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<observation classCode="OBS" moodCode="EVN"> | |
<!-- Standard result observation template IDs --> | |
<templateId root="2.16.840.1.113883.10.20.22.4.2" /> | |
<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01" /> | |
<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2014-06-09" /> | |
<templateId root="1.2.840.114350.1.72.3.12"/> | |
<id extension="..." root="..." /> | |
<code code="18782-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/> | |
<statusCode code="completed"/> | |
<effectiveTime> | |
<low value="..."/> <!-- Exam begin instant --> | |
<high value="..."/> <!-- Exam end instant --> | |
</effectiveTime> | |
<value xsi:type="ST" nullFlavor="NA" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"/> | |
<text/> | |
<methodCode code="..."> <!-- Modality Type --> | |
<qualifier> | |
<name code="..."/> <!-- Report type --> | |
<value code="..."/> | |
</qualifier> | |
</methodCode> | |
<!-- Anatomical Region --> | |
<targetSiteCode code="..."> | |
<qualifier> <!-- Laterality --> | |
<name code="..."/> | |
<value code="..."/> | |
</qualifier> | |
</targetSiteCode> | |
<!-- Reading Physician --> | |
<author> | |
<templateId root="2.16.840.1.113883.10.20.22.4.119" /> | |
<!-- No functionCode at all for regular non-signing physicians --> | |
<time value="..." /> <!-- Date/time read --> | |
<assignedAuthor> | |
<!-- code, addr, etc --> | |
</assignedAuthor> | |
</author> | |
<!-- Signing Physician --> | |
<author> | |
<templateId root="2.16.840.1.113883.10.20.22.4.119" /> | |
<!-- functionCode[@code='VRF'] implies signing (but not finalizing) --> | |
<functionCode code="VRF" codeSystem="2.16.840.1.113883.5.90" codeSystemName="ParticipationType" /> | |
<time value="..." /> <!-- Date/time signed --> | |
<assignedAuthor> | |
<!-- code, addr, etc --> | |
</assignedAuthor> | |
</author> | |
<!-- Finalizing Physician --> | |
<author> | |
<templateId root="2.16.840.1.113883.10.20.22.4.119" /> | |
<!-- functionCode[@code='LA'] implies finalizing --> | |
<!-- Can use 'AUTHEN' instead if the finalizing physician's signature doesn't carry legal weight. --> | |
<functionCode code="LA" codeSystem="2.16.840.1.113883.5.90" codeSystemName="ParticipationType" /> | |
<time value="..." /> <!-- Date/time finalized --> | |
<assignedAuthor> | |
<!-- code, addr, etc --> | |
</assignedAuthor> | |
</author> | |
</observation> |
Leave finalizing and verifying as -is, Example TF would like SDWG to weigh in on the use of ParticipationType code system in the
<functionCode>
element.
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IRCP (information recipient) typo