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− | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;">2014‑05‑14 17:09:54</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Draft</td><th style="width: 20em; text-align: left;">Version Label</th><td style="text-align: left;">2.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">APObservationEntry</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">AP Observation Entry</td></tr><td style="text-align: left;" colspan="4"><table class="treetable" id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Description</td></tr><tr><td><div><span lang="EN-US" style="mso-no-proof: no">This content module is usable within a Problem organizer.<br /><br />The “AP Observation” generic template is usable for all AP observations, including ancillary techniques. </span><span lang="EN-US" style="mso-no-proof: no"><p class="MsoBodyText" style="MARGIN: 6pt 0cm 0pt">An AP observation has a status and an effective time, may describe various participants (persons, devices, organizations), may have a number of additional properties (method, interpretation, text), and may contain embedded images, comments, and sub-observations, which are also AP observations.<br /></p></span></div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Context</th><td style="text-align: left;" colspan="3">Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.4.9</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Label</th><td style="text-align: left;" colspan="3">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation<br /></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Classification</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Open/Closed</th><td style="text-align: left;" colspan="3">Open (other than defined elements are allowed)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Associated with</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Associated with 3 concepts</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Data Set</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-47</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / ">[[File:Kyellow.png|14px]] Observation </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-57</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Scoring systems </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-65</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Generic AP observation </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Uses</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Uses 10 templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Uses</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.3.1.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Laboratory Performer (2017)</td><td style="text-align: left;">2008‑08‑08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Author (2.0)</td><td style="text-align: left;">2016‑06‑21 14:02:11</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.6</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Informant (2.0)</td><td style="text-align: left;">2016‑07‑08 11:22:58</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Additional participant in an entry (2.0)</td><td style="text-align: left;">2016‑07‑12 18:44:06</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] AP Observation Entry (2.0)</td><td style="text-align: left;">2014‑05‑14 17:09:54</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.10</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Embedded Image</td><td style="text-align: left;">2016‑06‑22 16:08:01</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.307</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA RegionOfInterest</td><td style="text-align: left;">2005‑09‑07</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.5.3.1.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] IHE Comment Entry (2014)</td><td style="text-align: left;">2013‑12‑20</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.1</td><td style="text-align: left;">Include</td><td style="text-align: left;">[[File:Kyellow.png|14px]] X Specimen Identified (2.0)</td><td style="text-align: left;">2014‑12‑22 15:54:30</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.324</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA Reference</td><td style="text-align: left;">2005‑09‑07</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Relationship</th><td style="text-align: left;" colspan="3">Specialization: template 2.16.840.1.113883.10.12.303 <i> </i> (2005‑09‑07)</td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Example</td><td colspan="3" class="explabelgreen"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Observation example for use case #1, estrogen receptor</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">observation</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span> <span class="ppattribute">negationInd</span><span class="ppsign">="</span><span class="ppcontent">false</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.9</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.9.1</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">A7102400008_ER</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">16112-5</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Estrogen receptor [Interpretation] in Tissue</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">completed</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">effectiveTime</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">201001041405-0500</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CD</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">416053008</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Estrogen receptor positive tumor (disorder)</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">methodCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">0107</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Microscopy</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.84</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">performer</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'CDA Performer IHE (Body)' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">performer</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">author</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">informant</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Body) APSR2' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">informant</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">participant</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">participant</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.9 'AP Observation Entry' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.10 'Embedded Image IHE' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 2.16.840.1.113883.10.12.307 'CDA RegionOfInterest' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimen</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">SPC</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimenRole</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">SPEC</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.9</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">A7102400008_slide_A1_ER</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">reference</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">reference</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">></span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Card</th><th style="width: 2em; text-align: left;">Conf</th><th style="text-align: left;">Description</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="4">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-47</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / ">[[File:Kyellow.png|14px]] Observation </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-57</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Scoring systems </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-65</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Generic AP observation </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">OBS</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@negationInd<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td> </td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.8.1.4.9</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td><span style="text-align: justify; text-indent: -36px;">The Anatomic pathology observation code should be taken from a reference terminology, preferably the LOINC terminology. National terminologies may be used.</span></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="4" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">each_code_for_observable_entities_or_a_specific_procedure</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINC</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@displayName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">see_above</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">59847-4</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Histology and Behavior ICD-O-3</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Narrative text about the observation</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> (required)</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">The observation statusCode is “completed” if the observation was actually performed and has produced a result in the </span><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">value</span><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">element. In other cases the status of the intended observation is “aborted” and the result will never come.</span></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">@code shall be "completed"</td></tr><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">or</td></tr><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">@code shall be "aborted"</td></tr></table></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 <i>ActStatus </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Date and time the observation has been made<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>ANY</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Observation values using the appropriate data type.<br /><br />Numeric results use data type PQ, which includes the unit. The result is absent in case of ‘aborted’ observation.<br /><br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">The default data type, cardinalities and value set for the <value> element are dependant on the type of observation.</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.11 <i>AP Observation </i>(2015‑11‑22 12:20:34)</td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>for observation on tumor type</div><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">8500/3</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.43.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">ICD-O-3</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Invasive carcinoma of the breast, no special type</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:interpretationCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td><p style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);">One or more codes interpreting the result, expressed with ObservationInterpretation vocabulary (e.g., H = high, L = low). </p><ul style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);"><p style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);">This element may be coded with other values than those of the ObservationInterpretation vocabulary, given that the coding strength is CWE (coded with exceptions).</p></ul></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code should be drawn from value set 2.16.840.1.113883.1.11.78 <i>ObservationInterpretation </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:methodCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code should be drawn from value set 2.16.840.1.113883.1.11.14079 <i>ObservationMethod </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:performer<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Performing lab<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF-3: 6.3.2.20</span><br /><br />Contains 1.3.6.1.4.1.19376.1.3.3.1.7 <i>Laboratory Performer</i> (2008‑08‑08)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:assignedEntity]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">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.</span><br /></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Author<br /><br /><div><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">Source: PaLM TF Suppl. APSR 2.0-3:</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);"> 6.3.6.2</span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>Author</i> (2016‑06‑21 14:02:11)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:author]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Informant<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.5</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>Informant</i> (2016‑07‑08 11:22:58)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:participant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Additional participants<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.6</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.7 <i>Additional participant in an entry</i> (2016‑07‑12 18:44:06)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:participantRole]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Sub-Observation<br /><br /><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">The result obtained for an observation may lead to an additional AP observation to refine this result. This sub-observation is again an Anatomic Pathology Observation.</span><br /><div><span style="font-kerning: none"><br />Source: </span>Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.7</span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.9 <i>AP Observation Entry</i> (2014‑05‑14 17:09:54)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:observation [hl7:code [(@code = 'each_code_for_observable_entities_or_a_specific_procedure' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Embedded image. <br /><br /><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. </span><br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.8</span><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.10 <i>Embedded Image</i> (2016‑06‑22 16:08:01)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:observationMedia]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Region of Interest<br /><br /><br /><br /><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 2.16.840.1.113883.10.12.307 <i>CDA RegionOfInterest</i> (2005‑09‑07)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:regionOfInterest [hl7:code [@code = doc('include/voc-2.16.840.1.113883.1.11.16117-DYNAMIC.xml')//valueSet [1]/conceptList/*/@code or @nullFlavor]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. <br />In the latter case by an entryRelationship @typeCode="SUBJ"</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Annotation comment<br /><br /><br /><br /><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 <i>IHE Comment Entry</i> (2013‑12‑20)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:act [hl7:code [(@code = '48767-8' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (2014‑12‑22 15:54:30)<br />Specimen identification<br /></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>Example for specimen referencing</div><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">specimen</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- which specimen is used for this observation --><br /></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimenRole</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.999999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">slide_A_1_PR</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">[[File:Kyellow.png|14px]] Specimen identification </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="6">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">[[File:Kyellow.png|14px]] Parent ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">[[File:Kyellow.png|14px]] Block ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">[[File:Kyellow.png|14px]] Part ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">[[File:Kyellow.png|14px]] Specimen ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">[[File:Kyellow.png|14px]] Tissue section ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Reference to an external document, or to external observations, e.g. concerning molecular pathology or genetic testing report<br />Contains 2.16.840.1.113883.10.12.324 <i>CDA Reference</i> (2005‑09‑07)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr></table></td></tr></table> | + | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;">2014‑05‑14 17:09:54</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Draft</td><th style="width: 20em; text-align: left;">Version Label</th><td style="text-align: left;">2.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">APObservationEntry</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">AP Observation Entry</td></tr><td style="text-align: left;" colspan="4"><table class="treetable" id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Description</td></tr><tr><td><div><span lang="EN-US" style="mso-no-proof: no">This content module is usable within a Problem organizer.<br /><br />The “AP Observation” generic template is usable for all AP observations, including ancillary techniques. </span><span lang="EN-US" style="mso-no-proof: no"><p class="MsoBodyText" style="MARGIN: 6pt 0cm 0pt">An AP observation has a status and an effective time, may describe various participants (persons, devices, organizations), may have a number of additional properties (method, interpretation, text), and may contain embedded images, comments, and sub-observations, which are also AP observations.<br /></p></span></div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Context</th><td style="text-align: left;" colspan="3">Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.4.9</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Label</th><td style="text-align: left;" colspan="3">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation<br /></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Classification</th><td style="text-align: left;" colspan="3">CDA Entry Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Open/Closed</th><td style="text-align: left;" colspan="3">Open (other than defined elements are allowed)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Associated with</th><td style="text-align: left;" colspan="3"><table class="treetable" id="assocsTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Associated with 3 concepts</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Id</th><th style="width: 60%; text-align: left;">Name</th><th style="width: 20%; text-align: left;">Data Set</th></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-47</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / ">[[File:Kyellow.png|14px]] Observation </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-57</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Scoring systems </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr><td style="text-align: left; vertical-align: top; width: 1%;">psr-data​element-65</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Generic AP observation </td><td style="text-align: left; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Uses</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Uses 10 templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Uses</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.3.1.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] Laboratory Performer (2017)</td><td style="text-align: left;">2008‑08‑08</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Author (2.0)</td><td style="text-align: left;">2016‑06‑21 14:02:11</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.6</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Informant (2.0)</td><td style="text-align: left;">2016‑07‑08 11:22:58</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.7</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Additional participant in an entry (2.0)</td><td style="text-align: left;">2016‑07‑12 18:44:06</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.9</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] AP Observation Entry (2.0)</td><td style="text-align: left;">2014‑05‑14 17:09:54</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.10</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Embedded Image</td><td style="text-align: left;">2016‑06‑22 16:08:01</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.307</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA RegionOfInterest</td><td style="text-align: left;">2005‑09‑07</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.5.3.1.4.2</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] IHE Comment Entry (2014)</td><td style="text-align: left;">2013‑12‑20</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.3.10.9.1</td><td style="text-align: left;">Include</td><td style="text-align: left;">[[File:Kyellow.png|14px]] X Specimen Identified (2.0)</td><td style="text-align: left;">2014‑12‑22 15:54:30</td></tr><tr><td style="text-align: left;">2.16.840.1.113883.10.12.324</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kgreen.png|14px]] CDA Reference</td><td style="text-align: left;">2005‑09‑07</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Relationship</th><td style="text-align: left;" colspan="3">Specialization: template 2.16.840.1.113883.10.12.303 <i>CDA Observation </i> (2005‑09‑07) <span xmlns="" class="repobox"><div class="repo ref sspacing">ref</div><div class="non-selectable repo refvalue sspacing">ad1bbr-</div></span></td></tr><tr class="explabel " style="vertical-align: top;"><td style="width: 20em; text-align: left;">Example</td><td colspan="3" class="explabelgreen"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">Observation example for use case #1, estrogen receptor</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">observation</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">OBS</span><span class="ppsign">"</span> <span class="ppattribute">moodCode</span><span class="ppsign">="</span><span class="ppcontent">EVN</span><span class="ppsign">"</span> <span class="ppattribute">negationInd</span><span class="ppsign">="</span><span class="ppcontent">false</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.9</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.9.1</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">A7102400008_ER</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">16112-5</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Estrogen receptor [Interpretation] in Tissue</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">statusCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">completed</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">effectiveTime</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">low</span> <span class="ppattribute">value</span><span class="ppsign">="</span><span class="ppcontent">201001041405-0500</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">effectiveTime</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent">CD</span><span class="ppsign">"</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">416053008</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Estrogen receptor positive tumor (disorder)</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.96</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">methodCode</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">0107</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Microscopy</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.5.84</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">performer</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'CDA Performer IHE (Body)' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">performer</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">author</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">author</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">informant</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Body) APSR2' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">informant</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">participant</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">participant</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.9 'AP Observation Entry' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 1.3.6.1.4.1.19376.1.8.1.4.10 'Embedded Image IHE' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">entryRelationship</span> <span class="ppattribute">xsi:type</span><span class="ppsign">="</span><span class="ppcontent"></span><span class="ppsign">"</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">COMP</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 2.16.840.1.113883.10.12.307 'CDA RegionOfInterest' --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">entryRelationship</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimen</span> <span class="ppattribute">typeCode</span><span class="ppsign">="</span><span class="ppcontent">SPC</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimenRole</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">SPEC</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.9</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">A7102400008_slide_A1_ER</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">reference</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (dynamic) --><br /></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">reference</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">observation</span><span class="ppsign">></span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Card</th><th style="width: 2em; text-align: left;">Conf</th><th style="text-align: left;">Description</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:observation<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="4">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-47</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / ">[[File:Kyellow.png|14px]] Observation </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-57</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Scoring systems </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-65</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Observation / ">[[File:Kyellow.png|14px]] Generic AP observation </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">OBS</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@moodCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">EVN</td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@negationInd<br /></strong></tt></td></tr></table></td><td>bl</td><td><span><strong>0 … 1</strong></span></td><td> </td><td style="vertical-align: top;" colspan="2"></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:templateId<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@root<br /></strong></tt></td></tr></table></td><td>uid</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">1.3.6.1.4.1.19376.1.8.1.4.9</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:code<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td><span style="text-align: justify; text-indent: -36px;">The Anatomic pathology observation code should be taken from a reference terminology, preferably the LOINC terminology. National terminologies may be used.</span></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@code<br /></strong></tt></td></tr></table></td><td rowspan="4" class="conf">CONF</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">each_code_for_observable_entities_or_a_specific_procedure</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystem<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">2.16.840.1.113883.6.1 (LOINC)</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@codeSystemName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">LOINC</td></tr><tr style="vertical-align: top;"><td><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@displayName<br /></strong></tt></td></tr></table></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><strong>F</strong></td><td colspan="2">see_above</td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">59847-4</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Histology and Behavior ICD-O-3</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:text<br /></strong></tt></td></tr></table></td><td><strong>ED</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Narrative text about the observation</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:statusCode<br /></strong></tt></td></tr></table></td><td><strong>CS</strong> (required)</td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">The observation statusCode is “completed” if the observation was actually performed and has produced a result in the </span><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">value</span><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">element. In other cases the status of the intended observation is “aborted” and the result will never come.</span></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">@code shall be "completed"</td></tr><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">or</td></tr><tr style="padding: 5px; vertical-align: top;"><td colspan="1" rowspan="1" style="padding: 3px !important; border-spacing: 3px !important;">@code shall be "aborted"</td></tr></table></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 <i>ActStatus </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:effectiveTime<br /></strong></tt></td></tr></table></td><td><strong>IVL_TS</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Date and time the observation has been made<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:value<br /></strong></tt></td></tr></table></td><td><strong>ANY</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Observation values using the appropriate data type.<br /><br />Numeric results use data type PQ, which includes the unit. The result is absent in case of ‘aborted’ observation.<br /><br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">The default data type, cardinalities and value set for the <value> element are dependant on the type of observation.</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.11 <i>AP Observation </i>(2015‑11‑22 12:20:34)</td></tr></table></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>for observation on tumor type</div><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">value</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">8500/3</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.43.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">ICD-O-3</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Invasive carcinoma of the breast, no special type</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:interpretationCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td><p style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);">One or more codes interpreting the result, expressed with ObservationInterpretation vocabulary (e.g., H = high, L = low). </p><ul style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);"><p style="font-family: Verdana, Arial, sans-serif; font-size: 12px; color: rgb(51, 51, 51);">This element may be coded with other values than those of the ObservationInterpretation vocabulary, given that the coding strength is CWE (coded with exceptions).</p></ul></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code should be drawn from value set 2.16.840.1.113883.1.11.78 <i>ObservationInterpretation </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:methodCode<br /></strong></tt></td></tr></table></td><td><strong>CE</strong> (extensible)</td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td class="conf">CONF</td><td colspan="4"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><td>The value of @code should be drawn from value set 2.16.840.1.113883.1.11.14079 <i>ObservationMethod </i>(2014‑03‑26)</td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:performer<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Performing lab<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF-3: 6.3.2.20</span><br /><br />Contains 1.3.6.1.4.1.19376.1.3.3.1.7 <i>Laboratory Performer</i> (2008‑08‑08)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:assignedEntity]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">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.</span><br /></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:author<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>C</strong></span></td><td>Author<br /><br /><div><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">Source: PaLM TF Suppl. APSR 2.0-3:</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);"> 6.3.6.2</span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.2 <i>Author</i> (2016‑06‑21 14:02:11)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:author]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:informant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Informant<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.5</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.6 <i>Informant</i> (2016‑07‑08 11:22:58)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:participant<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Additional participants<br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.6</span><br /><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.7 <i>Additional participant in an entry</i> (2016‑07‑12 18:44:06)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:participantRole]</i></td></tr></table></td><td></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Sub-Observation<br /><br /><span style="text-align: justify; text-indent: -36px; -webkit-text-stroke-color: rgb(0, 0, 0);">The result obtained for an observation may lead to an additional AP observation to refine this result. This sub-observation is again an Anatomic Pathology Observation.</span><br /><div><span style="font-kerning: none"><br />Source: </span>Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.7</span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.9 <i>AP Observation Entry</i> (2014‑05‑14 17:09:54)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:observation [hl7:code [(@code = 'each_code_for_observable_entities_or_a_specific_procedure' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Embedded image. <br /><br /><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. </span><br /><br />Source: <span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">PaLM TF Suppl. APSR 2.0-3</span><span style="text-align: center; -webkit-text-stroke-color: rgb(0, 0, 0);">: 6.3.6.8</span><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 1.3.6.1.4.1.19376.1.8.1.4.10 <i>Embedded Image</i> (2016‑06‑22 16:08:01)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:observationMedia]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Region of Interest<br /><br /><br /><br /><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 2.16.840.1.113883.10.12.307 <i>CDA RegionOfInterest</i> (2005‑09‑07)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:regionOfInterest [hl7:code [@code = doc('include/voc-2.16.840.1.113883.1.11.16117-DYNAMIC.xml')//valueSet [1]/conceptList/*/@code or @nullFlavor]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>1 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><span style="-webkit-text-stroke-color: rgb(0, 0, 0);">This observation may carry an illustrative image, either directly embedded or encapsulated within a region of interest. <br />In the latter case by an entryRelationship @typeCode="SUBJ"</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:entryRelationship<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Annotation comment<br /><br /><br /><br /><br /><br /><div><span style="font-kerning: none"><br /></span></div><br />Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 <i>IHE Comment Entry</i> (2013‑12‑20)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td colspan="5" style="background-color: #FFEAEA;"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td> where <i> [hl7:act [hl7:code [(@code = '48767-8' and @codeSystem = '2.16.840.1.113883.6.1')]]]</i></td></tr></table></td><td></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">COMP</td></tr><tr class="include"><td style="font-style: italic;" colspan="2">Included</td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;;"><strong>M</strong></span></td><td colspan="2"> from 1.3.6.1.4.1.19376.1.3.10.9.1 <i>X Specimen Identified</i> (2014‑12‑22 15:54:30)<br />Specimen identification<br /></td></tr><tr class="explabel " style="vertical-align: top;"><td style="background-color: white;" colspan="1"> </td><td>Example</td><td colspan="4" class="explabelgreen"><div>Example for specimen referencing</div><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">specimen</span><span class="ppsign">></span><br /><span style="display: block;"> <span style="color:green"><!-- which specimen is used for this observation --><br /></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">specimenRole</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">id</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.4.999999</span><span class="ppsign">"</span> <span class="ppattribute">extension</span><span class="ppsign">="</span><span class="ppcontent">slide_A_1_PR</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimenRole</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">specimen</span><span class="ppsign">></span></span></tt></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimen<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … *</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td>Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.<br /></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="2">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-17</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / ">[[File:Kyellow.png|14px]] Specimen identification </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@typeCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:specimenRole<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>M</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr><td style="vertical-align: top;" class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>@classCode<br /></strong></tt></td></tr></table></td><td>cs</td><td><span><strong>0 … 1</strong></span></td><td>F</td><td style="vertical-align: top;" colspan="2">SPEC</td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treeblank.png|16px]]</td><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:id<br /></strong></tt></td></tr></table></td><td><strong>II</strong></td><td><span style="color: black;"><strong>1 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Specimen ID, coming from the LIS</td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified</span></td></tr><tr style="vertical-align: top;"><td style="background-color: white;"> </td><td colspan="5" style="background-color: #F4FFF4;" class="tabtab"><table class="artdecor" width="100%" border="0" cellspacing="2" cellpadding="2" style="background: transparent;"><tr><td style="vertical-align: top; width: 20px" rowspan="6">[[File:Target.png|14px]]</td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-95</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">[[File:Kyellow.png|14px]] Parent ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-67</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / ">[[File:Kyellow.png|14px]] Block ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-66</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / ">[[File:Kyellow.png|14px]] Part ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-98</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Specimen identification / ">[[File:Kyellow.png|14px]] Specimen ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr><tr xmlns="" style="background-color: #F4FFF4;"><td style="width: 25%; vertical-align: top;">psr-data​element-68</td><td style="vertical-align: top;" title="Anatomic Pathology Structured Report / Procedure / Specimen / Part / Block / Tissue section / ">[[File:Kyellow.png|14px]] Tissue section ID </td><td style="width: 35%; vertical-align: top;">[[File:Kyellow.png|14px]] APSR 2.0 </td></tr></table></td></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="ad-diffblock-horizontal " cellpadding="1" style="background: transparent;"><tr><td style="vertical-align: top;">[[File:Treetree.png|16px]]</td><td><tt><strong>hl7:reference<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … *</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td>Reference to an external document, or to external observations, e.g. concerning molecular pathology or genetic testing report<br />Contains 2.16.840.1.113883.10.12.324 <i>CDA Reference</i> (2005‑09‑07)</td><td style="background-color: #FFEEEE;"><span title="">PaLM TF Suppl. APSR 2.1‑3: 6.3.5.5 AP observation</span></td></tr></table></td></tr></table> |