specimen under observation: usually "Patient" (P), but e.g. on-slide-controls "Calibrator" (C) or "Quality Control (Q) should be used.
No code for Additive
| PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps | | | CONF | | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16515 SpecimenRoleType (2014‑03‑26) |
| | hl7:playingEntity
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| | 1 … 1 | M | Specimen
Contains 1.3.6.1.4.1.19376.1.3.10.9.21 CDA PlayingEntitySpecimen APSR2 (2014‑10‑26 17:50:07) | PaLM Suppl. 2.1‑3: 6.3.2.3 Specimen procedure steps |
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Draft
