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Template XeH Lab DocumentationOf 2021‑11‑29 17:16:55

Id2.16.840.1.113883.2.51.10.47Effective Date2021‑11‑29 17:16:55
Statusactive ActiveVersion Label2017
NameXeHLabDocumentationOfDisplay NameXeH Lab DocumentationOf
Description

Content Modules for CDA Header (Level 1): Laboratory Performer template in the CDA header (ClinicalDocument/documentationOf/serviceEvent)

ClinicalDocument/documentationOf(s) MAY be present. The documentationOf/serviceEvent represents the main Act being documented, that is an act of reporting Result Event(s) produced by a laboratory.

Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate.

This laboratory report content module adds the optional sub element documentationOf/serviceEvent/statusCode to enable the sharing of non-final reports. A report is considered as non-final (e.g., a preliminary report) if and only if it documents an Act, which is still in the status “active” (i.e., serviceEvent/statusCode@code=”active”).

The statusCode sub element is an extension to the CDA R2 schema. This sub-element is optional. When it is not there, the documented Act is assumed to be completed and the report is assumed to be a final report.

ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as NameVersion
2.16.840.1.113883.2.51.10.33Includeactive XeH Laboratory Result Report (1.0)2021‑10‑01 11:41:22
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.3.1.7Containmentactive Laboratory Performer (2017)DYNAMIC
RelationshipSpecialization: template 1.3.6.1.4.1.19376.1.3.10.9.15 XD-LAB DocumentationOf (2016‑07‑05)
ref
XDLAB-

Specialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07)
ref
ad1bbr-
ItemDTCardConfDescriptionLabel
hl7:documentationOf
1 … *RThere SHALL be exactly one documentationOf/serviceEvent element present for each Laboratory Specialty Section in the CDA Body of the report.

The code of the serviceEvent SHALL be exactly the same as the code of the referred Laboratory Specialty Section (see below)		XeHLdotsonOf
hl7:serviceEvent
1 … 1RXeHLdotsonOf
hl7:code
CE.IPS1 … 1RService Event codeXeHLdotsonOf
 ConstraintThis code SHALL be set to exact the same code, as the code of the Laboratory Specialty section this serviceEvent element refers to.
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.51.13.1.2 XeH Lab Study Types (DYNAMIC)
hl7:effectiveTime
IVL_TS0 … 1

Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate.

XeHLdotsonOf
lab:statusCode
CS0 … 1

This Laboratory Report Content Module can express both final and non-final reports. To distinguish between the two, the statusCode element has been added to the documentationOf/serviceEvent element. A non-final report is a report documenting a serviceEvent, which is in the status "active". This sub-element serviceEvent/statusCode is optional. When it is not present the serviceEvent is assumed to be in the status "completed".

XeHLdotsonOf
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.4 ActStatusActiveCompleted (DYNAMIC)
hl7:performer
0 … *

Laboratory Performer template in the CDA header


Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMIC)		XeHLdotsonOf