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# Template IPS Radiology Result Observation

Id | 2.16.840.1.113883.10.22.4.12 | Effective Date | 2024‑08‑04 20:18:00
Status | Draft | Version Label | STU2
Name | IPSRadiologyResultObservation | Display Name | IPS Radiology Result Observation
Description
This template represents an observation produced as one of the results of a radiology or other imaging study performed on a patient. In most cases, in the context of a patient summary this observation is final and validated, which is recorded with the value "completed" in the statusCode element. Should the observation be not final, the statusCode would indicate "active", instead.
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 3 templates
Used by | as | Name | Version
--- | --- | --- | ---
2.16.840.1.113883.10.22.4.9 | Containment | IPS Result Organizer (STU1) | 2017‑03‑02
2.16.840.1.113883.10.22.3.14 |  | IPS Results Section (STU1) | 2017‑04‑30
2.16.840.1.113883.10.22.1.2 |  | 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
2.16.840.1.113883.10.22.17 | Containment | IPS Radiology Result Observation Component (STU2) | DYNAMIC
2.16.840.1.113883.10.22.4.22 | Containment | IPS Comment Activity (STU1) | DYNAMIC
Relationship | Specialization: template 2.16.840.1.113883.10.22.4.12 IPS Radiology Result Observation (2017‑03‑21) Adaptation: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07) ref ad1bbr- Adaptation: template 2.16.840.1.113883.10.20.22.4.2 Result Observation (V3) (2015‑08‑01) ref ccda- Adaptation: template 2.16.840.1.113883.10.22.4.10 IPS Result Observation (2017‑03‑02)
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  |  |  |
@classCode | cs | 1 … 1 | F | OBS
@moodCode | cs | 1 … 1 | F | EVN
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.12
hl7:id | II | 0 … * | R |  |
hl7:code | CD.IPS (extensible) | 1 … 1 | M |  |
| CONF |
The value of @code SHOULD be drawn from value set 2.16.840.1.113883.11.22.40 IPS Results Radiology Observation (DYNAMIC)
hl7:statusCode | CS | 1 … 1 | M |  |
| 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 |  |
hl7:value | ST | 0 … 1 | R | Actual result, free text (data type ST) |
hl7:interpretationCode | CE.IPS | 0 … 1 | R |  |
| 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 |  |  |
| Constraint | If the observation site is not precoordinated in the observation/code or observation/value it SHALL be specified in the observation/targetSiteCode
| CONF |
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.55 IPS Body Site (DYNAMIC)
hl7:qualifier | CR | 0 … 1 |  | Laterality |
| 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 (preferred) | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | 272741003
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED-CT)
hl7:value | CD.IPS (preferred) | 1 … 1 | M |  |
| CONF |
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.57 Laterality (qualifier) (DYNAMIC)
hl7:qualifier | CR | 0 … 1 |  | Topographical modifier |
hl7:name | CV (preferred) | 1 … 1 | M |  |
@code | CONF | 1 … 1 | F | 106233006
@codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.96 (SNOMED-CT)
hl7:value | CD.IPS (preferred) | 1 … 1 | M |  |
| CONF |
The value of @code comes preferably from value set 2.16.840.1.113883.11.22.58 Topographical modifier (qualifier) (DYNAMIC)
Included | 0 … * | R | from 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
hl7:author |  | 0 … * | R |  |
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:referenceRange |  | 0 … * | R |  |
hl7:observationRange |  | 1 … 1 | M |  |
hl7:code | CD |  | NP |  |
hl7:value | ANY | 1 … 1 | M |  |
hl7:interpretationCode | CE | 0 … 1 |  |  |
@code | CONF | 0 … 1 | F | N
@codeSystem | 0 … 1 | F | 2.16.840.1.113883.5.83 (Observation Interpretation)
hl7:entryRelationship |  | 0 … * |  | Contains 2.16.840.1.113883.10.22.17 IPS Radiology Result Observation Component (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * |  | Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP