1.2.40.0.34.6.0.11.3.194

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1 Template patho_entry_ProblemOrganizer

Template CDA Organizer (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)

1.1 Aktuelle Version

Id1.2.40.0.34.6.0.11.3.194Gültigkeit ab2026‑07‑17 11:18:10
StatusKyellow.png EntwurfVersions-Label1.0.0
Namepatho_entry_ProblemOrganizerBezeichnungProblem Organizer
Beschreibung
Template CDA Organizer (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)
KontextElternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.194
Labelatpatho_entry_ProblemOrganizer
KlassifikationCDA Entry Level Template
Offen/GeschlossenGeschlossen (nur definierte Elemente sind erlaubt)
Benutzt
Benutzt 6 Templates
Benutzt als NameVersion
1.2.40.0.34.6.0.11.9.24ContainmentKgreen.png Performer - Laboratory (1.0.0+20211213)DYNAMIC
1.2.40.0.34.6.0.11.9.69InklusionKyellow.png X Specimen Identified (1.0.0)DYNAMIC
1.2.40.0.34.6.0.11.3.197ContainmentKyellow.png AP Observation Entry (2.0)DYNAMIC
1.2.40.0.34.6.0.11.3.27ContainmentKyellow.png Laboratory Observation (2.0.1)2023‑06‑01 13:58:20
1.2.40.0.34.6.0.11.3.196ContainmentKyellow.png Embedded ImageDYNAMIC
1.2.40.0.34.6.0.11.3.17ContainmentKgreen.png Comment Entry - Single Author / Informant (1.0.0+20230717)DYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.305 CDA Organizer (2005‑09‑07)
ref
ad1bbr-
Beispiel
generated example
<organizer classCode="BATTERY" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.8.1.3.6"/>  <id root="1.2.3.999" extension="--example only--"/>  <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem">
    <qualifier>
      <name code="116677004" codeSystem="2.16.840.1.113883.6.96" displayName=" Associated topography (attribute)"/>      <value nullFlavor="cs" code="all children of "362981000"" codeSystem="2.16.840.1.113883.6.96" displayName="all values from 91723000 (Anatomical structure)"/>    </qualifier>  </code>  <component typeCode="COMP">
    <observation>
      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem">
        <value code="115597007" displayName="Description of specimen character (procedure)" codeSystem="2.16.840.1.113883.6.96"/>      </code>    </observation>  </component>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20170131165954"/>  </effectiveTime>  <author>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.2 'CDA author IHE' (2016-06-21T14:02:11) -->
  </author>  <informant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.6 'CDA Informant(Header&Body) APSR2' (2016-07-08T11:22:58) -->
  </informant>  <participant>
    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.7 'Additional participant in an entry APSR (Body)' (2016-07-12T18:44:06) -->
  </participant>  <performer>
    <!-- template 1.3.6.1.4.1.19376.1.3.3.1.7 'Laboratory Performer' (2008-08-08T00:00:00) -->
  </performer>  <!-- include template 1.3.6.1.4.1.19376.1.3.10.9.1 'X Specimen Identified' (2014-12-22T15:54:30) 0..* R -->
  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.10 'Embedded Image IHE' (2016-06-22T16:08:01) -->
  </component>  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 2.16.840.1.113883.10.12.307 'CDA RegionOfInterest' (2005-09-07T00:00:00) -->
  </component>  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.5.3.1.4.2 'IHE Comment Entry' (2013-12-20T00:00:00) -->
  </component>  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.9 'AP Observation Entry' (2014-05-14T17:09:54) -->
  </component>  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.3.1.6 'Laboratory Observation' (2008-08-08T00:00:00) -->
  </component>  <reference>
    <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
  </reference></organizer>
Beispiel
example for use case #1, problem: invasive breast cancer
<organizer classCode="BATTERY" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.8.1.3.6"/>  <id root="1.3.6.1.4.1.19376.1.8.9.1" extension="A7102400008_Problem1"/>  <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem"/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="201001041605-0500"/>  </effectiveTime>  <!--The problem is expressed by the result of the observation having the same code as organizer/code-->
  <component>
    <observation classCode="OBS" moodCode="EVN">
      <code code="75326-9" codeSystem="2.16.840.1.113883.6.1" displayName="Problem"/>      <value code="C50.9" codeSystem="2.16.840.1.113883.6.3" displayName="Malignant neoplasm of breast, unspecified" codeSystemDisplayName="ICD-10"/>    </observation>  </component>  <component typeCode="COMP" contextConductionInd="true">
    <sequenceNumber value="1"/>    <!-- template 1.3.6.1.4.1.19376.1.8.1.4.9 'AP Observation Entry' (2014-05-14T17:09:54) -->
  </component>  <reference>
    <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
  </reference></organizer>
ItemDTKardKonfBeschreibungLabel
hl7:organizer
0 … *REN-US.png Problem organizer groups the observations and images investigating a single problem  related to one or more specimensatpa...izer
Treetree.png@classCode
cs1 … 1FBATTERY
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1Matpa...izer
Treeblank.pngTreetree.png@root
uid1 … 1F1.2.40.0.34.6.0.11.3.194
Treetree.pnghl7:id
II0 … *Ratpa...izer
Treetree.pnghl7:code
CD (erforderlich)0 … 1REN-US.png Problem
atpa...izer
Treeblank.pngTreetree.png@displayName
st0 … 1 
Treeblank.pngTreetree.png@codeSystemName
st1 … 1FLOINC
Treeblank.pngTreetree.png@code
CONF1 … 1F75326-9
Treeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
Treetree.pnghl7:statusCode
CS (erforderlich)1 … 1MEN-US.png The status of the organizer is   " completed"    if the battery of observations for this problem has been performed. It is   " aborted"    in case some of the intended observations could not be achieve and have been aborted, and appear as such below the organizer.  atpa...izer
 Constraint
@code shall be "completed"
or
@code shall be "aborted"

Treeblank.pngTreetree.png@code
CONF1 … 1Fcompleted
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1MEN-US.png Organizer time.

The period of time (possibly reduced to a point in time) during which the information was collected and assembled. 

atpa...izer
Treetree.pnghl7:performer
0 … 1REN-US.png Performing lab.

The performing laboratory is present at this level only if this particular problem on this particular specimen was investigated by a (subcontractor) distinct laboratory from the one issuing the consolidated report


Source:  PaLM TF-3: 6.3.2.20


Beinhaltet 1.2.40.0.34.6.0.11.9.24 Performer - Laboratory (DYNAMIC)		atpa...izer
Eingefügt0 … *R von 1.2.40.0.34.6.0.11.9.69 X Specimen Identified (DYNAMIC)
EN-US.png Specimen identification outside an AP observation for differentiating or restituting the problem type


Source:  PaLM Suppl. APSR 2.0-3: 6.3.6.9

Treetree.pnghl7:specimen
0 … *REN-US.png Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR.atpa...fied
Treeblank.pngTreetree.png@typeCode
cs0 … 1FSPC
Treeblank.pngTreetree.pnghl7:specimenRole
1 … 1Matpa...fied
Treeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FSPEC
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … 1REN-US.png Specimen ID, coming from the LISatpa...fied
Treetree.pnghl7:component
0 … 1REN-US.png Coding of the Problem reportedatpa...izer
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.pnghl7:observation
0 … 1Ratpa...izer
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CD (extensible)1 … 1Ratpa...izer
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1F75326-9
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.6.1 (LOINC)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
0 … 1FLOINC
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
0 … 1FProblem
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CE (extensible)0 … 1REN-US.png Code of the problem reportedatpa...izer
 CONF
@code MUSS "any_code" sein
@codeSystem MUSS "2.16.840.1.113883.6.3" sein
@codeSystemName MUSS "any_code" sein
@displayName MUSS "ICD-10" sein
oder
Der Wert von @code SOLLTE gewählt werden aus dem Value Set 1.3.6.1.4.1.19376.1.3.11.7 Problem Type (2016‑07‑11 09:52:19)
Treetree.pnghl7:component
0 … *REN-US.png Any kind of AP observation, for complex observations, e.g. for TNM, ICD-O-3, or Assessment scales, the appropriate templates may be used.


Source:  PaLM Suppl. APSR 2.0-3: 6.3.6.7


Beinhaltet 1.2.40.0.34.6.0.11.3.197 AP Observation Entry (DYNAMIC)		atpa...izer
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treetree.pnghl7:component
0 … *CEN-US.png Laboratory observation
Beinhaltet 1.2.40.0.34.6.0.11.3.27 Laboratory Observation (2023‑06‑01 13:58:20)		atpa...izer
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
Treetree.pnghl7:component
0 … *REN-US.png Embedded image


This organizer may carry an image focusing on the problem, either directly embedded or encapsulated within a region of interest.


Beinhaltet 1.2.40.0.34.6.0.11.3.196 Embedded Image (DYNAMIC)		atpa...izer
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue
 ConstraintEN-US.png

[@classCode="ROIOVL" and moodCode="EVN"]

Treetree.pnghl7:component
0 … *REN-US.png

General comment on this particular problem 

Source:  PCC TF-2: 6.3.4.6


Beinhaltet 1.2.40.0.34.6.0.11.3.17 Comment Entry - Single Author / Informant (DYNAMIC)		atpa...izer
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
Treeblank.pngTreetree.png@context​Conduction​Ind
bl1 … 1Ftrue


1.2 Zusammenstellung aller Versionen dieses Templates

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