| Id |
2.16.840.1.113883.3.1818.10.3.13 |
Effective Date |
valid from 2017‑04‑03 02:39:51 |
| Status |
 Draft
|
Version Label |
|
| Name |
BCMedicalImagingObservation |
Display Name |
BC Medical Imaging Observation |
| Description |
The Medical Imaging Observation template defines the format for the results of observations
generated by imaging procedures. The scope includes observations such as plain x-ray,
ultrasound, CT, MRI,
angiography, echocardiography and nuclear medicine observations. The section often
includes notable results such as abnormal values or relevant trends, and could contain
all results for the period of time being documented.
Imaging results are typically generated by a clinician reviewing the output of an
imaging procedure, such as where a cardiologist reports the left ventricular ejection
fraction based on the review of a cardiac echocardiogram.
The Image Procedure Code element is used to identify the specific procedure that was
performed on the patient. The E2E Specification does not recommend any specific Code
System to be used for this element.
-
If the source system does NOT contain a code for the procedure, then the Image Procedure
Code element
SHALL
be the
NullFlavor
‘OTH’ and the Image Procedure Name elem
ent
SHALL
be populated:
-
If the source system does contain a code for the procedure then the Image Procedure
Code element
SHALL
be populated with the code,
codeSystem
,
codeSystemName
and
displayName
.
-
The receiving system
SHALL
support receipt of coded imaging procedure results.
-
If the receiving system cannot process the
codeSystem
for the Image procedure Code, then the receiving system
SHALL
capture the procedure as a free text entry and
SHALL
store the received code information with the record.
|
|
| Context |
Parent nodes of template element with id 2.16.840.1.113883.3.1818.10.3.13 |
| Classification |
CDA Entry Level Template |
| Open/Closed |
Open (other than defined elements are allowed) |
| Used by / Uses |
| Used by 7 templates, Uses 3 templates |
|
|
|
| Relationship |
Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
|
| Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
1 … 1 |
R |
|
CONF‑1038 |
 |
@classCode
|
|
cs |
1 … 1 |
F |
OBS |
CONF‑1039 |
|
@moodCode
|
|
cs |
1 … 1 |
F |
EVN |
CONF‑1040 |
|
hl7:templateId
|
|
II |
1 … 1 |
M |
|
CONF‑1038 |
 |
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.3.1818.10.3.13 |
|
hl7:templateId
|
|
II |
1 … 1 |
R |
|
CONF‑1038 |
|
|
@root
|
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.12.303 |
|
hl7:id
|
|
II |
1 … 1 |
M |
|
CONF‑1041 |
|
hl7:code
|
|
CD |
1 … 1 |
R |
|
CONF‑1042 |
| |
CONF |
|
|
hl7:text
|
|
ED |
0 … 1 |
R |
|
CONF‑1043 |
|
hl7:effectiveTime
|
|
IVL_TS |
0 … 1 |
|
|
CONF‑1044 |
|
hl7:entryRelationship
|
|
|
0 … * |
|
Contains 2.16.840.1.113883.3.1818.10.4.24 BC Reason Observation (DYNAMIC)
|
CONF‑1045 |
|
where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.24']] [hl7:templateId
[@root='2.16.840.1.113883.10.12.303']]] |
|
|
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
RSON |
CONF‑1291 |
|
|
@contextConductionInd
|
|
bl |
1 … 1 |
R |
|
CONF‑1292 |
|
hl7:entryRelationship
|
|
|
0 … * |
|
Contains 2.16.840.1.113883.3.1818.10.4.1 BC Attachment (DYNAMIC)
|
CONF‑1046 |
|
where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1818.10.4.1']] [hl7:templateId
[@root='2.16.840.1.113883.10.12.303']]] |
|
|
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
COMP |
CONF‑1202 |
|
|
@contextConductionInd
|
|
bl |
1 … 1 |
R |
|
CONF‑1203 |
|
hl7:entryRelationship
|
|
|
0 … * |
R |
Contains 2.16.840.1.113883.3.1937.777.17.10.76 BC Image Detail Observation (DYNAMIC)
|
CONF‑1047 |
|
where [hl7:observation [hl7:templateId [@root='2.16.840.1.113883.3.1937.777.17.10.76']]
[hl7:templateId [@root='2.16.840.1.113883.10.12.303']]] |
|
|
|
|
@typeCode
|
|
cs |
1 … 1 |
F |
COMP |
CONF‑1048 |
|
Template BC Medical Imaging Observation