Id | 2.16.840.1.113883.10.22.4.10 | Effective Date | valid from 2017‑03‑02 |
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Status | Draft | Version Label | |
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Name | IPSResultObservation | Display Name | IPS Result Observation |
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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. The result of the observation may be commented through an entryRelationship introducing an "IPS Comment activity" template. |
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Context | Parent nodes of template element with id 2.16.840.1.113883.10.22.4.10 |
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Classification | CDA Entry Level Template |
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Open/Closed | Open (other than defined elements are allowed) |
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Used by / Uses | Used by 0 transactions and 3 templates, Uses 2 templates | Used by | as | Name | Version |
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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 |
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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 |
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Relationship | Specialization: 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) |
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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/> <statusCode/> <effectiveTime> <low value="20170721091742"/> </effectiveTime> <!-- choice: 1..1 element hl7:value element hl7:value element hl7:value --> <interpretationCode code="--code--" codeSystem="2.16.840.1.113883.5.83"/> <methodCode/> <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> |
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Item | DT | Card | Conf | Description | Label |
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| | | | | (IPS…ion) | | @classCode
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| cs | 1 … 1 | F | OBS | | @moodCode
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| cs | 1 … 1 | F | EVN | | hl7:templateId
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| II | 1 … 1 | M | | (IPS…ion) | | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.10 | | hl7:id
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| II | 0 … * | R | | (IPS…ion) | | hl7:code
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| CD.IPS | 1 … 1 | M | | (IPS…ion) | | CONF | The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.38 IPS Results Observation (DYNAMIC) |
| | hl7:statusCode
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| CS | 1 … 1 | M | | (IPS…ion) | | hl7:effectiveTime
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| IVL_TS | 1 … 1 | R | | (IPS…ion) | Choice | 1 … 1 | | Elements to choose from:- hl7:value
- hl7:value
- hl7:value
| | | hl7:value
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| CE.IPS | 0 … 1 | R | | (IPS…ion) | | | hl7:value
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| PQ | 0 … 1 | R | | (IPS…ion) | | 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 | | | hl7:value
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| ANY | 0 … 1 | R | | (IPS…ion) | | hl7:interpretationCode
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| CE | 0 … 1 | R | | (IPS…ion) | | | @codeSystem
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| CONF | 1 … 1 | F | 2.16.840.1.113883.5.83 (Observation Interpretation) | | | @codeSystemName
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| 1 … 1 | F | ObservationInterpretation | | hl7:methodCode
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| CE | 0 … 1 | | | (IPS…ion) | | hl7:targetSiteCode
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| CD.IPS | 0 … 1 | | | (IPS…ion) | | hl7:author
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| | 0 … * | R | Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) | (IPS…ion) | | hl7:referenceRange
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| | 0 … * | R | | (IPS…ion) | | | hl7:observationRange
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| | 1 … 1 | M | | (IPS…ion) | | CD | | NP | | (IPS…ion) | | ANY | 1 … 1 | M | | (IPS…ion) | | CE | 0 … 1 | | | (IPS…ion) | | CONF | 1 … 1 | F | N | | 1 … 1 | F | 2.16.840.1.113883.5.83 (Observation Interpretation) | | 1 … 1 | F | ObservationInterpretation | | 1 … 1 | F | Normal | | hl7:entryRelationship
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| | 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
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| cs | 1 … 1 | F | COMP |
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