Template

Show index

Template Results Section (entries required) (V3) 2015‑11‑03 08:59:43

Id2.16.840.1.113883.3.1937.99.61.20.10.12Effective Date2015‑11‑03 08:59:43
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 2.16.840.1.113883.3.1937.99.61.20.10.12
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 4 templates, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.3.1937.99.61.20.4.5Transactioncancelled Summary IPHCR data (not used)2015‑10‑27 02:48:44
2.16.840.1.113883.3.1937.99.61.20.10.5linkdraft PHCR2015‑10‑29 10:15:53
2.16.840.1.113883.3.1937.99.61.20.10.6Containmentdraft PHCR Document Body2015‑10‑30 05:51:33
2.16.840.1.113883.3.1937.99.61.20.10.15.1linkdraft PHCR USRealmHeader v2.1 Snapshot (2.1)2015‑11‑02 12:45:12
2.16.840.1.113883.3.1937.99.61.20.10.15.1.1linkdraft PHCR USRealmHeader v2.1 No Optionals (2.1)2015‑11‑02 12:45:12
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
ad1bbr-

Version: template 2.16.840.1.113883.10.20.22.2.3.1 Results Section (entries required) (2013‑01‑31)
ref
ccda-

Specialization: template 2.16.840.1.113883.10.20.22.2.3.1 Results Section (entries required) (V3) (2015‑08‑01)
ref
ccda-
Example
Example
<section nullFlavor="NI">
  <templateId extension="2015-08-01" root="2.16.840.1.113883.3.1937.99.61.20.10.12"/>  <code code="30954-2" codeSystem="2.16.840.1.113883.6.1"/>  <title/>  <text/>  <entry>
    <!-- template 2.16.840.1.113883.10.20.22.4.1 'Result Organizer (V3)' (2015-08-01T00:00:00) -->
  </entry>
</section>
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
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:1198-7108) such that itCONFdots7108
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.20.10.12CONFdots9137
 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
1 … 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
1 … 1MSHALL contain exactly one [1..1] title (CONF:1198-8892).CONFdots8892
cda:text
1 … 1MSHALL contain exactly one [1..1] text (CONF:1198-7111).CONFdots7111
cda:entry
1 … *MIf section/@nullFlavor is not present:
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'][@extension='2014-06-09']] 
 MessageSHALL contain at least one [1..*] entry (CONF:1198-7112) such that it