Difference between revisions of "1.3.6.1.4.1.19376.1.3.10.4.3/static-2015-11-29T170318"

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Revision as of 15:34, 31 July 2018

Id1.3.6.1.4.1.19376.1.3.10.4.3Effective Date2015‑11‑29 17:03:18
Other versions this id:
    StatusKyellow.png DraftVersion Label2.0
    NameICD-O-3TypingGradingDisplay NameICD-O-3 Typing and Grading Observation
    DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

    Entry template for observation on ICD-O-3 Typing and Grading
    ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.4.3
    LabelPaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    ClassificationCDA Entry Level Template
    Open/ClosedOpen (other than defined elements are allowed)
    Associated with
    Associated with 1 concept
    IdNameData Set
    psr-data​element-54Kyellow.png Tumor classification (ICD-O-3) Kgrey.png APSR 2.0
    Used by / Uses
    Used by 0 transactions and 0 templates, Uses 9 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 CDA author IHE2016‑06‑21 14:02:11
    1.3.6.1.4.1.19376.1.8.1.4.6ContainmentKyellow.png CDA Informant(Header&Body) APSR2 (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 APSR (Body)2016‑07‑12 18:44:06
    1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen Identified2014‑12‑22 15:54:30
    1.3.6.1.4.1.19376.1.3.10.9.38ContainmentKyellow.png ICD-O-3 Behavior (2.0)2015‑12‑03 09:11:54
    1.3.6.1.4.1.19376.1.3.10.9.39ContainmentKyellow.png ICD-O-3 Differentiation (2.0)2015‑12‑09 17:12:30
    1.3.6.1.4.1.19376.1.3.10.4.4ContainmentKyellow.png Assessment Scales Observation for Scoring Systems APSR2 (2.0)2016‑10‑06 13:12:00
    2.16.840.1.113883.10.12.324ContainmentKgreen.png CDA Reference2005‑09‑07
    RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
    Example
    example for use case #1
    <observation classCode="OBS" moodCode="EVN" negationInd="false">
      <templateId root="1.3.6.1.4.1.19376.1.3.10.4.3"/>  <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_ICDO"/>  <code code="31205-8" codeSystem="2.16.840.1.113883.6.1" displayName="Histology ICD-O-3 Cancer"/>  <statusCode code="completed"/>  <effectiveTime>
        <low value="201001041405-0500"/>  </effectiveTime>
      <value xsi:type="CD" code="8500/3" codeSystem="2.16.840.1.113883.6.43.1"/>  <author>
        <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (2016-06-21T14:02:11) -->
      </author>
      <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* R -->
      <specimen typeCode="SPC">
        <specimenRole classCode="SPEC">
          <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_slide_A1_HE"/>    </specimenRole>
      </specimen>
      <entryRelationship typeCode="SPRT">
        <!-- template 1.3.6.1.4.1.19376.1.3.10.9.38 'ICD-O-3 Behavior' (2015-12-03T09:11:54), not used in use case #1 -->
      </entryRelationship>
      <entryRelationship typeCode="SPRT">
        <!-- template 1.3.6.1.4.1.19376.1.3.10.9.39 'ICD-O-3 Differentiation' (2015-12-09T17:12:30) -->
      </entryRelationship>
      <entryRelationship typeCode="COMP">
        <!-- template 1.3.6.1.4.1.19376.1.3.10.4.4 'Assessment Scales Observation for Scoring Systems APSR2' (2016-10-06T13:12:00) -->
      </entryRelationship>
      <reference>
        <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
      </reference>
    </observation>
    ItemDTCardConfDescriptionLabel
    hl7:observation
    0 … 1RFirst four digits of Morphology axis code. A complete code consists of 6 digits (for morphology, behavior and grading), the latter both separated by "/" after the 4th digit in morphology.

    Behavior and differentiation are coded as sub-observations
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treetree.png@classCode
    cs1 … 1FOBS
    Treetree.png@moodCode
    cs1 … 1FEVN
    Treetree.png@negationInd
    bl0 … 1 
    Treetree.pnghl7:templateId
    II1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.pngTreetree.png@root
    uid1 … 1F1.3.6.1.4.1.19376.1.3.10.4.3
    Treetree.pnghl7:id
    II0 … *RPaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treetree.pnghl7:code
    CV (extensible)1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
     CONF
    @code shall be "31205-8"
    @codeSystem shall be "2.16.840.1.113883.6.1"
    @codeSystemName shall be "LOINC"
    @displayName shall be "Histology ICD-O-3 Cancer"
    or
    @code shall be "397005006"
    @codeSystem shall be "2.16.840.1.113883.6.96"
    @codeSystemName shall be "SNOMED-CT"
    @displayName shall be "WHO tumor classification (observable entity)"
    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 2.0‑3: 6.3.6.11 ICD‑O‑3
     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 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treetree.pnghl7:value
    CD1 … 1RFirst four digits of Morphology axis codePaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
     
    Target.png
    psr-data​element-54Kyellow.png Tumor classification (ICD-O-3) Kgrey.png APSR 2.0
     CONF
    The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.33 ICD-O-3 Morphology (2015‑11‑13 14:08:46)
     Example
    for use case #1: invasive breast cancer, NST, well differentiated
    <value xsi:type="CD" code="8500" codeSystem="2.16.840.1.113883.6.43.1"/>
    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 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.png where [hl7:assignedEntity]
    Treetree.pnghl7:author
    II0 … 1CContains 1.3.6.1.4.1.19376.1.8.1.4.2 CDA author IHE (2016‑06‑21 14:02:11)PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    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 CDA Informant(Header&Body) APSR2 (2016‑07‑08 11:22:58)
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    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 APSR (Body) (2016‑07‑12 18:44:06)
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.png where [hl7:participantRole]
    Included1 … *R 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 … *RRequired in XD-LAB when more than one specimen is documented at this level. Always required in APSR.
    PaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
     
    Target.png
    psr-data​element-17Kyellow.png Specimen identification Kgrey.png APSR 2.0
    Treeblank.pngTreetree.png@typeCode
    cs0 … 1FSPC
    Treeblank.pngTreetree.pnghl7:specimenRole
    1 … 1MPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
    Treeblank.pngTreeblank.pngTreetree.png@classCode
    cs0 … 1FSPEC
    Treeblank.pngTreeblank.pngTreetree.pnghl7:id
    II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.0‑3: 6.3.6.9 X Specimen identified
     
    Target.png
    psr-data​element-95Kyellow.png Parent ID Kgrey.png APSR 2.0
    psr-data​element-67Kyellow.png Block ID Kgrey.png APSR 2.0
    psr-data​element-68Kyellow.png Tissue section ID Kgrey.png APSR 2.0
    psr-data​element-98Kyellow.png Specimen ID Kgrey.png APSR 2.0
    psr-data​element-66Kyellow.png Part ID Kgrey.png APSR 2.0
    Treetree.pnghl7:entryRelationship
    1 … 1R5th digit in the morphology axis code
    Contains 1.3.6.1.4.1.19376.1.3.10.9.38 ICD-O-3 Behavior (2015‑12‑03 09:11:54)
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.png where [hl7:observation [hl7:code [(@code = '246463000' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = '31206-6' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    Treeblank.pngTreetree.png@typeCode
    cs1 … 1FSPRT
    Treetree.pnghl7:entryRelationship
    0 … 1R6th digit in the morphology axis code
    Contains 1.3.6.1.4.1.19376.1.3.10.9.39 ICD-O-3 Differentiation (2015‑12‑09 17:12:30)
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.png where [hl7:observation [hl7:code [(@code = '263522009' and @codeSystem = '2.16.840.1.113883.6.96') or (@code = '21858-6' and @codeSystem = '2.16.840.1.113883.6.1') or @nullFlavor]]]
    Treeblank.pngTreetree.png@typeCode
    cs1 … 1FSPRT
    Treetree.pnghl7:entryRelationship
    0 … 1Roptional grading by a scoring system, e.g. by means of the Elston-Ellis-Scoring-System in case of invasive breast cancer (ICD-O C50)

    Contains 1.3.6.1.4.1.19376.1.3.10.4.4 Assessment Scales Observation for Scoring Systems APSR2 (2016‑10‑06 13:12:00)
    PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3
    Treeblank.png where [hl7:observation [hl7:code [(@code = '273249006' and @codeSystem = '2.16.840.1.113883.6.96') or concat(@code, @codeSystem) = doc('include/voc-2.16.840.1.113883.1.11.19918-2014-03-26T000000.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem)]]]
    Treeblank.pngTreetree.png@typeCode
    cs1 … 1FCOMP
    Treetree.pnghl7:reference
    0 … *RContains 2.16.840.1.113883.10.12.324 CDA Reference (2005‑09‑07)PaLM Suppl. APSR 2.0‑3: 6.3.6.11 ICD‑O‑3