1.3.6.1.4.1.19376.1.3.10.4.2

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Template:Templatenote

Template TNMStageObservation

Description

Actual version

Id1.3.6.1.4.1.19376.1.3.10.4.2Effective Date2014‑05‑13 15:45:13
StatusKyellow.png DraftVersion Label2.0
NameTNMStageObservationDisplay NameUICC/AJCC TNM Staging and Grading Observation
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

TNM stage with supporting categories
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.2
LabelPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Associated with
Associated with 2 concepts
IdNameData Set
psr-data​element-13Kyellow.png Observation Timestamp Kyellow.png APSR 2.0
psr-data​element-74Kyellow.png Stage Kyellow.png APSR 2.0
Uses
Uses 17 templates
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.3.1.7ContainmentKgreen.png Laboratory Performer (2017)2008‑08‑08
1.3.6.1.4.1.19376.1.8.1.4.2ContainmentKyellow.png Author (2.0)2016‑06‑21 14:02:11
1.3.6.1.4.1.19376.1.8.1.4.6ContainmentKyellow.png Informant (2.0)2016‑07‑08 11:22:58
1.3.6.1.4.1.19376.1.8.1.4.7ContainmentKyellow.png Additional participant in an entry (2.0)2016‑07‑12 18:44:06
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen Identified (2.0)2014‑12‑22 15:54:30
1.3.6.1.4.1.19376.1.3.10.9.32ContainmentKyellow.png TNM y (2.0)2015‑06‑22 17:28:17
1.3.6.1.4.1.19376.1.3.10.9.30ContainmentKyellow.png TNM a (2.0)2015‑06‑22 15:13:46
1.3.6.1.4.1.19376.1.3.10.9.31ContainmentKyellow.png TNM r (2.0)2015‑06‑22 17:38:42
1.3.6.1.4.1.19376.1.3.10.9.25ContainmentKyellow.png TNM T-Observation (2.0)2014‑12‑02 15:54:17
1.3.6.1.4.1.19376.1.3.10.9.26ContainmentKyellow.png TNM N-Observation (2.0)2014‑12‑02 16:34:50
1.3.6.1.4.1.19376.1.3.10.9.27ContainmentKyellow.png TNM M-Observation (2.0)2014‑12‑02 16:32:30
1.3.6.1.4.1.19376.1.3.10.9.33ContainmentKyellow.png TNM Serum tumor markers (2.0)2015‑11‑06 14:28:44
1.3.6.1.4.1.19376.1.3.10.9.34ContainmentKyellow.png TNM Lymphatic Invasion (2.0)2015‑11‑16 14:01:58
1.3.6.1.4.1.19376.1.3.10.9.35ContainmentKyellow.png TNM Venous Invasion (2.0)2015‑11‑16 13:40:28
1.3.6.1.4.1.19376.1.3.10.9.36ContainmentKyellow.png TNM Perineural Invasion (2.0)2015‑11‑11 16:13:40
1.3.6.1.4.1.19376.1.3.10.9.28ContainmentKyellow.png TNM Grading (2.0)2015‑11‑15 13:01:18
1.3.6.1.4.1.19376.1.3.10.9.29ContainmentKyellow.png TNM R-status (2.0)2015‑06‑30 13:38:30
RelationshipSpecialization: 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
<observation classCode="OBS" moodCode="ENV" negationInd="false">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.4.2"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21902-2" codeSystem="2.16.840.1.113883.6.1"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20170712152253"/>  </effectiveTime>  <value xsi:type="CD" code="IIA" displayName="stage IIA" codeSystem="2.16.840.1.113883.15.6"/>  <performer>
    <!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'Laboratory Performer' (2008-08-08T00:00:00) -->
  </performer>  <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>  <participant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (2016-07-12T18:44:06) -->
  </participant>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* M -->
  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.32 'TNM y' (2015-06-22T17:28:17) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.30 'TNM a ' (2015-06-22T15:13:46) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.31 'TNM r' (2015-06-22T17:38:42) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.25 'TNM T-Observation' (2014-12-02T15:54:17) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.26 'TNM N-Observation' (2014-12-02T16:34:50) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.27 'TNM M-Observation' (2014-12-02T16:32:30) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.33 'TNM Serum tumor markers' (2015-11-06T14:28:44) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.34 'TNM Lymphatic Invasion' (2015-11-16T14:01:58) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.35 'TNM Venous Invasion' (2015-11-16T13:40:28) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.36 'TNM Perineural Invasion' (2015-11-11T16:13:40) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.28 'TNM Grading' (2015-11-15T13:01:18) -->
  </entryRelationship>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.29 'TNM R-status' (2015-06-30T13:38:30) -->
  </entryRelationship></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … *RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-74Kyellow.png Stage Kyellow.png APSR 2.0
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FENV
Treetree.png@negationInd
bl0 … 1 
Treetree.pnghl7:templateId
II1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.4.2
Treetree.pnghl7:id
II0 … *RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treetree.pnghl7:code
CE (extensible)1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
@code shall be "21902-2"
@codeSystem shall be "2.16.840.1.113883.6.1"
@codeSystemName shall be "LOINC"
or
@code shall be "tnmStage"
@codeSystem shall be "1.2.276.0.76.3.1.131.1.5.1"
@codeSystemName shall be "DKG Coding Scheme"
@displayName shall be "tumor stage"
Treetree.pnghl7:text
ED0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 Example<text> PATHOLOGIC STAGE (AJCC 7th Edition): IIA </text>
Treetree.pnghl7:statusCode
CS (required)1 … 1MThe 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)
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-13Kyellow.png Observation Timestamp Kyellow.png APSR 2.0
Treetree.pnghl7:value
CD (extensible)0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.46 UICC Stage (2017‑07‑21 10:43:31)
Treetree.pnghl7:performer
II0 … 1CPerforming lab

Source: PaLM TF-3: 6.3.2.20
Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (2008‑08‑08)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 ConstraintThe 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.
Treetree.pnghl7:author
II0 … *CAuthor

Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.2

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
Treetree.pnghl7:informant
II0 … *RInformant

Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.5
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
Treetree.pnghl7:participant
II0 … *RAdditional participants

Source: PaLM TF Suppl. APSR 2.0-3: 6.3.6.6

Contains 1.3.6.1.4.1.19376.1.8.1.4.7 Additional participant in an entry (2016‑07‑12 18:44:06)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Included1 … *M from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30)
Treetree.pnghl7:specimen
1 … *MRequired 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
 
Target.png
psr-data​element-17Kyellow.png Specimen identification Kyellow.png APSR 2.0
Treeblank.pngTreetree.png@typeCode
cs0 … 1FSPC
Treeblank.pngTreetree.pnghl7:specimenRole
1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FSPEC
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified
 
Target.png
psr-data​element-66Kyellow.png Part ID Kyellow.png APSR 2.0
psr-data​element-67Kyellow.png Block ID Kyellow.png APSR 2.0
psr-data​element-68Kyellow.png Tissue section ID Kyellow.png APSR 2.0
psr-data​element-95Kyellow.png Parent ID Kyellow.png APSR 2.0
psr-data​element-98Kyellow.png Specimen ID Kyellow.png APSR 2.0
Treetree.pnghl7:entryRelationship
0 … 1Rstaged after multimodal (neoadjuvant) therapy
Contains 1.3.6.1.4.1.19376.1.3.10.9.32 TNM y (2015‑06‑22 17:28:17)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1Rfirst staged at autopsy
Contains 1.3.6.1.4.1.19376.1.3.10.9.30 TNM a (2015‑06‑22 15:13:46)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1Rstaged after relapse
Contains 1.3.6.1.4.1.19376.1.3.10.9.31 TNM r (2015‑06‑22 17:38:42)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RT: T category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.25 TNM T-Observation (2014‑12‑02 15:54:17)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RN: N category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.26 TNM N-Observation (2014‑12‑02 16:34:50)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RM: M category of TNM
Contains 1.3.6.1.4.1.19376.1.3.10.9.27 TNM M-Observation (2014‑12‑02 16:32:30)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RSerum tumor markers stage descriptor
Contains 1.3.6.1.4.1.19376.1.3.10.9.33 TNM Serum tumor markers (2015‑11‑06 14:28:44)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for lymphatic invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.34 TNM Lymphatic Invasion (2015‑11‑16 14:01:58)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for venous invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.35 TNM Venous Invasion (2015‑11‑16 13:40:28)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RDescriptor for perineurial invasion
Contains 1.3.6.1.4.1.19376.1.3.10.9.36 TNM Perineural Invasion (2015‑11‑11 16:13:40)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
1 … 1RTNM-Grading
Contains 1.3.6.1.4.1.19376.1.3.10.9.28 TNM Grading (2015‑11‑15 13:01:18)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT
Treetree.pnghl7:entryRelationship
0 … 1RStatus of residual tumor
Contains 1.3.6.1.4.1.19376.1.3.10.9.29 TNM R-status (2015‑06‑30 13:38:30)		PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT


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