Id2.16.840.1.113883.3.1937.99.61.5.10.900272Gültigkeit ab2014‑05‑13 11:57:09
Statusdraft EntwurfVersions-Label
NameAPSR2MacroscopySectionBezeichnungAPSR2 Macroscopic Observation Section
Beschreibung

The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.

KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.3.1937.99.61.5.10.900272
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 1 Transaction und 1 Template, Benutzt 1 Template
Benutzt von als NameVersion
2.16.840.1.113883.3.1937.99.61.5.4.22Transaktiondraft CDA Document APSR22014‑11‑16 11:45:10
2.16.840.1.113883.3.1937.99.61.5.10.900273Inklusiondraft Anatomic Pathology Structured Report2014‑05‑13 11:57:57
Benutzt als NameVersion
2.16.840.1.113883.3.1937.99.61.5.10.900280Containmentdraft APSR2 AP Observation EntryDYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Beispiel
Beispiel
<section>
  <templateId root="2.16.840.1.113883.10.12.201"/>  <templateId root="2.16.840.1.113883.3.1937.99.61.5.10.900272"/>  <code code="22634-0" codeSystem="2.16.840.1.113883.6.1" displayName="Pathology report gross observation"/>  <title>Macroscopic Observation</title>  <text>
Part #1 is labeled “left breast biopsy” and is received fresh after frozen section
preparation. It consists of a single firm nodule measuring 3cm in circular diameter
and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale
gray, slightly mottled appearance is revealed. Numerous sections are submitted for
permanent processing. Part #2 is labeled "apical left axillary tissue" and is
received fresh. It consists of two amorphous fibrofatty tissue masses without
grossly discernible lymph nodes therein. Both pieces are rendered into numerous
sections and submitted in their entirety for history.
</text></section>
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 CONF
Elementinhalt muss "Macroscopic observation" sein
 Beispiel<title>Macroscopic Observation</title>
hl7:text
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 Beispiel<text>
Part #1 is labeled “left breast biopsy” and is received fresh after frozen section
preparation. It consists of a single firm nodule measuring 3cm in circular diameter
and 1.5cm in thickness surrounded by adherent fibrofatty tissue. On section a pale
gray, slightly mottled appearance is revealed. Numerous sections are submitted for
permanent processing. Part #2 is labeled "apical left axillary tissue" and is
received fresh. It consists of two amorphous fibrofatty tissue masses without
grossly discernible lymph nodes therein. Both pieces are rendered into numerous
sections and submitted in their entirety for history.

</text>
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