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active Template  IHE Cancer Diagnosis Entry

Id 1.3.6.1.4.1.19376.1.7.3.1.4.14.1
ref
IHE-PCC-
 		Effective Date 2017‑03‑23 08:56:15
Status active Active Version Label 2016
Name IHECancerDiagnosisEntry Display Name IHE Cancer Diagnosis Entry
Description
A Cancer Diagnosis entry collects details of the patient’s cancer diagnosis, including histology, behavior, primary site, laterality, diagnosis date, TNM Stage, and Best Method of Confirmation.
Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.7.3.1.4.14.1
Label 6.3.4.56
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Relationship Specialization: template 1.3.6.1.4.1.19376.1.5.3.1.4.5.2 eHDSI Problem Concern (DYNAMIC)
ref
epsos-
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5"/>  <templateId root="1.3.6.1.4.1.19376.1.7.3.1.4.14.1"/>  <code code="282291009" codeSystem="2.16.840.1.113883.6.96" displayName="Diagnosis"/>  <statusCode code="completed"/>  <effectiveTime/>  <value>
    <qualifier>
      <name code="31206-6" codeSystem="2.16.840.1.113883.6.1" displayName="Behavior ICD-O-3 Cancer"/>      <value/>    </qualifier>    <qualifier>
      <name code="21861-0" codeSystem="2.16.840.1.113883.6.1" displayName="Dx confirmed by Cancer"/>      <value/>    </qualifier>  </value>  <targetSiteCode>
    <qualifier>
      <name code="20228-3" codeSystem="2.16.840.1.113883.6.1" displayName="Anatomic part Laterality"/>      <value/>    </qualifier>  </targetSiteCode>  <entryRelationship typeCode="SUBJ" inversionInd="false">
    <observation>
      <templateId root="1.3.6.1.4.1.19376.1.7.3.1.4.14.2"/>      <code code="75620-5" codeSystem="2.16.840.1.113883.6.1" displayName="TNM Clinical Stage Information"/>      <statusCode code="completed"/>      <value>
        <qualifier>
          <name code="21909-7" codeSystem="2.16.840.1.113883.6.1" displayName="Descriptor.clinical Cancer"/>          <value/>        </qualifier>        <qualifier>
          <name code="21917-0" codeSystem="2.16.840.1.113883.6.1" displayName="Version TNM Classification"/>          <value/>        </qualifier>      </value>      <participant>
        <participantRole code="21910-5" codeSystem="2.16.840.1.113883.6.1" displayName="Stager.clinical Cancer"/>        <playingEntity>
          <code/>        </playingEntity>      </participant>      <entryRelationship typeCode="COMP" inversionInd="false">
        <observation>
          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>          <code code="21905-5" displayName="Primary tumor.clinical [Class] Cancer" codeSystem="2.16.840.1.113883.6.1"/>          <value/>        </observation>      </entryRelationship>    </observation>  </entryRelationship></observation>
Item DT Card Conf Description Label
hl7:observation
 		0 … * 6.3.4.56
@moodCode
 		cs 1 … 1 F EVN
@classCode
 		cs 1 … 1 F OBS
hl7:templateId
 		1 … 1 M 6.3.4.56
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.5
hl7:templateId
 		1 … 1 M 6.3.4.56
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.7.3.1.4.14.1
hl7:code
 		CD 1 … 1 M 6.3.4.56
@code
 		CONF 1 … 1 F 282291009
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.96 (Snomed-CT)
@displayName
 		1 … 1 F Diagnosis
@codeSystemName
 		1 … 1 F SNOMED CT
hl7:statusCode
 		CS 1 … 1 M 6.3.4.56
@code
 		CONF 1 … 1 F completed
hl7:effectiveTime
 		0 … 1 6.3.4.56
hl7:value
 		CD 1 … * R 6.3.4.56
hl7:qualifier
 		CR 0 … * 6.3.4.56
hl7:name
 		1 … 1 M 6.3.4.56
@code
 		CONF 1 … 1 F 31206-6
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Behavior ICD-O-3 Cancer
@codeSystemName
 		1 … 1 F LOINC
hl7:value
 		1 … 1 R 6.3.4.56
hl7:qualifier
 		CR 0 … * 6.3.4.56
hl7:name
 		1 … 1 R 6.3.4.56
@code
 		CONF 0 … 1 F 21861-0
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		0 … 1 F Dx confirmed by Cancer
@codeSystemName
 		0 … 1 F LOINC
hl7:value
 		1 … 1 R 6.3.4.56
hl7:targetSiteCode
 		1 … * M 6.3.4.56
hl7:qualifier
 		CR 0 … * 6.3.4.56
hl7:name
 		1 … 1 R 6.3.4.56
@code
 		CONF 0 … 1 F 20228-3
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		0 … 1 F Anatomic part Laterality
@codeSystemName
 		0 … 1 F LOINC
hl7:value
 		1 … 1 R 6.3.4.56
hl7:entryRelationship
 		0 … 1 6.3.4.56
@typeCode
 		cs 1 … 1 F SUBJ
@inversionInd
 		bl 1 … 1 F false
hl7:observation
 		1 … 1 M 6.3.4.56
hl7:templateId
 		1 … 1 M 6.3.4.56
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.7.3.1.4.14.2
hl7:code
 		CD 1 … 1 R 6.3.4.56
@code
 		CONF 0 … 1 F 75620-5
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		0 … 1 F TNM Clinical Stage Information
@codeSystemName
 		0 … 1 F LOINC
hl7:statusCode
 		CS 1 … 1 M 6.3.4.56
@code
 		CONF 1 … 1 F completed
hl7:value
 		CD 1 … * M 6.3.4.56
hl7:qualifier
 		CR 0 … * 6.3.4.56
hl7:name
 		1 … 1 R 6.3.4.56
@code
 		CONF 0 … 1 F 21909-7
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		0 … 1 F Descriptor.clinical Cancer
@codeSystemName
 		0 … 1 F LOINC
hl7:value
 		1 … 1 R 6.3.4.56
hl7:qualifier
 		CR 0 … * 6.3.4.56
hl7:name
 		1 … 1 R 6.3.4.56
@code
 		CONF 0 … 1 F 21917-0
@codeSystem
 		0 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		0 … 1 F Version TNM Classification
@codeSystemName
 		0 … 1 F LOINC
hl7:value
 		1 … 1 R 6.3.4.56
hl7:participant
 		0 … * 6.3.4.56
hl7:participantRole
 		0 … 1 6.3.4.56
hl7:code
 		1 … 1 M 6.3.4.56
@code
 		CONF 1 … 1 F 21910-5
@codeSystem
 		1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
@displayName
 		1 … 1 F Stager.clinical Cancer
@codeSystemName
 		1 … 1 F LOINC
hl7:playingEntity
 		0 … 1 6.3.4.56
hl7:code
 		1 … 1 M 6.3.4.56
hl7:entryRelationship
 		0 … 3 6.3.4.56
@typeCode
 		cs 1 … 1 F COMP
@inversionInd
 		bl 0 … 1 F false
hl7:observation
 		1 … 1 R 6.3.4.56
hl7:templateId
 		1 … 1 M 6.3.4.56
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:code
 		CD 1 … 1 M 6.3.4.56
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.5.3.1.11.7 CancerDiagnosis_codes (2017‑03‑23 08:44:40)
hl7:value
 		CD 1 … * R 6.3.4.56