Back To Index  <<  Back To Templates

ref Template  IPS Radiology Result Observation

Id 2.16.840.1.113883.10.22.4.12 Effective Date valid from 2017‑03‑21
Status draft 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 draft IPS Result Organizer 2017‑03‑02
2.16.840.1.113883.10.22.3.14 link draft IPS Results Section 2017‑04‑30
2.16.840.1.113883.10.22.1.1 link draft International Patient Summary 2017‑04‑11
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Containment draft IPS Body Author DYNAMIC
2.16.840.1.113883.10.22.4.22 Containment draft 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>
notice There are open issues with this item:
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:targetSiteCode
 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)
treeblank where [hl7:templateId [@root='2.16.840.1.113883.10.22.4.14']]
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)
treeblank where [hl7:act [hl7:templateId [@root='2.16.840.1.113883.10.22.4.22']]]
@typeCode
 cs 1 … 1 F COMP