Id2.16.840.1.113883.3.51.60.3.41Effective Date2019‑03‑16 19:55:12
Statuspending Under pre-publication reviewVersion Label2.1
NameBCCDAResultsSectionentriesoptionalV3Display NameBC CDA Results Section (entries optional) (V3)
Description
This section contains the results of observations generated by laboratories, imaging and other procedures. The scope includes observations of hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure observations. This section often includes notable results such as abnormal values or relevant trends. It can 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.
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.51.60.2.4Containmentpending BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)2019‑03‑19 14:15:51
RelationshipSpecialization: template 2.16.840.1.113883.3.51.60.3.41 (2015‑08‑01)
Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
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Version: template 2.16.840.1.113883.3.51.60.3.41 (2013‑01‑31)
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