2.16.840.1.113883.10.22.4.12

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Template IPSRadiologyResultObservation

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.

Actual version

Id	2.16.840.1.113883.10.22.4.12	Effective Date	2024‑08‑04 20:18:00 Other versions this id: IPSRadiologyResultObservation as of 2017‑03‑21
Status	Draft	Version Label	STU2
Name	IPSRadiologyResultObservation	Display Name	IPS 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.
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)
Uses	Uses 3 templates Uses as Name Version 2.16.840.1.113883.10.22.4.14 Include IPS Body Author (STU1) DYNAMIC 2.16.840.1.113883.10.22.17 Containment IPS Radiology Result Observation Component (STU2) DYNAMIC 2.16.840.1.113883.10.22.4.22 Containment IPS Comment Activity (STU1) DYNAMIC
Relationship	Specialization: template 2.16.840.1.113883.10.22.4.12 IPS Radiology Result Observation (2017‑03‑21) 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)
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 (extensible) 1 … 1 M (IPS...ion)   CONF The value of @code should be drawn from value set 2.16.840.1.113883.11.22.40 IPS Results Radiology Observation (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) hl7:value ST 0 … 1 R Actual result, free text (data type ST) (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:target​Site​Code CD.IPS (preferred) 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   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.55 IPS Body Site (DYNAMIC) hl7:qualifier CR 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 (preferred) 1 … 1 M (IPS...ion) @code CONF 1 … 1 F 272741003 @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED-CT) hl7:value CD.IPS (preferred) 1 … 1 M (IPS...ion)   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.57 Laterality (qualifier) (DYNAMIC) hl7:qualifier CR 0 … 1 Topographical modifier (IPS...ion) hl7:name CV (preferred) 1 … 1 M (IPS...ion) @code CONF 1 … 1 F 106233006 @codeSystem 1 … 1 F 2.16.840.1.113883.6.96 (SNOMED-CT) hl7:value CD.IPS (preferred) 1 … 1 M (IPS...ion)   CONF The value of @code comes preferably from value set 2.16.840.1.113883.11.22.58 Topographical modifier (qualifier) (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 … * 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 0 … 1 F N @codeSystem 0 … 1 F 2.16.840.1.113883.5.83 (Observation Interpretation) hl7:entryRelationship 0 … * Contains 2.16.840.1.113883.10.22.17 IPS Radiology Result Observation Component (DYNAMIC) (IPS...ion) @typeCode cs 1 … 1 F COMP 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

List of all versions of this template

• 2024-08-04 20:18:00 (Under develeopment)
• 2017-03-21 (Under pre-publication review)