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active Template  eHDSI Laboratory Result Observation

Id 2.16.840.1.113883.3.1937.777.11.10.154 Effective Date 2025‑05‑13 14:15:58
Status active Active Version Label
Name eHDSILaboratoryResultObservation Display Name eHDSI Laboratory Result Observation
Description
This template constrains the results of a clinical laboratory observation. 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 of template element with id 2.16.840.1.113883.3.1937.777.11.10.154
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 2 transactions and 11 templates, Uses 2 templates
Used by as Name Version
epsos-transactions-23 Transaction draft Return MRO 2013‑11‑02
epsos-transactions-12 Transaction draft Return PS of country A 2012‑05‑02
1.3.6.1.4.1.12559.11.10.1.3.1.3.42 Containment active eHDSI Result Organizer 2025‑05‑13 11:26:27
1.3.6.1.4.1.12559.11.10.1.3.1.2.5 link active eHDSI Coded Results 2025‑05‑13 11:18:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link active eHDSI Patient Summary 2024‑04‑19 10:03:32
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link retired eHDSI Patient Summary 2022‑09‑12 13:44:19
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link retired eHDSI Patient Summary 2020‑09‑02 10:19:44
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link retired eHDSI Patient Summary 2020‑04‑14 13:03:47
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link retired epSOS-Patient Summary 2018‑11‑14 10:53:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 link retired epSOS-Patient Summary 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 link retired epSOS-Health Care Encounter Report 2018‑11‑14 09:02:41
1.3.6.1.4.1.12559.11.10.1.3.1.2.5 link retired eHDSI Coded Results 2024‑01‑26 13:44:12
1.3.6.1.4.1.12559.11.10.1.3.1.2.5 link retired eHDSI Coded Results 2022‑04‑06 14:48:38
Uses as Name Version
2.16.840.1.113883.3.1937.777.11.10.151 Include active eHDSI Body Author DYNAMIC
2.16.840.1.113883.3.1937.777.11.10.155 Containment active eHDSI Comment Activity DYNAMIC
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="2.16.840.1.113883.3.1937.777.11.10.154"/>  <id root="1.2.3.999" extension="--example only--"/>  <code codeSystem="2.16.840.1.113883.6.1" code="41995-2" displayName="Hemoglobin A1c [Mass/volume] in Blood">
    <statusCode code="completed"/>    <effectiveTime>
      <low value="20171113173215"/>    </effectiveTime>
    <value xsi:type="PQ" value="4.8" unit="%"/>    <interpretationCode code="H" displayName="High" codeSystem="2.16.840.1.113883.5.83"/>    <author>
      <!-- template 2.16.840.1.113883.3.1937.777.11.10.151 'eHDSI Body Author' (dynamic) -->
    </author>
    <referenceRange>
      <observationRange>
        <value xsi:type="IVL_PQ">
          <low value="1.5" unit="%"/>          <high value="4.5" unit="%"/>        </value>
        <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>      </observationRange>
    </referenceRange>
    <entryRelationship typeCode="COMP">
      <!-- template 2.16.840.1.113883.3.1937.777.11.10.155 'eHDSI Comment Activity' (dynamic) -->
    </entryRelationship>
  </code>
</observation>
Item DT Card Conf Description Label
hl7:observation
@classCode
cs 1 … 1 F OBS
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II.EPSOS 1 … 1 M
@root
uid 1 … 1 F 2.16.840.1.113883.3.1937.777.11.10.154
hl7:id
II.EPSOS 0 … * R
hl7:code
CD.EPSOS 1 … 1 M
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.70 eHDSILabCode (DYNAMIC)
hl7:statusCode
CS 1 … 1 M
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.19890 x_ActStatusActiveComplete (DYNAMIC)
hl7:effectiveTime
IVL_TS 1 … 1 R
Choice 1 … 1 Elements to choose from:
  • hl7:value[@xsi:type='CS']
  • hl7:value[@xsi:type='PQ']
  • hl7:value[@xsi:type='IVL_PQ']
  • hl7:value[@xsi:type='ST']
  • hl7:value[@xsi:type='TS']
  • hl7:value[@xsi:type='RTO_QTY_QTY']
hl7:value
CS (extensible) 0 … 1 R
where [@xsi:type='CS']
  CONF
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.20 eHDSIBloodGroup (DYNAMIC)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.77 eHDSIPresenceAbsence (DYNAMIC)
or
The value of @code should be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.78 eHDSIMicroorganism (DYNAMIC)
  Example
Blood group A+ from SNOMED CT
<value xsi:type="CE" code="278149003" codeSystem="2.16.840.1.113883.6.96" displayName="Blood group A Rh(D) positive"/>
  Example
Germ susceptible to antimicrobial agent from HL7 vocabulary
<value xsi:type="CE" code="S" codeSystem="2.16.840.1.113883.11.78" displayName="susceptible"/>
hl7:value
PQ 0 … 1 R
where [@xsi:type='PQ']
  Constraint 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
  Example
Result physical quantity (data type PQ): 136 mmol per liter
<value xsi:type="PQ" value="136" unit="mmol/L"/>
hl7:value
IVL_PQ 0 … 1 R
where [@xsi:type='IVL_PQ']
  Example
Result interval of physical quantities (data type IVL_PQ): 150 - 400 Billion per 10 exp 9 liter
<value xsi:type="IVL_PQ">
  <low value="150" unit="10+9/l"/>  <high value="400" unit="10+9/l"/></value>
hl7:value
ST 0 … 1 R
where [@xsi:type='ST']
  Example
Result free text (data type ST)
<value xsi:type="ST">slight macrocytosis, check on alcohol consumption</value>
hl7:value
TS 0 … 1 R
where [@xsi:type='TS']
  Example
Result time stamp (data type TS): 6-Aug-2014
<value xsi:type="TS" value="20140806"/>
hl7:value
RTO_QTY_QTY 0 … 1 R
where [@xsi:type='RTO_QTY_QTY']
  Example
Result ratio (data type RTO_QTY_QTY): 1/179
<value xsi:type="RTO_QTY_QTY">
  <numerator xsi:type="INT" value="1"/>  <denominator xsi:type="INT" value="179"/></value>
hl7:interpretationCode
CE.EPSOS 0 … 1 R
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.73 eHDSIObservationInterpretation (DYNAMIC)
Included 0 … * R from 2.16.840.1.113883.3.1937.777.11.10.151 eHDSI Body Author (DYNAMIC)
hl7:templateId
II.EPSOS 0 … * M

notice Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

@root
uid 1 … 1 F 2.16.840.1.113883.3.1937.777.11.10.151
hl7:time
TS.EPSOS.TZ 0 … * R
hl7:assignedAuthor
ANY 0 … * M

notice Warning: If isMandatory=true, minimumMultiplicity shall be greater than 0.

hl7:id
II.EPSOS 1 … * R
hl7:code
ANY 0 … 1 R
Choice 0 … 1 Elements to choose from:
hl7:assignedPerson
ANY 0 … 1 C
hl7:assignedAuthoringDevice
ANY 0 … 1 C Contains 2.16.840.1.113883.3.1937.777.11.10.129 eHDSI Device (DYNAMIC)
hl7:representedOrganization
ANY 0 … 1
hl7:id
II.EPSOS 0 … *
hl7:name
ANY 0 … *
hl7:telecom
TEL.EPSOS 0 … *
hl7:addr
AD.EPSOS 0 … *
hl7:referenceRange
0 … 1 R The referenceRange is constrained to represent the normal range for this observation and this patient.
hl7:observationRange
1 … 1 M
hl7:code
CD.EPSOS NP
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.74 eHDSIReferenceRangeMeaning (DYNAMIC)
or
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.75 eHDSIReferenceRangeAppliesTo (DYNAMIC)
hl7:value
ANY 1 … 1 M
hl7:interpretationCode
CE.EPSOS 0 … 1
  CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.73 eHDSIObservationInterpretation (DYNAMIC)
hl7:entryRelationship
0 … * Contains 2.16.840.1.113883.3.1937.777.11.10.155 eHDSI Comment Activity (DYNAMIC)
@typeCode
cs 1 … 1 F COMP