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1 Template IPSResultOrganizer
1.1 Aktuelle Version
Id 2.16.840.1.113883.10.22.4.9 Gültigkeit ab 2017‑03‑02 Status Unter Revision vor der PublikationVersions-Label STU1 Name IPSResultOrganizer Bezeichnung IPS Result Organizer Beschreibung This template provides a mechanism for grouping result observations. It contains information applicable to all of the contained result observations. The Result Organizer code categorizes the contained results into one of several commonly accepted values (e.g., “Hematology”, “Chemistry”, “Nuclear Medicine”). If any Result Observation within the organizer has a statusCode of "active", the Result Organizer must also have a statusCode of "active". However, the results selected for a patient summary are most often final results, with status "completed". So in most cases, the statusCode of the Organizer is "completed".The result observations contained within the organizer may use
either of these templates:
Laboratory Result Observation Radiology Result Observation Pathology Result Observation Result Observation (most generic template used whenever none of the above is applicable) 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 (ObservationMedia). The ultimate choice for sorting out results between Organizer entries belongs to the authoring person or system of the section.
Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.9 Klassifikation CDA Entry Level Template Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt) Assoziiert mit Assoziiert mit 6 Konzepte Id Name Datensatz hl7ips-dataelement-106 Observation Result CEN/TC 251 prEN 17269 hl7ips-dataelement-143 Date of observation CEN/TC 251 prEN 17269 hl7ips-dataelement-144 Observation Type CEN/TC 251 prEN 17269 hl7ips-dataelement-146 Performer CEN/TC 251 prEN 17269 hl7ips-dataelement-177 Observer CEN/TC 251 prEN 17269 hl7ips-dataelement-23 Observation Result CEN/TC 251 prEN 17269
Benutzt Benutzt 9 Templates Benutzt als Name Version 2.16.840.1.113883.10.12.323 Containment CDA Performer (Body)DYNAMIC 2.16.840.1.113883.10.22.4.14 Inklusion IPS Body Author (STU1)DYNAMIC 2.16.840.1.113883.10.22.4.13 Containment IPS Laboratory Result Observation (STU2)DYNAMIC 2.16.840.1.113883.10.22.4.12 Containment IPS Radiology Result Observation (STU2)DYNAMIC 2.16.840.1.113883.10.22.4.11 Containment IPS Pathology Result Observation (STU2)DYNAMIC 2.16.840.1.113883.10.22.4.10 Containment IPS Result Observation (STU1)DYNAMIC 2.16.840.1.113883.10.22.4.30 Containment IPS Specimen Collection (STU2)DYNAMIC 2.16.840.1.113883.10.22.4.22 Containment IPS Comment Activity (STU1)DYNAMIC 2.16.840.1.113883.10.22.4.23 Containment IPS ObservationMedia (2021)DYNAMIC
Beziehung Adaptation: Template 2.16.840.1.113883.10.12.305 CDA Organizer (2005‑09‑07) ref
ad1bbr-
Adaptation: Template 2.16.840.1.113883.10.20.22.4.1 Result Organizer (V3) (2015‑08‑01) ref
ccda-
Beispiel Beispiel < 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)' - 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 >
Beispiel Beispiel < 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)' - a clinical laboratory 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 >
Beispiel Beispiel < organizer classCode =" BATTERY " moodCode =" EVN " > < templateId root =" 2.16.840.1.113883.10.22.4.9 " / > < code code =" 18748-4 " displayName =" Diagnostic imaging study " 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)' - a radiologist --> </ author > < component > <!-- template 2.16.840.1.113883.10.22.4.12 'IPS Radiology Result Observation' --> </ component > < component > <!-- template 2.16.840.1.113883.10.22.4.23 'IPS ObservationMedia' - an illustrative image --> </ component > < component > <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - overall interpretation --> </ component > </ organizer >
Item DT Kard Konf Beschreibung Label hl7ips-dataelement-106 Observation Result CEN/TC 251 prEN 17269
@classCode
cs 1 … 1 R @moodCode
cs 1 … 1 F EVN hl7:templateId
II 1 … 1 M @root
uid 1 … 1 F 2.16.840.1.113883.10.22.4.9 hl7:id
II 0 … * hl7:code
CD.IPS 1 … 1 R hl7ips-dataelement-144 Observation Type CEN/TC 251 prEN 17269
CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.37 IPS Results Organizer (DYNAMIC)
hl7:statusCode
CS 1 … 1 M CONF Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
hl7:effectiveTime
IVL_TS 0 … 1 hl7ips-dataelement-143 Date of observation CEN/TC 251 prEN 17269
hl7:low
IVXB_TS 0 … 1 hl7:high
IVXB_TS 0 … 1 hl7:performer
0 … * R When present, this element represents the organization who performed the set of observations grouped under this organizer. Beinhaltet 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC) hl7ips-dataelement-146 Performer CEN/TC 251 prEN 17269
Eingefügt 0 … * R von 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) hl7ips-dataelement-177 Observer CEN/TC 251 prEN 17269
hl7:author
0 … * R hl7:templateId
II 1 … 1 M 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 II 1 … * R 0 … 1 R Auswahl 0 … 1 Elemente in der Auswahl:hl7:assignedPerson hl7:assignedAuthoringDevice 0 … 1 C cs 0 … 1 F PSN cs 0 … 1 F INSTANCE PN 1 … * R Name of the person (e.g. the Healthcare Professional) authoring this document Beispiel < name > < given > John </ given > < family > Español Smith </ family > </ name > 1 … * R 1 … * R hl7:assignedAuthoringDevice
0 … 1 C Beispiel < assignedAuthoringDevice classCode =" DEV " determinerCode =" INSTANCE " > < softwareName displayName =" Turriano " / > </ assignedAuthoringDevice > Eingefügt von 2.16.840.1.113883.10.22.9.2 IPS CDA Device (DYNAMIC) cs 0 … 1 F DEV cs 0 … 1 F INSTANCE CE 0 … 1 hl7:manufacturerModelName
SC 0 … 1 SC 0 … 1 hl7:representedOrganization
0 … 1 II 0 … * 0 … * TEL 0 … * AD 0 … * Auswahl 1 … * Elemente in der Auswahl:hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.13 IPS Laboratory Result Observation (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.12 IPS Radiology Result Observation (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.11 IPS Pathology Result Observation (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.10 IPS Result Observation (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.30 IPS Specimen Collection (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) hl7:component welches enthält Template 2.16.840.1.113883.10.22.4.23 IPS ObservationMedia (DYNAMIC) hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.13 IPS Laboratory Result Observation (DYNAMIC) hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.12 IPS Radiology Result Observation (DYNAMIC) hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.11 IPS Pathology Result Observation (DYNAMIC) hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.10 IPS Result Observation (DYNAMIC) hl7ips-dataelement-23 Observation Result CEN/TC 251 prEN 17269
hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.30 IPS Specimen Collection (DYNAMIC) Constraint An IPS Specimen Collection SHALL be present only if the organizer carries anatomic pathology or microbiology laboratory observations, which need to be associated with the specific anatomic site the specimen was collected from. hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) Constraint An IPS Comment Activity SHALL contain a general comment applying to the whole set of observations present in the organizer hl7:component
0 … * Beinhaltet 2.16.840.1.113883.10.22.4.23 IPS ObservationMedia (DYNAMIC)
1.2 Zusammenstellung aller Versionen dieses Templates