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active Template  Specimen Microscopic Observation

Template 2.16.840.1.113883.2.4.3.36.10.551 - SpecimenMicroscopicObservation
Id 2.16.840.1.113883.2.4.3.36.10.551
Classificatie CDA entry level template
Context Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.551
Versie geldig vanaf 2014‑01‑11 status Actief

Er zijn versies van templates met dit id:
  • SpecimenMicroscopicObservation van 2014‑01‑11
  • SpecimenMicroscopicObservation van 2012‑04‑10
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Omschrijving en-US The Microscopic Observation section contains optionally the histopathologic findings of the case and many laboratories use this section to record the results of histochemical and immunohistochemical stains.
Gebruikt door / Gebruikt
Gebruikt door / Gebruikt 24 templates
Gebruikt door Template-id als Naam Versie
2.16.840.1.113883.2.4.3.36.10.211 Containment MicroscopicObservationSection Microscopie 2012‑04‑10
2.16.840.1.113883.2.4.3.36.10.20 link nspbcpa Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2013‑06‑30
2.16.840.1.113883.2.4.3.36.10.20 link nspbcpa Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2012‑07‑04
2.16.840.1.113883.2.4.3.36.10.21 link nspbcpa2014 Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2014‑01‑06
2.16.840.1.113883.2.4.3.36.10.22 link nspbcpa2014b Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2014‑07‑13
2.16.840.1.113883.2.4.3.36.10.23 link nspbcpa2015a Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2015‑02‑14
Gebruikt Template-id als Naam Versie
2.16.840.1.113883.2.4.3.36.10.557 Inclusie SpecimenReference DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.401 Containment Dysplasia DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.402 Containment Diametermaterial DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.403 Containment Primaireafwijking DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.404 Containment Histopathologyinterpretation DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.405 Containment Macroscopicspecimenobservable DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.406 Containment Histologicalgrade DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.407 Containment Tumorextentofinvasion DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.408 Containment Haggittlevel DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.409 Containment Kikuchilevel DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.410 Containment Statusofvascularinvasionbytumor DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.411 Containment Tumormarginstatus DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.412 Containment Distanceoftumorfrommargin DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.413 Containment Histologictype DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.420 Containment Rapidlyproliferatingcellmarker DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.421 Containment Numberofmitoticfigurespersquaremillimeter DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.422 Containment TNMcolonandrectumneuroendocrinetumorstaging DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.429 Containment Consultrevisionmaterial DYNAMISCH
Voorbeeld <organizer classCode="CLUSTER" moodCode="EVN">
  <templateId root="2.16.840.1.113883.2.4.3.36.10.551"/>
  <code code="22635-7" codeSystem="2.16.840.1.113883.6.1" displayName="Microscopie"/>
  <statusCode code="completed"/>
  <specimen typeCode="SPC">
    <specimenRole classCode="SPEC">
      <id extension="sp-674321221-21328-1" root="2.16.840.1.113883.2.4.99.3.22"/>
    </specimenRole>  </specimen>  <component typeCode="COMP">
    <organizer classCode="BATTERY" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.8.1.4.8"/>
      <statusCode code="completed"/>
      <component typeCode="COMP"/>
    </organizer>  </component></organizer>
Item DT Card Conf Omschrijving Label
hl7:organizer
(SpecimenMicroscopicObservation)
treetree @classCode
1 .. 1 F CLUSTER
treetree @moodCode
1 .. 1 F EVN
treetree hl7:templateId
II 1 .. 1 (SpecimenMicroscopicObservation)
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.2.4.3.36.10.551
treetree hl7:code
CE 1 .. 1 M (SpecimenMicroscopicObservation)
treeblank treetree @code
1 .. 1 F 22635-7
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree hl7:statusCode
CS 1 .. 1 M (SpecimenMicroscopicObservation)
treeblank treetree @code
1 .. 1 F completed
Ingevoegd van 2.16.840.1.113883.2.4.3.36.10.557 Specimen Reference (DYNAMISCH) ..1
treetree hl7:specimen
 .. 1 (SpecimenMicroscopicObservation)
treeblank treetree @typeCode
1 .. 1 F SPC
treeblank treetree hl7:specimenRole
(SpecimenMicroscopicObservation)
treeblank treeblank treetree @classCode
1 .. 1 F SPEC
treeblank treeblank treetree hl7:id
1 .. 1 M monster identificatie (uniek potje nummer), alleen referentie (SpecimenMicroscopicObservation)
treetree hl7:component
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treetree @contextConductionInd
1 .. 1 F true
  Voorbeeld <organizer classCode="BATTERY" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.8.1.4.8"/>
  <statusCode code="completed"/>
</organizer>
treeblank treetree hl7:organizer
(SpecimenMicroscopicObservation)
treeblank treeblank treetree @classCode
1 .. 1 F CLUSTER
treeblank treeblank treetree @moodCode
1 .. 1 F EVN
treeblank treeblank treetree hl7:templateId
II 1 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @root
1 .. 1 F 1.3.6.1.4.1.19376.1.8.1.4.8
treeblank treeblank treetree hl7:statusCode
CS 1 .. 1 M (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @code
1 .. 1 F completed
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.401']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.401 Dysplasia (DYNAMISCH)
  Variabele let Naam lepcode
  Waarde ancestor::hl7:entry//hl7:observation[hl7:code[@code='371441004']]/hl7:value/@code
  Variabele let Naam displcode
  Waarde ancestor::hl7:entry//hl7:observation[hl7:code[@code='399391008']]/hl7:value/@code
  Schematron assert role red error
  test string-length($lepcode)=0 or $lepcode!='72495009' or string-length($displcode)=0
  Melding SpecimenMicroscopicObservation: Displaysiegraad n.v.t. als vastgestelde laesie poliep = mucineus adenocarcinoom
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.402']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.402 Diameter materiaal (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.403']]
1 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.403 Primaire afwijking (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.404']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.404 Histopathology interpretation (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.405']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.405 Macroscopic specimen observable (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.406']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.406 Histological grade (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.407']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.407 Tumor extent of invasion (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.408']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.408 Haggitt level (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.409']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.409 Kikuchi level (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.410']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.410 Status of vascular invasion by tumor (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.411']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.411 Tumor margin status (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.412']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.412 Distance of tumor from margin (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.413']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.413 Histologic type (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.420']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.420 Rapidly proliferating cell marker (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.421']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.421 Number of mitotic figures per square millimeter (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.422']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.422 TNM colon and rectum neuroendocrine tumor staging (DYNAMISCH)
treeblank treeblank treetree hl7:component
waar
[hl7:act [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.429']]
0 .. 1 (SpecimenMicroscopicObservation)
treeblank treeblank treeblank treetree @typeCode
1 .. 1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.429 Consult materiaal aangevraagd (DYNAMISCH)