Id2.16.840.1.113883.3.1937.99.61.5.10.900274Gültigkeit ab2014‑05‑13 14:25:17
Statusdraft EntwurfVersions-Label
NameAPSR2MicroscopySectionBezeichnungAPSR2 Microscopic Observation Section
Beschreibung
The Microscopic Observation section contains optionally the histopathologic findings of the case and of all of its derived specimens. This section shpould be used to record the results of histochemical and immunohistochemical stains as well as of image-based molecular procedures.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.3.1937.99.61.5.10.900274
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="1.3.6.1.4.1.19376.1.8.1.2.4"/>  <code code="22635-7" displayName="Pathology report microscopic observation" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <title>MICROSCOPIC OBSERVATION SECTION</title>  <text>
Sections of part #1 confirm frozen section diagnosis of infiltrating duct
carcinoma. It is to be noted that the tumor cells show considerable pleomorphism,
and mitotic figures are frequent (as many as 4 per high power field). Total size of
primary tumor is estimated to be 3cm in greatest dimension. Many foci of
calcification are present within the tumor. Part #2 consists of fibrofatty tissue
and includes 18 lymph nodes. All lymph nodes are free of disease with the exception
of one lymph node, which contains several micrometastases.
</text>  <entry>
    <!--Content not shown -->
  </entry></section>
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 CONF
Elementinhalt muss "Microscopic observation" sein
 Beispiel<title>MICROSCOPIC OBSERVATION SECTION</title>
hl7:text
SD.TEXT0 … 1RAPSRdotstion
 Beispiel<text>
Sections of part #1 confirm frozen section diagnosis of infiltrating duct
carcinoma. It is to be noted that the tumor cells show considerable pleomorphism,
and mitotic figures are frequent (as many as 4 per high power field). Total size of
primary tumor is estimated to be 3cm in greatest dimension. Many foci of
calcification are present within the tumor. Part #2 consists of fibrofatty tissue
and includes 18 lymph nodes. All lymph nodes are free of disease with the exception
of one lymph node, which contains several micrometastases.
</text>
hl7:entry
0 … *Beinhaltet 2.16.840.1.113883.3.1937.99.61.5.10.900280 APSR2 AP Observation Entry (DYNAMIC)APSRdotstion