Template 2.16.840.1.113883.2.4.3.11.60.25.10.53 - LaboratoryReportDataProcessingEntry

Template Laboratory Report Data Processing Entry

2.16.840.1.113883.2.4.3.11.60.25.10.53

ref

zib2017bbr-

Ingangsdatum

2018‑06‑05 14:42:09

Status Ontwerp Versielabel 2017

Naam LaboratoryReportDataProcessingEntry Weergavenaam Laboratory Report Data Processing Entry

Omschrijving

Context Sibling nodes van template element met id 2.16.840.1.113883.2.4.3.11.60.25.10.53

Classificatie CDA entry level template

Open/gesloten Open (ook andere dan gedefinieerde elementen zijn toegestaan)

Gebruikt door / Gebruikt

Gebruikt door 0 transacties en 5 templates, Gebruikt 15 templates

Relatie

Specialisatie: template 1.3.6.1.4.1.19376.1.3.1 Laboratory Report Data Processing Entry (2008‑08‑08)

ref

XDLAB-

Specialisatie: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)

ref

ad1bbr-

Voorbeeld

Laboratory Report Data Processing Entry within a Specialty section

<entry typeCode="DRIV"> <templateId root="1.3.6.1.4.1.19376.1.3.1"/> <act classCode="ACT" moodCode="EVN">  <code code="18719-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Chemistry Studies"/> <statusCode code="completed"/> <entryRelationship typeCode="COMP">  </entryRelationship>  </act></entry>

Voorbeeld

Laboratory Report Data Processing Entry within a Report Item Section

<entry typeCode="DRIV"> <templateId root="2.16.840.1.113883.2.4.3.11.60.25.10.53"/> <templateId root="1.3.6.1.4.1.19376.1.3.1"/> <act classCode="ACT" moodCode="EVN">  <code code="12814-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="POTASSIUM"> <originalText>Serum potassium</originalText> </code> <statusCode code="completed"/> <entryRelationship typeCode="COMP">  </entryRelationship>  </act></entry>

Item DT Card Conf Omschrijving Label

hl7:templateId II 1 … 1 M (Labtry)

@root uid 1 … 1 F 2.16.840.1.113883.2.4.3.11.60.25.10.53

hl7:templateId II 1 … 1 M (Labtry)

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1

hl7:act

1 … 1

Er moet een Act sub-element zijn. Deze <act> wordt hierna de Specimen Act genoemd. Dit sub-element gebruikt de modules die zich aan de volgende requirements houden. Deze modules moeten, indien aanwezig, staan in <entryRelationship> elementen onder de Specimen Act.

Specimen Collection 2.16.840.1.113883.2.4.3.11.60.7.10.3
Specimen Received 1.3.6.1.4.1.19376.1.3.1.3
Specimen Site 1.3.6.1.4.1.19376.1.3.1.8
Notification Organizer
Notifiable Condition
Case Identifier
Outbreak Identifier
Laboratory Isolate Organizer
Laboratory Battery Organizer
Laboratory Observation
Mutimedia Embedded Content
Annotation Comment

(Labtry)

@classCode cs 1 … 1 F ACT

@moodCode cs 1 … 1 F EVN

hl7:code

1 … 1

Mandatory. When section is a Specialty Section, code is a LOINC Specialty. When section is a Report Item Section, code is a Report Item code.

(Labtry)

hl7:statusCode

1 … 1

Mandatory.

‘completed’ when all expected results are in a final state
‘active’ if not all expected results are present
‘aborted’ if the tests of this section did not reach completion. Some results MAY be there, but not all.

(Labtry)

CONF

@code moet "completed" zijn

@code moet "active" zijn

@code moet "aborted" zijn

Keuze

0 … 1

Elementen om uit te kiezen:

hl7:subject met template 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMISCH)
hl7:subject met template 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMISCH)

hl7:subject 0 … 1 subject in case of a non-human subject
Bevat 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMISCH) (Labtry)

waar [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.2.1']]

@typeCode cs 0 … 1 F SBJ

hl7:subject 0 … 1 subject in case of a non-human subject
Bevat 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMISCH) (Labtry)

waar [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.3.1']]

@typeCode cs 0 … 1 F SBJ

hl7:performer 0 … * performer participation used if different from the performer of the header, to supersede it for this section.
Bevat 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMISCH) (Labtry)

waar [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.7']]

@typeCode cs 0 … 1 F PRF

hl7:author 0 … * author used if different from the author of the header, to supersede it for this section. (Labtry)

hl7:participant

0 … *

Other participants such as validator (AUTHEN) or responsible party (RESP) or device (DEV)

AUTHEN: The verifier of the battery organizer. In the case where a laboratory report has multiple verifiers. Each verifier is attached to the subset of batteries/observations he or she verified, by the means of a <participant> element.

Bevat 1.3.6.1.4.1.19376.1.3.3.1.5 Laboratory Results Validator (DYNAMISCH)

(Labtry)

waar [@typeCode='AUTHEN']

hl7:participant

0 … *

Other participants such as validator (AUTHEN) or responsible party (RESP) or device (DEV)

RESP: The person responsible for the provision of the battery. In the case where this battery is subcontracted to an external laboratory, this external laboratory (with its address and telcom) and the actual performer is represented by a <performer> element, whereas the Director of this subcontractor laboratory is carried by the <participant> element being attached to the same level as the <performer> element.

(Labtry)

waar [@typeCode='RESP']

@typeCode cs 1 … 1 F RESP

hl7:participant

0 … *

Other participants such as validator (AUTHEN) or responsible party (RESP) or device (DEV)

DEV: A device or equipment, which was used to produce this battery of results (e.g. an analyzer).

(Labtry)

waar [@typeCode='DEV']

@typeCode cs 1 … 1 F DEV

hl7:entryRelationship 0 … * R Bevat 1.3.6.1.4.1.19376.1.3.1.1 Notification Organizer (DYNAMISCH) (Labtry)

waar [hl7:organizer [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.1.1']]]