2.16.840.1.113883.10.22.4.10/static-2017-03-02T000000

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Id2.16.840.1.113883.10.22.4.10Gültigkeit ab2017‑03‑02
StatusKorange.png Unter Revision vor der PublikationVersions-LabelSTU1
NameIPSResultObservationBezeichnungIPS Result Observation
Beschreibung
EN-US.png This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized by child templates, which  constrain  clinical laboratory observations or radiology observations or anatomic pathology observations. The generic IPS Result Observation template is usable in a patient summary for observations, which do not fall within one of the specialized categories.  
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 represented as “active” ActStatus. However, in most cases, observations selected for an international patient summary are  results that are final and approved, and thus, have a "completed" statusCode.
The result of the observation may be commented through an entryRelationship introducing an "IPS Comment activity" template.
KontextElternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.10
KlassifikationCDA Entry Level Template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Assoziiert mit
Assoziiert mit 4 Konzepte
IdNameDatensatz
hl7ips-data​element-106Kyellow.png Observation Result Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-143Kyellow.png Date of observation Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-144Kyellow.png Observation Type Kyellow.png CEN/TC 251 prEN 17269
hl7ips-data​element-145Kyellow.png Value Kyellow.png CEN/TC 251 prEN 17269
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
BeziehungAdaptation: 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-
Beispiel
Beispiel
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.10.22.4.10"/>  <id root="1.2.3.999" extension="__example only__"/>  <code code="..." codeSystem="1.2.3.999"/>  <statusCode/>  <effectiveTime>
    <low value="20170721091742"/>  </effectiveTime>  <value xsi:type="PQ" value="136" unit="mmol/L"/>  <interpretationCode code="..." codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code="..." codeSystem="1.2.3.999"/>  <targetSiteCode code="..." codeSystem="1.2.3.999"/>  <author>
    <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) -->
  </author>  <referenceRange>
    <observationRange>
      <value xsi:type="PQ" value=".." unit="..."/>      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal"/>    </observationRange>  </referenceRange>  <entryRelationship typeCode="COMP">
    <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' (dynamic) -->
  </entryRelationship></observation>
ItemDTKardKonfBeschreibungLabel
hl7:observation
 
Target.png
hl7ips-data​element-106Kyellow.png Observation Result Kyellow.png CEN/TC 251 prEN 17269
Treetree.png@classCode
cs1 … 1FOBS
Treetree.png@moodCode
cs1 … 1FEVN
Treetree.pnghl7:templateId
II1 … 1M
Treeblank.pngTreetree.png@root
uid1 … 1F2.16.840.1.113883.10.22.4.10
Treetree.pnghl7:id
II0 … *R
Treetree.pnghl7:code
CD.IPS1 … 1M
 
Target.png
hl7ips-data​element-144Kyellow.png Observation Type Kyellow.png CEN/TC 251 prEN 17269
 CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.38 IPS Results Observation (DYNAMIC)
Treetree.pnghl7:statusCode
CS1 … 1M
Treetree.pnghl7:effectiveTime
IVL_TS1 … 1R
 
Target.png
hl7ips-data​element-143Kyellow.png Date of observation Kyellow.png CEN/TC 251 prEN 17269
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.IPS0 … 1R
wo [@xsi:type='CE.IPS']
 
Target.png
hl7ips-data​element-145Kyellow.png Value Kyellow.png CEN/TC 251 prEN 17269
 Beispiel
Result code: code '201' from code system 2.16.840.1.113883.2.4.4.30.1045
<value xsi:type="CE" code="201" codeSystem="2.16.840.1.113883.2.4.4.30.1045" displayName="regular"/>
 Beispiel
Result code: code 'POS' from code system 2.16.840.1.113883.5.83
<value xsi:type="CE" code="POS" codeSystem="2.16.840.1.113883.5.83"/>
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="136" unit="mmol/L"/>
Treeblank.pngTreetree.pnghl7:value
IVL_PQ0 … 1R
wo [@xsi:type='IVL_PQ']
 Beispiel
Result interval of physical quantities (data type IVL_PQ): 150 - 400 Milliard 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)
Treetree.pnghl7:target​Site​Code
CD.IPS (preferred)0 … 1
 CONF
Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.11.22.55 IPS Body Site (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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