2.16.840.1.113883.10.22.4.11/static-2017-03-21T000000

Id	2.16.840.1.113883.10.22.4.11	Effective Date	2017‑03‑21
Status	Under pre-publication review	Version Label	STU1
Name	IPSPathologyResultObservation	Display Name	IPS Pathology Result Observation
Description This template constrains the results of an  anatomic pathology observation. 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 repnresented as “active” ActStatus.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.11
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Uses	Uses 2 templates Uses as Name Version 2.16.840.1.113883.10.22.4.14 Containment 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 (2005‑09‑07) Adaptation: template 2.16.840.1.113883.10.20.22.4.2 (2015‑08‑01) Adaptation: template 2.16.840.1.113883.10.22.4.10 (2017‑03‑02)
Example	Example <observation classCode="OBS" moodCode="EVN">   <templateId root="2.16.840.1.113883.10.22.4.11"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="44638-5" codeSystem="2.16.840.1.113883.6.1" displayName="Histologic type in Breast tumor by CAP cancer protocols"/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20171210085407"/>  </effectiveTime>  <value xsi:type="CD" code="399935008" displayName="Ductal carcinoma in situ - category (morphologic abnormality)" codeSystem="2.16.840.1.113883.6.96"/>  <methodCode code="104157003" displayName="Light microscopy" codeSystem="2.16.840.1.113883.6.96"/></observation>
Item DT Card Conf Description Label hl7:observation (IPS...ion) @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 2.16.840.1.113883.10.22.4.11 hl7:id II 0 … * R (IPS...ion) hl7:code CD.IPS 1 … 1 M (IPS...ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.41 IPS Results Observation Pathology (DYNAMIC) hl7:statusCode CS 1 … 1 M (IPS...ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC) hl7:effectiveTime IVL_TS 1 … 1 R (IPS...ion) 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 (extensible) 0 … 1 R (IPS...ion) where [@xsi:type='CE.IPS']   CONF The value of @code should be drawn from value set 2.16.840.1.113883.11.22.47 IPS Results Coded Values Pathology (DYNAMIC)   Example Result code: code '201' from code system 2.16.840.1.113883.2.4.4.30.1045 <value xsi:type="CE" code="399935008" displayName="Ductal carcinoma in situ - category (morphologic abnormality)" codeSystem="2.16.840.1.113883.6.96"/>   Example Result code: code 'POS' from code system 2.16.840.1.113883.5.83 <value xsi:type="CE" code="369790002" displayName="Nottingham Combined Grade I: 3-5 points (finding)" codeSystem="2.16.840.1.113883.6.96"/> 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="85" unit="%"/> 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 Billion 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:author 0 … * R Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (IPS...ion) where [hl7:assignedAuthor] 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) where [hl7:act [hl7:code [(@code = '48767-8' and @codeSystem = '2.16.840.1.113883.6.1')]]] @typeCode cs 1 … 1 F COMP