Pathology Structured Reporting

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Pathology Structured Reporting - Datasets

Concepts APSR (2.0)
Datasets


	true50

Grading

Id psr-dataelement-53 Version 2015-08-05 11:30:39

Status Draft Version Label

Description

Method of histopathology to describe semiquantitatively resp. to classify the grade of differentiation / grade of malignancy of a malignant tumor. It results in four-tiered, three-tiered or two-tiered tumor grades. There is a tendency to reduce all systems to a two-tiered grading of low and high grade.

Rationale

Large deviations from normal histoarchitecture, high pleomorphism of cells, and high proliferative activity correspond with a highly malignant behaviour. Low structural abnormalities, low pleomorphism and a low proliferative activity correspond with a rather good prognosis. This holds true for the vast majority of malignant tumors.

Terminology Association

Code	Display Name	Codesystem
373372005	Histological grade finding (finding)	SNOMED Clinical Terms

false

Value

Type

Code

Value Set Association

UICC Grade 4 tiered (Dynamic)

/
						< << !<< (r)
-

/
-


/
/

false

Usage (3)

Transaction	Cardinality / Conformance	Project
CDA Document Anatomic Pathology Structured Report 2015 (2.0)	0…1 Required	Pathology Structured Reporting

Template	Path (Card/Conf)	Project
TNM Grading 2015-11-15T13:01:18	hl7:observation (0…1 R)	Pathology Structured Reporting

Dataset	Path	Project
MI Dataset	Erweiterungsmodule / Diagnostik / Pathologiebefund / Strukturierter Pathologiebefundbericht / Beobachtungsberichtabschnitt / Diagnostische Schlussfolgerung / Tumorformel /	MII Core Data Set


	true50
Dataset

APSR –

psr-dataset-1

Version

2015-06-18 18:17:24

Status

Draft

Version Label

2.0

false

Description: Concepts for a generic pathology structured report

false

Usage (1)

Transaction	Project
CDA Document Anatomic Pathology Structured Report 2015 (2.0)	Pathology Structured Reporting

false

History (1)

Date	Author	Status	Type
2017-11-29 18:27:28	Prof. Dr. Gunter Haroske	New	version

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