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ref Template  IPS Result Observation

Id 2.16.840.1.113883.10.22.4.10 Effective Date valid from 2017‑03‑02
Status draft Draft Version Label
Name IPSResultObservation Display Name IPS Result Observation
Description
This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized by child templates, which  constrain  clinical laboratory observations or radiology observations or anatomic pathology observations. The generic IPS Result Observation template is usable in a patient summary for observations, which do not fall within one of the specialized categories.  
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. However, in most cases, observations selected for an international patient summary are  results that are final and approved, and thus, have a "completed" statusCode.
The result of the observation may be commented through an entryRelationship introducing an "IPS Comment activity" template.
Context Parent nodes of template element with id 2.16.840.1.113883.10.22.4.10
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)
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.10"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="..." codeSystem="1.2.3.999"/>  <statusCode/>  <effectiveTime>
    <low value="20170721091742"/>  </effectiveTime>  <value xsi:type="PQ" value="136" unit="mmol/L"/>  <interpretationCode code="..." codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="..." codeSystem="1.2.3.999"/>  <targetSiteCode code="..." codeSystem="1.2.3.999"/>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>  <referenceRange>
    <observationRange>
      <value xsi:type="PQ" value=".." unit="..."/>      <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 is an open issue with this item:
Item DT Card Conf Description Label
hl7:observation
 (IPSdotsion)
@classCode
 cs 1 … 1 F OBS
@moodCode
 cs 1 … 1 F EVN
hl7:templateId
 II 1 … 1 M (IPSdotsion)
@root
 uid 1 … 1 F 2.16.840.1.113883.10.22.4.10
hl7:id
 II 0 … * R (IPSdotsion)
hl7:code
 CD.IPS 1 … 1 M (IPSdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.38 IPS Results Observation (DYNAMIC)
hl7:statusCode
 CS 1 … 1 M (IPSdotsion)
hl7:effectiveTime
 IVL_TS 1 … 1 R (IPSdotsion)
Choice 1 … 1 Elements 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']
hl7:value
 CE.IPS 0 … 1 R (IPSdotsion)
treeblank treeblank 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"/>
hl7:value
 PQ 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='PQ']
  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
  Example
Result physical quantity (data type PQ): 136 mmol per liter
<value xsi:type="PQ" value="136" unit="mmol/L"/>
hl7:value
 IVL_PQ 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='IVL_PQ']
  Example
Result interval of physical quantities (data type IVL_PQ): 150 - 400 Milliard 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>
hl7:value
 ST 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='ST']
  Example
Result free text (data type ST)
<value xsi:type="ST">This is a result as a free text</value>
hl7:value
 TS 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='TS']
  Example
Result time stamp (data type TS): 6-Aug-2014
<value xsi:type="TS" value="20140806"/>
hl7:value
 RTO_QTY_QTY 0 … 1 R (IPSdotsion)
treeblank treeblank 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>
hl7:interpretationCode
 CE.IPS 0 … 1 R (IPSdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:targetSiteCode
 CD.IPS preferred 0 … 1 (IPSdotsion)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.11.22.55 IPS Target Site (DYNAMIC)
hl7:author
 0 … * R Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) (IPSdotsion)
treeblank where [hl7:templateId [@root='2.16.840.1.113883.10.22.4.14']]
hl7:referenceRange
 0 … * R (IPSdotsion)
hl7:observationRange
 1 … 1 M (IPSdotsion)
hl7:code
 CD NP (IPSdotsion)
hl7:value
 ANY 1 … 1 M (IPSdotsion)
hl7:interpretationCode
 CE 0 … 1 (IPSdotsion)
@code
 CONF 0 … 1 F N
@codeSystem
 0 … 1 F 2.16.840.1.113883.5.83 (Observation Interpretation)
hl7:entryRelationship
 0 … * Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) (IPSdotsion)
treeblank where [@typeCode='COMP'] [hl7:act [hl7:templateId [@root='2.16.840.1.113883.10.22.4.22']]]
@typeCode
 cs 1 … 1 F COMP