International Patient Summary 1.0.0 Release
1.0 - CI Build
International Patient Summary 1.0.0 Release
1.0 - CI Build
International Patient Summary 1.0.0 Release - Local Development build (v1.0). See the Directory of published versions
| Official URL: http://localhost:8877/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.12--20170321000000 | Version: 1.0 | |||
| Draft as of 2017-03-21 | Computable Name: IPSRadiologyResultObservation | |||
| Other Identifiers: id: urn:oid:2.16.840.1.113883.10.22.4.12 (use: OFFICIAL) | ||||
This template represents an observation produced as one of the results of a radiology or other imaging study performed on a patient. In most cases, in the context of a patient summary this observation is final and validated, which is recorded with the value “completed” in the statusCode element. Should the observation be not final, the statusCode would indicate “active”, instead.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | CDAR2.Observation | Base for all types and resources | |
  classCode | 1..1 | code | Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
  Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:primary | S | 1..1 | II | |
  root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.12 | |
 id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: IPS Results Observation Radiology (extensible): IPS Results Observation Radiology |
| statusCode | S | 1..1 | CS | Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete |
| effectiveTime | S | 1..1 | IVL_TS | |
| interpretationCode | S | 0..1 | CE | Binding: ObservationInterpretation (required): ObservationInterpretation |
| targetSiteCode | 0..1 | CD | Binding: IPS Target Site (preferred): IPS Target Site | |
 qualifier | 0..1 | CR | ||
| name | S | 1..1 | CV | |
| code | 0..1 | string | Fixed Value: 272741003 | |
 codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.6.96 | |
| value | S | 1..1 | CD | Binding: Laterality (qualifier.html) (preferred): Laterality (qualifier.html) |
| author | S | 0..* | Author | |
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:profile | |
| entryRelationship:entryRelationship-1 | C | 0..* | IPSCommentActivity | Base for all types and resources entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) |
| typeCode | 1..1 | code | Fixed Value: COMP | |
| referenceRange | S | 0..* | Element | |
| observationRange | S | 1..1 | ObservationRange | |
| code | 0..0 | |||
| value | S | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | |
| interpretationCode | 0..1 | CE | ||
| code | 0..1 | string | Fixed Value: N | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.5.83 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Id | Grade | Path(s) | Details | Requirements |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | CDAR2.Observation | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassObservation (required) Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.12 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: IPS Results Observation Radiology (extensible): IPS Results Observation Radiology |
| statusCode | S | 1..1 | CS | Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete |
| effectiveTime | S | 1..1 | IVL_TS | |
| interpretationCode | S | 0..1 | CE | Binding: ObservationInterpretation (required): ObservationInterpretation |
| targetSiteCode | 0..1 | CD | Binding: IPS Target Site (preferred): IPS Target Site | |
| qualifier | 0..1 | CR | ||
| name | S | 1..1 | CV | |
| code | 0..1 | string | Fixed Value: 272741003 | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.6.96 | |
| value | S | 1..1 | CD | Binding: Laterality (qualifier.html) (preferred): Laterality (qualifier.html) |
| author | S | 0..* | Author | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:profile |
 entryRelationship:All Slices | Content/Rules for all slices | |||
  typeCode | 1..1 | code | ||
 contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-1 | C | 0..* | IPSCommentActivity | Base for all types and resources entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) |
 typeCode | 1..1 | code | Fixed Value: COMP | |
| contextConductionInd | 1..1 | boolean | ||
 referenceRange | S | 0..* | Element | |
| typeCode | 1..1 | code | Binding: ActRelationshipPertains (required) Fixed Value: REFV | |
| observationRange | S | 1..1 | ObservationRange | |
| classCode | 1..1 | code | Binding: ActClassObservation (required) | |
| moodCode | 1..1 | code | Binding: ActMoodPredicate (required) Fixed Value: EVN.CRT | |
 value | S | 1..1 | ||
| value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| interpretationCode | 0..1 | CE | Binding: ObservationInterpretation (required) | |
| code | 0..1 | string | Fixed Value: N | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.5.83 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.observationRange.classCode | required | ActClassObservation |
| Observation.referenceRange.observationRange.moodCode | required | Fixed Value: EVN.CRT |
| Observation.referenceRange.observationRange.interpretationCode | required | ObservationInterpretation |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.name.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.observationRange.classCode | required | ActClassObservation |
| Observation.referenceRange.observationRange.moodCode | required | Fixed Value: EVN.CRT |
| Observation.referenceRange.observationRange.interpretationCode | required | ObservationInterpretation |
| Observation.referenceRange.observationRange.interpretationCode.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 7 elements (5 nested mandatory elements)
Must-Support: 12 elements
Fixed Value: 8 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | CDAR2.Observation | Base for all types and resources | |
| classCode | 1..1 | code | Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.12 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: IPS Results Observation Radiology (extensible): IPS Results Observation Radiology |
| statusCode | S | 1..1 | CS | Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete |
| effectiveTime | S | 1..1 | IVL_TS | |
| interpretationCode | S | 0..1 | CE | Binding: ObservationInterpretation (required): ObservationInterpretation |
| targetSiteCode | 0..1 | CD | Binding: IPS Target Site (preferred): IPS Target Site | |
| qualifier | 0..1 | CR | ||
| name | S | 1..1 | CV | |
| code | 0..1 | string | Fixed Value: 272741003 | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.6.96 | |
| value | S | 1..1 | CD | Binding: Laterality (qualifier.html) (preferred): Laterality (qualifier.html) |
| author | S | 0..* | Author | |
| Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by value:profile | |
| entryRelationship:entryRelationship-1 | C | 0..* | IPSCommentActivity | Base for all types and resources entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) |
| typeCode | 1..1 | code | Fixed Value: COMP | |
| referenceRange | S | 0..* | Element | |
| observationRange | S | 1..1 | ObservationRange | |
| code | 0..0 | |||
| value | S | 1..1 | BL, ED, ED, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS | |
| interpretationCode | 0..1 | CE | ||
| code | 0..1 | string | Fixed Value: N | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.5.83 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Id | Grade | Path(s) | Details | Requirements |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | CDAR2.Observation | Base for all types and resources | |
| classCode | 1..1 | code | Binding: ActClassObservation (required) Fixed Value: OBS | |
| moodCode | 1..1 | code | Fixed Value: EVN | |
| Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:primary | S | 1..1 | II | |
| root | 1..1 | string | Fixed Value: 2.16.840.1.113883.10.22.4.12 | |
| id | S | 0..* | II | |
| code | S | 1..1 | CD | Binding: IPS Results Observation Radiology (extensible): IPS Results Observation Radiology |
| statusCode | S | 1..1 | CS | Binding: x_ActStatusActiveComplete (required): x_ActStatusActiveComplete |
| effectiveTime | S | 1..1 | IVL_TS | |
| interpretationCode | S | 0..1 | CE | Binding: ObservationInterpretation (required): ObservationInterpretation |
| targetSiteCode | 0..1 | CD | Binding: IPS Target Site (preferred): IPS Target Site | |
| qualifier | 0..1 | CR | ||
| name | S | 1..1 | CV | |
| code | 0..1 | string | Fixed Value: 272741003 | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.6.96 | |
| value | S | 1..1 | CD | Binding: Laterality (qualifier.html) (preferred): Laterality (qualifier.html) |
| author | S | 0..* | Author | |
| Slices for entryRelationship | C | 0..* | Element | Slice: Unordered, Open by value:profile |
| entryRelationship:All Slices | Content/Rules for all slices | |||
| typeCode | 1..1 | code | ||
| contextConductionInd | 1..1 | boolean | ||
| entryRelationship:entryRelationship-1 | C | 0..* | IPSCommentActivity | Base for all types and resources entryRelationship-1: contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) |
| typeCode | 1..1 | code | Fixed Value: COMP | |
| contextConductionInd | 1..1 | boolean | ||
| referenceRange | S | 0..* | Element | |
| typeCode | 1..1 | code | Binding: ActRelationshipPertains (required) Fixed Value: REFV | |
| observationRange | S | 1..1 | ObservationRange | |
| classCode | 1..1 | code | Binding: ActClassObservation (required) | |
| moodCode | 1..1 | code | Binding: ActMoodPredicate (required) Fixed Value: EVN.CRT | |
| value | S | 1..1 | ||
| value | BL | |||
| value | ED | |||
| value | ED | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| interpretationCode | 0..1 | CE | Binding: ObservationInterpretation (required) | |
| code | 0..1 | string | Fixed Value: N | |
| codeSystem | 0..1 | string | Fixed Value: 2.16.840.1.113883.5.83 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.observationRange.classCode | required | ActClassObservation |
| Observation.referenceRange.observationRange.moodCode | required | Fixed Value: EVN.CRT |
| Observation.referenceRange.observationRange.interpretationCode | required | ObservationInterpretation |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:primary.nullFlavor | required | NullFlavor |
| Observation.code | extensible | IPSRadResultsObservation |
| Observation.statusCode | required | X_ActStatusActiveComplete |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.targetSiteCode | preferred | IPSTargetSiteCode |
| Observation.targetSiteCode.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.name.nullFlavor | required | NullFlavor |
| Observation.targetSiteCode.qualifier.value | preferred | LateralityQualifierCode |
| Observation.subject.typeCode | required | Fixed Value: SBJ |
| Observation.subject.contextControlCode | required | Fixed Value: OP |
| Observation.subject.awarenessCode | extensible | TargetAwareness |
| Observation.informant.typeCode | required | Fixed Value: INF |
| Observation.informant.contextControlCode | required | Fixed Value: OP |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Observation.referenceRange.observationRange.classCode | required | ActClassObservation |
| Observation.referenceRange.observationRange.moodCode | required | Fixed Value: EVN.CRT |
| Observation.referenceRange.observationRange.interpretationCode | required | ObservationInterpretation |
| Observation.referenceRange.observationRange.interpretationCode.nullFlavor | required | NullFlavor |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| entryRelationship-1 | null | Observation.entryRelationship:entryRelationship-1 | contains IPS Comment Activity 2.16.840.1.113883.10.22.4.22 (2017-04-05.html) : | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| obs-er-1 | error | Observation.entryRelationship, Observation.entryRelationship:entryRelationship-1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 7 elements (5 nested mandatory elements)
Must-Support: 12 elements
Fixed Value: 8 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ Health Level Seven. Package hl7.cda.uv.ips#1.0 based on FHIR 5.0.0-ballot. Generated 2023-01-12
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