2.16.840.1.113883.10.22.4.12/static-2017-03-21T000000

From HL7 IPS
Revision as of 09:34, 25 July 2018 by ADbot (talk | contribs) (Automated ADBot page content)
Jump to: navigation, search
Id2.16.840.1.113883.10.22.4.12Effective Date2017‑03‑21
Other versions this id:
    StatusKyellow.png DraftVersion Label
    NameIPSRadiologyResultObservationDisplay NameIPS 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.
    ContextParent nodes of template element with id 2.16.840.1.113883.10.22.4.12
    ClassificationCDA Entry Level Template
    Open/ClosedOpen (other than defined elements are allowed)
    Used by / Uses
    Used by 0 transactions and 3 templates, Uses 2 templates
    Used by as NameVersion
    2.16.840.1.113883.10.22.4.9ContainmentKyellow.png IPS Result Organizer2017‑03‑02
    2.16.840.1.113883.10.22.3.14Link.pngKyellow.png IPS Results Section2017‑04‑30
    2.16.840.1.113883.10.22.1.1Link.pngKyellow.png International Patient Summary2017‑04‑11
    Uses as NameVersion
    2.16.840.1.113883.10.22.4.14ContainmentKyellow.png IPS Body AuthorDYNAMIC
    2.16.840.1.113883.10.22.4.22ContainmentKyellow.png IPS Comment ActivityDYNAMIC
    RelationshipAdaptation: 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>
    ItemDTCardConfDescriptionLabel
    hl7:observation
    		(IPS...ion)
    Treetree.png@classCode
    		cs1 … 1FOBS
    Treetree.png@moodCode
    		cs1 … 1FEVN
    Treetree.pnghl7:templateId
    		II1 … 1M(IPS...ion)
    Treeblank.pngTreetree.png@root
    		uid1 … 1F2.16.840.1.113883.10.22.4.12
    Treetree.pnghl7:id
    		II0 … *R(IPS...ion)
    Treetree.pnghl7:code
    		CD.IPS (extensible)1 … 1M(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)
    Treetree.pnghl7:statusCode
    		CS1 … 1M(IPS...ion)
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
    Treetree.pnghl7:effectiveTime
    		IVL_TS1 … 1R(IPS...ion)
    Choice1 … 1Elements 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']
    Treeblank.pngTreetree.pnghl7:value
    		CE.IPS0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png 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"/>
    Treeblank.pngTreetree.pnghl7:value
    		PQ0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png where [@xsi:type='PQ']
     ConstraintIf 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"/>
    Treeblank.pngTreetree.pnghl7:value
    		IVL_PQ0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png 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>
    Treeblank.pngTreetree.pnghl7:value
    		ST0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png where [@xsi:type='ST']
     Example
    Result free text (data type ST)
    <value xsi:type="ST">This is a result as a free text</value>
    Treeblank.pngTreetree.pnghl7:value
    		TS0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png where [@xsi:type='TS']
     Example
    Result time stamp (data type TS): 6-Aug-2014
    <value xsi:type="TS" value="20140806"/>
    Treeblank.pngTreetree.pnghl7:value
    		RTO_QTY_QTY0 … 1R(IPS...ion)
    Treeblank.pngTreeblank.png 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>
    Treetree.pnghl7:interpretationCode
    		CE.IPS0 … 1R(IPS...ion)
     CONF
    The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
    Treetree.pnghl7:target​Site​Code
    		CD.IPS (preferred)0 … 1(IPS...ion)
     ConstraintIf 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)
    Treeblank.pngTreetree.pnghl7:qualifier
    		CR0 … 1Laterality(IPS...ion)
     ConstraintThe qualifier element for laterality SHALL be present if the targetSiteCode represents a paired body part and laterality is not pre-coordinated in the targetSiteCode
    Treeblank.pngTreeblank.pngTreetree.pnghl7:name
    		CV (preferred)1 … 1M(IPS...ion)
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
    		CONF1 … 1F272741003
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
    		1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:value
    		CD.IPS (preferred)1 … 1M(IPS...ion)
     CONF
    The value of @code comes preferably from value set 2.16.840.1.113883.11.22.57 Laterality (qualifier) (DYNAMIC)
    Treeblank.pngTreetree.pnghl7:qualifier
    		CR0 … 1Topographical modifier(IPS...ion)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:name
    		CV (preferred)1 … 1M(IPS...ion)
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
    		CONF1 … 1F106233006
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
    		1 … 1F2.16.840.1.113883.6.96 (SNOMED Clinical Terms)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:value
    		CD.IPS (preferred)1 … 1M(IPS...ion)
     CONF
    The value of @code comes preferably from value set 2.16.840.1.113883.11.22.58 Topographical modifier (qualifier) (DYNAMIC)
    Treetree.pnghl7:author
    		0 … *RContains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:assignedAuthor]
    Treetree.pnghl7:referenceRange
    		0 … *R(IPS...ion)
    Treeblank.pngTreetree.pnghl7:observationRange
    		1 … 1M(IPS...ion)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:code
    		CDNP(IPS...ion)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:value
    		ANY1 … 1M(IPS...ion)
    Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
    		CE0 … 1(IPS...ion)
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
    		CONF0 … 1FN
    Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
    		0 … 1F2.16.840.1.113883.5.83 (Observation Interpretation)
    Treetree.pnghl7:entryRelationship
    		0 … *Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC)(IPS...ion)
    Treeblank.png where [hl7:act [hl7:code [(@code = '48767-8' and @codeSystem = '2.16.840.1.113883.6.1')]]]
    Treeblank.pngTreetree.png@typeCode
    		cs1 … 1FCOMP
    Retrieved from "http://wiki.international-patient-summary.net/index.php?title=2.16.840.1.113883.10.22.4.12/static-2017-03-21T000000&oldid=5405"