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# Template IPS Results Section

Id | 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 | Dataset
--- | --- | ---
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
--- | --- | --- | ---
2.16.840.1.113883.10.22.1.2 | Containment | International Patient Summary (2024) | 2024‑08‑02 13:02:39
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 |
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> <!-- some clinical laboratory results and some surgical pathology results presented to the human reader --> </text> <author> <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director --> </author> <author> <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 2nd author: a pathologist --> </author> <entry typeCode="COMP" contextConductionInd="true"> <!--- 1st Organizer: chemistry observations on blood serum specimen produced and interpreted by a clinical laboratory --> <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> <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director --> </author> <component> <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - common blood serum specimen --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - interpretation of chemistry results --> </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> <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director --> </author> <component> <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.13 'IPS Laboratory Result Observation' --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - venous blood total specimen --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - interpretation of hematology results --> </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> <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 2nd author: a pathologist --> </author> <component> <!-- template 2.16.840.1.113883.10.22.4.11 'IPS Pathology Result Observation' --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.30 'IPS Specimen Collection' - excised tissue specimen --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - pathologist's interpretation --> </component> <component> <!-- template 2.16.840.1.113883.10.22.4.23 'IPS ObservationMedia' - an illustrative slide image --> </component> </organizer> </entry></section>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:section |  |  |  |  |
hl7ips-dataelement-19 | Results | CEN/TC 251 prEN 17269
@classCode | cs | 0 … 1 | F | DOCSECT
@moodCode | cs | 0 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.3.14
hl7:id | II | 0 … * | R |  |
hl7:code | CE.IPS | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | 30954-2
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 (LOINC)
hl7:title | ST | 1 … 1 | M |  |
hl7:text | SD.TEXT | 1 … 1 | M |  |
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 … * |  |  |
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.14
hl7:time | TS.IPS.TZ | 1 … 1 | R |  |
hl7:assignedAuthor |  | 1 … 1 | M |  |
hl7:id | II | 1 … * | R |  |
hl7:code |  | 0 … 1 | R |  |
Choice | 0 … 1 |  | Elements to choose from: hl7:assignedPerson hl7:assignedAuthoringDevice
hl7:assignedPerson |  | 0 … 1 | C |  |
@classCode | cs | 0 … 1 | F | PSN
@determinerCode | cs | 0 … 1 | F | INSTANCE
hl7:name | PN | 1 … * | R | Name of the person (e.g. the Healthcare Professional) authoring this document |
| Example | <name> <given>John</given> <family>Español Smith</family></name>
hl7:family |  | 1 … * | R |  |
hl7:given |  | 1 … * | R |  |
hl7:assignedAuthoringDevice |  | 0 … 1 | C |  |
| 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
@determinerCode | cs | 0 … 1 | F | INSTANCE
hl7:code | CE | 0 … 1 |  |  |
hl7:manufacturerModelName | SC | 0 … 1 |  |  |
hl7:softwareName | SC | 0 … 1 |  |  |
hl7:representedOrganization |  | 0 … 1 |  |  |
hl7:id | II | 0 … * |  |  |
hl7:name |  | 0 … * |  |  |
hl7:telecom | TEL | 0 … * |  |  |
hl7:addr | AD | 0 … * |  |  |
hl7:informant |  | 0 … * |  | Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) |
hl7:entry |  | 1 … * | M | Contains 2.16.840.1.113883.10.22.4.9 IPS Result Organizer (DYNAMIC) |
hl7ips-dataelement-126 | Observations results list | CEN/TC 251 prEN 17269
@typeCode | cs | 1 … 1 | R |
| CONF |
The value of @typeCode SHALL be drawn from value set 2.16.840.1.113883.1.11.19446 x_ActRelationshipEntry (DYNAMIC)
@contextConductionInd | bl | 0 … 1 | F | true
hl7:component |  | 0 … * |  | Contains 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) |