Template IHE Laboratory Observation 2016‑06‑24 13:58:31

1.3.6.1.4.1.19376.1.3.1.6

Effective Date

2016‑06‑24 13:58:31

Status

Draft

Version Label

LAB TF-3, Revision 6.0 - Final Text, July 14, 2015

Name

IHELaboratoryObservation

Display Name

IHE Laboratory Observation

Description

2.3.4.1 Laboratory Specialty Section

The document SHALL contain at least one Laboratory Observation within each Laboratory Report Data Processing Entry (See 2.3.5.10).

Context

Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.1.6

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 0 transactions and 23 templates, Uses 9 templates

Used by	as	Name	Version
1.2.40.0.34.6.0.11.3.61	Include	EMS Organizer Labor (2020)	2020‑02‑20 16:12:29
1.2.40.0.34.11.13.3.26	Containment	ELGA Results Organizer (0.1)	2017‑09‑09 17:12:50
1.2.40.0.34.11.30020	Containment	ELGA Spezimen-Act-Entry Allgemein	2012‑01‑07
1.2.40.0.34.11.30020	Containment	ELGA Spezimen-Act-Entry Allgemein	2014‑03‑04
1.2.40.0.34.11.30020	Containment	ELGA Spezimen-Act-Entry Allgemein	2015‑04‑30
1.2.40.0.34.11.30020	Containment	ELGA Spezimen-Act-Entry Allgemein	2017‑02‑20
1.2.40.0.34.11.30020	Containment	ELGA Spezimen-Act-Entry Allgemein	2017‑02‑22
1.2.40.0.34.11.30023	Include	Befundgruppen (Laboratory Battery Organizer)-deprecated	2012‑01‑07
1.2.40.0.34.11.30025	Containment	Kultureller Keimnachweis (Laboratory Isolate Organzier)	2012‑01‑07
1.2.40.0.34.11.30025	Containment	Kultureller Keimnachweis (Laboratory Isolate Organzier)	2017‑02‑23
1.2.40.0.34.777.10.10.998	Containment	Befundgruppen (Laboratory Battery Organizer)	2020‑04‑15 19:35:19
1.3.6.1.4.1.19376.1.3.1	Containment	Laboratory Report Data Processing Entry (2017)	2008‑08‑08
1.3.6.1.4.1.19376.1.3.1	Containment	BC Laboratory Report Data Processing Entry	2016‑04‑05 01:31:43
1.3.6.1.4.1.19376.1.3.1.4	Containment	Laboratory Battery Organizer (2017)	2008‑08‑08
1.3.6.1.4.1.19376.1.3.1.4	Containment	Befundgruppen (Laboratory Battery Organizer)	2013‑09‑09
1.3.6.1.4.1.19376.1.3.1.4	Containment	BC Laboratory Battery Organizer	2016‑04‑05 01:44:00
1.3.6.1.4.1.19376.1.3.1.4	Containment	Befundgruppen (Laboratory Battery Organizer)	2017‑02‑23
1.3.6.1.4.1.19376.1.3.1.5	Containment	Laboratory Isolate Organizer (2017)	2008‑08‑08
1.3.6.1.4.1.19376.1.3.1.5	Containment	BC Laboratory Isolate Organizer	2016‑09‑29 14:55:37
1.3.6.1.4.1.19376.1.3.1.6	Containment	BC Laboratory Observation	2016‑04‑05 01:50:49
2.16.840.1.113883.3.1937.99.61.41.10.18	Containment	Befundgruppen (Laboratory Battery Organizer)-Sandbox-sm	2019‑03‑26 18:07:27
2.16.840.1.113883.3.1937.99.61.41.10.22	Containment	Kultureller Keimnachweis (Laboratory Isolate Organzier)-Sandbox-sm	2019‑03‑26 18:12:07
2.16.840.1.113883.3.1937.99.61.41.10.27	Containment	Laboratory Report Data Processing Entry_Sandbox-sm (2017)	2019‑03‑27 16:09:06
Uses	as	Name	Version
2.16.840.1.113883.10.12.300	Containment	CDA Clinical Statement	DYNAMIC
2.16.840.1.113883.10.12.318	Containment	CDA Author (Body)	DYNAMIC
2.16.840.1.113883.10.12.319	Containment	CDA Informant (Body)	DYNAMIC
2.16.840.1.113883.10.12.320	Containment	CDA Subject (Body)	DYNAMIC
2.16.840.1.113883.10.12.321	Containment	CDA Participant (Body)	DYNAMIC
2.16.840.1.113883.10.12.322	Containment	CDA Specimen	DYNAMIC
2.16.840.1.113883.10.12.323	Containment	CDA Performer (Body)	DYNAMIC
2.16.840.1.113883.10.12.324	Containment	CDA Reference	DYNAMIC
2.16.840.1.113883.10.12.329	Containment	CDA Precondition	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)

ref

ad1bbr-

Item

Card

Conf

Description

Label

hl7:observation

IHELtion

@classCode

0 … 1

OBS

Mandatory and fixed

@moodCode

1 … 1

EVN

Mandatory and fixed

@negationInd

0 … 1

hl7:templateId

1 … 1

IHELtion

@root

uid

1 … 1

2.16.840.1.113883.3.1937.99.61.27.10.5

hl7:templateId

1 … 1

IHELtion

@root

uid

1 … 1

2.16.840.1.113883.10.12.303

hl7:templateId

1 … 1

Mandatory and fixed

IHELtion

@root

uid

1 … 1

1.3.6.1.4.1.19376.1.3.1.6

hl7:id

0 … *

IHELtion

hl7:code

1 … 1

Unique test code in an international standard (LOINC or SNOMED CT) or a national standard (e.g., JC10 in Japan)

IHELtion

hl7:derivationExpr

0 … 1

IHELtion

hl7:text

0 … 1

IHELtion

hl7:statusCode

0 … 1

‘completed’ when the result is present. ‘aborted’ if the test could not be performed. TODO: Value-Set ActStatus {completed|aborted }

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)

hl7:effectiveTime

IVL_TS

0 … 1

Physiologically relevant time

IHELtion

hl7:priorityCode

0 … 1

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)

hl7:repeatNumber

IVL_INT

0 … 1

IHELtion

hl7:languageCode

0 … 1

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)

hl7:value

ANY

0 … *

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 ‘aborted’ observation.

IHELtion

hl7:interpretationCode

0 … *

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
DDS = dose dependent susceptibility

This element may be coded with other values than those of the ObservationInterpretation vocabulary, given that the coding strength is CWE (coded with exceptions). TODO: Value-Set combination of ObservationInterpretation and ObservationInterpretationSusceptibility

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)

hl7:methodCode

0 … *

method used for this observation expressed with ObservationMethod vocabulary (CWE)

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)

hl7:targetSiteCode

0 … *

IHELtion

@codeSystem

CONF

0 … 1

2.16.840.1.113883.5.1052

hl7:subject

0 … 1

See tables 2.3.5.3-1 and 2.3.5.4-1 TODO: typeCode='SBJ' and 2.3.5.3 Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.2.1 or 2.3.5.4 Human Patient with Non-Human Subject 1.3.6.1.4.1.19376.1.3.3.1.3.1

Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)

IHELtion

hl7:specimen

0 … *

Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)

IHELtion

hl7:performer

0 … *

TODO: typeCode='PRF'

Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)

IHELtion

hl7:author

0 … *

TODO: typeCode='AUT'

Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)

IHELtion

hl7:informant

0 … *

Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)

IHELtion

hl7:participant

0 … *

See 2.3.5.13

AUTHEN for verifier,
RESP for responsible party
DEV for device (e.g., lab analyzer)

TODO: typeCode={AUTHEN|RESP|DEV}

Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)

IHELtion

hl7:entryRelationship

0 … *

Contains 2.16.840.1.113883.10.12.300 CDA Clinical Statement (DYNAMIC)

IHELtion

@typeCode

1 … 1

CONF

The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)

@contextConductionInd

0 … 1

@inversionInd

0 … 1

@negationInd

0 … 1

hl7:sequenceNumber

INT

0 … 1

IHELtion

hl7:seperatableInd

0 … 1

IHELtion

hl7:reference

0 … *

Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)

IHELtion

hl7:precondition

0 … *

Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)

IHELtion

hl7:referenceRange

0 … *

IHELtion

@typeCode

1 … 1

REFV

hl7:observationRange

1 … 1

IHELtion

@classCode

0 … 1

OBS

@moodCode

0 … 1

EVN.CRT

hl7:code

0 … 1

IHELtion

@codeSystem

CONF

0 … 1

2.16.840.1.113883.5.4

hl7:text

0 … 1

IHELtion

hl7:value

ANY

0 … 1

IHELtion

hl7:interpretationCode

0 … 1

IHELtion

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)

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Template IHE Laboratory Observation 2016‑06‑24 13:58:31

2.3.4.1 Laboratory Specialty Section