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Template TNM M-Observation 2014‑12‑02 16:32:30

Id1.3.6.1.4.1.19376.1.3.10.9.27Effective Date2014‑12‑02 16:32:30
Statusdraft DraftVersion Label2.0
NameTNMMObservationDisplay NameTNM M-Observation
DescriptionTemplate CDA Observation (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.9.27
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 9 concepts
IdNameData Set
psr-dataelement-95draft Parent ID draft APSR 2.0
psr-dataelement-17draft Specimen identification draft APSR 2.0
psr-dataelement-67draft Block ID draft APSR 2.0
psr-dataelement-68draft Tissue section ID draft APSR 2.0
psr-dataelement-98draft Specimen ID draft APSR 2.0
psr-dataelement-66draft Part ID draft APSR 2.0
psr-dataelement-106draft Micrometasis draft APSR 2.0
psr-dataelement-7draft M-category draft APSR 2.0
psr-dataelement-103draft Isolated tumor cells draft APSR 2.0
Used by / Uses
Used by 0 transactions and 1 template, Uses 4 templates
Used by as NameVersion
1.3.6.1.4.1.19376.1.3.10.4.2Containmentdraft UICC/AJCC TNM Staging and Grading Observation (2.0)2014‑05‑13 15:45:13
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.10.9.1Includedraft X Specimen Identified (2.0)2014‑12‑22 15:54:30
1.3.6.1.4.1.19376.1.8.1.4.2Containmentdraft Author (2.0)2016‑06‑21 14:02:11
1.3.6.1.4.1.19376.1.8.1.4.6Containmentdraft Informant (2.0)2016‑07‑08 11:22:58
1.3.6.1.4.1.19376.1.8.1.4.7Containmentdraft Additional participant in an entry (2.0)2016‑07‑12 18:44:06
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
<hl7:observation>
  <hl7:templateId/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code code="21901-4" codeSystem="2.16.840.1.113883.6.1"/>  <hl7:text/>  <hl7:statusCode/>  <hl7:effectiveTime>
    <hl7:low value="20180125140136"/>  </hl7:effectiveTime>  <hl7:value xsi:type="CD" code="30893008" codeSystem="2.16.840.1.113883.6.96" displayName="M0 category (finding)">
    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="84068000" codeSystem="2.16.840.1.113883.6.96" displayName="C1 - TNM certainty factor"/>    </hl7:qualifier>    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="p" codeSystem="2.16.840.1.113883.15.16" displayName="p"/>    </hl7:qualifier>    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="i+" codeSystem="2.16.840.1.113883.15.16" displayName="(i+)"/>    </hl7:qualifier>    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="i+" codeSystem="2.16.840.1.113883.15.16" displayName="(i+)"/>    </hl7:qualifier>    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="PUL" codeSystem="2.16.840.1.113883.15.16" displayName="PUL"/>    </hl7:qualifier>    <hl7:qualifier>
      <hl7:name/>      <hl7:value code="mi" codeSystem="2.16.840.1.113883.15.16" displayName="(mi)"/>    </hl7:qualifier>  </hl7:value>  <hl7:author>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (2016-06-21T14:02:11) -->
  </hl7:author>  <hl7:informant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (2016-07-08T11:22:58) -->
  </hl7:informant>  <hl7: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) -->
  </hl7:participant>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 0..1 C -->
</hl7:observation>
ItemDTCardConfDescriptionLabel
hl7:observation
0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
@negationInd
bl0 … 1 
hl7:templateId
II1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.9.27
hl7:id
II0 … *RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:code
CE (extensible)1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
@code shall be "21901-4"
@codeSystem shall be "2.16.840.1.113883.6.1"
@codeSystemName shall be "LOINC"
or
@code shall be "371497001"
@codeSystem shall be "2.16.840.1.113883.6.96"
@codeSystemName shall be "SCT"
hl7:text
ED0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:statusCode
CS (required)1 … 1RThe 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)
hl7:effectiveTime
IVL_TS1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:value
CD (extensible)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
target
psr-dataelement-7draft M-category draft APSR 2.0
 CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.14 UICC M category (SCT) (2014‑05‑13 16:11:15)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.19376.1.3.11.45 UICC M category (2017‑07‑21 10:31:38)
hl7: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
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
@code
cs1 … 1FtnmCFactor
hl7:value
CD (required)0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.20 UICC C-Factor (SCT) (2015‑06‑22 15:47:55)
or
The value of @code shall 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)
hl7:qualifier
CR (required)0 … 1Rc/p ...PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
@code
cs1 … 1FtnmCp
hl7: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 1.3.6.1.4.1.19376.1.3.11.22 TNM_Praefix_CP_UICC (2015‑11‑04 15:52:34)
hl7:qualifier
CR (required)0 … 1Ci (suffix) in pM0: ITC (isolated tumor cells) detected by immunohistochemistry (qualifier)
PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
target
psr-dataelement-103draft Isolated tumor cells draft APSR 2.0
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
@code
cs1 … 1FtnmI
hl7: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 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (2017‑03‑13 09:48:35)
hl7:qualifier
CR (required)0 … 1Cmol (suffix) in pM0: ITC (isolated tumor cells) detected by non-morphological (molecular) methods (qualifier)

PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
@code
cs1 … 1FtnmMol
hl7: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 1.3.6.1.4.1.19376.1.3.11.38 UICC Isolated Tumor Cells (2017‑03‑13 09:48:35)
hl7:qualifier
CR (required)0 … 11CSuffix for localization of distant metastases in M1 PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F1.2.276.0.76.3.1.131.1.5.1
@code
cs1 … 1FtnmLoc
hl7:value
CD (required)0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.28 UICC Localization of distant metastases (2015‑11‑04 16:26:53)
hl7:qualifier
CR (required)0 … 1Cmi-Suffix for micrometastases (equal or less than 0.2 mm) in pM1 PaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 
target
psr-dataelement-106draft Micrometasis draft APSR 2.0
hl7:name
CV (required)1 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@code
cs1 … 1F85351-5
hl7:value
CD (required)0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.48 UICC Micrometastasis (2017‑11‑29 17:59:52)
hl7: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
hl7: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
hl7: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
Included0 … 1C from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30)
 ConstraintSpecimen SHALL be given, if qualifier c/p is "p"
hl7:specimen
0 … 1CRequired 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
psr-dataelement-17draft Specimen identification draft APSR 2.0
@typeCode
cs0 … 1FSPC
hl7:specimenRole
1 … 1MPaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified
@classCode
cs0 … 1FSPEC
hl7:id
II1 … 1RSpecimen ID, coming from the LISPaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified
 
target
psr-dataelement-95draft Parent ID draft APSR 2.0
psr-dataelement-67draft Block ID draft APSR 2.0
psr-dataelement-68draft Tissue section ID draft APSR 2.0
psr-dataelement-98draft Specimen ID draft APSR 2.0
psr-dataelement-66draft Part ID draft APSR 2.0