Id2.16.840.1.113883.10.20.22.2.16Effective Date2015‑08‑13
Statusdraft DraftVersion Label2.1
NameHospitalDischargeStudiesSummarySectionDisplay NameHospital Discharge Studies Summary Section
Description
This section records the results of observations generated by laboratories, imaging procedures, and other procedures. The scope includes 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, and could record 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 when a cardiologist reports the left ventricular ejection fraction based on the review of an echocardiogram. Procedure results are typically generated by a clinician wanting to provide more granular information about component observations made during the performance of a procedure, such as when a gastroenterologist reports the size of a polyp observed during a colonoscopy. Note that there are discrepancies between CCD and the lab domain model, such as the effectiveTime in specimen collection.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.2.16
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 4 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.25Transactionfinal Discharge Summary (V3)2015‑08‑01
2.16.840.1.113883.2.51.10.12Containmentactive XeH Hospital Discharge Report (1.0)2021‑09‑10 14:49:32
2.16.840.1.113883.3.1937.99.61.18.10.6Containmentdraft Выписной эпикриз2015‑06‑06 14:32:25
2.16.840.1.113883.3.1937.99.61.67.10.8Containmentdraft XeH Hospital Discharge Report (0.1)2020‑10‑02 15:17:28
2.16.840.1.113883.10.20.22.1.8Containmentdraft Discharge Summary (V3) (2.1)2015‑08‑01
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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