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Template
CDA RiskAssessment
Template (intern)
2.16.840.1.113883.2.4.6.10.90.900863 - RiskAssessment
Id
2.16.840.1.113883.2.4.6.10.90.900863
Versie
geldig vanaf 2012‑07‑09 status In ontwikkeling
Open/gesloten
Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Geassocieerd met
Geassocieerd met 0 concepten
Id
Naam
vanaf
Gebruikt in
Gebruikt in 1 template
Id
Naam
vanaf
peri-template-
900862
CDAFetusSpecificInformationEntryCTRA
CDA Fetus Specific InformationEntry CT RA
2012‑03‑10
Afhankelijkheid:
peri-template-
900861
CDAFetusSpecificInformationSectionCTRA
CDA Fetus Specific Information Section CT RA
2012‑03‑10
Afhankelijkheid:
peri-template-
3
cda-ctk
Combinatietest kansbepaling
2012‑03‑11
Item
DT
Card
Conf
Desc
Label
hl7:observation
1 .. 1
(RiskAssessment)
@
classCode
1 .. 1
F
OBS
@
moodCode
1 .. 1
F
EVN
hl7:id
II
1 .. 1
M
id of the risk assessment, each risk assessment is done per fetus, also more than one risk assessment, per fetus on different points in time are possible; please note that this is is the same id as in documentationOf->serviceEvent.id
(RiskAssessment)
Voorbeeld
<
id
extension
="
ctb65798982
"
root
="
2.16.840.1.113883.2.4.6.435627187.10
"
/
>
Schematron assert
role
error
test
concat(@root, @extension) = concat (//hl7:documentationOf/hl7:serviceEvent/hl7:id/@root, //hl7:documentationOf/hl7:serviceEvent/hl7:id/@extension)
Melding
The id of the risk assessment SHALL be the same as documentationOf->serviceEvent.id
hl7:code
CE
1 .. 1
M
(RiskAssessment)
@
code
1 .. 1
F
5
@
codeSystem
1 .. 1
F
2.16.840.1.113883.2.4.4.13.38 (TypeExam)
hl7:statusCode
CS
0 .. 1
(RiskAssessment)
@
code
1 .. 1
F
completed
hl7:methodCode
CE
1 .. 1
M
method of risk assessment
(RiskAssessment)
CONF
De waarde van @code moet komen uit waardenlijst
CombiRiskMethod
(DYNAMISCH)
Voorbeeld
<
methodCode
code
="
1
"
codeSystem
="
2.16.840.1.113883.2.4.4.13.39
"
displayName
="
Elipse
"
/
>
Ingevoegd van
Software Application Risk Assessment
(2012‑06‑26)
1 .. 1 Vereist
hl7:participant
waar
[@typeCode='DEV']
1 .. 1
M
(RiskAssessment)
@
typeCode
1 .. 1
F
DEV
Voorbeeld
<
participant
typeCode
="
DEV
"
>
<
participantRole
>
<
playingDevice
classCode
="
DEV
"
determinerCode
="
INSTANCE
"
>
<
softwareName
code
="
1
"
codeSystem
="
2.16.840.1.113883.2.4.4.13.40
"
displayName
="
LifeCycle
"
>
LifeCycle v2.1
</
softwareName
>
</
playingDevice
>
</
participantRole
>
</
participant
>
hl7:participantRole
1 .. 1
M
(RiskAssessment)
hl7:playingDevice
1 .. 1
M
(RiskAssessment)
@
classCode
1 .. 1
F
DEV
@
determinerCode
1 .. 1
F
INSTANCE
hl7:softwareName
SC
1 .. 1
M
(RiskAssessment)
CONF
De waarde van @code moet komen uit waardenlijst
CombiRiskSystem
(DYNAMISCH)
Doel van concept-Id(s)
spirit1c-dataelement-
61030
Versie softwareapplicatie
peri20-dataelement-
61030
Versie softwareapplicatie
peri21-dataelement-
61030
Versie softwareapplicatie
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='APrioriRisk21' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
1 .. 1
M
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
A priori kans op trisomie 21
(
2012‑06‑26
) met overschreven kardinaliteit 1 .. 1 Vereist
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='APrioriRisk18' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
A priori kans op trisomie 18
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='APrioriRisk13' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
A priori kans op trisomie 13
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='RiskTrisomy21' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
1 .. 1
M
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Combinatietest kans op trisomie 21
(
2012‑06‑26
) met overschreven kardinaliteit 1 .. 1 Vereist
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='RiskTrisomy18' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Combinatietest kans op trisomie 18
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:entryRelationship
waar
[hl7:observation [hl7:code [(@code='RiskTrisomy13' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Combinatietest kans op trisomie 13
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:entryRelationship
waar
[hl7:organizer]
1 .. 1
M
(RiskAssessment)
@
typeCode
1 .. 1
F
DRIV
hl7:organizer
1 .. 1
M
(RiskAssessment)
@
classCode
1 .. 1
F
CLUSTER
@
moodCode
1 .. 1
F
EVN
hl7:statusCode
CS
0 .. 1
(RiskAssessment)
@
code
1 .. 1
F
completed
hl7:component
waar
[hl7:observation [hl7:code [(@code='CutOffTrisomy21' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Afkappunt trisomie 21
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='CutOffTrisomy18' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Afkappunt trisomie 18
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='CutOffTrisomy13' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Afkappunt trisomie 13
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='18185-9' and @codeSystem='2.16.840.1.113883.6.1')]]]
1 .. 1
M
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Actuele Zwangerschapsduur
(
2011‑12‑06
) met overschreven kardinaliteit 1 .. 1 Vereist
hl7:component
waar
[hl7:observation [hl7:code [(@code='NFetusCur' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Actuele aantal foetus
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='Chorionic' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Chorioniciteit
(
2009‑10‑01
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='3137-7' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Body Height
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:observation
(RiskAssessment)
hl7:value
PQ
(RiskAssessment)
@
xsi:type
1 .. 1
F
PQ
CONF
minInclude ondergrens is "100"
maxInclude bovengrens is "270"
hl7:component
waar
[hl7:observation [hl7:code [(@code='3141-9' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Body Weight
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:observation
(RiskAssessment)
hl7:value
PQ
(RiskAssessment)
@
xsi:type
1 .. 1
F
PQ
CONF
minInclude ondergrens is "25.0"
maxInclude bovengrens is "249.9"
hl7:component
waar
[hl7:observation [hl7:code [(@code='46635009' and @codeSystem='2.16.840.1.113883.6.96')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Diabetes Type I (y/n)
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='52637005' and @codeSystem='2.16.840.1.113883.6.96')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
IVF / ICSI (y/n)
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='TrisomyAnam' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Trisomy in History (y/n)
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='77176002' and @codeSystem='2.16.840.1.113883.6.96')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Tobacco Smoker (y/n)
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='42784-9' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Ethnic group
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='32046-5' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
PAPP-A concentration [mIU/l]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='32123-2' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
PAPP-A concentration [MoM]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='25373-2' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Free β-hCG concentration [ng/ml]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='32122-4' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Free β-hCG concentration [MoM]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='CorrPAPPA' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
PAPP-A corrected concentration [MoM]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='CorrFBhCG' and @codeSystem='2.16.840.1.113883.2.4.4.13')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Free corrected β-hCG concentration [MoM]
(
2012‑06‑26
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='12146-7' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Nuchal Translucency in mm
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:observation
(RiskAssessment)
hl7:effectiveTime
TS
1 .. 1
M
(RiskAssessment)
hl7:component
waar
[hl7:observation [hl7:code [(@code='49035-9' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Nuchal Translucency in MoM
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='11957-8' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Crown-Body Length
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht
hl7:component
waar
[hl7:observation [hl7:code [(@code='11820-8' and @codeSystem='2.16.840.1.113883.6.1')]]]
0 .. 1
R
(RiskAssessment)
@
typeCode
1 .. 1
F
COMP
@
contextConductionInd
1 .. 1
F
true
Bevat
geërfde templateregels
Biparital Diameter
(
2011‑01‑28
) met overschreven kardinaliteit 0 .. 1 Verplicht