Difference between revisions of "2.16.840.1.113883.10.22.4.12/static-2017-03-21T000000"

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Revision as of 12:36, 29 July 2017

Id2.16.840.1.113883.10.22.4.12Effective Date valid from 2017‑03‑21
StatusKyellow.png DraftVersion Label
NameIPSRadiologyResultObservationDisplay NameIPS Radiology Result Observation
Description
This template represents the results of a radiology or other imaging study performed on a patient. 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.
ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.12
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.10.22.4.9ContainmentKyellow.png IPS Result Organizer2017‑03‑02
2.16.840.1.113883.10.22.3.14Link.pngKyellow.png IPS Results Section2017‑04‑30
2.16.840.1.113883.10.22.1.1Link.pngKyellow.png International Patient Summary2017‑04‑11
Uses as NameVersion
2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body AuthorDYNAMIC
2.16.840.1.113883.10.22.4.22ContainmentKyellow.png IPS Comment ActivityDYNAMIC
RelationshipAdaptation: 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="2.16.840.1.113883.10.22.4.12"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="..." codeSystem="1.2.3.999"/>  <statusCode code="active"/>  <effectiveTime>
    <low value="20170721091625"/>  </effectiveTime>  <!-- choice: 1..1
element hl7:value
element hl7:value
element hl7:value
-->
  <interpretationCode code="CAR" displayName="Carrier" codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="..." codeSystem="1.2.3.999"/>  <targetSiteCode>
    <qualifier>
      <name code="272741003" codeSystem="2.16.840.1.113883.6.96" displayName="Laterality"/>      <value code="..." codeSystem="2.16.840.1.113883.6.96"/>    </qualifier>    <qualifier>
      <name code="106233006" codeSystem="2.16.840.1.113883.6.96" displayName="Topographical modifier"/>      <value code="..." codeSystem="2.16.840.1.113883.6.96"/>    </qualifier>  </targetSiteCode>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>  <referenceRange>
    <observationRange>
      <value xsi:type="ANY"/>      <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>
ItemDTCardConfDescriptionLabel
hl7:observation
(IPS…ion)
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M(IPS…ion)
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.12
Treetree.pnghl7:id
II0 … *R(IPS…ion)
Treetree.pnghl7:code
CD.IPS1 … 1M(IPS…ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.40 IPS Results Observation Radiology (DYNAMIC)
Treetree.pnghl7:statusCode
CS1 … 1M(IPS…ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.4 ActStatusActiveCompleted (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1R(IPS…ion)
Choice1 … 1Elements to choose from:
  • hl7:value
  • hl7:value
  • hl7:value
Treeblank.pngTreetree.pnghl7:value
CE.IPS CWE0 … 1C(IPS…ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.48 IPS Results Coded Values Radiology (DYNAMIC)
Treeblank.pngTreetree.pnghl7:value
PQ0 … 1C(IPS…ion)
 ConstraintIf 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
Treeblank.pngTreetree.pnghl7:value
ANY0 … 1C(IPS…ion)
Treetree.pnghl7:interpretationCode
CE.IPS0 … 1R(IPS…ion)
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Treetree.pnghl7:methodCode
CE.IPS0 … 1(IPS…ion)
Treetree.pnghl7:target​Site​Code
CD.IPS CWE0 … 1(IPS…ion)
 ConstraintIf the observation site is not precoordinated in the observation/code or observation/value it SHALL be specified in the observation/targetSiteCode
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1Laterality(IPS…ion)
 ConstraintThe qualifier element for laterality SHALL be present if the targetSiteCode represents a paired body part and laterality is not pre-coordinated in the targetSiteCode
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1F272741003
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
1 … 1FSNOMED CT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FLaterality
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD.IPS CWE1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
1 … 1FSNOMED CT
Treeblank.pngTreetree.pnghl7:qualifier
CR CNE0 … 1Topographical modifier(IPS…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:name
CV CNE1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1F106233006
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
1 … 1FSNOMED CT
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FTopographical modifier
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
CD.IPS CWE1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
1 … 1FSNOMED CT
Treetree.pnghl7:author
0 … *RContains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)(IPS…ion)
Treetree.pnghl7:referenceRange
0 … *R(IPS…ion)
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CDNP(IPS…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY1 … 1M(IPS…ion)
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1(IPS…ion)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF1 … 1FN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
1 … 1F2.16.840.1.113883.5.83 (Observation Interpretation)
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystemName
1 … 1FObservationInterpretation
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@displayName
1 … 1FNormal
Treetree.pnghl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC)(IPS…ion)
Treeblank.png where [hl7:act [hl7:code [(@code='48767-8' and @codeSystem='2.16.840.1.113883.6.1')]]]
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
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