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ref Template  Result Observation

Template 2.16.840.1.113883.10.20.22.4.2 - ResultObservation ref (van repository: ccda-)
Id 2.16.840.1.113883.10.20.22.4.2
Versie 1.1 geldig vanaf 2013‑01‑31 status pending Onder revisie vóór de publicatie

Er zijn versies van templates met dit id:
  • ResultObservationV3 van 2015‑08‑01
  • ResultObservation van 2013‑01‑31
Classificatie CDA entry level template
Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.2
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Omschrijving en-US 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.
Item DT Card Conf Omschrijving Label
cda:observation
(ResultObservation)
treetree @classCode
1 .. 1 F OBS
treetree @moodCode
1 .. 1 F EVN
treetree cda:templateId
1 .. 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:7136) such that it conf‑7136
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.2
treetree cda:id
1 .. * M en-US SHALL contain at least one [1..*] id (CONF:7137). conf‑7137
treetree cda:code
1 .. 1 M en-US SHALL contain exactly one [1..1] code (CONF:7133). conf‑7133
treetree cda:text
0 .. 1 R en-US SHOULD contain zero or one [0..1] text (CONF:7138). conf‑7138
treeblank treetree cda:reference
0 .. 1 R en-US The 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)		 conf‑15924
treeblank treeblank treetree @value
0 .. 1  
  Schematron assert role red error
  test not(@value) or starts-with(@value, '#')
  Melding 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)
treetree cda:statusCode
CS 1 .. 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:7134). conf‑7134
treetree cda:effectiveTime
1 .. 1 M en-US SHALL 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
treetree cda:value
1 .. 1 M en-US SHALL contain exactly one [1..1] value (CONF:7143). conf‑7143
treetree cda:interpretationCode
0 .. * R en-US SHOULD contain zero or more [0..*] interpretationCode (CONF:7147). conf‑7147
treetree cda:methodCode
CE 0 .. 1 en-US MAY contain zero or one [0..1] methodCode (CONF:7148). conf‑7148
treetree cda:targetSiteCode
CD 0 .. 1 en-US MAY contain zero or one [0..1] targetSiteCode (CONF:7153). conf‑7153
treetree cda:author
0 .. 1 en-US MAY contain zero or one [0..1] author (CONF:7149). conf‑7149
treetree cda:referenceRange
0 .. * R en-US SHOULD contain zero or more [0..*] referenceRange (CONF:7150). conf‑7150
treeblank treetree cda:observationRange
1 .. 1 M en-US The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:7151). conf‑7151
treeblank treeblank treetree cda:code
NP en-US This observationRange SHALL NOT contain [0..0] code (CONF:7152). conf‑7152