1.3.6.1.4.1.19376.1.3.10.9.28

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Template:Templatenote

Template TNMGrading

Description

Template CDA Observation (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)

Actual version

Id1.3.6.1.4.1.19376.1.3.10.9.28Effective Date2015‑11‑15 13:01:18
StatusKyellow.png DraftVersion Label2.0
NameTNMGradingDisplay NameTNM Grading
Description
Template CDA Observation (prototype, directly derived from POCD_RM000040 MIF)

Template for grading tumors in context of UICC/AJCC TNM tumor formula. The allowed values for each tumor site are given by the UICC.
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.28
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 1 concept
IdNameData Set
psr-data​element-53Kyellow.png Grading Kyellow.png APSR 2.0
Uses
Uses 3 templates
Uses as NameVersion
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
1.3.6.1.4.1.19376.1.3.10.9.1IncludeKyellow.png X Specimen Identified (2.0)2014‑12‑22 15:54:30
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 negationInd="false" classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.10.9.28"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="59541-3" codeSystem="2.16.840.1.113883.6.1" displayName="Grade pathology system"/>  <text/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20170712112059"/>  </effectiveTime>  <value code="1" displayName="G1" codeSystem="2.16.840.1.113883.15.6"/>  <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>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 1..* R -->
</observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-53Kyellow.png Grading Kyellow.png APSR 2.0
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
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 … 1F1.3.6.1.4.1.19376.1.3.10.9.28
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
Treeblank.pngTreetree.png@code
CONF1 … 1F59541-3
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Treeblank.pngTreetree.png@codeSystemName
1 … 1FLOINC
Treeblank.pngTreetree.png@displayName
1 … 1FGrade pathology system
Treetree.pnghl7:text
ED0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
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
Treetree.pnghl7:value
CD (extensible)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 Constraint- if grading system is not to recognize from sender, the value set for a 4 tiered grading has to be chosen.

- if grading for German Cancer Registries is intended, only the values from code system 1.2.276.0.76.5.336 in value set 1.3.6.1.4.1.19376.1.3.11.31 SHOULD be used.
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.31 UICC Grade 4 tiered (2015‑11‑13 19:46:53)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.29 UICC Grade 3 tiered (2015‑11‑13 19:36:21)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.30 UICC Grade 2 tiered (2015‑11‑13 19:43:09)
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
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 2.1‑3: 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


List of all versions of this template

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