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Template Results Section (entries required) (V3) 2015‑08‑01

Id2.16.840.1.113883.10.20.22.2.3.1Effective Date2015‑08‑01
Statusdraft DraftVersion Label2.1
NameResultsSectionentriesrequiredV3Display NameResults Section (entries required) (V3)
Description
The Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. These coded result observations are contained within a Results Organizer in the Results Section. The scope includes observations such as hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. The section often includes notable results such as abnormal values or relevant trends, and could contain all results for the period of time being documented. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory. Imaging results are typically generated by a clinician reviewing the output of an imaging procedure, such as where a cardiologist reports the left ventricular ejection fraction based on the review of a cardiac echocardiogram. Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.3.1
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 7 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.31Transactionfinal Transfer Summary (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.22Transactionfinal Consultation Note (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.23Transactionfinal Continuity of Care Document (CCD) (V3)2015‑08‑01
2.16.840.1.113883.3.1937.99.3.4.30Transactionfinal Referral Note (V2)2015‑08‑01
2.16.840.1.113883.3.1937.99.61.17.10.2Containmentdraft SHN StructuredBody2015‑05‑09 11:18:02
2.16.840.1.113883.3.1937.99.61.17.10.3linkdraft SHN component2015‑05‑09 11:28:46
2.16.840.1.113883.3.1937.99.61.28.10.3Containmentdraft CDA de Consulta (1)2017‑04‑22 23:20:01
2.16.840.1.113883.10.20.22.1.2Containmentdraft Continuity of Care Document (CCD) (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.4Containmentdraft Consultation Note (V3) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.13Containmentdraft Transfer Summary (V2) (2.1)2015‑08‑01
2.16.840.1.113883.10.20.22.1.14Containmentdraft Referral Note (V2) (2.1)2015‑08‑01
Uses as NameVersion
2.16.840.1.113883.10.20.22.4.1Containmentdraft Result Organizer (V3) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
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Version: template 2.16.840.1.113883.10.20.22.2.3.1 Results Section (entries required) (2013‑01‑31)
ItemDTCardConfDescriptionLabel
cda:section
ResudotsedV3
@nullFlavor
cs0 … 1FNICONFdots2875
 MAY contain zero or one [0..1] @nullFlavor="NI" No information (CodeSystem: HL7NullFlavor urn:oid:2.16.840.1.113883.5.1008) (CONF:1198-32875).
cda:templateId
II1 … 1MC-CDA R1.1 templateId root without an extensionCONFdots2936
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.3.1
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1198-7108) such that itCONFdots7108
@root
uid1 … 1F2.16.840.1.113883.10.20.22.2.3.1CONFdots9137
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.2.3.1" (CONF:1198-9137).
@extension
st1 … 1F2015-08-01CONFdots2592
 SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32592).
cda:code
CE1 … 1MSHALL contain exactly one [1..1] code (CONF:1198-15433).CONFdots5433
@code
CONF1 … 1F30954-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:title
ST1 … 1SHALL contain exactly one [1..1] title (CONF:1198-8892).CONFdots8892
cda:text
SD.TEXT1 … 1RSHALL contain exactly one [1..1] text (CONF:1198-7111).CONFdots7111
cda:entry
0 … *CIf section/@nullFlavor is not present:

SHALL
contain at least one [1..*] entry (CONF:1198-7112) such that it

SHALL
contain exactly one [1..1]
Result Organizer (V3) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01) (CONF:1198-15516).


Contains 2.16.840.1.113883.10.20.22.4.1 Result Organizer (V3) (2015‑08‑01)
CONFdots7112
 Schematron assertrolered error 
 test@nullFlavor or cda:entry/cda:organizer[cda:templateId[@root='2.16.840.1.113883.10.20.22.4.1']] 
 MessageSHALL contain at least one [1..*] entry (CONF:1198-7112) such that it