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retired Template  Specimen Microscopic Observation (dd)

Id 2.16.840.1.113883.2.4.3.36.10.551 Ingangsdatum 2012‑04‑10
Andere versies met dit id:
Status retired Obsoleet 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 0 transacties en 0 templates, Gebruikt 17 templates
Gebruikt als Naam Versie
2.16.840.1.113883.2.4.3.36.10.557 Inclusie active Specimen Reference DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.401 Containment active Dysplasia DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.402 Containment active Diameter materiaal DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.403 Containment active Primaire afwijking DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.404 Containment active Histopathology interpretation DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.405 Containment active Macroscopic specimen observable DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.406 Containment active Histological grade DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.407 Containment active Tumor extent of invasion DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.408 Containment active Haggitt level DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.409 Containment active Kikuchi level DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.410 Containment active Status of vascular invasion by tumor DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.411 Containment active Tumor margin status DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.412 Containment active Distance of tumor from margin DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.413 Containment active Histologic type DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.420 Containment active Rapidly proliferating cell marker DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.421 Containment active Number of mitotic figures per square millimeter DYNAMISCH
2.16.840.1.113883.2.4.3.36.10.422 Containment active TNM colon and rectum neuroendocrine tumor staging 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
 (Spedotsndd)
@classCode
 1 … 1 F CLUSTER
@moodCode
 1 … 1 F EVN
hl7:templateId
 II 1 … 1 (Spedotsndd)
@root
 1 … 1 F 2.16.840.1.113883.2.4.3.36.10.551
hl7:code
 CE 1 … 1 M (Spedotsndd)
@code
 CONF 1 … 1 F 22635-7
@codeSystem
 1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
hl7:statusCode
 CS 1 … 1 M (Spedotsndd)
@code
 CONF 1 … 1 F completed
Inclusie  … 1 van 2.16.840.1.113883.2.4.3.36.10.557 Specimen Reference (DYNAMISCH)
hl7:specimen
  … 1 (Spedotsndd)
@typeCode
 1 … 1 F SPC
hl7:specimenRole
 (Spedotsndd)
@classCode
 1 … 1 F SPEC
hl7:id
 1 … 1 M monster identificatie (uniek potje nummer), alleen referentie (Spedotsndd)
hl7:component
 0 … 1 (Spedotsndd)
@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
 (Spedotsndd)
@classCode
 1 … 1 F CLUSTER
@moodCode
 1 … 1 F EVN
hl7:templateId
 II 1 … 1 (Spedotsndd)
@root
 1 … 1 F 1.3.6.1.4.1.19376.1.8.1.4.8
hl7:statusCode
 CS 1 … 1 M (Spedotsndd)
@code
 CONF 1 … 1 F completed
hl7:component
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.401 Dysplasia (DYNAMISCH) (Spedotsndd)
treeblank treeblank treeblank 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 //hl7:observation[hl7:code[@code='371441004']]/hl7:value/@code  
  Variabele let Naam displcode  
  Waarde //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) (Spedotsndd)
treeblank treeblank treeblank 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
 0 … 1 Bevat 2.16.840.1.113883.2.4.3.36.10.403 Primaire afwijking (DYNAMISCH) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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) (Spedotsndd)
treeblank treeblank treeblank 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