Item |
DT |
Card |
Conf |
Omschrijving |
Label |
|
|
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
@classCode
|
|
|
1 .. 1 |
F |
ACT |
|
@moodCode
|
|
|
1 .. 1 |
F |
EVN |
|
|
Gekoppeld aan concepten:
|
|
hl7:templateId
|
|
II |
1 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
@root
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.2.4.3.36.10.333 |
|
hl7:code
|
|
CE |
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
@code
|
|
|
1 .. 1 |
F |
X-LAB-SPMSCT |
|
|
@codeSystem
|
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
|
hl7:specimen
|
|
|
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
@typeCode
|
|
|
1 .. 1 |
F |
SPC |
|
|
hl7:specimenRole
|
|
|
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SPEC |
|
II |
1 .. 1 |
|
monster identificatie (uniek potje nummer), indien geen monster verzameld wordt @nullFlavor="NI"
aangegeven
|
(SpecimencollectionMDL) |
|
|
|
hl7:specimenPlayingEntity
|
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
ENT |
|
|
1 .. 1 |
F |
INSTANCE |
|
|
Gekoppeld aan concepten:
|
|
CE |
0 .. 1 |
|
Materiaal van het monster is (op dit moment) of polyp of biopt.
In het geval van een gefragmenteerd poliep is hier poliepectomie aan te geven en bij
volledigheid
verwijdering (template 2.16.840.1.113883.2.4.3.36.10.900111) "incompleet"
Afhankelijk hiervan kunnen observaties op het monster worden ingevuld:
- Indien polyp: Diameterpoliep 1..1, Morfologie 1..1, Klinischediagnosepoliep 1..*,
Poliepvastgelegd 1..1
- Indien biopt (bij verdenking carcinoom): Carcinoom 1..1, Stenosis 0..1, Circumferencemeasure
0..1, Linearextent 0..1, Carcinomapassable 0..1
|
(SpecimencollectionMDL) |
|
CONF |
|
|
|
Gekoppeld aan concepten:
|
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
|
|
lab:asSpecimenInContainer
|
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
CONT |
|
|
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
CONT |
|
|
1 .. 1 |
F |
INSTANCE |
|
|
1 .. 1 |
R |
locaal potje nummer, uniek is alleen de monster identificatie |
(SpecimencollectionMDL) |
|
|
1 .. 1 |
R |
|
|
|
1 .. 1 |
F |
UNC |
|
|
Gekoppeld aan concepten:
|
|
Voorbeeld |
<lab:id extension="1" nullFlavor="UNC"/>
|
|
|
0 .. * |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
PRD |
|
Voorbeeld |
<lab:productOf typeCode="PRD"> <lab:specimenCollectionProcess classCode="SPECCOLLECT" moodCode="EVN"> <lab:code code="82035006" codeSystem="2.16.840.1.113883.6.96" displayName="Resection of polyp"/> <lab:targetSiteCode code="362166007" codeSystem="2.16.840.1.113883.6.96" displayName="Sigmoid"/> </lab:specimenCollectionProcess></lab:productOf> |
|
|
|
|
lab:specimenCollectionProcess
|
|
|
0 .. * |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SPECCOLLECT |
|
|
1 .. 1 |
F |
EVN |
|
CD |
0 .. 1 |
|
Wijze van verkrijgen |
(SpecimencollectionMDL) |
|
CONF |
|
|
|
Gekoppeld aan concepten:
|
Ingevoegd van 2.16.840.1.113883.2.4.3.36.10.900110 Manierverwijdering (DYNAMISCH) ..
|
|
|
|
|
|
|
lab:qualifier waar [lab:name/@code='84203001'] |
|
|
|
|
|
(SpecimencollectionMDL) |
|
CE |
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
84203001 |
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.96 (Snomed CT) |
|
CE |
0 .. 1 |
R |
|
(SpecimencollectionMDL) |
|
CONF |
|
|
|
Gekoppeld aan concepten:
|
Ingevoegd van 2.16.840.1.113883.2.4.3.36.10.900111 Volledigheidverwijdering (DYNAMISCH) ..
|
|
|
|
|
|
|
lab:qualifier waar [lab:name/@code='272142003'] |
|
|
|
|
|
(SpecimencollectionMDL) |
|
CE |
1 .. 1 |
M |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
272142003 |
|
|
1 .. 1 |
F |
2.16.840.1.113883.6.96 (Snomed CT) |
|
CE |
0 .. 1 |
R |
|
(SpecimencollectionMDL) |
|
CONF |
|
|
|
Gekoppeld aan concepten:
|
|
CE |
0 .. 1 |
|
locatie/oriëntatie |
(SpecimencollectionMDL) |
|
CONF |
|
|
|
Gekoppeld aan concepten:
|
|
CE |
0 .. 1 |
|
Manier van verwijderen |
(SpecimencollectionMDL) |
|
CONF |
|
|
ST |
0 .. 1 |
C |
Verplicht indien bij Manier van verwijderen #145080 lab:methodCode voor overige is
gekozen
|
(SpecimencollectionMDL) |
|
|
Gekoppeld aan concepten:
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='C145061'] |
|
|
0 .. 1 |
C |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.348 Distance from anal verge (laesie) (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='384627007'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.900102 Diameter poliep (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='41329004'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.900109 Morfologie (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='DX'] |
|
|
1 .. 1 |
R |
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.900106 Klinische diagnose poliep (DYNAMISCH)
|
|
Schematron assert |
role |
error
|
|
test |
(not(hl7:specimenPlayingEntity) or hl7:specimenPlayingEntity/hl7:code/@code!='309226005'
or lab:subjectOf[lab:observationEvent/lab:code/@code='384627007'])
|
|
Melding |
If type of specimen = polpy, Diameterpoliep SHALL be present
|
|
Schematron assert |
role |
error
|
|
test |
(not(hl7:specimenPlayingEntity) or hl7:specimenPlayingEntity/hl7:code/@code!='309226005'
or lab:subjectOf[lab:observationEvent/lab:code/@code='41329004'])
|
|
Melding |
If type of specimen = polpy, Morfologie SHALL be present
|
|
Schematron assert |
role |
error
|
|
test |
(not(hl7:specimenPlayingEntity) or hl7:specimenPlayingEntity/hl7:code/@code!='309226005'
or lab:subjectOf[lab:observationEvent/lab:code/@code='DX'])
|
|
Melding |
If type of specimen = polpy, Klinischediagnosepoliep SHALL be present
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='269533000'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.339 Carcinoom (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='19132000'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.424 Stenosis of colon (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='248365001'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.425 Circumference measure (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='385300008'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.426 Linear extent of involvement of carcinoma (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='371490004'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.900120 Distance of tumor from anal verge (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='C145140'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.427 Carcinoma passable (DYNAMISCH)
|
|
|
|
lab:subjectOf waar [lab:observationEvent/lab:code/@code='14792009'] |
|
|
0 .. 1 |
|
|
(SpecimencollectionMDL) |
|
|
1 .. 1 |
F |
SBJ |
|
Bevat |
2.16.840.1.113883.2.4.3.36.10.900118 Tattooing (DYNAMISCH)
|