1.2.40.0.34.6.0.11.2.169

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Weitere Informationen sind zusammengefasst im Hilfe-Beitrag Templates.

1 Template MacroscopySection

The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.

1.1 Aktuelle Version

Id1.2.40.0.34.6.0.11.2.169Gültigkeit ab2026‑07‑17 10:21:55
Status  EntwurfVersions-Label1.0.0
NameMacroscopySectionBezeichnungMacroscopic Observation Section
Beschreibung

The Macroscopic Observation section contains the description of the specimen(s) received or obtained by the laboratory (specimen type and state), the gross observation, links to gross images, if taken, processing information and tissue disposition (representative sampling and tissue submitted for additional studies or sent to biorepository.

KontextElternknoten des Template-Element mit Id 1.2.40.0.34.6.0.11.2.169
Labelatpatho_section_MacroscopicObservationSection
KlassifikationCDA Section level template
Offen/GeschlossenGeschlossen (nur definierte Elemente sind erlaubt)
BeziehungSpezialisierung: Template 1.3.6.1.4.1.19376.1.8.1.2.3 Macroscopic Observation Section (2014‑05‑13 11:57:09)
ref
psr-

Spezialisierung: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Beispiel
example from use case #1
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.8.1.2.3"/>  <code code="22634-0" displayName="Pathology report gross observation" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>  <title>MACROSCOPIC OBSERVATION SECTION</title>  <text>
    <paragraph> A. "RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE BIOPSY)</paragraph>  </text>
</section>
ItemDTKardKonfBeschreibungLabel
hl7:section
0 … 1Ratpa...tion
 Constraint 

This section SHALL contain a code element populated with these attributes:

@code ="22634-0"

@codeSystem ="2.16.840.1.113883.6.1"

@displayName ="Pathology report gross observation" 

This section does not contain any subsection. The section SHALL contain a narrative block, represented by a text element, which renders the information to the human reader.

The section SHOULD contain as many Problem Organizer entry elements as there are problems or groups thereof to be described. These entries provide the machine-readable data corresponding to the narrative block.

This section SHOULD contain author elements in case the authors of this section differ from those declared at a higher level in the document.

 hl7:templateId
II1 … 1Matpa...tion
  @root
uid1 … 1F1.2.40.0.34.6.0.11.2.169
 hl7:code
CE1 … 1Matpa...tion
  @displayName
st0 … 1 
  @codeSystemName
st0 … 1FLOINC
  @code
CONF1 … 1F22634-0
  @codeSystem
1 … 1F2.16.840.1.113883.6.1 (LOINC)
 hl7:title
ST1 … 1Matpa...tion
 CONF
Elementinhalt MUSS "Makroskopie" sein
 Beispiel<title>Makros</title>
 hl7:text
SD.TEXT1 … 1Matpa...tion
 Beispiel
example for use case #1
<text>A. "RIGHT BREAST FIVE CORES 8-9:00" (ULTRASOUND GUIDED NEEDLE CORE BIOPSY)</text>


1.2 Zusammenstellung aller Versionen dieses Templates