| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report-result.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1], code=at0000.1, itemType=COMPOSITION, level=0, text=Pathologischer Befund, description=Document to communicate information to others about the result of a test or assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0], code=at0000, itemType=CLUSTER, level=2, text=Case identification, description=To record case identification details for public health purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.case_identification.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Case identifier, description=The identifier of this case., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=1, text=Pathologischer Befund, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Test name, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- Pathologisch-anatomischer Befund
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- Microscopic examination
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1], code=at0000, itemType=OBSERVATION, level=1, text=Banff-Konsensus 2019, description=Zur Darstellung der nephropathologischen Begutachtung der Transplantatnierenbiopsie nach Banff-Konsensus 2019., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Jedes Ereignis, description=Standardmäßiger, nicht näher beschriebener Zeitpunkt oder Intervall Ereignis welches in einem Template oder bei der Anwendung genauer definiert werden kann., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0082], code=at0082, itemType=CLUSTER, level=3, text=Banff-Kategorie, description=Angabe der Banff-Kategorie und jeweiliger Beschreibung bzw. Ausprägung., comment=null, uncommonOntologyItems=null, occurencesFormal=0..5, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0082]/items[at0084], code=at0084, itemType=ELEMENT, level=4, text=Kategorie, description=Die Angabe der genauen Banff-Kategorie., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0082]/items[at0083], code=at0083, itemType=ELEMENT, level=4, text=Schweregrad, description=Angabe des Schweregrades der Banff-Kategorie., comment=Zum Beispiel:
Kategorie 2 - Typ I, II und III
Kategorie 4 - Grad IA, IB, IIA, IIB oder III
Kategorie 5 - PVN Klasse 1,2 und 3., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=CLUSTER, level=3, text=Banff-Kodierung, description=Die Angabe der Banff-Kodierung., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=i-score, description=Quantitativ für interstitielle Entzündungen im nicht vernarbten Kortex., comment=Der subkapsuläre Kortex sollte nicht berücksichtigt werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=t-score, description=Quantitativ für Tubulitis in kortikalen Tubuli innerhalb des nicht vernarbten Kortex., comment=Obwohl der Tubulitis-Score (1‐3) auf dem am stärksten betroffenen Tubulus basiert, muss mindestens eine leichte Tubulitis in ≥2 kortikalen Foci vorhanden sein, damit der Score >0 zugewiesen werden kann. Stark atrophierte Tubuli sollten nicht bewertet werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=v-score, description=Quantitativ für die Entzündung in der arteriellen Intima., comment=Beachten Sie, dass nur Arterien (mindestens 2 Schichten glatte Muskelzellen) bewertet werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0008], code=at0008, itemType=ELEMENT, level=4, text=g-score, description=Quantitativ für Glomerulitis., comment=Ischämische, kollabierte Glomeruli und Glomeruli mit >50% Sklerose sollten nicht bewertet werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=ptc-score, description=Quantitativ für die peritubuläre Kapillaritis., comment=Das Ausmaß der PTC-Entzündung sollte als fokal (10% - 50% der kortikalen PTC) oder diffus (> 50%) dokumentiert werden. Beachten Sie, dass ptc im Mark nicht berücksichtigt werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=c4d-score, description=Quantitativ für C4d., comment=Durch IF auf gefrorenen Schnitten werden Werte ≥2 als positiv angesehen. Von IHC auf Paraffinschnitten werden alle Scores >0 als positiv angesehen., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=ci-score, description=Quantitativ für die interstitielle Fibrose im Kortex., comment=Das subkapsuläre Kortexgewebe sollte nicht berücksichtigt werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem 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occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=cg-score, description=Quantitativ für die chronische Glomerulopathie (Transplantat-Glomerulopathie)., comment=Kollabierte, ischämische Glomeruli und Glomeruli mit> 50% Sklerose sollten nicht gescored werden., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem 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comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=i-IFTA-score, description=Quantitativ für Entzündungen im vernarbten Kortex., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem 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in Kortex und Mark sollte berücksichtigt werden. Es sollte möglichst SV40-Immunhistochemie verwendet werden (nur virale Einschlußkörper in den Tubuluszellkernen zu werten ist nicht genau genug)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.banff_classification_2019.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0081], code=at0081, itemType=ELEMENT, level=3, text=Kommentar, description=Zusätzliche Befunde, die der Befunder für relevant hält, die aber in der Banff-Klassifikation nicht erfasst werden., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal] |