2.16.840.1.113883.10.22.4.12/static-2017-03-21T000000

Id	2.16.840.1.113883.10.22.4.12	Effective Date	2017‑03‑21 Other versions this id:
Status	Draft	Version Label
Name	IPSRadiologyResultObservation	Display Name	IPS Radiology Result Observation
Description This template represents an observation produced as one of the results of a radiology or other imaging study performed on a patient.  In most cases, in the context of a patient summary this observation is final and validated, which is recorded with the value "completed" in the statusCode element. Should  the observation be not final, the statusCode would indicate "active", instead.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.12
Classification	CDA Entry Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 3 templates, Uses 2 templates Used by as Name Version 2.16.840.1.113883.10.22.4.9 Containment IPS Result Organizer 2017‑03‑02 2.16.840.1.113883.10.22.3.14 IPS Results Section 2017‑04‑30 2.16.840.1.113883.10.22.1.1 International Patient Summary 2017‑04‑11 Uses as Name Version 2.16.840.1.113883.10.22.4.14 Containment IPS Body Author DYNAMIC 2.16.840.1.113883.10.22.4.22 Containment IPS Comment Activity 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="2.16.840.1.113883.10.22.4.12"/>  <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>
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 2.16.840.1.113883.10.22.4.12 hl7:id II 0 … * R (IPS...ion) hl7:code CD.IPS (extensible) 1 … 1 M (IPS...ion)   CONF The value of @code should be drawn from value set 2.16.840.1.113883.11.22.40 IPS Results Observation Radiology (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 0 … 1 R (IPS...ion) where [@xsi:type='CE.IPS']   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 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:target​Site​Code CD.IPS (preferred) 0 … 1 (IPS...ion)   Constraint If the observation site is not precoordinated in the observation/code or observation/value it SHALL be specified in the observation/targetSiteCode   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.55 IPS Target Site (DYNAMIC) hl7:qualifier CR 0 … 1 Laterality (IPS...ion)   Constraint The qualifier element for laterality SHALL be present if the targetSiteCode represents a paired body part and laterality is not pre-coordinated in the targetSiteCode hl7:name CV (preferred) 1 … 1 M (IPS...ion) @code CONF 1 … 1 F 272741003 @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) hl7:value CD.IPS (preferred) 1 … 1 M (IPS...ion)   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.57 Laterality (qualifier) (DYNAMIC) hl7:qualifier CR 0 … 1 Topographical modifier (IPS...ion) hl7:name CV (preferred) 1 … 1 M (IPS...ion) @code CONF 1 … 1 F 106233006 @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) hl7:value CD.IPS (preferred) 1 … 1 M (IPS...ion)   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.58 Topographical modifier (qualifier) (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