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ref Template  Result Observation (V3)

Template 2.16.840.1.113883.10.20.22.4.2 - ResultObservationV3 ref (van repository: ccda-)
Id 2.16.840.1.113883.10.20.22.4.2
Versie 2.1 geldig vanaf 2015‑08‑01 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 template represents the results of a laboratory, radiology, or other study performed on a patient. 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.
Gebruikt door / Gebruikt
Gebruikt door / Gebruikt 1 template
Gebruikt Template-id als Naam Versie
2.16.840.1.113883.10.20.22.4.119 Containment AuthorParticipation 2015‑08‑13
Relatie Specialisatie: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Versie: template 2.16.840.1.113883.10.20.22.4.2 (2013‑01‑31)
Item DT Card Conf Omschrijving Label
cda:observation
(ResultObservationV3)
treetree @classCode
1 .. 1 F OBS
  en-US SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7130).
treetree @moodCode
1 .. 1 F EVN
  en-US SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7131).
treetree cda:templateId
1 .. 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:1198-7136) such that it CONF:1198‑7136
treeblank treetree @root
1 .. 1 F 2.16.840.1.113883.10.20.22.4.2
  en-US SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.2" (CONF:1198-9138).
treeblank treetree @extension
1 .. 1 F 2015-08-01
  en-US SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32575).
treetree cda:id
1 .. * en-US SHALL contain at least one [1..*] id (CONF:1198-7137). CONF:1198‑7137
treetree cda:code
1 .. 1 M en-US SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1198-7133). CONF:1198‑7133
treeblank treetree @codeSystem
1 .. 1 F 2.16.840.1.113883.6.1 (LOINC)
treetree cda:statusCode
1 .. 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:1198-7134). CONF:1198‑7134
treetree cda:effectiveTime
1 .. 1 en-US SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7140). CONF:1198‑7140
treetree cda:value
1 .. 1 M en-US SHALL contain exactly one [1..1] value (CONF:1198-7143).

A coded or physical quantity value *MAY* contain zero or more [[]0..[*][]] translations, which can be used to represent the original results as output by the lab.		 CONF:1198‑7143
  Constraint en-US 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*
  Schematron assert role red error
  test (.[@xsi:type='CD'][@codeSystem='2.16.840.1.113883.6.96']) or not(.[@xsi:type='CD'])
  Melding If Observation/value is a CD (*xsi:type*=*"CD"*) the value SHOULD be SNOMED-CT
treetree cda:interpretationCode
0 .. * R en-US SHOULD contain zero or more [0..*] interpretationCode (CONF:1198-7147). CONF:1198‑7147
treeblank treetree @code
1 .. 1 R
  en-US The interpretationCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 STATIC (CONF:1198-32476).
  CONF
De waarde van @code moet komen uit waardelijst 2.16.840.1.113883.1.11.78 Observation Interpretation (HL7) (DYNAMISCH)
treetree cda:methodCode
CE 0 .. 1 en-US MAY contain zero or one [0..1] methodCode (CONF:1198-7148). CONF:1198‑7148
treetree cda:targetSiteCode
CD 0 .. 1 en-US MAY contain zero or one [0..1] targetSiteCode (CONF:1198-7153). CONF:1198‑7153
treetree cda:author
waar
[hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.119']
0 .. * R en-US SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-7149). CONF:1198‑7149
  Bevat 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
treetree cda:referenceRange
0 .. * R en-US SHOULD contain zero or more [0..*] referenceRange (CONF:1198-7150). CONF:1198‑7150
treeblank treetree cda:observationRange
1 .. 1 M en-US The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:1198-7151). CONF:1198‑7151
treeblank treeblank treetree cda:code
NP en-US This observationRange SHALL NOT contain [0..0] code (CONF:1198-7152). CONF:1198‑7152
treeblank treeblank treetree cda:value
1 .. 1 M en-US This observationRange SHALL contain exactly one [1..1] value (CONF:1198-32175). CONF:1198‑32175