Under pre-publication review| Description |
This generic template is the basic set of constraints, which apply to any kind of observation grouped in a Result Organizer. The IPS Result Observation template is generic. It is further specialized by child templates, which constrain clinical laboratory observations or radiology observations or anatomic pathology observations. The generic IPS Result Observation template is usable in a patient summary for observations, which do not fall within one of the specialized categories. The result observation includes a statusCode to allow recording the status of an observation. “Pending” results (e.g., a test has been run but results have not been reported yet) should be represented as “active” ActStatus. However, in most cases, observations selected for an international patient summary are results that are final and approved, and thus, have a "completed" statusCode. The result of the observation may be commented through an entryRelationship introducing an "IPS Comment activity" template. |
| Associated with 4 concepts | |||||||||||||||
|
Observation Type | Used by 0 transactions and 2 templates, Uses 2 templates | ||||||||||||||||||||||||
|
ref
ad1bbr-
Adaptation: template 2.16.840.1.113883.10.20.22.4.2 Result Observation (V3) (2015‑08‑01)
ref
ccda-
| Example |
| <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.22.4.10"/> <id root="1.2.3.999" extension="__example only__"/> <code code="..." codeSystem="1.2.3.999"/> <statusCode/> <effectiveTime> <low value="20170721091742"/> </effectiveTime> <value xsi:type="PQ" value="136" unit="mmol/L"/> <interpretationCode code="..." codeSystem="2.16.840.1.113883.5.83"/> <methodCode code="..." codeSystem="1.2.3.999"/> <targetSiteCode code="..." codeSystem="1.2.3.999"/> <author> <!-- template 2.16.840.1.113883.10.22.4.14 'IPS Body Author' (dynamic) --> </author> <referenceRange> <observationRange> <value xsi:type="PQ" value=".." unit="..."/> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal"/> </observationRange> </referenceRange> <entryRelationship typeCode="COMP"> <!-- template 2.16.840.1.113883.10.22.4.22 'IPS Comment Activity' (dynamic) --> </entryRelationship></observation> |
| Item | DT | Card | Conf | Description | Label | ||||
|---|---|---|---|---|---|---|---|---|---|
| hl7:observation | IPSR tion | ||||||||
| |||||||||
| @classCode | cs | 1 … 1 | F | OBS | |||||
| @moodCode | cs | 1 … 1 | F | EVN | |||||
| hl7:templateId | II | 1 … 1 | M | IPSRtion | |||||
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.22.4.10 | |||||
| hl7:id | II | 0 … * | R | IPSRtion | |||||
| hl7:code | CD.IPS | 1 … 1 | M | IPSRtion | |||||
| |||||||||
| CONF |
| ||||||||
| hl7:statusCode | CS | 1 … 1 | M | IPSRtion | |||||
| hl7:effectiveTime | IVL_TS | 1 … 1 | R | IPSRtion | |||||
| |||||||||
| Choice | 1 … 1 | Elements to choose from:
| |||||||
| hl7:value | CE.IPS | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='CE.IPS'] | |||||||||
| |||||||||
| Example | Result code: code '201' from code system 2.16.840.1.113883.2.4.4.30.1045 <value xsi:type="CE" code="201" codeSystem="2.16.840.1.113883.2.4.4.30.1045" displayName="regular"/> | ||||||||
| Example | Result code: code 'POS' from code system 2.16.840.1.113883.5.83 <value xsi:type="CE" code="POS" codeSystem="2.16.840.1.113883.5.83"/> | ||||||||
| hl7:value | PQ | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='PQ'] | |||||||||
| Constraint | If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure SHALL be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 DYNAMIC | ||||||||
| Example | Result physical quantity (data type PQ): 136 mmol per liter <value xsi:type="PQ" value="136" unit="mmol/L"/> | ||||||||
| hl7:value | IVL_PQ | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='IVL_PQ'] | |||||||||
| Example | Result interval of physical quantities (data type IVL_PQ): 150 - 400 Milliard per 10 exp 9 liter <value xsi:type="IVL_PQ"><low value="150" unit="10+9/l"/> <high value="400" unit="10+9/l"/></value> | ||||||||
| hl7:value | ST | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='ST'] | |||||||||
| Example | Result free text (data type ST) <value xsi:type="ST">This is a result as a free text</value> | ||||||||
| hl7:value | TS | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='TS'] | |||||||||
| Example | Result time stamp (data type TS): 6-Aug-2014 <value xsi:type="TS" value="20140806"/> | ||||||||
| hl7:value | RTO_QTY_QTY | 0 … 1 | R | IPSRtion | |||||
| where [@xsi:type='RTO_QTY_QTY'] | |||||||||
| Example | Result ratio (data type RTO_QTY_QTY): 1/179 <value xsi:type="RTO_QTY_QTY"><numerator xsi:type="INT" value="1"/> <denominator xsi:type="INT" value="179"/></value> | ||||||||
| hl7:interpretationCode | CE.IPS | 0 … 1 | R | IPSRtion | |||||
| CONF |
| ||||||||
| hl7:targetSiteCode | CD.IPS (preferred) | 0 … 1 | IPSRtion | ||||||
| CONF |
| ||||||||
| hl7:author | 0 … * | R | Contains 2.16.840.1.113883.10.22.4.14 IPS Body Author (DYNAMIC) | IPSRtion | |||||
| hl7:referenceRange | 0 … * | R | IPSRtion | ||||||
| hl7:observationRange | 1 … 1 | M | IPSRtion | ||||||
| hl7:code | CD | NP | IPSRtion | ||||||
| hl7:value | ANY | 1 … 1 | M | IPSRtion | |||||
| hl7:interpretationCode | CE | 0 … 1 | IPSRtion | ||||||
| @code | CONF | 0 … 1 | F | N | |||||
| @codeSystem | 0 … 1 | F | 2.16.840.1.113883.5.83 | ||||||
| hl7:entryRelationship | 0 … * | Contains 2.16.840.1.113883.10.22.4.22 IPS Comment Activity (DYNAMIC) | IPSRtion | ||||||
| @typeCode | cs | 1 … 1 | F | COMP | |||||
