Template 2.16.840.1.113883.10.22.3.14

Template IPS Results Section

2.16.840.1.113883.10.22.3.14

Effective Date

2017‑04‑30

Status

Under pre-publication review

Version Label

STU1

Name

IPSResultsSection

Display Name

IPS Results Section

Description

This section assembles relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Some of these results may be laboratory results, others may be anatomic pathology results, others, radiology results, and others, clinical results.
The structured, machine-processable content of this section is sorted out between as many Result Organizer entries as needed. One Result Organizer entry groups results, which have a common context of production:

common specialty (imaging, bacteriology, serology, chemistry, surgical pathology, clinical, radiology ...),
common overall interpretation, (which interprets the set of results of the Organizer),
common biologic specimen for in vitro diagnostic observations,
common associated illustrative image.

The optional author and informant elements of the section are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header.
In case this section assembles results from multiple authors (e.g.; results authored by a clinical laboratory, and results produced by a radiology center), the authors are listed in the section, and each Result Organizer of the section indicates its own author(s).

Context

Parent nodes of template element with id 2.16.840.1.113883.10.22.3.14

Classification

CDA Section Level Template

Open/Closed

Open (other than defined elements are allowed)

Associated with

Associated with 3 concepts

Id	Name	Data Set
hl7ips-dataelement-126	Observations results list	CEN/TC 251 prEN 17269
hl7ips-dataelement-142	Result Description	CEN/TC 251 prEN 17269
hl7ips-dataelement-19	Results	CEN/TC 251 prEN 17269

Used by / Uses

Used by 0 transactions and 1 template, Uses 4 templates

Used by	as	Name	Version
2.16.840.1.113883.10.22.1.1	Containment	International Patient Summary (2021)	2020‑07‑14 16:08:21
Uses	as	Name	Version
2.16.840.1.113883.10.22.4.14	Include	IPS Body Author (STU1)	DYNAMIC
2.16.840.1.113883.10.12.319	Containment	CDA Informant (Body)	DYNAMIC
2.16.840.1.113883.10.22.4.9	Containment	IPS Result Organizer (STU1)	DYNAMIC
2.16.840.1.113883.10.22.3.15	Containment	IPS Translation Section (2021)	DYNAMIC

Relationship

Adaptation: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)

ref

ad1bbr-

Example

<section classCode="DOCSECT" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.3.14"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1" displayName="Relevant diagnostic tests/laboratory data Narrative"/>  <title>MOST SIGNIFICANT RESULTS</title>  <text>
    
  </text>  <author>
    
  </author>  <author>
    
  </author>  <entry typeCode="COMP" contextConductionInd="true">
    
    <organizer classCode="BATTERY" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="18719-5" displayName="Chemistry studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
        
      </author>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>    </organizer>  </entry>  <entry>
    <organizer classCode="BATTERY" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="18723-7" displayName="Hematology studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
        
      </author>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>    </organizer>  </entry>  <entry>
    <organizer classCode="BATTERY" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.22.4.9"/>      <code code="11529-5" displayName="Surgical pathology studies (set)" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"/>      <satusCode code="completed"/>      <author>
        
      </author>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>      <component>
        
      </component>    </organizer>  </entry></section>

Item

Card

Conf

Description

Label

hl7:section

(IPSion)


	hl7ips-dataelement-19	Results	CEN/TC 251 prEN 17269

@classCode

0 … 1

DOCSECT

@moodCode

0 … 1

EVN

hl7:templateId

1 … 1

(IPSion)

@root

uid

1 … 1

2.16.840.1.113883.10.22.3.14

hl7:id

0 … *

(IPSion)

hl7:code

CE.IPS

1 … 1

(IPSion)

@code

CONF

1 … 1

30954-2

@codeSystem

1 … 1

2.16.840.1.113883.6.1 (LOINC)

hl7:title

1 … 1

(IPSion)

hl7:text

SD.TEXT

1 … 1

(IPSion)


	hl7ips-dataelement-142	Result Description	CEN/TC 251 prEN 17269

Included

0 … *

from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)

hl7:author

0 … *

(IPSion)

hl7:templateId

1 … 1

(IPSion)

@root

uid

1 … 1

2.16.840.1.113883.10.22.4.14

hl7:time

TS.IPS.TZ

1 … 1

(IPSion)

hl7:assignedAuthor

1 … 1

(IPSion)

hl7:id

1 … *

(IPSion)

hl7:code

0 … 1

(IPSion)

Choice

0 … 1

Elements to choose from:

hl7:assignedPerson
hl7:assignedAuthoringDevice

hl7:assignedPerson

0 … 1

(IPSion)

@classCode

0 … 1

PSN

@determinerCode

0 … 1

INSTANCE

hl7:name

1 … *

Name of the person (e.g. the Healthcare Professional) authoring this document

(IPSion)

Example

<name>
<given>John</given> <family>Español Smith</family></name>

hl7:family

1 … *

(IPSion)

hl7:given

1 … *

(IPSion)

hl7:assignedAuthoringDevice

0 … 1

(IPSion)

Example

Included

from 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC)

@classCode

0 … 1

DEV

@determinerCode

0 … 1

INSTANCE

hl7:code

0 … 1

(IPSion)

hl7:manufacturerModelName

0 … 1

(IPSion)

hl7:softwareName

0 … 1

(IPSion)

hl7:representedOrganization

0 … 1

(IPSion)

hl7:id

0 … *

(IPSion)

hl7:name

0 … *

(IPSion)

hl7:telecom

TEL

0 … *

(IPSion)

hl7:addr

0 … *

(IPSion)

hl7:informant

0 … *

Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)

(IPSion)

hl7:entry

1 … *

Contains 2.16.840.1.113883.10.22.4.9 IPS Result Organizer (DYNAMIC)

(IPSion)


	hl7ips-dataelement-126	Observations results list	CEN/TC 251 prEN 17269

@typeCode

1 … 1

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)

@contextConductionInd

0 … 1

true

hl7:component

0 … *

Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC)

(IPSion)

Template IPS Results Section