Left: | Results Section (http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection) |
Right: | Results Section (http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection) |
Error | StructureDefinition.version | Values for version differ: '3.0.0' vs '4.0.0' |
Information | StructureDefinition.date | Values for date differ: '2024-05-18T00:16:25-05:00' vs '2024-10-19T22:19:38+00:00' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
copyright | |||
date | 2024-05-18T00:16:25-05:00 | 2024-10-19T22:19:38+00:00 |
|
description | The Results Section contains observations of results generated by laboratories, imaging procedures, and other procedures. These coded result observations are contained within a Results Organizer in the Results Section. The scope includes observations such as hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and procedure 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. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory. 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. Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy. Subsections MAY be used to partition the entries into different categories. For example, a subsection with the LOINC code of 18748-4 (Diagnostic Imaging) MAY be used to group DI procedures and/or results. Similarly, 11502-2 (Clinical Laboratory) MAY be used to group laboratory results. | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | ResultsSection | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Results Section | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Section | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/ResultsSection | ||
version | 3.0.0 | 4.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments |
---|---|---|---|---|---|---|---|---|---|
Section | C | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | C | 1..1 | Section | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) shall-result-org: If section/@nullFlavor is not present, SHALL contain at least one Result Organizer | |
nullFlavor | 0..1 | ?? | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: ?? (required) | 0..1 | ?? | If a required section contains no information, the @nullFlavor MAY be set to NI Binding: ?? (required) | |||
realmCode | 0..* | CS | 0..* | CS | |||||
typeId | 0..1 | II | 0..1 | II | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||
ID | 0..1 | ?? | 0..1 | ?? | |||||
classCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | 0..1 | ?? | Binding: ?? (required) Fixed Value: DOCSECT | |||
moodCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 0..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||
id | 0..1 | II | 0..1 | II | |||||
code | 1..1 | CE | Relevant diagnostic tests/laboratory data Narrative Binding: ?? (example) | 1..1 | CE | Relevant diagnostic tests/laboratory data Narrative Binding: ?? (example) | |||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
code | 1..1 | ?? | Required Pattern: 30954-2 | 1..1 | ?? | Required Pattern: 30954-2 | |||
codeSystem | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.1 | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.1 | |||
codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||
codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||
displayName | 0..1 | ?? | 0..1 | ?? | |||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||
originalText | 0..1 | ED | 0..1 | ED | |||||
qualifier | 0..0 | 0..0 | |||||||
translation | 0..* | CD | 0..* | CD | |||||
title | 1..1 | ST | 1..1 | ST | |||||
text | 1..1 | xhtml | 1..1 | xhtml | |||||
confidentialityCode | 0..1 | CE | 0..1 | CE | |||||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||
subject | 0..1 | Subject | 0..1 | Subject | |||||
author | 0..* | Author | 0..* | Author | |||||
informant | 0..* | Informant | 0..* | Informant | |||||
Slices for entry | 0..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:organizer | 0..* | Entry | If section/@nullFlavor is not present: Slice: Unordered, Open by profile:organizer | |||
component | 0..* | InfrastructureRoot | 0..* | InfrastructureRoot | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
realmCode | 0..* | CS | 0..* | CS | |||||
typeId | 0..1 | II | 0..1 | II | |||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||
templateId | 0..* | II | 0..* | II | |||||
typeCode | 0..1 | ?? | Fixed Value: COMP | 0..1 | ?? | Fixed Value: COMP | |||
contextConductionInd | 0..1 | ?? | Fixed Value: true | 0..1 | ?? | Fixed Value: true | |||
section | 1..1 | Section | 1..1 | Section | |||||
Documentation for this format |