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pending Template  IPS Laboratory Result Observation

Id 2.16.840.1.113883.10.22.4.13 Effective Date 2017‑03‑21
Status pending Under pre-publication review Version Label STU1
Name IPSLaboratoryResultObservation Display Name IPS Laboratory Result Observation
Description
This template constrains the results of a clinical laboratory observation. 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 2.16.840.1.113883.10.22.4.13
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 pending IPS Result Organizer (STU1) 2017‑03‑02
2.16.840.1.113883.10.22.3.14 link pending IPS Results Section (STU1) 2017‑04‑30
2.16.840.1.113883.10.22.1.1 link pending International Patient Summary (STU1) 2017‑04‑11
Uses as Name Version
2.16.840.1.113883.10.22.4.14 Containment pending IPS Body Author (STU1) DYNAMIC
2.16.840.1.113883.10.22.4.22 Containment pending IPS Comment Activity (STU1) 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="2.16.840.1.113883.10.22.4.13"/>  <id root="1.2.3.999" extension="--example only--"/>  <code codeSystem="2.16.840.1.113883.6.1" code="41995-2" displayName="Hemoglobin A1c [Mass/volume] in Blood"/>  <statusCode code="completed"/>  <effectiveTime>
    <low value="20171113173215"/>  </effectiveTime>
  <value xsi:type="PQ" value="4.8" unit="%"/>  <interpretationCode code="H" displayName="High" codeSystem="2.16.840.1.113883.5.83"/>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>
  <referenceRange>
    <observationRange>
      <value xsi:type="IVL_PQ">
        <low value="1.5" unit="%"/>        <high value="4.5" unit="%"/>      </value>
      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>    </observationRange>
  </referenceRange>
  <entryRelationship typeCode="COMP">
    <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' (dynamic) -->
  </entryRelationship>
</observation>
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 2.16.840.1.113883.10.22.4.13
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 2.16.840.1.113883.11.22.39 IPS Results Observation Laboratory (DYNAMIC)
hl7:statusCode
CS 1 … 1 M (IPSdotsion)
  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 (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 (extensible) 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='CE.IPS']
  CONF
The value of @code should be drawn from value set 2.16.840.1.113883.11.22.46 IPS Results Coded Values Laboratory (DYNAMIC)
  Example
Blood group A+ from SNOMED CT
<value xsi:type="CE" code="278149003" codeSystem="2.16.840.1.113883.6.96" displayName="Blood group A Rh(D) positive"/>
  Example
Germ susceptible to antimicrobial agent from HL7 vocabulary
<value xsi:type="CE" code="S" codeSystem="2.16.840.1.113883.11.78" displayName="susceptible"/>
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 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>
hl7:value
ST 0 … 1 R (IPSdotsion)
treeblank treeblank where [@xsi:type='ST']
  Example
Result free text (data type ST)
<value xsi:type="ST">slight macrocytosis, check on alcohol consumption</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: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 … 1 R The referenceRange is constrained to represent the normal range for this observation and this patient. (IPSdotsion)
hl7:observationRange
1 … 1 M (IPSdotsion)
hl7:code
CD NP (IPSdotsion)
hl7:value
ANY 1 … 1 M (IPSdotsion)
hl7:interpretationCode
CE.IPS 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 [hl7:act [hl7:templateId [@root = '2.16.840.1.113883.10.22.4.22']]]
@typeCode
cs 1 … 1 F COMP