Difference between revisions of "1.3.6.1.4.1.19376.1.3.10.4.2/static-2014-05-13T154513"

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Revision as of 09:52, 9 August 2018

Id1.3.6.1.4.1.19376.1.3.10.4.2Effective Date2014‑05‑13 15:45:13
Other versions this id:
    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
    Used by / Uses
    Used by 0 transactions and 1 template, Uses 17 templates
    Used by as NameVersion
    1.3.6.1.4.1.19376.1.3.10.4.1ContainmentKcancelledblue.png Specimen Procedure Step (1.0)2014‑07‑29 16:02:02
    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 (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
    Treeblank.png where [hl7:assignedEntity]
     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
    Treeblank.png where [hl7:author]
    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
    Treeblank.png where [hl7:participantRole]
    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-95Kyellow.png Parent ID Kyellow.png APSR 2.0
    psr-data​element-67Kyellow.png Block ID Kyellow.png APSR 2.0
    psr-data​element-66Kyellow.png Part ID Kyellow.png APSR 2.0
    psr-data​element-98Kyellow.png Specimen ID Kyellow.png APSR 2.0
    psr-data​element-68Kyellow.png Tissue section 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.png where [hl7:observation [hl7:code [(@code = '277649004' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = 'y' and @codeSystem = '2.16.840.1.113883.15.6')]]]
    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.png where [hl7:observation [hl7:code [(@code = '277646006' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = '85699-7' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    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.png where [hl7:observation [hl7:code [(@code = '277647002' and @codeSystem = '2.16.840.1.113883.6.96') or @nullFlavor]]]
    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.png where [hl7:observation [hl7:code [(@code = '21899-0' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '78873005' and @codeSystem = '2.16.840.1.113883.6.96')]]]
    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.png where [hl7:observation [hl7:code [(@code = '21900-6' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '277206009' and @codeSystem = '2.16.840.1.113883.6.96')]]]
    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.png where [hl7:observation [hl7:code [(@code = '21901-4' and @codeSystem = '2.16.840.1.113883.6.1') or (@code = '371497001' and @codeSystem = '2.16.840.1.113883.6.96')]]]
    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.png where [hl7:observation]
    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.png where [hl7:observation [hl7:code [(@code = '395715009' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = '33739-4' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    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.png where [hl7:observation [hl7:code [(@code = '371493002' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = '33740-2' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    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.png where [hl7:observation]
    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.png where [hl7:observation [hl7:code [(@code = '59541-3' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    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.png where [hl7:observation [hl7:code [(@code = '445200009 ' and @codeSystem = '2.16.840.1.113883.6.96')]]]
    Treeblank.pngTreetree.png@typeCode
    		cs1 … 1FSPRT
    Retrieved from "http://pubswiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.10.4.2/static-2014-05-13T154513&oldid=1845"