Item | DT | Card | Conf | Description | Label |
---|
hl7:observation
| | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
@classCode
| cs | 1 … 1 | F | OBS |
@moodCode
| cs | 1 … 1 | F | EVN |
@negationInd
| bl | 0 … 1 | | |
hl7:templateId
| II | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
@root
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.10.9.43 |
hl7:id
| II | 0 … * | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:code
| CE (extensible) | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | shall be drawn from concept domain "<<395527009 | Microscopic specimen observable (observable entity) |" |
|
| Example | for use case #1, Breast tubule formation <code code="371470008" codeSystem="2.16.840.1.113883.6.96"/> |
hl7:text
| ED | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:statusCode
| CS (required) | 1 … 1 | M | The 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: 6.3.5.10 Assessment scales |
| Constraint | @code shall be "completed" | or | @code shall be "aborted" |
|
| CONF | |
hl7:effectiveTime
| IVL_TS | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:value
| INT | 1 … 1 | R | Single numerical score item of a scoring system, e.g. "2" for Breast tubule formation | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| Example | for use case #1 <value value="2"/> |
hl7:interpretationCode
| CE (extensible) | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | |
hl7:referenceRange
| | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
@typeCode
| cs | 1 … 1 | F | REVF |
hl7:observationRange
| | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
@classCode
| cs | 1 … 1 | F | OBS |
@moodCode
| cs | 1 … 1 | F | EVN.CRT |
hl7:code
| CD (extensible) | 1 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
@codeSystem
| CONF | 0 … 1 | F | 2.16.840.1.113883.5.4 |
hl7:text
| ED | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:effectiveTime
| TS | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:value
| ANY | 1 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:interpretation
| CD (extensible) | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | |
hl7:methodCode
| CE (extensible) | 0 … 1 | R | | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
| CONF | |
hl7:performer
| II | 0 … * | C | Performing lab
Source: PaLM TF-3: 6.3.2.20 Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (2008‑08‑08) | PaLM Suppl. APSR 2.1‑3: 6.3.5.10 Assessment scales |
hl7:author
| II | 0 … * | C | Author
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: 6.3.5.10 Assessment scales |
hl7:informant
| II | 0 … * | R | Informant
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: 6.3.5.10 Assessment scales |
hl7:participant
| II | 0 … * | R | Additional 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: 6.3.5.10 Assessment scales |
Included | 1 … * | M | from 1.3.6.1.4.1.19376.1.3.10.9.1 X Specimen Identified (2014‑12‑22 15:54:30) |
hl7:specimen
| | 1 … * | M | Required 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 |
| |
@typeCode
| cs | 0 … 1 | F | SPC |
hl7:specimenRole
| | 1 … 1 | M | | PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified |
@classCode
| cs | 0 … 1 | F | SPEC |
hl7:id
| II | 1 … 1 | R | Specimen ID, coming from the LIS | PaLM Suppl. APSR 2.1‑3: 6.3.5.7 X Specimen identified |
| |