Terug naar index  <<  Terug naar templates

ref Template  Result Observation

Id 2.16.840.1.113883.10.20.22.4.2 ref (van repository: ccda-) Geldigheid geldig vanaf 2013‑01‑31

Er zijn versies van templates met dit id:
  • ResultObservationV3 van 2015‑08‑01
  • ResultObservation van 2013‑01‑31
Status pending Onder revisie vóór de publicatie Versielabel 1.1
Naam ResultObservation Weergavenaam Result Observation
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.
Context Parent nodes van template element met id 2.16.840.1.113883.10.20.22.4.2
Classificatie CDA entry level template
Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)
Item DT Card Conf Omschrijving Label
cda:observation
 (ResultObservation)
@classCode
 1 … 1 F OBS
@moodCode
 1 … 1 F EVN
cda:templateId
 II 1 … 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:7136) such that it conf‑7136
@root
 1 … 1 F 2.16.840.1.113883.10.20.22.4.2
cda:id
 II 1 … * en-US SHALL contain at least one [1..*] id (CONF:7137). conf‑7137
cda:code
 CD 1 … 1 en-US SHALL contain exactly one [1..1] code (CONF:7133). conf‑7133
cda:text
 ED 0 … 1 R en-US SHOULD contain zero or one [0..1] text (CONF:7138). conf‑7138
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
@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)  
cda:statusCode
 CS 1 … 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:7134). conf‑7134
cda:effectiveTime
 IVL_TS 1 … 1 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
cda:value
 ANY 1 … 1 en-US SHALL contain exactly one [1..1] value (CONF:7143). conf‑7143
cda:interpretationCode
 CE 0 … * R en-US SHOULD contain zero or more [0..*] interpretationCode (CONF:7147). conf‑7147
cda:methodCode
 CE 0 … 1 en-US MAY contain zero or one [0..1] methodCode (CONF:7148). conf‑7148
cda:targetSiteCode
 CD 0 … 1 en-US MAY contain zero or one [0..1] targetSiteCode (CONF:7153). conf‑7153
cda:author
 0 … 1 en-US MAY contain zero or one [0..1] author (CONF:7149). conf‑7149
cda:referenceRange
 0 … * R en-US SHOULD contain zero or more [0..*] referenceRange (CONF:7150). conf‑7150
cda:observationRange
 1 … 1 M en-US The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:7151). conf‑7151
cda:code
 CD NP en-US This observationRange SHALL NOT contain [0..0] code (CONF:7152). conf‑7152