1.3.6.1.4.1.19376.1.3.10.9.29

Template TNMRstatus

Description

Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)

Actual version

Id	1.3.6.1.4.1.19376.1.3.10.9.29	Effective Date	2015‑06‑30 13:38:30
Status	Draft	Version Label	2.0
Name	TNMRstatus	Display Name	TNM R-status
Description	Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF) Residual Tumor Status after any therapy
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.29
Label	PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 1 concept Id Name Data Set psr-data​element-46  Residual tumor status  APSR 2.0
Uses	Uses 3 templates Uses as Name Version 1.3.6.1.4.1.19376.1.8.1.4.2 Containment Author (2.0) 2016‑06‑21 14:02:11 1.3.6.1.4.1.19376.1.8.1.4.6 Containment Informant (2.0) 2016‑07‑08 11:22:58 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified (2.0) 2014‑12‑22 15:54:30
Relationship	Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 AP Observation Entry (2014‑05‑14 17:09:54)
Example	Generated example for R0 <observation classCode="OBS" moodCode="EVN" negationInd="false">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.29"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="445200009 " codeSystem="2.16.840.1.113883.6.96"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20170712150312"/>  </effectiveTime>  <value xsi:type="CD" code="258254000" displayName="Residual tumor stage R0 (finding)" codeSystem="2.16.840.1.113883.6.96"/>  <author>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (2016-06-21T14:02:11) -->   </author>  <informant>     <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (2016-07-08T11:22:58) -->   </informant>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* M --> </observation>
Item DT Card Conf Description Label hl7:observation 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM   psr-data​element-46  Residual tumor status  APSR 2.0 @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN @negationInd bl 0 … 1   hl7:templateId II 1 … 1 M PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.29 hl7:id II 0 … * R PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM hl7:code CD (extensible) 1 … 1 M PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM @code CONF 1 … 1 F 445200009 @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) @codeSystemName 1 … 1 F SCT hl7:text ED 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM hl7:statusCode CS (required) 1 … 1 M The observation statusCode is “completed” if the observation was actually performed and has produced a result in the  value element. In other cases the status of the intended observation is “aborted” and the result will never come. PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM   Constraint @code shall be "completed" or @code shall be "aborted"   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (2014‑03‑26) hl7:effectiveTime IVL_TS 1 … 1 M PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM hl7:value CD (extensible) 1 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM   CONF The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.21 UICC Residual tumor (R) classification (2015‑06‑25 11:23:51) hl7:author 0 … * C Contains 1.3.6.1.4.1.19376.1.8.1.4.2 Author (2016‑06‑21 14:02:11) PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM hl7:informant 0 … * R Contains 1.3.6.1.4.1.19376.1.8.1.4.6 Informant (2016‑07‑08 11:22:58) PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM Included 1 … * M from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30) hl7:specimen 1 … * M Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR. PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified   psr-data​element-17  Specimen identification  APSR 2.0 @typeCode cs 0 … 1 F SPC hl7:specimenRole 1 … 1 M PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified @classCode cs 0 … 1 F SPEC hl7:id II 1 … 1 R Specimen ID, coming from the LIS PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified   psr-data​element-66  Part ID  APSR 2.0 psr-data​element-67  Block ID  APSR 2.0 psr-data​element-68  Tissue section ID  APSR 2.0 psr-data​element-95  Parent ID  APSR 2.0 psr-data​element-98  Specimen ID  APSR 2.0

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• 2015-06-30 13:38:30 (Under develeopment)