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ref Template  Result Observation (V3)

Id 2.16.840.1.113883.10.20.22.4.2 ref (van repository: ccda-) Geldigheid geldig vanaf 2015‑08‑01

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 2.1
Naam ResultObservationV3 Weergavenaam Result Observation (V3)
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.
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)
Gebruikt door / Gebruikt
Gebruikt door 0 templates, 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)
@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).
@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).
cda:templateId
II 1 … 1 M en-US SHALL contain exactly one [1..1] templateId (CONF:1198-7136) such that it CONF:1198‑7136
@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).
@extension
1 … 1 F 2015-08-01
  en-US SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32575).
cda:id
II 1 … * en-US SHALL contain at least one [1..*] id (CONF:1198-7137). CONF:1198‑7137
cda:code
CD 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
@codeSystem
1 … 1 F 2.16.840.1.113883.6.1 (LOINC)
cda:statusCode
CS 1 … 1 M en-US SHALL contain exactly one [1..1] statusCode (CONF:1198-7134). CONF:1198‑7134
cda:effectiveTime
IVL_TS 1 … 1 en-US SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7140). CONF:1198‑7140
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  
cda:interpretationCode
0 … * R en-US SHOULD contain zero or more [0..*] interpretationCode (CONF:1198-7147). CONF:1198‑7147
@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)
cda:methodCode
CE 0 … 1 en-US MAY contain zero or one [0..1] methodCode (CONF:1198-7148). CONF:1198‑7148
cda:targetSiteCode
CD 0 … 1 en-US MAY contain zero or one [0..1] targetSiteCode (CONF:1198-7153). CONF:1198‑7153
cda:author
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).
Bevat 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
CONF:1198‑7149
waar [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.119']
cda:referenceRange
0 … * R en-US SHOULD contain zero or more [0..*] referenceRange (CONF:1198-7150). CONF:1198‑7150
cda:observationRange
1 … 1 M en-US The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:1198-7151). CONF:1198‑7151
cda:code
CD NP en-US This observationRange SHALL NOT contain [0..0] code (CONF:1198-7152). CONF:1198‑7152
cda:value
1 … 1 M en-US This observationRange SHALL contain exactly one [1..1] value (CONF:1198-32175). CONF:1198‑32175