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active Template  Specimen Microscopic Observation (dd)

Id 2.16.840.1.113883.2.4.3.36.10.551 Geldigheid geldig vanaf 2014‑01‑11

Er zijn versies van templates met dit id:
  • SpecimenMicroscopicObservationdd van 2014‑01‑11
  • SpecimenMicroscopicObservationdd van 2012‑04‑10
Status active Actief Versielabel
Naam SpecimenMicroscopicObservationdd Weergavenaam Specimen Microscopic Observation (dd)
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.
Context Parent nodes van template element met id 2.16.840.1.113883.2.4.3.36.10.551
Classificatie CDA entry level template
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
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 Microscopie 2012‑04‑10
2.16.840.1.113883.2.4.3.36.10.20 link Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2013‑06‑30
2.16.840.1.113883.2.4.3.36.10.20 link Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2012‑07‑04
2.16.840.1.113883.2.4.3.36.10.21 link Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2014‑01‑06
2.16.840.1.113883.2.4.3.36.10.22 link Resultaatdocument PA-lab bevolkingsonderzoek darmkanker 2014‑07‑13
2.16.840.1.113883.2.4.3.36.10.23 link 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
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
Inclusie  … 1 van 2.16.840.1.113883.2.4.3.36.10.557 Specimen Reference (DYNAMISCH)
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
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.401 Dysplasia (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.401']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
  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
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.402 Diameter materiaal (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.402']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 1 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.403 Primaire afwijking (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.403']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.404 Histopathology interpretation (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.404']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.405 Macroscopic specimen observable (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.405']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.406 Histological grade (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.406']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.407 Tumor extent of invasion (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.407']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.408 Haggitt level (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.408']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.409 Kikuchi level (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.409']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.410 Status of vascular invasion by tumor (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.410']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.411 Tumor margin status (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.411']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.412 Distance of tumor from margin (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.412']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.413 Histologic type (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.413']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.420 Rapidly proliferating cell marker (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.420']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.421 Number of mitotic figures per square millimeter (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.421']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.422 TNM colon and rectum neuroendocrine tumor staging (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:observation [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.422']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.429 Consult materiaal aangevraagd (DYNAMISCH) (SpecimenMicroscopicObservationdd)
waar [hl7:act [hl7:templateId/@root='2.16.840.1.113883.2.4.3.36.10.429']]
@typeCode
 1 … 1 F COMP
@contextConductionInd
 1 … 1 F true