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	valid from 2017‑03‑21
Status	Draft	Version Label
Name	IPSRadiologyResultObservation	Display Name	IPS 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.
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 1 … 1 M (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) hl7:statusCode CS 1 … 1 M (IPS…ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.4 ActStatusActiveCompleted (DYNAMIC) hl7:effectiveTime IVL_TS 1 … 1 R (IPS…ion) Choice 1 … 1 Elements to choose from: hl7:value hl7:value hl7:value hl7:value CE.IPS CWE 0 … 1 C (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) hl7:value PQ 0 … 1 C (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 ANY 0 … 1 C (IPS…ion) 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:methodCode CE.IPS 0 … 1 (IPS…ion) hl7:target​Site​Code CD.IPS CWE 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 hl7:qualifier CR CNE 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 CNE 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) @codeSystemName 1 … 1 F SNOMED CT @displayName 1 … 1 F Laterality hl7:value CD.IPS CWE 1 … 1 M (IPS…ion) @codeSystem CONF 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) @codeSystemName 1 … 1 F SNOMED CT hl7:qualifier CR CNE 0 … 1 Topographical modifier (IPS…ion) hl7:name CV CNE 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) @codeSystemName 1 … 1 F SNOMED CT @displayName 1 … 1 F Topographical modifier hl7:value CD.IPS CWE 1 … 1 M (IPS…ion) @codeSystem CONF 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED Clinical Terms) @codeSystemName 1 … 1 F SNOMED CT hl7:author 0 … * R Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (IPS…ion) 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 1 … 1 F N @codeSystem 1 … 1 F 2.16.840.1.113883.5.83 (Observation Interpretation) @codeSystemName 1 … 1 F ObservationInterpretation @displayName 1 … 1 F Normal 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