| Item | DT | Card | Conf | Description | Label |
|---|
| | 0 … 1 | R | | PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
 | @classCode
|
| cs | 0 … 1 | F | DOCSECT |
| @moodCode
|
| cs | 0 … 1 | F | EVN |
| | Constraint | This section SHALL contain a code element populated with these attributes: @code="46059-2" @codeSystem="2.16.840.1.113883.6.1" @displayName="Special treatments and procedures section" This section SHALL contain a narrative block, represented by a text element, which renders the information to the human reader. This section SHOULD contain author elements in case the authors of this section differ from those declared at a higher level in the document. The section SHOULD contain as many Specimen Procedure Steps entry elements as there are procedure steps or groups thereof to be described. These entries provide the machine-readable data corresponding to the narrative block. |
| hl7:templateId
|
| II | 1 … 1 | M | | PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
 | | @root
|
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.8.1.2.6 |
| hl7:code
|
| CE | 1 … 1 | M | | PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
| | @code
|
| CONF | 1 … 1 | F | 46059-2 |
| | @codeSystem
|
| 1 … 1 | F | 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) |
| | @codeSystemName
|
| 1 … 1 | F | LOINC |
| | @displayName
|
| 1 … 1 | F | Special treatments and procedures section |
| hl7:title
|
| ST | 1 … 1 | R | The Procedure Steps Section<title> SHALL be present. It is the local translation of the code@displayName
| PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
| hl7:text
|
| SD.TEXT | 1 … 1 | M | | PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
| | Example | example for use case#1 <text>
RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE
BIOPSY) <br/>
PARAFFIN BLOCK NUMBER: A1.:FOUR SECTIONS FOR EACH STAIN: <br/> <paragraph ID="A7102400008">RIGHT BREAST FIVE CORES 8-9:00</paragraph> <paragraph ID="block_A_1">PARAFFIN BLOCK NUMBER: A1</paragraph> <paragraph ID="slide_A_1_HE">slide from block A1 HE stained</paragraph> <paragraph ID="slide_A_1_ER">slide from block A1 ER Immunohistochemistry</paragraph> <paragraph ID="slide_A_1_PR">slide from block A1 PR Immunohistochemistry</paragraph> <paragraph ID="slide_A_1_EGFR">slide from block A1 EGFR (PharmDX) Immunohistochemistry</paragraph> <paragraph ID="slide_A_1_HER2">slide from block A1 HER2 Immunohistochemistry</paragraph> <paragraph ID="slide_A_1_HER2_FISH">slide block from A1 HER2 FISH</paragraph></text> |
| Included | 0 … * | C | from 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (2016‑06‑21 14:02:11)
Author
Source: PaLM Suppl.APSR 2.0‑3:6.3.6.2
|
| hl7:author
|
| | 0 … * | C | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| | @typeCode
|
| cs | 1 … 1 | F | AUT |
| | Example | author is a person <author typeCode="AUT" contextControlCode="OP">
<time value="201306101654"/> <assignedAuthor classCode="ASSIGNED">
<!-- ... -->
</assignedAuthor></author> |
| | hl7:templateId
|
| | 1 … 1 | M | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.8.1.4.2 |
| | hl7:time
|
| TS | 1 … 1 | M | The authoring time is the date & time that this author contributed to the document. It SHALL be provided. | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| | hl7:assignedAuthor
|
| | 0 … 1 | C | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| cs | 0 … 1 | F | ASSIGNED |
| II | 1 … * | M | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| AD | 1 … * | M | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| TEL | 1 … * | M | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| Choice | 1 … 1 | | The author is either an assigned person or an authoring device.
Elements to choose from:- hl7:assignedPerson
- hl7:assignedAuthoringDevice
|
| | 0 … 1 | C | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| Included | 1 … 1 | R | from 2.16.840.1.113883.10.12.152 (2005‑09‑07)
The name(s) SHALL be given. |
| | Include |  | Error: Cannot find template "2.16.840.1.113883.10.12.152" (2005-09-07T00:00:00) |
|
| | | | hl7:assignedAuthoringDevice
|
| | 0 … 1 | C | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| cs | 0 … 1 | F | DEV |
| cs | 0 … 1 | F | INSTANCE |
| | | | | hl7:manufacturerModelName
|
| SC | 0 … 1 | R | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| SC | 0 … 1 | R | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| CE | 0 … 1 | R | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| | | hl7:representedOrganization
|
| | 0 … 1 | | | PaLM Suppl.APSR 2.0‑3:6.3.6.2 Author |
| | Example | represented organization for author as a device <representedOrganization classCode="ORG" determinerCode="INSTANCE">
<name>
<!-- ... -->
</name></representedOrganization> |
| Included | 0 … 1 | | from 2.16.840.1.113883.10.12.151 (2005‑09‑07)
The identifier(s) SHOULD, the name SHALL, the telecom(s) and the address(es) MAY be given. |
| | Include | | Error: Cannot find template "2.16.840.1.113883.10.12.151" (2005-09-07T00:00:00) |
|
| hl7:entry
|
| | 0 … * | R | Specimen procedure steps
Source: PaLM Suppl.APSR 2.0‑3:6.2.5.3
Contains 1.3.6.1.4.1.19376.1.3.10.4.1 Specimen Procedure Step (2016‑07‑08 13:20:59) | PaLM Suppl. 2.0‑3: 6.3.4.7 Procedure steps section |
| where [hl7:procedure [hl7:code [concat(@code, @codeSystem) = doc('include/voc-1.3.6.1.4.1.19376.1.3.11.10-2016-05-31T150959.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem)]]] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | COMP |
| | @contextConductionInd
|
| bl | 0 … 1 | | |
Draft
