1.3.6.1.4.1.19376.1.3.10.9.42/static-2016-10-10T113336

Id	1.3.6.1.4.1.19376.1.3.10.9.42	Effective Date	2016‑10‑10 11:33:36 Other versions this id:
Status	Draft	Version Label	2.0
Name	AssessmentScoringSystemAPSR2.0	Display Name	Assessment Scoring System APSR 2.0
Description	Supportive Observation entry for describing a scoring system
Context	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.42
Label	PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 2 templates, Uses 4 templates Used by as Name Version 1.3.6.1.4.1.19376.1.3.10.4.4 Containment Assessment Scales Observation for Scoring Systems (2.0) 2016‑10‑06 13:12:00 1.3.6.1.4.1.19376.1.3.10.4.3 ICD-O-3 Typing and Grading Observation (2.0) 2015‑11‑29 17:03:18 Uses as Name Version 1.3.6.1.4.1.19376.1.3.10.9.1 Include X Specimen Identified (2.0) 2014‑12‑22 15:54:30 1.3.6.1.4.1.19376.1.3.10.9.43 Containment Assessment Scoring Item APSR 2.0 (2.0) 2016‑10‑11 10:26:17 2.16.840.1.113883.10.12.324 Containment CDA Reference 2005‑09‑07 2.16.840.1.113883.10.12.329 Containment CDA Precondition 2005‑09‑07
Relationship	Specialization: template 1.3.6.1.4.1.19376.1.8.1.4.9 (2014‑05‑14 17:09:54)
Example	generated example for use case #1, ER-Allred Score <observation negationInd="false" classCode="OBS" moodCode="EVN">   <templateId root="1.3.6.1.4.1.19376.1.3.10.9.42"/>  <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_AllredScoreSystem"/>  <code code="278061009 | Scores (qualifier value) |" codeSystem="2.16.840.1.113883.6.96" displayName="Score"/>  <derivationExpr text="sum"/>  <statusCode code="completed"/>  <effectiveTime>     <low value="201001041405-0500"/>  </effectiveTime>  <value code="445104009" codeSystem="2.16.840.1.113883.6.96" displayName="Sum of proportion of positive staining neoplastic cells score and average intensity of staining score for hormone receptors using immunohistochemistry (observable entity)"/>  <methodCode code="0107" displayName="Microscopy" codeSystem="2.16.840.1.113883.5.84"/>  <specimen typeCode="SPC">     <specimenRole classCode="SPEC">       <id root="1.3.6.1.4.1.19376.1.8.9" extension="A7102400008_slide_A1_ER"/>    </specimenRole>  </specimen>  <entryRelationship>     <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.43 'Assessment Scoring Item APSR 2.0' (2016-10-11T10:26:17) -->   </entryRelationship>  <reference>     <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->   </reference>  <precondition>     <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->   </precondition></observation>
Item DT Card Conf Description Label hl7:observation 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales @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: 6.3.5.10 Assessment scales @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.9.42 hl7:id II 0 … * R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:code CV (extensible) 1 … 1 M PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales @code CONF 1 … 1   @code shall be out of choice: 246262008 Score (attribute) @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) @codeSystemName 1 … 1 F SCT @displayName 1 … 1 F Score hl7:derivationExpr ST 0 … 1 R This optional field can be used to specify how the total score is calculated. In most cases the total score will be the sum of its components. But complex mathematical functions and/or logical operations are possible as well. PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:text ED 0 … 1 R Scoring system used PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales 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: 6.3.5.10 Assessment scales   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 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:value CE (extensible) 1 … * R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales   CONF @code shall be "any codes from 395531003 | Tumor observable (observable entity) |" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "SCT" @displayName shall be "any score systems from Tumor observables" or @code shall be "any codes from 273249006 | Assessment scales" @codeSystem shall be "2.16.840.1.113883.6.96" @codeSystemName shall be "SCT" @displayName shall be "any score systems from Assessment scales" hl7:methodCode CE 0 … * R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (2014‑03‑26) Included 1 … * R 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 … * R 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-95  Parent ID  APSR 2.0 psr-data​element-67  Block ID  APSR 2.0 psr-data​element-66  Part ID  APSR 2.0 psr-data​element-98  Specimen ID  APSR 2.0 psr-data​element-68  Tissue section ID  APSR 2.0 hl7:entryRelationship 0 … * R Contains 1.3.6.1.4.1.19376.1.3.10.9.43 Assessment Scoring Item APSR 2.0 (2016‑10‑11 10:26:17) PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales where [hl7:observation] @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 0 … 1 F true hl7:sequenceNumber INT 0 … 1 PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:reference 0 … * R Contains 2.16.840.1.113883.10.12.324 CDA Reference (2005‑09‑07) PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:precondition 0 … * R Contains 2.16.840.1.113883.10.12.329 CDA Precondition (2005‑09‑07) PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales where [hl7:criterion] hl7:referenceRange 0 … * R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales @typeCode cs 1 … 1 F REFV hl7:observationRange 1 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales @classCode cs 0 … 1 F OBS @moodCode cs 0 … 1 F EVN.CRT hl7:code CD 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales @codeSystem CONF 0 … 1 F 2.16.840.1.113883.5.4 (Act Code) hl7:text ED 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:value ANY 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales hl7:interpretationCode CE 0 … 1 R PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (2014‑03‑26)