Difference between revisions of "1.3.6.1.4.1.19376.1.8.1.2.4/static-2014-05-13T142517"
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− | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.4</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;"> | + | <table xmlns="http://www.w3.org/1999/xhtml" class="artdecor" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Id</th><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.2.4</td><th style="width: 20em; text-align: left;">Effective Date</th><td style="text-align: left;">2014‑05‑13 14:25:17</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Status</th><td style="text-align: left;">[[File:Kyellow.png|14px]] Draft</td><th style="width: 20em; text-align: left;">Version Label</th><td style="text-align: left;">2.0</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Name</th><td style="text-align: left;">MicroscopySection</td><th style="width: 20em; text-align: left;">Display Name</th><td style="text-align: left;">Microscopic Observation Section</td></tr><td style="text-align: left;" colspan="4"><table class="treetable" id="templateDescTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Description</td></tr><tr><td><div>The Microscopic Observation section contains optionally the histopathologic findings of the case and of all of the derived specimens. This section should be used to record the results of histochemical and immunohistochemical stains and of image-based molecular methods.</div></td></tr></table></td><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Context</th><td style="text-align: left;" colspan="3">Parent nodes of template element with id 1.3.6.1.4.1.19376.1.8.1.2.4</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Label</th><td style="text-align: left;" colspan="3">PaLM Suppl. 2.0‑3: 6.3.4.4 Microscopic observation section<br /></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Classification</th><td style="text-align: left;" colspan="3">CDA Section Level Template</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Open/Closed</th><td style="text-align: left;" colspan="3">Open (other than defined elements are allowed)</td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Used by / Uses</th><td style="text-align: left;" colspan="3"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;">Used by 0 transactions and 1 template, Uses 2 templates</td></tr><tr><td><div><table class="artdecor" width="100%" border="0" cellspacing="1" cellpadding="3" style="background: transparent;"><tr><th style="width: 20%; text-align: left;">Used by</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.1.1</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Anatomic Pathology Structured Report Content Module (2.0)</td><td style="text-align: left;">2014‑05‑13 11:57:57</td></tr><tr><th style="width: 20%; text-align: left;">Uses</th><th style="width: 1%; text-align: left;"> as </th><th style="width: 60%; text-align: left;">Name</th><th style="width: 19%; text-align: left;">Version</th></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.4.2</td><td style="text-align: left;">Include</td><td style="text-align: left;">[[File:Kyellow.png|14px]] CDA author IHE</td><td style="text-align: left;">2016‑06‑21 14:02:11</td></tr><tr><td style="text-align: left;">1.3.6.1.4.1.19376.1.8.1.3.6</td><td style="text-align: left;">Containment</td><td style="text-align: left;">[[File:Kyellow.png|14px]] Problem Organizer (2.0)</td><td style="text-align: left;">2015‑08‑13 10:24:55</td></tr></table></div></td></tr></table></td></tr><tr style="vertical-align: top;"><th style="width: 20em; text-align: left;">Relationship</th><td style="text-align: left;" colspan="3">Specialization: template 2.16.840.1.113883.10.12.201 <i> </i> (2005‑09‑07)</td></tr><tr class="explabel" style="vertical-align: top;"><td style="width: 20em; text-align: left;">Example</td><td colspan="3" class="explabelgreen"><table class="treetable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr class="desclabel"><td style="height: 1.5em;" class="togglertreetable"><span class="expcaption">example from use case #1</span></td></tr><tr><td><tt><span style="display: block;" class="explrendered"><span class="ppsign"><</span><span class="ppelement">section</span> <span class="ppattribute">classCode</span><span class="ppsign">="</span><span class="ppcontent">DOCSECT</span><span class="ppsign">"</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">templateId</span> <span class="ppattribute">root</span><span class="ppsign">="</span><span class="ppcontent">1.3.6.1.4.1.19376.1.8.1.2.4</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">code</span> <span class="ppattribute">code</span><span class="ppsign">="</span><span class="ppcontent">22635-7</span><span class="ppsign">"</span> <span class="ppattribute">displayName</span><span class="ppsign">="</span><span class="ppcontent">Pathology report microscopic observation</span><span class="ppsign">"</span> <span class="ppattribute">codeSystem</span><span class="ppsign">="</span><span class="ppcontent">2.16.840.1.113883.6.1</span><span class="ppsign">"</span> <span class="ppattribute">codeSystemName</span><span class="ppsign">="</span><span class="ppcontent">LOINC</span><span class="ppsign">"</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">title</span><span class="ppsign">></span><span class="pptext">MICROSCOPIC OBSERVATION SECTION</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">title</span><span class="ppsign">></span></span><span style="display: block;"> <span style="color:green"><!-- Text: Human-readable part --><br /></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">text</span><span class="ppsign">></span><br /> <span class="pptext"> INVASIVE ADENOCARCINOMA OF THE BREAST.</span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">br</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="pptext"> <br /> HISTOLOGIC TYPE: DUCTAL.</span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">br</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="pptext"><br /> NOTTINGHAM COMBINED HISTOLOGIC GRADE: 1 OF 3. <br /> </span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">list</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">TUBULE FORMATION SCORE: 2.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">NUCLEAR PLEOMORPHISM SCORE: 2.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">MITOTIC RATE SCORE: 1.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">></span></span> <span class="pptext"><br /> IN-SITU CARCINOMA: EQUIVOCAL.</span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">br</span><span class="ppsign">/</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">br</span><span class="ppsign">/</span><span class="ppsign">></span></span> <span class="pptext"> <br /> BREAST CANCER BIOMARKER STUDIES: <br /> </span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">list</span><span class="ppsign">></span><br /><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">PARAFFIN BLOCK NUMBER: A1.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">ER INTERPRETATION: POSITIVE ESTROGEN RECEPTOR ACTIVITY (ALLRED SCORE = 8, Allred Percentage Score = 5, Allred Staining Score = 3).</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">PR INTERPRETATION: POSITIVE PROGESTERONE RECEPTOR ACTIVITY (ALLRED SCORE = 8).</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">DAKO EGFR PHARMDX IMMUNOHISTOCHEMISTRY: NEGATIVE (0) FOR EXPRESSION OF EPIDERMAL GROWTH FACTOR RECEPTOR.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">HER2/NEU IMMUNOHISTOCHEMISTRY: EQUIVOCAL (2+) FOR OVEREXPRESSION OF HER2/NEU ONCOPROTEIN.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span><span style="display: block;" class="explrendered"> <span class="ppsign"><</span><span class="ppelement">item</span><span class="ppsign">></span><span class="pptext">HER2/NEU FISH RESULTS: NOT AMPLIFIED.</span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">item</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">list</span><span class="ppsign">></span></span> <span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">text</span><span class="ppsign">></span></span><span class="ppsign"></</span><span class="ppnamespace"></span><span class="ppelement">section</span><span class="ppsign">></span></span></tt></td></tr></table></td></tr><tr style="vertical-align: top;"><td colspan="4" class="tabtab"><table class="treetable" id="transactionTable" width="100%" border="0" cellspacing="3" cellpadding="2" style="background: transparent;"><tr><th style="width: 30%; text-align: left;">Item</th><th style="width: 2em; text-align: left;">DT</th><th style="width: 2em; text-align: left;">Card</th><th style="width: 2em; text-align: left;">Conf</th><th style="text-align: left;">Description</th><th style="width: 2em; text-align: left;">Label</th></tr><tr style="vertical-align: top; background-color: #FFEAEA;"><td class="columnName"><table class="artdecor" cellpadding="1" style="background: transparent;"><tr><td><tt><strong>hl7:section<br /></strong></tt></td></tr></table></td><td><strong></strong></td><td><span style="color: black;"><strong>0 … 1</strong></span></td><td><span style="color: color: black;"><strong>R</strong></span></td><td></td><td style="background-color: #FFEEEE;"><span title="">PaLM Suppl. 2.0‑3: 6.3.4.4 Microscopic observation section</span></td></tr><tr style="vertical-align: top; background-color: #FAFAD2;"><td style="background-color: white;" colspan="1"> </td><td class="conf">Constraint</td><td style="background-color: #FAFAD2;" colspan="4"><p class="TableEntry" style="margin-top:6.0pt;margin-right:3.7pt;margin-bottom: 0cm;margin-left:0cm;margin-bottom:.0001pt"> |
<span lang="EN-US">This section SHALL contain a code element populated with these attributes:<span style="font-size: 12pt;"> | <span lang="EN-US">This section SHALL contain a code element populated with these attributes:<span style="font-size: 12pt;"> | ||
</span> | </span> |