2.16.840.1.113883.10.22.3.14/static-2017-04-30T000000

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Id2.16.840.1.113883.10.22.3.14Effective Date2017‑04‑30
Other versions this id:
    StatusKyellow.png DraftVersion Label
    NameIPSResultsSectionDisplay NameIPS Results Section
    Description
    This section assembles relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Some of these results may be laboratory results, others may be anatomic pathology results, others, radiology results, and others, clinical results.
    The structured, machine-processable content of this section is sorted out between as many Result Organizer entries as needed. One Result Organizer entry groups results, which have a common context of production:
    • common specialty (imaging, bacteriology, serology, chemistry,  surgical pathology, clinical, radiology ...), 
    • common overall interpretation, (which interprets the set of results of the Organizer),
    • common biologic specimen for in vitro diagnostic observations, 
    • common associated illustrative image.
    The optional author and informant elements of the section are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
    In case this section assembles results from multiple authors (e.g.; results authored by a clinical laboratory, and results produced by a radiology center), the authors are listed in the section, and each Result Organizer of the section indicates its own author(s).
    ContextParent nodes of template element with id 2.16.840.1.113883.10.22.3.14
    ClassificationCDA Section Level Template
    Open/ClosedOpen (other than defined elements are allowed)
    Associated with
    Associated with 3 concepts
    IdNameData Set
    hl7ips-data​element-142Kyellow.png Result Description Kyellow.png CEN/TC 251 prEN 17269
    hl7ips-data​element-126Kyellow.png Observations results list Kyellow.png CEN/TC 251 prEN 17269
    hl7ips-data​element-19Kyellow.png Results Kyellow.png CEN/TC 251 prEN 17269
    Used by / Uses
    Used by 0 transactions and 1 template, Uses 4 templates
    Used by as NameVersion
    2.16.840.1.113883.10.22.1.1ContainmentKyellow.png International Patient Summary2017‑04‑11
    Uses as NameVersion
    2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body AuthorDYNAMIC
    2.16.840.1.113883.10.12.319ContainmentKgreen.png CDA Informant (Body)DYNAMIC
    2.16.840.1.113883.10.22.4.9ContainmentKyellow.png IPS Result OrganizerDYNAMIC
    2.16.840.1.113883.10.22.3.15ContainmentKyellow.png IPS Translation SectionDYNAMIC
    RelationshipAdaptation: template 2.16.840.1.113883.10.12.201 (2005‑09‑07)
    Example
    Example
    <section classCode="DOCSECT" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.22.3.14"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" displayName="Relevant diagnostic tests/laboratory data Narrative"/>  <title>MOST SIGNIFICANT RESULTS</title>  <text>
        <!-- some clinical laboratory results and some surgical pathology results presented to the human reader -->
      </text>
      <author>
        <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director -->
      </author>
      <author>
        <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 2nd author: a pathologist -->
      </author>
      <entry typeCode="COMP" contextConductionInd="true">
        <!--- 1st Organizer: chemistry observations on blood serum specimen produced and interpreted by a clinical laboratory -->
        <organizer classCode="BATTERY" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="18719-5" displayName="Chemistry studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
            <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director -->
          </author>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - common blood serum specimen -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - interpretation of chemistry results -->
          </component>
        </organizer>
      </entry>
      <entry>
        <organizer classCode="BATTERY" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="18723-7" displayName="Hematology studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
            <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director -->
          </author>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - venous blood total specimen -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - interpretation of hematology results -->
          </component>
        </organizer>
      </entry>
      <entry>
        <organizer classCode="BATTERY" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="11529-5" displayName="Surgical pathology studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
            <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 2nd author: a pathologist -->
          </author>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.11 'IPS Pathology Result Observation' -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - excised tissue specimen -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - pathologist's interpretation -->
          </component>
          <component>
            <!-- template 2.16.840.1.113883.10.22.4.23 'IPS ObservationMedia' - an illustrative slide image -->
          </component>
        </organizer>
      </entry>
    </section>
    ItemDTCardConfDescriptionLabel
    hl7:section
    (IPS...ion)
     
    Target.png
    hl7ips-data​element-19Kyellow.png Results Kyellow.png CEN/TC 251 prEN 17269
    Treetree.png@classCode
    cs0 … 1FDOCSECT
    Treetree.png@moodCode
    cs0 … 1FEVN
    Treetree.pnghl7:templateId
    II1 … 1R(IPS...ion)
    Treeblank.pngTreetree.png@root
    uid1 … 1F2.16.840.1.113883.10.22.3.14
    Treetree.pnghl7:id
    II0 … *R(IPS...ion)
    Treetree.pnghl7:code
    CE.IPS1 … 1M(IPS...ion)
    Treeblank.pngTreetree.png@code
    CONF1 … 1F30954-2
    Treeblank.pngTreetree.png@codeSystem
    1 … 1F2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes)
    Treetree.pnghl7:title
    ST1 … 1M(IPS...ion)
    Treetree.pnghl7:text
    SD.TEXT1 … 1M(IPS...ion)
     
    Target.png
    hl7ips-data​element-142Kyellow.png Result Description Kyellow.png CEN/TC 251 prEN 17269
    Treetree.pnghl7:author
    0 … *Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:assignedAuthor]
    Treetree.pnghl7:informant
    0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)(IPS...ion)
    Treetree.pnghl7:entry
    1 … *MContains 2.16.840.1.113883.10.22.4.9 IPS Result Organizer (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:organizer [hl7:code [@codeSystem = doc('include/voc-2.16.840.1.113883.11.22.37-DYNAMIC.xml')//valueSet [1]/completeCodeSystem/@codeSystem or @nullFlavor]]]
     
    Target.png
    hl7ips-data​element-126Kyellow.png Observations results list Kyellow.png CEN/TC 251 prEN 17269
    Treeblank.pngTreetree.png@typeCode
    cs1 … 1R
     CONF
    The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
    Treeblank.pngTreetree.png@context​Conduction​Ind
    bl0 … 1Ftrue
    Treetree.pnghl7:component
    0 … *Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:section]