hl7:observation
|
|
1 … 1 |
M |
|
(LaboratoryObservation) |
@classCode
|
|
1 … 1 |
F |
OBS |
@moodCode
|
|
1 … 1 |
F |
EVN |
hl7:templateId
|
II |
1 … 1 |
M |
|
(LaboratoryObservation) |
@root
|
|
1 … 1 |
F |
1.3.6.1.4.1.19376.1.3.1.6 |
hl7:id
|
II |
0 … 1 |
|
 A Laboratory Observation identifier MAY be present. |
(LaboratoryObservation) |
hl7:code
|
CE |
1 … 1 |
R |
Unique test code in an international standard (LOINC or SNOMED CT) or a national standard
(e.g. JC10 in Japan) |
(LaboratoryObservation) |
hl7:statusCode
|
CS |
1 … 1 |
M |
‘completed’ when the result is present.
‘aborted’ if the test could not be performed. |
(LaboratoryObservation) |
| |
CONF |
| @code moet "completed" zijn |
| of |
| @code moet "aborted" zijn |
|
hl7:effectiveTime
|
TS |
0 … 1 |
R |
Physiologically relevant time |
(LaboratoryObservation) |
hl7:value
|
ANY |
0 … 1 |
R |
The result obtained for this test using the appropriate data type. Numeric results
use data type PQ, which includes the unit. The result is absent in case of ‘obsolete’
or ‘aborted’ observation. |
(LaboratoryObservation) |
@xsi:type
|
|
1 … 1 |
F |
ANY |
hl7:interpretationCode
|
CE |
0 … 1 |
R |
One or more codes interpreting the result, expressed with ObservationInterpretation
vocabulary (e.g. H = high, L = low)
In case of a antimicrobial susceptibility test in microbiology, the vocabulary domain
is ObservationInterpretationSusceptibility: S = susceptible, R = resistant, I = intermediate,
VS = very susceptible, MS = moderately susceptible |
(LaboratoryObservation) |
| |
CONF |
| moet uit concept domein "Observation Interpretation" worden gekozen |
|
hl7:methodCode
|
CE |
0 … 1 |
R |
method used for this observation expressed with ObservationMethod vocabulary (CWE) |
(LaboratoryObservation) |
| |
CONF |
| moet uit concept domein "Observation Method" worden gekozen |
|
| Keuze |
… 1 |
|
Elementen om uit te kiezen:
|
hl7:subject
|
|
0 … 1 |
|
subject in case of a non-human subject attached to the isolate
Bevat 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMISCH)
|
(LaboratoryObservation) |
| waar [hl7:subject [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.2.1']] |
|
@typeCode
|
|
0 … 1 |
F |
SBJ |
hl7:subject
|
|
0 … 1 |
|
subject in case of a non-human subject attached to the isolate
Bevat 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMISCH)
|
(LaboratoryObservation) |
| waar [hl7:subject [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.3.1']] |
|
@typeCode
|
|
0 … 1 |
F |
SBJ |
hl7:specimen
|
|
0 … 1 |
R |
specimen participation if this observation uses a specific specimen not recorded at
a higher level. |
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
SPC |
hl7:specimenRole
|
|
0 … 1 |
|
|
(LaboratoryObservation) |
@classCode
|
|
1 … 1 |
F |
SPEC |
hl7:id
|
II |
0 … 1 |
|
specimen identifier known to the laboratory |
(LaboratoryObservation) |
hl7:specimenPlayingEntity
|
|
1 … 1 |
|
|
(LaboratoryObservation) |
hl7:code
|
CE |
1 … 1 |
M |
The specimen type coded with HL7 vocabulary SpecimenEntityType or another standard
vocabulary |
(LaboratoryObservation) |
| |
CONF |
| moet uit concept domein "Specimen Entity Type" worden gekozen |
|
lab:productOf
|
|
0 … 1 |
|
Extension to CDA Clinical Statement |
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
PRD |
| |
Voorbeeld |
<lab:productOf typeCode="PRD">
<lab:procedure classCode="PROC" moodCode="EVN">
<lab:effectiveTime value="200603210630"/>
</lab:procedure></lab:productOf> |
lab:procedure
|
|
|
|
|
(LaboratoryObservation) |
@classCode
|
|
1 … 1 |
F |
PROC |
@moodCode
|
|
1 … 1 |
F |
EVN |
lab:code
|
CE |
0 … 1 |
|
|
(LaboratoryObservation) |
lab:effectiveTime
|
IVL_TS |
1 … 1 |
M |
|
(LaboratoryObservation) |
lab:targetSiteCode
|
CD |
0 … * |
|
|
(LaboratoryObservation) |
hl7:performer
|
|
0 … 1 |
R |
performer participation. Performer to supersede those recorded at higher level.
Bevat 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMISCH)
|
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
PRF |
hl7:author
|
|
0 … * |
R |
author participation used to supersede the authors of higher level.
Bevat 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMISCH)
|
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
AUT |
| Keuze |
… 3 |
|
Elementen om uit te kiezen:
- hl7:participant[@typeCode='AUTHEN']
- hl7:participant[@typeCode='RESP']
- hl7:participant[@typeCode='DEV']
|
hl7:participant
|
|
0 … 1 |
|
Other participants "AUTHEN", "RESP", and "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.
|
(LaboratoryObservation) |
| waar [@typeCode='AUTHEN'] |
|
@typeCode
|
|
1 … 1 |
F |
AUTHEN |
hl7:participant
|
|
0 … 1 |
|
Other participants "AUTHEN", "RESP", and "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.
|
(LaboratoryObservation) |
| waar [@typeCode='RESP'] |
|
@typeCode
|
|
1 … 1 |
F |
RESP |
hl7:participant
|
|
0 … 1 |
|
Other participants "AUTHEN", "RESP", and "DEV".
- DEV: A device or equipment, which was used to produce this battery of results (e.g.
an analyzer).
|
(LaboratoryObservation) |
| waar [@typeCode='DEV'] |
|
@typeCode
|
|
1 … 1 |
F |
DEV |
hl7:entryRelationship
|
|
0 … * |
R |
Comment on this Observation
Bevat 1.3.6.1.4.1.19376.1.5.3.1.4.2 Annotation Comment (DYNAMISCH)
|
(LaboratoryObservation) |
| waar [@typeCode='COMP'] |
|
@typeCode
|
|
1 … 1 |
F |
COMP |
hl7:entryRelationship
|
|
0 … * |
R |
Previous observations obtained for the same patient, test, same method, same unit
(1)
Bevat 1.3.6.1.4.1.19376.1.3.1.6 Laboratory Observation (DYNAMISCH)
|
(LaboratoryObservation) |
| waar [@typeCode='REFR'] |
|
@typeCode
|
|
1 … 1 |
F |
REFR |
hl7:sequenceNumber
|
INT |
0 … 1 |
R |
|
(LaboratoryObservation) |
| |
Schematron assert |
role |
 error
|
|
| |
test |
hl7:observation/hl7:statusCode[@code='completed'] |
|
| |
Melding |
Status code of previous observations must be 'completed' |
|
hl7:referenceRange
|
|
0 … 1 |
R |
Reference range for the current test result |
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
REFV |
hl7:observationRange
|
|
1 … 1 |
M |
|
(LaboratoryObservation) |
@classCode
|
|
1 … 1 |
F |
OBS |
@moodCode
|
|
1 … 1 |
F |
EVN.CRT |
hl7:value
|
|
0 … 1 |
|
interval (IVL) representation |
(LaboratoryObservation) |
hl7:interpretationCode
|
CV |
1 … 1 |
R |
|
(LaboratoryObservation) |
@code
|
|
1 … 1 |
F |
N |
@codeSystem
|
|
1 … 1 |
F |
2.16.840.1.113883.5.83 (Observation Interpretation) |
lab:precondition
|
|
0 … * |
|
Extension to CDA Clinical statement |
(LaboratoryObservation) |
@typeCode
|
|
1 … 1 |
F |
PRCN |
lab:criterion
|
|
1 … 1 |
|
|
(LaboratoryObservation) |
@classCode
|
|
1 … 1 |
F |
COND |
@moodCode
|
|
1 … 1 |
F |
EVN |
lab:code
|
CE |
1 … 1 |
R |
Code of the criterion (e.g. age, sex) |
(LaboratoryObservation) |
lab:value
|
|
1 … 1 |
R |
Value of the criterion |
(LaboratoryObservation) |
Template Laboratory Observation
Wordt gereviewed