Id 2.16.840.1.113883.10.22.3.14 ref
hl7ips-
Gültigkeit ab 2017‑04‑30 Status Unter Revision vor der PublikationVersions-Label STU1 Name IPSResultsSection Bezeichnung IPS Results Section Beschreibung This section assembles relevant observation results collected on the patient or produced on in-vitro biologic specimens collected from the patient. Some of these results may be laboratory results, others may be anatomic pathology results, others, radiology results, and others, clinical results. The structured, machine-processable content of this section is sorted out between as many Result Organizer entries as needed. 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. The optional author and informant elements of the section are used when necessary to convey the provenance and authoring of the section content in case it is different from what is announced in the CDA header. In case this section assembles results from multiple authors (e.g.; results authored by a clinical laboratory, and results produced by a radiology center), the authors are listed in the section, and each Result Organizer of the section indicates its own author(s).
Kontext Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.3.14 Klassifikation CDA Section level template Offen/Geschlossen Offen (auch andere als die definierten Elemente sind erlaubt) Benutzt von / Benutzt Benutzt von 1 Transaction und 7 Templates, Benutzt 4 Templates
Beziehung Adaptation: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07) ref
ad1bbr-
Beispiel Beispiel < section classCode =" DOCSECT " moodCode =" EVN " > < templateId root =" 2.16.840.1.113883.10.22.3.14 " / > < id root =" 1.2.3.999 " extension =" __example only__ " / > < code code =" 30954-2 " codeSystem =" 2.16.840.1.113883.6.1 " displayName =" Relevant diagnostic tests/laboratory data Narrative " / > < title > MOST SIGNIFICANT RESULTS </ title > < text > <!-- some clinical laboratory results and some surgical pathology results presented to the human reader --> </ text > < author > <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 1st author: a clinical lab director --> </ author > < author > <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' - 2nd author: a pathologist --> </ author > < entry typeCode =" COMP " contextConductionInd =" true " > <!--- 1st Organizer: chemistry observations on blood serum specimen produced and interpreted by a clinical laboratory --> < 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)' - 1st author: a clinical lab 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 > </ entry > < entry > < organizer classCode =" BATTERY " moodCode =" EVN " > < templateId root =" 2.16.840.1.113883.10.22.4.9 " / > < code code =" 18723-7 " displayName =" Hematology 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)' - 1st author: a clinical lab 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' - venous blood total specimen --> </ component > < component > <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' - interpretation of hematology results --> </ component > </ organizer > </ entry > < entry > < 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)' - 2nd author: 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 > </ entry > </ section >
Alles ausklappen Alles einklappen
Item DT Kard Konf Beschreibung Label hl7:section IPSR tion @classCode cs 0 … 1 F DOCSECT @moodCode cs 0 … 1 F EVN hl7:templateId II 1 … 1 R IPSR tion @root uid 1 … 1 F 2.16.840.1.113883.10.22.3.14 hl7:id II 0 … * R IPSR tion hl7:code CE.IPS 1 … 1 M IPSR tion @code CONF 1 … 1 F 30954-2 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 hl7:title ST 1 … 1 M IPSR tion hl7:text SD.TEXT 1 … 1 M IPSR tion hl7:author 0 … * Beinhaltet 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) IPSR tion hl7:informant 0 … * Beinhaltet 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC) IPSR tion hl7:entry 1 … * M Beinhaltet 2.16.840.1.113883.10.22.4.9 IPS Result Organizer (DYNAMIC) IPSR tion @typeCode cs 1 … 1 R CONF @contextConductionInd bl 0 … 1 F true hl7:component 0 … * Beinhaltet 2.16.840.1.113883.10.22.3.15 IPS Translation Section (DYNAMIC) IPSR tion