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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
Gebruikt door 6 templates, Gebruikt 18 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
 (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)