Cancelled| Description |
A section that documents the notification of an actionable finding to a provider or other person responsible for patient care. The documentation in narrative text, and optionally in a coded entry, includes by whom, to whom, and at what date/time. Specific findings, including actionable (aka. critical) findings documented in text or as coded entries, are typically found in the 9.5 Findings. The actionable findings may be duplicated in the 9.6 Impression in either text or as coded entries. The actionable findings may be new (critical) or a change to a previous report/diagnosis (discrepant). |
ref
DICOM-
| Example |
| <section classCode="DOCSECT" moodCode="EVN"> <templateId root="1.2.840.10008.9.11"/> <id root="1.2.840.10213.2.62.7044794679.114296787"/> <code code="73568-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Communication of Critical Results"/> <title>Communication of Actionable Results</title> <text> <content ID="CR1">Dr. Smith was phoned at 262-966-0120 at 3:14pm on Wednesday, June 4, 2014, and the 4mm lung nodule was discussed directly with Dr. Smith to explain the follow-up recommendation of ...</content> </text> <entry> <act classCode="ACT" moodCode="EVN"> <code code="121291" codeSystem="1.2.840.10008.2.16.4" codeSystemName="DCM" displayName="Results Communicated"/> <text> <reference value="#CR1"/> </text> <effectiveTime value="20140604221400-0700"/> <performer> <assignedEntity> <id root="1.2.840.10213.2.62.7044794679.114298686"/> <assignedPerson> <name>Jane Doctor</name> </assignedPerson> </assignedEntity> </performer> <participant typeCode="NOT"> <participantRole> <telecom value="tel:262-966-0120"/> <playingEntity> <name>Dr. Smith</name> </playingEntity> </participantRole> </participant> </act> </entry></section> |
| Item | DT | Card | Conf | Description | Label |
|---|---|---|---|---|---|
| hl7:section | 1 … 1 | R | XeHC ings | ||
| hl7:templateId | II | 1 … 1 | M | XeHCings | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.2.51.10.84 | |
| hl7:id | II | 1 … * | R | XeHCings | |
| hl7:code | CD | 1 … 1 | R | XeHCings | |
| @code | CONF | 0 … 1 | F | 73568-8 | |
| @codeSystem | 0 … 1 | F | 2.16.840.1.113883.6.1 | ||
| hl7:title | ST | 1 … 1 | R | XeHCings | |
| hl7:text | ED | 1 … 1 | R | XeHCings | |
| hl7:content | ST | 0 … * | XeHCings | ||
| @id | xs:ID | 1 … 1 | R | ||
| hl7:linkHtml | ST | 0 … * | XeHCings | ||
| @href | url | 1 … 1 | R | ||
| hl7:entry | 0 … * | XeHCings | |||
| hl7:act | 1 … 1 | R | XeHCings | ||
| @ID | xs:ID | 1 … 1 | R | ||
| @moodCode | cs | 1 … 1 | F | EVN | |
| @classCode | cs | 1 … 1 | F | ACT | |
| hl7:code | CD | 1 … 1 | R | Results communicated | XeHCings |
| @code | CONF | 0 … 1 | F | 121291 | |
| @codeSystem | 0 … 1 | F | 1.2.840.10008.2.16.4 | ||
| hl7:effectiveTime | TS | 1 … 1 | R | XeHCings | |
| hl7:text | ED | 1 … 1 | R | XeHCings | |
| hl7:reference | URL | 1 … 1 | R | XeHCings | |
| hl7:performer | 1 … 1 | R | XeHCings | ||
| Example | <hl7:performer> <hl7:assignedEntity> <hl7:assignedPerson> <hl7:name>name</hl7:name> </hl7:assignedPerson> </hl7:assignedEntity></hl7:performer> | ||||
| hl7:assignedEntity | 1 … 1 | R | XeHCings | ||
| hl7:assignedPerson | 1 … 1 | R | XeHCings | ||
| hl7:name | PN | 1 … 1 | R | XeHCings | |
| hl7:participant | 1 … 1 | R | XeHCings | ||
| @typeCode | cs | 1 … 1 | F | NOT | |
| Example | <hl7:participant typeCode="NOT"> <hl7:participantRole> <hl7:telecom value="tel:+1-12345678"/> <hl7:playingEntity> <hl7:name>name</hl7:name> </hl7:playingEntity> </hl7:participantRole></hl7:participant> | ||||
| hl7:participantRole | 1 … 1 | R | XeHCings | ||
| hl7:telecom | TEL | 1 … 1 | R | XeHCings | |
| hl7:playingEntity | 1 … 1 | R | XeHCings | ||
| hl7:name | PN | 1 … 1 | R | XeHCings | |