Latest revision as of 09:53, 9 August 2018

Template ProcedureStepsSection

Description

The Procedure steps section contains the description of tissue collection (sampling) and tissue dissection: representative specimens and derived specimens dissected for the routine workflow and other ancillary procedures (flow cytometry, cytogenetics, molecular studies, electron microscopy, etc.) or biorepository.

Actual version

Id

1.3.6.1.4.1.19376.1.8.1.2.6

Effective Date

2014‑05‑13 19:33:12

Status

Draft

Version Label

2.0

Name

ProcedureStepsSection

Display Name

Procedure Steps Section

Description

The Procedure steps section contains the description of tissue dissection: representative specimens and derived specimens dissected for other ancillary procedures (flow cytometry, cytogenetics, molecular studies, electron microscopy, etc.) or biorepository.

Context

Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.6

Label

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Associated with

Associated with 1 concept

Id	Name	Data Set
psr-dataelement-23	Procedure	APSR 2.0

Uses

Uses 2 templates

Uses	as	Name	Version
1.3.6.1.4.1.19376.1.8.1.4.2	Include	Author (2.0)	2016‑06‑21 14:02:11
1.3.6.1.4.1.19376.1.3.10.4.1	Containment	Specimen Procedure Step (2.0)	2016‑07‑08 13:20:59

Relationship

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)

ref

ad1bbr-

Example

example from use case #1

<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.8.1.2.6"/>  <id root="1.3.6.1.4.1.19376.1.8.9" extension="A7102400008"/>  <code code="46059-2" codeSystem="2.16.840.1.113883.6.1" displayName="Special treatments and procedures section"/>  <title>PROCEDURE STEPS SECTION</title>  
  <text>
     RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE BIOPSY)    <br/>
PARAFFIN BLOCK NUMBER: A1.:FOUR SECTIONS FOR EACH STAIN:    <br/>    <paragraph ID="A7102400008">RIGHT BREAST FIVE CORES 8-9:00</paragraph>    <paragraph ID="block_A_1">PARAFFIN BLOCK NUMBER: A1</paragraph>    <paragraph ID="slide_A_1_HE">slide from block A1 HE stained</paragraph>    <paragraph ID="slide_A_1_ER">slide from block A1 ER
Immunohistochemistry</paragraph>    <paragraph ID="slide_A_1_PR">slide from block A1 PR
Immunohistochemistry</paragraph>    <paragraph ID="slide_A_1_EGFR">slide from block A1 EGFR (PharmDX)
Immunohistochemistry</paragraph>    <paragraph ID="slide_A_1_HER2">slide from block A1 HER2
Immunohistochemistry</paragraph>    <paragraph ID="slide_A_1_HER2_FISH">slide block from A1 HER2
FISH</paragraph>  </text>  <entry typeCode="COMP" contextConductionInd="false">
    
  </entry></section>

Item

DT

Card

Conf

Description

Label

hl7:section

0 … 1

R

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section


	psr-dataelement-23	Procedure	APSR 2.0

@classCode

cs

0 … 1

F

DOCSECT

@moodCode

cs

0 … 1

F

EVN

Constraint

This section SHALL contain a code element populated with these attributes:

@code="46059-2"

@codeSystem="2.16.840.1.113883.6.1"

@displayName="Special treatments and procedures section"

This section SHALL contain a narrative block, represented by a text element, which renders the information to the human reader.

This section SHOULD contain author elements in case the authors of this section differ from those declared at a higher level in the document.

The section SHOULD contain as many Specimen Procedure Steps entry elements as there are procedure steps or groups thereof to be described. These entries provide the machine-readable data corresponding to the narrative block.

hl7:templateId

II

1 … 1

M

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.8.1.2.6

hl7:code

CE

1 … 1

M

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

@code

CONF

1 … 1

F

46059-2

@codeSystem

1 … 1

F

2.16.840.1.113883.6.1 (LOINC)

@codeSystemName

1 … 1

F

LOINC

@displayName

1 … 1

F

Special treatments and procedures section

hl7:title

ST

1 … 1

R

The Procedure Steps Section<title> SHALL be present. It is the local translation of the code@displayName

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

hl7:text

SD.TEXT

1 … 1

M

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

Example

example for use case#1

<text>
   RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE
BIOPSY)  <br/>
PARAFFIN BLOCK NUMBER: A1.:FOUR SECTIONS FOR EACH STAIN:  <br/>  <paragraph ID="A7102400008">RIGHT BREAST FIVE CORES 8-9:00</paragraph>  <paragraph ID="block_A_1">PARAFFIN BLOCK NUMBER: A1</paragraph>  <paragraph ID="slide_A_1_HE">slide from block A1 HE stained</paragraph>  <paragraph ID="slide_A_1_ER">slide from block A1 ER Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_PR">slide from block A1 PR Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_EGFR">slide from block A1 EGFR (PharmDX) Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_HER2">slide from block A1 HER2 Immunohistochemistry</paragraph>  <paragraph ID="slide_A_1_HER2_FISH">slide block from A1 HER2 FISH</paragraph></text>

Included

0 … *

C

from 1.3.6.1.4.1.19376.1.8.1.4.2 Author (2016‑06‑21 14:02:11)
Author

Source: PaLM Suppl.APSR 2.0‑3:6.3.6.2

hl7:author

0 … *

C

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author


psr-dataelement-4	Pathologist	APSR 2.0
psr-dataelement-79	Device	APSR 2.0

@typeCode

cs

1 … 1

F

AUT

Example

author is a person

hl7:templateId

1 … 1

M

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

@root

uid

1 … 1

F

1.3.6.1.4.1.19376.1.8.1.4.2

hl7:time

TS

1 … 1

M

The authoring time is the date & time that this author contributed to the document. It SHALL be provided.

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:assignedAuthor

0 … 1

C

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

@classCode

cs

0 … 1

F

ASSIGNED

hl7:id

II

1 … *

M

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:addr

AD

1 … *

M

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author


	psr-dataelement-18	Address	APSR 2.0

hl7:telecom

TEL

1 … *

M

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

Choice

1 … 1

The author is either an assigned person or an authoring device.

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice

hl7:assignedPerson

0 … 1

C

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author


	psr-dataelement-5	Name	APSR 2.0

Included

1 … 1

R

from 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
The name(s) SHALL be given.

@classCode

0 … 1

F

PSN

@determinerCode

0 … 1

F

INSTANCE

hl7:name

PN

1 … 1

R

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:assignedAuthoringDevice

0 … 1

C

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

@classCode

cs

0 … 1

F

DEV

@determinerCode

cs

0 … 1

F

INSTANCE

hl7:manufacturerModelName

SC

0 … 1

R

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:softwareName

SC

0 … 1

R

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:code

CE

0 … 1

R

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:representedOrganization

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

Example

represented organization for author as a device

Included

0 … 1

from 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07)
The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given.

@classCode

0 … 1

F

ORG

@determinerCode

0 … 1

F

INSTANCE

hl7:id

II

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:name

ON

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:telecom

TEL

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:addr

AD

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:standardIndustryClassCode

CE

0 … 1

SHALL be chosen from domain OrganizationIndustryClass

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:asOrganizationPartOf

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

@classCode

0 … 1

F

PART

hl7:id

II

0 … *

R

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:code

CE

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

CONF

shall be drawn from concept domain "RoleCode"

hl7:statusCode

CS

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15999 RoleStatus (DYNAMIC)

hl7:effectiveTime

IVL_TS

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:wholeOrganization

0 … 1

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

@classCode

0 … 1

F

ORG

@determinerCode

0 … 1

F

INSTANCE

hl7:id

II

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:name

ON

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:telecom

TEL

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:addr

AD

0 … *

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:standardIndustryClassCode

CE

0 … 1

SHALL be chosen from domain OrganizationIndustryClass

PaLM Suppl.APSR 2.0‑3:6.3.5.1 Author

hl7:entry

0 … *

R

Specimen procedure steps

Source: PaLM Suppl.APSR 2.0‑3:6.2.5.3
Contains 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (2016‑07‑08 13:20:59)

PaLM Suppl. 2.1‑3: 6.3.3.7 Procedure steps section

@typeCode

cs

1 … 1

F

COMP

@contextConductionInd

bl

0 … 1

List of all versions of this template

2014-05-13 19:33:12 (Under develeopment)

Revision as of 03:47, 31 January 2018 view source Adbot (talk \| contribs) Editor, Bots 2,952 edits Automated ADBot page content ← Older edit	Latest revision as of 09:53, 9 August 2018 view source Adbot (talk \| contribs) Editor, Bots 2,952 edits Automated ADBot page content
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1.3.6.1.4.1.19376.1.8.1.2.6: Difference between revisions

Latest revision as of 09:53, 9 August 2018

Template ProcedureStepsSection

Description

Actual version

List of all versions of this template

Navigation menu

1.3.6.1.4.1.19376.1.8.1.2.6: Difference between revisions

Latest revision as of 09:53, 9 August 2018

Template ProcedureStepsSection

Description

Actual version

List of all versions of this template

Navigation menu

Search