Template 2.16.840.1.113883.2.4.6.10.70.6 (Uitslag)

2011-12-28

Template
Id 2.16.840.1.113883.2.4.6.10.70.6
Context 2.16.840.1.113883.2.4.6.10.70.6 (parent nodes of template id element)
Version valid from 2011-12-28 status final
Description Dit template wordt gebruikt voor diagnostische bepalingen (uitslagen). In deze template wordt de klasse observation ingevuld, samen met ReferenceRange en ObservationRange, zoals deze gebruikt moet worden bij uitslagen.
Element hl7:observation
CONF optional @classCode shall be "OBS"
CONF optional @moodCode shall be "EVN"
Elements
Element hl7:templateId
Cardinality (original) 1 .. 1 mandatory
CONF @root shall be "2.16.840.1.113883.2.4.6.10.70.6"
Element hl7:id
Cardinality (original) 1 .. * mandatory
CONF shall be of data type "II"
Element hl7:code
Cardinality (original) 1 .. 1 mandatory
CONF shall be of data type "CD"
CONF
@code shall be drawn from value set Vraagtypes
Element hl7:text
Cardinality (original) 0 .. 1
CONF shall be of data type "ED"
Element hl7:effectiveTime
Cardinality (original) 0 .. 1
CONF shall be of data type "IVL_TS"
Elements
Element hl7:low
Cardinality (original) 1 .. 1 mandatory
CONF shall be of data type "TS"
Element hl7:high
Cardinality (original) 0 .. 1
CONF shall be of data type "TS"
Element hl7:center
Cardinality (original) NP (not present)
Element hl7:width
Cardinality (original) NP (not present)
Choice Elements to choose from:
  • hl7:value[@xsi:type='PQ']
  • hl7:value[@xsi:type='IVL_PQ']
  • hl7:value[@xsi:type='CV']
  • hl7:value[@xsi:type='ST']
  • hl7:value[@xsi:type='TS']
  • hl7:value[@xsi:type='BL']
max 1 element(s)
Cardinality (original) .. 1
Elements
Element hl7:value
where
[@xsi:type='PQ']
Cardinality (original) 0 .. 1
Example
<observation classCode="OBS" moodCode="EVN">
  <id root="2.16.528.1.1007.3.3.2222.9" extension="VII-1"/>
  <code code="1875" codeSystem="2.16.840.1.113883.2.4.4.30.45" codeSystemName="Codes diagnostische bepalingen" codeSystemVersion="v13" displayName="polsfrequentie"/>
  <effectiveTime value="200411151545"/>
  <value xsi:type="PQ" value="100" unit="/min"/>
</observation>
CONF shall be of data type "PQ"
Element hl7:value
where
[@xsi:type='IVL_PQ']
Cardinality (original) 0 .. 1
Example
<value xsi:type="IVL_PQ">
  <high value="0.01" unit="mg/mL" inclusive="false"/>
</value>
CONF shall be of data type "IVL_PQ"
Element hl7:value
where
[@xsi:type='CV']
Cardinality (original) 0 .. 1
Example
<observation classCode="OBS" moodCode="EVN">
  <id root="2.16.528.1.1007.3.3.2222.9" extension="VII-2"/>
  <code code="2102" codeSystem="2.16.840.1.113883.2.4.4.30.45" codeSystemName="Codes diagnostische bepalingen" codeSystemVersion="v13" displayName="polsritme"/>
  <effectiveTime value="200411151425"/>
  <value xsi:type="CV" code="201" codeSystem="2.16.840.1.113883.2.4.4.30.1045" displayName="regulair"/>
</observation>
CONF shall be of data type "CV"
CONF
@codeSystem shall be "2.16.840.1.113883.2.4.4.30.1045"
Element hl7:value
where
[@xsi:type='ST']
Cardinality (original) 0 .. 1
Example
<value xsi:type="ST">Uitslag als vrije tekst</value>
CONF shall be of data type "ST"
Element hl7:value
where
[@xsi:type='TS']
Cardinality (original) 0 .. 1
Example
<observation classCode="OBS" moodCode="EVN">
  <id root="2.16.528.1.1007.3.3.1111.9" extension="II-4"/>
  <code code="1640" codeSystem="2.16.840.1.113883.2.4.4.30.45" codeSystemVersion="v14" displayName="datum bezoek diabetes verpleegkundige"/>
  <effectiveTime value="200410021425"/>
  <value xsi:type="TS" value="20040806"/>
</observation>
CONF shall be of data type "TS"
Element hl7:value
where
[@xsi:type='BL']
Cardinality (original) 0 .. 1
Example
<observation classCode="OBS" moodCode="EVN">
  <id root="2.16.528.1.1007.3.3.1111.9" extension="II-2"/>
  <code code="1764" codeSystem="2.16.840.1.113883.2.4.4.30.45" codeSystemVersion="v14" displayName="voedingsgewoontes besproken (diabetes)"/>
  <effectiveTime value="200410021425"/>
  <value xsi:type="BL" value="true"/>
</observation>
CONF shall be of data type "BL"
Element hl7:interpretationCode
Cardinality (original) 0 .. *
CONF shall be of data type "CE"
CONF
@code shall be drawn from value set ObservationInterpretation
Included from Author.6.8.1.1
Cardinality (original) 0 .. 1
Element hl7:author
CONF optional @typeCode shall be "AUT"
CONF optional @contextControlCode shall be "OP"
Elements
Element hl7:assignedEntity1
where
[hl7:templateId[@root='2.16.840.1.113883.2.4.6.10.70.20']]
Cardinality (original) .. 1
Description De voor het consult (inhouds)verantwoordelijke arts; bij oplevering door de waarnemer wordt hier de behandelend arts opgenomen. Zie CMET R_AssignedEntity met Template 2.16.840.1.113883.2.4.6.10.70.21: AssignedPersonNL
Contains inherited ruleset 2.16.840.1.113883.2.4.6.10.70.20 with overridden cardinality 0 .. 1
Included from Performer.6.8.1.2
Cardinality (original) 0 .. *
Element hl7:performer
CONF optional @typeCode shall be "PRF"
CONF optional @contextControlCode shall be "OP"
Elements
Element hl7:assignedEntity1
where
[hl7:templateId[@root='2.16.840.1.113883.2.4.6.10.70.20']]
Cardinality (original) .. 1
Description De uitvoerder van de verrichting. Zie CMET R_AssignedEntity met Template 2.16.840.1.113883.2.4.6.10.70.21: AssignedPersonNL
Contains inherited ruleset 2.16.840.1.113883.2.4.6.10.70.20 with overridden cardinality 0 .. 1
Included from ReferenceRange.6.11.1.1
Cardinality (original) 0 .. *
Element hl7:referenceRange
Example
<referenceRange typeCode="REFV">
  <observationRange classCode="OBS" moodCode="EVN.CRT">
    <!-- ... -->
  </observationRange>
</referenceRange>
CONF @typeCode shall be "REFV"
CONF optional @contextConductionInd shall be "true"
Elements
Element hl7:observationRange
Example
<observationRange classCode="OBS" moodCode="EVN.CRT">
  <value xsi:type="IVL_PQ">
    <low value="3.5" unit="mmol/L"/>
    <high value="7.8" unit="mmol/L"/>
  </value>
  <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal"/>
</observationRange>
CONF optional @classCode shall be "OBS"
CONF optional @moodCode shall be "EVN.CRT"
Elements
Element hl7:text
Cardinality (original) 0 .. 1
CONF shall be of data type "ED"
Element hl7:interpretationCode
Cardinality (original) 1 .. 1 mandatory
CONF shall be of data type "CE"
CONF
@code shall be drawn from value set ObservationInterpretation
Element hl7:value
 (obsrng)
Cardinality (original) 1 .. 1
Description Waarde(n) waarmee het bereik wordt gedefinieerd. Het attribuut value moet expliciet een datatype worden toegekend, via het XML-attribuut @xsi:type. Het datatype is bij referentiebereiken altijd “IVL_PQ” (Interval of Physical Quantity) Zie voor de beschrijving van datatypen ook de [HL7v3 IH Basis].
CONF shall be of data type "IVL_PQ"
Schematron cast assert
role: red error
Test hl7:low or hl7:high
Message hl7:low or hl7:high elements (or both) mandatory
Elements
Element hl7:low
Cardinality (original) .. 1
Element hl7:high
Cardinality (original) .. 1
Element hl7:center
Cardinality (original) NP (not present)
Element hl7:width
Cardinality (original) NP (not present)