2.16.840.1.113883.10.22.4.10/static-2017-03-02T000000

Id	2.16.840.1.113883.10.22.4.10	Effective Date	2017‑03‑02
Status	Under pre-publication review	Version Label	STU1
Name	IPSResultObservation	Display Name	IPS Result Observation
Description This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized by child templates, which  constrain  clinical laboratory observations or radiology observations or anatomic pathology observations. The generic IPS Result Observation template is usable in a patient summary for observations, which do not fall within one of the specialized categories.   The result observation includes a statusCode to allow recording the status of an observation. “Pending” results (e.g., a test has been run but results have not been reported yet) should be represented as “active” ActStatus. However, in most cases, observations selected for an international patient summary are  results that are final and approved, and thus, have a "completed" statusCode. The result of the observation may be commented through an entryRelationship introducing an "IPS Comment activity" template.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.10
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Associated with	Associated with 4 concepts Id Name Data Set hl7ips-data​element-106  Observation Result  CEN/TC 251 prEN 17269 hl7ips-data​element-143  Date of observation  CEN/TC 251 prEN 17269 hl7ips-data​element-144  Observation Type  CEN/TC 251 prEN 17269 hl7ips-data​element-145  Value  CEN/TC 251 prEN 17269
Uses	Uses 2 templates Uses as Name Version 2.16.840.1.113883.10.22.4.14 Include IPS Body Author (STU1) DYNAMIC 2.16.840.1.113883.10.22.4.22 Containment IPS Comment Activity (STU1) DYNAMIC
Relationship	Adaptation: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Adaptation: template 2.16.840.1.113883.10.20.22.4.2 Result Observation (V3) (2015‑08‑01) ref ccda-
Example	Example <observation classCode="OBS" moodCode="EVN">   <templateId root="2.16.840.1.113883.10.22.4.10"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="..." codeSystem="1.2.3.999"/>  <statusCode/>  <effectiveTime>     <low value="20170721091742"/>  </effectiveTime>  <value xsi:type="PQ" value="136" unit="mmol/L"/>  <interpretationCode code="..." codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="..." codeSystem="1.2.3.999"/>  <targetSiteCode code="..." codeSystem="1.2.3.999"/>  <author>     <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->   </author>  <referenceRange>     <observationRange>       <value xsi:type="PQ" value=".." unit="..."/>      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal"/>    </observationRange>  </referenceRange>  <entryRelationship typeCode="COMP">     <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' (dynamic) -->   </entryRelationship></observation>
Item DT Card Conf Description Label hl7:observation (IPS...ion)   hl7ips-data​element-106  Observation Result  CEN/TC 251 prEN 17269 @classCode cs 1 … 1 F OBS @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (IPS...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.10 hl7:id II 0 … * R (IPS...ion) hl7:code CD.IPS 1 … 1 M (IPS...ion)   hl7ips-data​element-144  Observation Type  CEN/TC 251 prEN 17269   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.38 IPS Results Observation (DYNAMIC) hl7:statusCode CS 1 … 1 M (IPS...ion) hl7:effectiveTime IVL_TS 1 … 1 R (IPS...ion)   hl7ips-data​element-143  Date of observation  CEN/TC 251 prEN 17269 Choice 1 … 1 Elements to choose from: hl7:value[@xsi:type='CE.IPS'] hl7:value[@xsi:type='PQ'] hl7:value[@xsi:type='IVL_PQ'] hl7:value[@xsi:type='ST'] hl7:value[@xsi:type='TS'] hl7:value[@xsi:type='RTO_QTY_QTY'] hl7:value CE.IPS 0 … 1 R (IPS...ion) where [@xsi:type='CE.IPS']   hl7ips-data​element-145  Value  CEN/TC 251 prEN 17269   Example Result code: code '201' from code system 2.16.840.1.113883.2.4.4.30.1045 <value xsi:type="CE" code="201" codeSystem="2.16.840.1.113883.2.4.4.30.1045" displayName="regular"/>   Example Result code: code 'POS' from code system 2.16.840.1.113883.5.83 <value xsi:type="CE" code="POS" codeSystem="2.16.840.1.113883.5.83"/> hl7:value PQ 0 … 1 R (IPS...ion) where [@xsi:type='PQ']   Constraint If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC   Example Result physical quantity (data type PQ): 136 mmol per liter <value xsi:type="PQ" value="136" unit="mmol/L"/> hl7:value IVL_PQ 0 … 1 R (IPS...ion) where [@xsi:type='IVL_PQ']   Example Result interval of physical quantities (data type IVL_PQ): 150 - 400 Milliard per 10 exp 9 liter <value xsi:type="IVL_PQ">   <low value="150" unit="10+9/l"/>  <high value="400" unit="10+9/l"/></value> hl7:value ST 0 … 1 R (IPS...ion) where [@xsi:type='ST']   Example Result free text (data type ST) <value xsi:type="ST">This is a result as a free text</value> hl7:value TS 0 … 1 R (IPS...ion) where [@xsi:type='TS']   Example Result time stamp (data type TS): 6-Aug-2014 <value xsi:type="TS" value="20140806"/> hl7:value RTO_QTY_QTY 0 … 1 R (IPS...ion) where [@xsi:type='RTO_QTY_QTY']   Example Result ratio (data type RTO_QTY_QTY): 1/179 <value xsi:type="RTO_QTY_QTY">   <numerator xsi:type="INT" value="1"/>  <denominator xsi:type="INT" value="179"/></value> hl7:interpretationCode CE.IPS 0 … 1 R (IPS...ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC) hl7:target​Site​Code CD.IPS (preferred) 0 … 1 (IPS...ion)   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.55 IPS Body Site (DYNAMIC) Included 0 … * R from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7:author 0 … * R (IPS...ion) hl7:templateId II 1 … 1 M (IPS...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.22.4.14 hl7:time TS.IPS.TZ 1 … 1 R (IPS...ion) hl7:assignedAuthor 1 … 1 M (IPS...ion) hl7:id II 1 … * R (IPS...ion) hl7:code 0 … 1 R (IPS...ion) Choice 0 … 1 Elements to choose from: hl7:assigned​Person hl7:assigned​Authoring​Device hl7:assigned​Person 0 … 1 C (IPS...ion) @classCode cs 0 … 1 F PSN @determiner​Code cs 0 … 1 F INSTANCE hl7:name PN 1 … * R Name of the person (e.g. the Healthcare Professional)  authoring this document (IPS...ion)   Example <name>   <given>John</given>  <family>Español Smith</family></name> hl7:family 1 … * R (IPS...ion) hl7:given 1 … * R (IPS...ion) hl7:assigned​Authoring​Device 0 … 1 C (IPS...ion)   Example <assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">   <softwareName displayName="Turriano"/></assignedAuthoringDevice> Included from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) @classCode cs 0 … 1 F DEV @determiner​Code cs 0 … 1 F INSTANCE hl7:code CE 0 … 1 (IPS...ion) hl7:manufacturer​Model​Name SC 0 … 1 (IPS...ion) hl7:softwareName SC 0 … 1 (IPS...ion) hl7:represented​Organization 0 … 1 (IPS...ion) hl7:id II 0 … * (IPS...ion) hl7:name 0 … * (IPS...ion) hl7:telecom TEL 0 … * (IPS...ion) hl7:addr AD 0 … * (IPS...ion) hl7:referenceRange 0 … * R (IPS...ion) hl7:observationRange 1 … 1 M (IPS...ion) hl7:code CD NP (IPS...ion) hl7:value ANY 1 … 1 M (IPS...ion) hl7:interpretationCode CE 0 … 1 (IPS...ion) @code CONF 0 … 1 F N @codeSystem 0 … 1 F 2.16.840.1.113883.5.83 (Observation Interpretation) hl7:entryRelationship 0 … * Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) (IPS...ion) @typeCode cs 1 … 1 F COMP