Template 2.16.840.1.113883.2.4.3.36.10.551 Specimen Microscopic Observation

2012‑04‑10

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 cdaentrylevel
Context Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.551
Versie geldig vanaf 2012‑04‑10 status In ontwikkeling
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.
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Gebruikt in 1 template
Id Naam vanaf
2.16.840.1.113883.2.4.3.36.10.211 MicroscopicObservationSection  Microscopie 2012‑04‑10
link11 Afhankelijkheid: 2.16.840.1.113883.2.4.3.36.10.20 nspbcpa  Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2012‑07‑04
Voorbeeld
<organizer classCode="CLUSTER" moodCode="EVN">
  <!-- onderzoeks resultaten volgens protocol, per materiaal herhaald -->
  <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">
      <!-- monster identificatie (uniek potje nummer), hier alleen referentie -->
      <id extension="sp-674321221-21328-1" root="2.16.840.1.113883.2.4.99.3.22"/>
    </specimenRole>
  </specimen>
  <!-- as many batteries of observations as problems observed on this 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">
        <!-- Dysplasia -->
        <!-- Diameter materiaal -->
        <!-- Primaire afwijking -->
        <!-- Bevindingen -->
        <!-- Vorm van de laesie -->
        <!-- Histological grade -->
        <!-- Invasiediepte -->
        <!-- enz. -->
      </component>
    </organizer>
  </component>
</organizer>
Item DT Card Conf Desc Label
hl7:organizer
  (SpecimenMicroscopicObservation)
treetree @classCode
1..1 F CLUSTER
treetree @moodCode
1..1 F EVN
treetree hl7:templateId
II 1..1   (SpecimenMicroscopicObservation)
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1..1 F 2.16.840.1.113883.2.4.3.36.10.551
treetree hl7:code
CE 1..1 M (SpecimenMicroscopicObservation)
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1..1 F 22635-7
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1..1 F 2.16.840.1.113883.6.1 (LOINC)
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CS 1..1 M (SpecimenMicroscopicObservation)
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1..1 F completed
Ingevoegd van SpecimenReference
treetree hl7:specimen
  (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 O (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
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
treeblank treeblank treeblank treetree @contextConductionInd
1..1 F true
Bevat geërfde templateregels Dysplasia met overschreven kardinaliteit 0 .. 1
treeblank treeblank treetree hl7:component
waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Diametermaterial met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Primaireafwijking met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Histopathologyinterpretation met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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Bevat geërfde templateregels Histopathologyinterpretation met overschreven kardinaliteit 0 .. 1
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Macroscopicspecimenobservable met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Histologicalgrade met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Tumorextentofinvasion met overschreven kardinaliteit 0 .. 1
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waar
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0..1 O (SpecimenMicroscopicObservation)
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1..1 F COMP
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1..1 F true
Bevat geërfde templateregels Haggittlevel met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Kikuchilevel met overschreven kardinaliteit 0 .. 1
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1..1 F COMP
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Bevat geërfde templateregels Statusofvascularinvasionbytumor met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Tumormarginstatus met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Distanceoftumorfrommargin met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Histologictype met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Rapidlyproliferatingcellmarker met overschreven kardinaliteit 0 .. 1
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Bevat geërfde templateregels Numberofmitoticfigurespersquaremillimeter met overschreven kardinaliteit 0 .. 1
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waar
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Bevat geërfde templateregels TNMcolonandrectumneuroendocrinetumorstaging met overschreven kardinaliteit 0 .. 1