1.2.40.0.34.6.0.11.3.194/static-2026-07-17T111810

Id	1.2.40.0.34.6.0.11.3.194	Gültigkeit ab	2026‑07‑17 11:18:10
Status	Entwurf	Versions-Label	1.0.0
Name	patho_entry_ProblemOrganizer	Bezeichnung	Problem Organizer
Beschreibung Template CDA Organizer (Prototyp, direkt abgeleitet aus POCD_RM000040 MIF)
Kontext	Elternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.3.194
Label	atpatho_entry_ProblemOrganizer
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Geschlossen (nur definierte Elemente sind erlaubt)
Benutzt	Benutzt 6 Templates Benutzt als Name Version 1.2.40.0.34.6.0.11.9.24 Containment Performer - Laboratory (1.0.0+20211213) DYNAMIC 1.2.40.0.34.6.0.11.9.69 Inklusion X Specimen Identified (1.0.0) DYNAMIC 1.2.40.0.34.6.0.11.3.197 Containment Komplexe Bewertung Entry DYNAMIC 1.2.40.0.34.6.0.11.3.27 Containment Laboratory Observation (2.0.1) 2023‑06‑01 13:58:20 1.2.40.0.34.6.0.11.3.196 Containment Embedded Image DYNAMIC 1.2.40.0.34.6.0.11.3.17 Containment Comment Entry - Single Author / Informant (1.0.0+20230717) DYNAMIC
Beziehung	Spezialisierung: 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>
Item DT Kard Konf Beschreibung Label hl7:organizer 0 … * R Problem organizer groups the observations and images investigating a single problem  related to one or more specimens atpa...izer @classCode cs 1 … 1 F BATTERY @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M atpa...izer @root uid 1 … 1 F 1.2.40.0.34.6.0.11.3.194 hl7:id II 0 … * R atpa...izer hl7:code CD (erforderlich) 0 … 1 R Problem atpa...izer @displayName st 0 … 1   @codeSystemName st 1 … 1 F LOINC @code CONF 1 … 1 F 75326-9 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) hl7:statusCode CS (erforderlich) 1 … 1 M 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 @code CONF 1 … 1 F completed hl7:effectiveTime IVL_TS 1 … 1 M Organizer time. The period of time (possibly reduced to a point in time) during which the information was collected and assembled.  atpa...izer hl7:performer 0 … 1 R Wurde der Befund nur von einem Institut erstellt, MUSS dieses in "/ClinicalDocument/documentationOf[1]/serviceEvent/performer" dokumentiert werden. Sind mehrere Labors an der Erstellung beteiligt, MUSS das Labor im "structuredBody" entweder auf "entry" -Ebene oder im Rahmen eines "organizer" -Elementes oder direkt bei der Analyse ( "observation" -Element) angegeben werden. Angaben in tieferen Ebenen (z.B. "observation"-Ebene) überschreiben solche auf höheren Ebenen (z.B. "organizer"-Ebene). Für den Fall, dass Analysen von einem externen Labor durchgeführt wurden, MUSS assignedEntity/code mit @code="E", @codeSystem="2.16.840.1.113883.2.16.1.4.9", @codeSystemName="HL7.at.Laborkennzeichnung" und @displayName="EXTERN" angegeben werden. Beinhaltet 1.2.40.0.34.6.0.11.9.24 Performer - Laboratory (DYNAMIC) atpa...izer Eingefügt 0 … * R von 1.2.40.0.34.6.0.11.9.69 X Specimen Identified (DYNAMIC) Specimen identification outside an AP observation for differentiating or restituting the problem type Source:  PaLM Suppl. APSR 2.0-3: 6.3.6.9 hl7:specimen 0 … * R Required in XD-LAB when more than one specimen is documented at this level. Always required in APSR. atpa...fied @typeCode cs 0 … 1 F SPC hl7:specimenRole 1 … 1 M atpa...fied @classCode cs 0 … 1 F SPEC hl7:id II 1 … 1 R Specimen ID, coming from the LIS atpa...fied hl7:component 0 … 1 C Codierung des Problems atpa...izer @typeCode cs 1 … 1 F COMP   Constraint Die Codierung des Problems ist empfohlen. Im Fall von negativen Befunden kann sie allerdings entfallen. hl7:observation 1 … 1 M atpa...izer hl7:code CD (extensible) 1 … 1 M atpa...izer @code CONF 1 … 1 F 75326-9 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (LOINC) @codeSystemName 1 … 1 F LOINC @displayName 1 … 1 F Problem hl7:value CE (extensible) 1 … 1 M Codierung des Problems TODO Value-Set erstellen atpa...izer hl7:component 0 … * R 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 Komplexe Bewertung Entry (DYNAMIC) atpa...izer @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 1 … 1 F true hl7:component 0 … * C Laboratory observation Beinhaltet 1.2.40.0.34.6.0.11.3.27 Laboratory Observation (2023‑06‑01 13:58:20) atpa...izer @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 1 … 1 F true hl7:component 0 … * R 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 @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 1 … 1 F true hl7:component 0 … * R 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 @typeCode cs 1 … 1 F COMP @context​Conduction​Ind bl 1 … 1 F true