Id2.16.840.1.113883.10.20.22.4.2Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameResultObservationDisplay NameResult Observation
Description
This clinical statement represents details of a lab, radiology, or other study performed on a patient. The result observation includes a statusCode to allow recording the status of an observation. If a Result Observation is not completed, the Result Organizer must include corresponding statusCode. “Pending” results (e.g., a test has been run but results have not been reported yet) should be represented as “active” ActStatus.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.2
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 4 transactions and 7 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.4Transactionfinal Progress Note (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.2Transactionfinal Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transactionfinal History and Physical (H and P) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.9linkdraft Progress Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.3linkdraft Results Section (entries optional) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.3.1linkdraft Results Section (entries required) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.4.1Containmentdraft Result Organizer (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
Resudotstion
@classCode
cs1 … 1FOBSconf‑7130
@moodCode
cs1 … 1FEVNconf‑7131
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:7136) such that itconf‑7136
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.2conf‑9138
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:7137).conf‑7137
cda:code
CD1 … 1SHALL contain exactly one [1..1] code (CONF:7133).conf‑7133
cda:text
ED0 … 1RSHOULD contain zero or one [0..1] text (CONF:7138).conf‑7138
cda:reference
0 … 1RThe text, if present, SHOULD contain zero or one [0..1] reference (CONF:15924).

This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)		confdots5924
@value
0 … 1 confdots5925
 Schematron assertrolered error 
 testnot(@value) or starts-with(@value, '#') 
 MessageThis reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:statusCode
CS1 … 1RSHALL contain exactly one [1..1] statusCode (CONF:7134).conf‑7134
cda:effectiveTime
IVL_TS1 … 1SHALL contain exactly one [1..1] effectiveTime (CONF:7140).

Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards).		conf‑7140
cda:value
ANY1 … 1SHALL contain exactly one [1..1] value (CONF:7143).conf‑7143
cda:interpretationCode
CE0 … *RSHOULD contain zero or more [0..*] interpretationCode (CONF:7147).conf‑7147
cda:methodCode
CE0 … 1MAY contain zero or one [0..1] methodCode (CONF:7148).conf‑7148
cda:targetSiteCode
CD0 … 1MAY contain zero or one [0..1] targetSiteCode (CONF:7153).conf‑7153
cda:author
0 … 1MAY contain zero or one [0..1] author (CONF:7149).conf‑7149
cda:referenceRange
0 … *RSHOULD contain zero or more [0..*] referenceRange (CONF:7150).conf‑7150
cda:observationRange
1 … 1The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:7151).conf‑7151
cda:code
CDNPThis observationRange SHALL NOT contain [0..0] code (CONF:7152).conf‑7152