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Template TNM Grading 2015‑11‑15 13:01:18

Id1.3.6.1.4.1.19376.1.3.10.9.28Effective Date2015‑11‑15 13:01:18
Statusdraft 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 7 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-53draft Grading draft APSR 2.0
Used by / Uses
Used by 0 transactions and 1 template, Uses 3 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
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
psr-dataelement-53draft Grading draft APSR 2.0
@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 … 1F1.3.6.1.4.1.19376.1.3.10.9.28
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
@code
CONF1 … 1F59541-3
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@codeSystemName
1 … 1FLOINC
@displayName
1 … 1FGrade pathology system
hl7:text
ED0 … 1RPaLM Suppl. APSR 2.1‑3: 6.3.5.8 TNM
hl7: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)
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
 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)
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 … *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)
hl7: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
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