2.16.840.1.113883.10.22.4.13/static-2017-03-21T000000

Id	2.16.840.1.113883.10.22.4.13	Effective Date	2017‑03‑21 Other versions this id: IPSLaboratoryResultObservation as of 2024‑08‑04 11:10:20
Status	Under pre-publication review	Version Label	STU1
Name	IPSLaboratoryResultObservation	Display Name	IPS Laboratory Result Observation
Description This template constrains the results of a clinical laboratory 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 represented as “active” ActStatus.
Context	Parent nodes of template element with id 2.16.840.1.113883.10.22.4.13
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 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- Adaptation: template 2.16.840.1.113883.10.22.4.10 IPS Result Observation (2017‑03‑02)
Example	Example <observation classCode="OBS" moodCode="EVN">   <templateId root="2.16.840.1.113883.10.22.4.13"/>  <id root="1.2.3.999" extension="--example only--"/>  <code codeSystem="2.16.840.1.113883.6.1" code="41995-2" displayName="Hemoglobin A1c [Mass/volume] in Blood"/>  <statusCode code="completed"/>  <effectiveTime>     <low value="20171113173215"/>  </effectiveTime>  <value xsi:type="PQ" value="4.8" unit="%"/>  <interpretationCode code="H" displayName="High" codeSystem="2.16.840.1.113883.5.83"/>  <author>     <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->   </author>  <referenceRange>     <observationRange>       <value xsi:type="IVL_PQ">         <low value="1.5" unit="%"/>        <high value="4.5" unit="%"/>      </value>      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>    </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 2.16.840.1.113883.10.22.4.13 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 2.16.840.1.113883.11.22.39 IPS Results Observation Laboratory (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 2.16.840.1.113883.11.22.46 IPS Results Coded Values Laboratory (DYNAMIC)   Example Blood group A+ from SNOMED CT <value xsi:type="CE" code="278149003" codeSystem="2.16.840.1.113883.6.96" displayName="Blood group A Rh(D) positive"/>   Example Germ susceptible to antimicrobial agent from HL7 vocabulary <value xsi:type="CE" code="S" codeSystem="2.16.840.1.113883.11.78" displayName="susceptible"/> 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">slight macrocytosis, check on alcohol consumption</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) 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 … 1 R The referenceRange is constrained to represent the normal range for this observation and this patient. (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.IPS 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