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Aktuelle Version vom 1. Oktober 2025, 17:28 Uhr

Id2.16.840.1.113883.10.22.4.11Gültigkeit ab2024‑08‑04 11:10:42
StatusKyellow.png EntwurfVersions-LabelSTU2
NameIPSPathologyResultObservationBezeichnungIPS Pathology Result Observation
Beschreibung
EN-US.png This template constrains the results of an  anatomic pathology 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 repnresented as “active” ActStatus.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.11
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt
Benutzt 2 Templates
Benutzt als NameVersion
2.16.840.1.113883.10.22.4.14InklusionKorange.png IPS Body Author (STU1)DYNAMIC
2.16.840.1.113883.10.22.4.22ContainmentKorange.png IPS Comment Activity (STU1)DYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.22.4.11 IPS Pathology Result Observation (2017‑03‑21)
ref
hl7ips-

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)
ref
hl7ips-
Beispiel
Beispiel
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.11"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="44638-5" codeSystem="2.16.840.1.113883.6.1" displayName="Histologic type in Breast tumor by CAP cancer protocols">
    <statusCode code="completed"/>    <effectiveTime>
      <low value="20171210085407"/>    </effectiveTime>    <value xsi:type="CD" code="399935008" displayName="Ductal carcinoma in situ - category (morphologic abnormality)" codeSystem="2.16.840.1.113883.6.96"/>    <methodCode code="104157003" displayName="Light microscopy" codeSystem="2.16.840.1.113883.6.96"/>  </code></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.11
Treetree.pnghl7:id
II0 … *R
Treetree.pnghl7:code
CD.IPS1 … 1M
 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.75 IPS Results Laboratory/Pathology Observation (DYNAMIC)
Treetree.pnghl7:statusCode
CS1 … 1M
 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1R
Auswahl1 … 1Elemente in der Auswahl:
  • 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']
Treeblank.pngTreetree.pnghl7:value
CE.IPS (extensible)0 … 1R
wo [@xsi:type='CE.IPS']
 CONF
Der Wert von @code SOLLTE gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.74 IPS Results Coded Values Laboratory/Pathology (DYNAMIC)
 Beispiel
Result code: code '201' from code system 2.16.840.1.113883.2.4.4.30.1045
<value xsi:type="CE" code="399935008" displayName="Ductal carcinoma in situ - category (morphologic abnormality)" codeSystem="2.16.840.1.113883.6.96"/>
 Beispiel
Result code: code 'POS' from code system 2.16.840.1.113883.5.83
<value xsi:type="CE" code="369790002" displayName="Nottingham Combined Grade I: 3-5 points (finding)" codeSystem="2.16.840.1.113883.6.96"/>
Treeblank.pngTreetree.pnghl7:value
PQ0 … 1R
wo [@xsi:type='PQ']
 ConstraintEN-US.png 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
 Beispiel
Result physical quantity (data type PQ): 136 mmol per liter
<value xsi:type="PQ" value="85" unit="%"/>
Treeblank.pngTreetree.pnghl7:value
IVL_PQ0 … 1R
wo [@xsi:type='IVL_PQ']
 Beispiel
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>
Treeblank.pngTreetree.pnghl7:value
ST0 … 1R
wo [@xsi:type='ST']
 Beispiel
Result free text (data type ST)
<value xsi:type="ST">This is a result as a free text</value>
Treeblank.pngTreetree.pnghl7:value
TS0 … 1R
wo [@xsi:type='TS']
 Beispiel
Result time stamp (data type TS): 6-Aug-2014
<value xsi:type="TS" value="20140806"/>
Treeblank.pngTreetree.pnghl7:value
RTO_QTY_QTY0 … 1R
wo [@xsi:type='RTO_QTY_QTY']
 Beispiel
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>
Treetree.pnghl7:interpretationCode
CE.IPS0 … 1R
 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
Eingefügt0 … *R von 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC)
Treetree.pnghl7:author
0 … *R
Treeblank.pngTreetree.pnghl7:templateId
II1 … 1M
Treeblank.pngTreeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.14
Treeblank.pngTreetree.pnghl7:time
TS.IPS.TZ1 … 1R
Treeblank.pngTreetree.pnghl7:assignedAuthor
1 … 1M
Treeblank.pngTreeblank.pngTreetree.pnghl7:id
II1 … *R
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
0 … 1R
Auswahl0 … 1Elemente in der Auswahl:
  • hl7:assigned​Person
  • hl7:assigned​Authoring​Device
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Person
0 … 1C
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FPSN
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
PN1 … *REN-US.png Name of the person (e.g. the Healthcare Professional)  authoring this document
 Beispiel<name>
  <given>John</given>  <family>Español Smith</family></name>
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:family
1 … *R
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:given
1 … *R
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:assigned​Authoring​Device
0 … 1C
 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)
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@classCode
cs0 … 1FDEV
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.png@determiner​Code
cs0 … 1FINSTANCE
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:code
CE0 … 1
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:manufacturer​Model​Name
SC0 … 1
Treeblank.pngTreeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:softwareName
SC0 … 1
Treeblank.pngTreeblank.pngTreetree.pnghl7:represented​Organization
0 … 1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:id
II0 … *
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:name
0 … *
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:telecom
TEL0 … *
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.pnghl7:addr
AD0 … *
Treetree.pnghl7:referenceRange
0 … *R
Treeblank.pngTreetree.pnghl7:observationRange
1 … 1M
Treeblank.pngTreeblank.pngTreetree.pnghl7:code
CDNP
Treeblank.pngTreeblank.pngTreetree.pnghl7:value
ANY1 … 1M
Treeblank.pngTreeblank.pngTreetree.pnghl7:interpretationCode
CE0 … 1
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@code
CONF0 … 1FN
Treeblank.pngTreeblank.pngTreeblank.pngTreetree.png@codeSystem
0 … 1F2.16.840.1.113883.5.83 (Observation Interpretation)
Treetree.pnghl7:entryRelationship
0 … *Beinhaltet 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC)
Treeblank.pngTreetree.png@typeCode
cs1 … 1FCOMP
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