1.3.6.1.4.1.19376.1.3.10.9.26

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Template:Templatenote

Template TNMNObservation

Description

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

Actual version

Id1.3.6.1.4.1.19376.1.3.10.9.26Effective Date2014‑12‑02 16:34:50
StatusKyellow.png DraftVersion Label2.0
NameTNMNObservationDisplay NameTNM N-Observation
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.26
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 6 concepts
IdNameData Set
psr-data​element-102Kyellow.png Sentinel Lymph Nodes Kyellow.png APSR 2.0
psr-data​element-103Kyellow.png Isolated tumor cells Kyellow.png APSR 2.0
psr-data​element-106Kyellow.png Micrometasis Kyellow.png APSR 2.0
psr-data​element-59Kyellow.png Postoperative Kyellow.png APSR 2.0
psr-data​element-60Kyellow.png Clinical Kyellow.png APSR 2.0
psr-data​element-8Kyellow.png N-category Kyellow.png APSR 2.0
Uses
Uses 5 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
1.3.6.1.4.1.19376.1.8.1.4.7ContainmentKyellow.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
1.3.6.1.4.1.19376.1.3.10.9.37ContainmentKyellow.png TNM Number of nodes (2.0)2014‑12‑02 16:48:36
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>
  <templateId/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="21900-6" codeSystem="2.16.840.1.113883.6.1" displayName="Regional lymph nodes.pathology [Class] Cancer"/>  <text/>  <statusCode code="completed"/>  <value xsi:type="CD" code="62455006" codeSystem="2.16.840.1.113883.6.96" displayName="N0 category (finding)">
    <qualifier>
      <name/>      <value code="C1" codeSystem="2.16.840.1.113883.15.6" displayName="C1"/>    </qualifier>    <qualifier>
      <name/>      <value code="p" codeSystem="2.16.840.1.113883.15.16" displayName="p"/>    </qualifier>    <qualifier>
      <name/>      <value code="i+" codeSystem="2.16.840.1.113883.15.16" displayName="(i+)"/>    </qualifier>    <qualifier>
      <name/>      <value code="mol+" codeSystem="2.16.840.1.113883.15.16" displayName="(mol+)"/>    </qualifier>    <qualifier>
      <name/>      <value code="sn" codeSystem="2.16.840.1.113883.15.16" displayName="(sn)"/>    </qualifier>    <qualifier>
      <name/>      <value code="mi" codeSystem="2.16.840.1.113883.15.16" displayName="(mi)"/>    </qualifier>  </value>  <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..* R -->
  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.10.9.37 'TNM Number of nodes' (2014-12-02T16:48:36) -->
  </entryRelationship></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
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 … 1F1.3.6.1.4.1.19376.1.3.10.9.26
Treetree.pnghl7:id
II0 … *RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treetree.pnghl7:code
CE (required)1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
@code shall be "21900-6"
@codeSystem shall be "2.16.840.1.113883.6.1"
@codeSystemName shall be "LOINC"
@displayName shall be "Regional lymph nodes.pathology [Class] Cancer"
or
@code shall be "277206009"
@codeSystem shall be "2.16.840.1.113883.6.96"
@codeSystemName shall be "SCT"
@displayName shall be "N category (observable entity)"
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:value
CD1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-8Kyellow.png N-category Kyellow.png APSR 2.0
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.13 UICC N category (SCT) (2014‑10‑27 14:47:35)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.44 UICC N category (2017‑07‑21 10:00:53)
Treeblank.pngTreetree.pnghl7:qualifier
CR (required)0 … 1RC-Factor (Certainty)PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 Constraintin UICC/AJCC TNM 8th edition no longer used
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmCFactor
Treeblank.pngTreeblank.pngTreetree.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 1.3.6.1.4.1.19376.1.3.11.19 UICC C-Factor (2015‑11‑13 13:56:23)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.20 UICC C-Factor (SCT) (2015‑06‑22 15:47:55)
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)1 … 1Rc/p/...PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-59Kyellow.png Postoperative Kyellow.png APSR 2.0
psr-data​element-60Kyellow.png Clinical Kyellow.png APSR 2.0
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmCp
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD (extensible)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.22 TNM_Praefix_CP_UICC (2015‑11‑04 15:52:34)
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)0 … 1Ci (Suffix) in pN0: ITC examined by Immunhistochemistry
PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-103Kyellow.png Isolated tumor cells Kyellow.png APSR 2.0
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmI
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (2017‑03‑13 09:48:35)
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)0 … 1Cmol (Suffix) in pN0: ITC examined by Molecular pathology techniques
PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-103Kyellow.png Isolated tumor cells Kyellow.png APSR 2.0
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmMol
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (2017‑03‑13 09:48:35)
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)0 … 1CQualifier for Sentinel node: sn (Suffix)PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-102Kyellow.png Sentinel Lymph Nodes Kyellow.png APSR 2.0
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1FtnmSn
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CV (extensible)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.42 UICC Sentinel Node (2017‑03‑18 13:12:56)
Treeblank.pngTreetree.pnghl7:qualifier
CR (extensible)0 … 1Cmi-Suffix for micrometastases (equal or less than 0.2 mm) in pN1PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
Target.png
psr-data​element-106Kyellow.png Micrometasis Kyellow.png APSR 2.0
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
cs1 … 1F85351-5
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CV (extensible)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.48 UICC Micrometastasis (2017‑11‑29 17:59:52)
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 … *RContains 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
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
Treetree.pnghl7:entryRelationship
0 … 1RContains 1.3.6.1.4.1.19376.1.3.10.9.37 TNM Number of nodes (2014‑12‑02 16:48:36)PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
Treeblank.pngTreetree.png@typeCode
cs1 … 1FSPRT


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