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active Template  Specimen Microscopic Observation (dd)

Template 2.16.840.1.113883.2.4.3.36.10.551 - SpecimenMicroscopicObservationdd
Id 2.16.840.1.113883.2.4.3.36.10.551
Versie geldig vanaf 2014‑01‑11 status active Actief

Er zijn versies van templates met dit id:
  • SpecimenMicroscopicObservationdd van 2014‑01‑11
  • SpecimenMicroscopicObservationdd van 2012‑04‑10
Classificatie CDA entry level template
Context Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.551
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
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
 (SpecimenMicroscopicObservationdd)
@classCode
 1 .. 1 F CLUSTER
@moodCode
 1 .. 1 F EVN
 hl7:templateId
 II 1 .. 1 (SpecimenMicroscopicObservationdd)
@root
 1 .. 1 F 2.16.840.1.113883.2.4.3.36.10.551
 hl7:code
 CE 1 .. 1 M (SpecimenMicroscopicObservationdd)
@code
 1 .. 1 F 22635-7
@codeSystem
 1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
 hl7:statusCode
 CS 1 .. 1 M (SpecimenMicroscopicObservationdd)
@code
 1 .. 1 F completed
 Ingevoegd van 2.16.840.1.113883.2.4.3.36.10.557 Specimen Reference (DYNAMISCH) ..1
 hl7:specimen
  .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F SPC
 hl7:specimenRole
 (SpecimenMicroscopicObservationdd)
@classCode
 1 .. 1 F SPEC
hl7:id
 1 .. 1 M monster identificatie (uniek potje nummer), alleen referentie (SpecimenMicroscopicObservationdd)
 hl7:component
 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@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>
 hl7:organizer
 (SpecimenMicroscopicObservationdd)
@classCode
 1 .. 1 F CLUSTER
@moodCode
 1 .. 1 F EVN
 hl7:templateId
 II 1 .. 1 (SpecimenMicroscopicObservationdd)
@root
 1 .. 1 F 1.3.6.1.4.1.19376.1.8.1.4.8
 hl7:statusCode
 CS 1 .. 1 M (SpecimenMicroscopicObservationdd)
@code
 1 .. 1 F completed
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.401']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@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  
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.402']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.402 Diameter materiaal (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.403']]		 1 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.403 Primaire afwijking (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.404']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.404 Histopathology interpretation (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.405']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.405 Macroscopic specimen observable (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.406']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.406 Histological grade (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.407']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.407 Tumor extent of invasion (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.408']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.408 Haggitt level (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.409']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.409 Kikuchi level (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.410']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.410 Status of vascular invasion by tumor (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.411']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.411 Tumor margin status (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.412']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.412 Distance of tumor from margin (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.413']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.413 Histologic type (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.420']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.420 Rapidly proliferating cell marker (DYNAMISCH)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.421']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@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)
 hl7:component
waar
[hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.422']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@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)
 hl7:component
waar
[hl7:act [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.429']]		 0 .. 1 (SpecimenMicroscopicObservationdd)
@typeCode
 1 .. 1 F COMP
@contextConductionInd
 1 .. 1 F true
  Bevat 2.16.840.1.113883.2.4.3.36.10.429 Consult materiaal aangevraagd (DYNAMISCH)