Template

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Template Specimen Collection HCIM 2017‑10‑16

Id2.16.840.1.113883.2.4.3.11.60.7.10.3
ref
zib2017bbr-
Effective Date2017‑10‑16
Statuspending Under pre-publication reviewVersion Label
NameSpecimenCollectionHCIMDisplay NameSpecimen Collection HCIM
Description
en-US Specimen Collection, when present, SHALL be recorded under the Specimen Act in an entryRelationship under the Laboratory Data Processing Entry. The table below shows how the information for this element is coded, and further constraints are provided in the following sections.

The original template from IHE was not in sync with the normative source http://ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_TF_Vol3.pdf paragraph 6.3.4.5 Specimen Collection, and the original template did not cover all HCIM required properties: CollectionMethod, ContainerType, Laterality, Morphology, SpecimenSource. Changes in this adaptation:
  • Wrapped Procedure.effectiveTime in a choice between datatype IVL_TS and datatype TS
  • Added Procedure.methodCode (0..1 CE) for the CollectionMethod
  • Removed erroneous description from Procedure.participant that stated "A participant SHALL have an id, addr, and telecom. Additionally, the participant MAY have a playingEntity to capture a person's name and a scopingEntity to capture the organization."
  • Extended specification on Procedure.targetSiteCode so it is explicit where AnatomicalLocation, Laterality, Morphology and SpecimenSource go to
  • Added Procedure.participant[typeCode = PRD].participantRole.id description and binding
  • Added Procedure.participant[typeCode = PRD].participantRole.playingEntity.quantity (0..1 PQ)
  • Added Procedure.participant[typeCode = SBJ] to convey ContainerType. Note that this was modeled after the HL7 V3 Specimen domain as closely as possible within CDA
  • Changed Procedure/code from 0..1 to 1..1
  • Changed Procedure/participant (Specimen Collection: Specimen details) from 1..1 to 0..1 to support sending specimen collection time without specimen type specifics (ZIB-621)

nl-NL De tabel hieronder toont hoe de informatie voor dit element wordt gecodeerd en verdere inperkingen.

De oorspronkelijke template van IHE was liep niet synchroon met de normatieve bron http://ihe.net/uploadedFiles/Documents/PaLM/IHE_PaLM_TF_Vol3.pdf paragraaf 6.3.4.5 Specimen Collection, en tevens ondersteunde de oorspronkelijke template ondersteunde niet alle vereiste ZIB eigenschappen: VerzamelMethode, Containertype, Lateraliteit, Morfologie, BronMonster. Wijzigingen in deze versie:
  • Procedure.effectiveTime is in een keuze geplaatst ten behoeve van datatype IVL_TS en datatype TS
  • Toegevoegd: Procedure.methodCode (0..1 CE) voor de Afnamewijze
  • Verkeerde omschrijving verwijderd van Procedure.participant die las "A participant SHALL have an id, addr, and telecom. Additionally, the participant MAY have a playingEntity to capture a person's name and a scopingEntity to capture the organization."
  • Specificatie uitgebreid op Procedure.targetSiteCode zodat expliciet is waar AnatomischeLocatie, Lateraliteit, Morfologie en BronMonster thuishoren
  • Toegevoegd: Procedure.participant[typeCode = PRD].participantRole.id omschrijving en terminologiekoppeling
  • Toegevoegd: Procedure.participant[typeCode = PRD].participantRole.playingEntity.quantity (0..1 PQ)
  • Toegevoegd: Procedure.participant[typeCode = SBJ] voor Containertype. Merk op dat deze zo goed mogelijk is gemodelleerd conform het HL7v3 Specimen domein binnen de structuur van CDA
  • Gewijzigd: Procedure/code van 0..1 naar 1..1
  • Gewijzigd: Procedure/participant (Afname: Details materiaal) from 1..1 to 0..1 om afnametijd zonder monsterdetails te ondersteunen (ZIB-621)
ContextParent nodes of template element with id 2.16.840.1.113883.2.4.3.11.60.7.10.3
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 5 transactions and 24 templates, Uses 2 templates
Used by as NameVersion
2.16.840.1.113883.2.4.3.11.60.66.4.507Transactionpending nl-NL Sturen Rapportage Consult
en-US Send Encounter Report		2018‑04‑13
2.16.840.1.113883.2.4.3.11.60.20.77.4.195Transactioncancelled nl-NL Sturen medicatievoorschrift (9.1)2015‑12‑01 10:32:15
2.16.840.1.113883.2.4.3.11.60.7.4.2.13.1Transactiondeprecated nl-NL Registratie
en-US Registration (4.0)		2017‑09‑04
2.16.840.1.113883.2.4.3.11.60.7.4.2.13.1Transactionfinal nl-NL Registratie
en-US Registration (4.1)		2017‑12‑31
2.16.840.1.113883.2.4.3.11.60.66.4.514Transactiondraft nl-NL Beschikbaarstellen labbepalingen
en-US Lab Results Response		2018‑04‑13
2.16.840.1.113883.2.4.3.11.60.7.10.1linkretired Laboratory Battery or Isolate2017‑10‑16 14:59:25
2.16.840.1.113883.2.4.3.11.60.7.10.1linkpending Laboratory Battery or Isolate2021‑08‑30
2.16.840.1.113883.2.4.3.11.60.7.10.2linkretired Laboratory Battery Organizer (Specimen)2017‑10‑16
2.16.840.1.113883.2.4.3.11.60.7.10.2Containmentpending Laboratory Battery Organizer (Specimen)2021‑08‑30 14:46:35
2.16.840.1.113883.2.4.3.11.60.7.10.2Containmentcancelled Laboratory Battery Organizer (Specimen)2021‑10‑27 16:59:56
2.16.840.1.113883.2.4.3.11.60.7.10.4linkretired Laboratory Isolate Organizer (Specimen)2017‑10‑16
2.16.840.1.113883.2.4.3.11.60.7.10.4linkpending Laboratory Isolate Organizer (Specimen)2021‑08‑30 14:45:51
2.16.840.1.113883.2.4.3.11.60.7.10.4linkcancelled Laboratory Isolate Organizer (Specimen)2021‑10‑27 17:00:31
2.16.840.1.113883.2.4.3.11.60.7.10.31Containmentretired Laboratory Observation NL2017‑12‑05
2.16.840.1.113883.2.4.3.11.60.7.10.31Containmentpending Laboratory Observation NL2021‑08‑30 14:16:27
2.16.840.1.113883.2.4.3.11.60.20.77.10.9272linkretired MP HL7 Voorschrift Organizer (9.1)2019‑11‑21 11:26:36
2.16.840.1.113883.2.4.3.11.60.20.77.10.9273linkretired MP CDA Voorschrift (9.1)2019‑11‑21 11:29:33
2.16.840.1.113883.2.4.3.11.60.20.77.10.9274linkretired Basis Voorschrift (9.1)2019‑11‑21 11:36:18
2.16.840.1.113883.2.4.3.11.60.25.10.51linkdraft Lab2Zorg - Sharing Laboratory Reports (XD-LAB) (2017)2018‑06‑05 14:37:04
2.16.840.1.113883.2.4.3.11.60.25.10.52linkcancelled Laboratory Specialty Section (2017)2018‑06‑05 14:38:48
2.16.840.1.113883.2.4.3.11.60.25.10.52linkactive Laboratory Specialty Section2021‑10‑27
2.16.840.1.113883.2.4.3.11.60.25.10.52linkdraft Laboratory Specialty Section2022‑12‑20 14:13:14
2.16.840.1.113883.2.4.3.11.60.25.10.53Containmentretired Laboratory Report Data Processing Entry (2017)2018‑06‑05 14:42:09
2.16.840.1.113883.2.4.3.11.60.25.10.53Containmentpending Laboratory Report Data Processing Entry (2017)2021‑10‑27
2.16.840.1.113883.2.4.3.11.60.25.10.54linkcancelled Laboratory Report Item Section (2017)2018‑06‑05 14:44:20
2.16.840.1.113883.2.4.3.11.60.25.10.54linkactive Laboratory Report Item Section (2017)2021‑10‑27
2.16.840.1.113883.2.4.3.11.60.66.10.61linkactive KEZO Clinical Document Overdracht2018‑04‑18
2.16.840.1.113883.2.4.3.11.60.66.10.77linkactive Organizer Labbepalingen2018‑04‑18
2.16.840.1.113883.2.4.3.11.60.66.10.302linkactive KEZO Summary Section2018‑04‑18
Uses as NameVersion
1.3.6.1.4.1.19376.1.3.1.3Containmentactive Specimen Received (2017)DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.2Containmentactive IHE Comment Entry (2014)DYNAMIC
RelationshipAdaptation: template 1.3.6.1.4.1.19376.1.3.1.2 Specimen Collection (2008‑08‑08)
ref
XDLAB-

Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Example
Specimen Collection Example
<procedure classCode="PROC" moodCode="EVN">
  <templateId root="2.16.840.1.113883.2.4.3.11.60.7.10.3"/>  <templateId root="1.3.6.1.4.1.19376.1.3.1.2"/>  <code code="33882-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Specimen Collection"/>  <effectiveTime>
    <low value="20170329074309"/>  </effectiveTime>  <targetSiteCode/>  <performer/>  <participant typeCode="PRD">
    <participantRole classCode="SPEC">
      <id root="1.2.3.999" extension="--example only--"/>      <playingEntity>
        <code code="420135007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Whole blood (substance)"/>      </playingEntity>    </participantRole>  </participant>  <entryRelationship>
    <!-- template 1.3.6.1.4.1.19376.1.3.1.3 'Specimen Received' (dynamic) -->
  </entryRelationship></procedure>
ItemDTCardConfDescriptionLabel
hl7:procedure
SpecdotsHCIM
@classCode
cs1 … 1FPROC
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Men-US Template ID HCIM Lab extension
nl-NL Template id ZIB Lab extensie		SpecdotsHCIM
@root
uid1 … 1F2.16.840.1.113883.2.4.3.11.60.7.10.3
hl7:templateId
II1 … 1Men-US Template ID IHE XDLAB
nl-NL Template id IHE XDLAB		SpecdotsHCIM
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.1.2
hl7:code
CD1 … 1Men-US LOINC code representing the act of specimen collection
nl-NL LOINC code die de monsterafname-verrichting voorstelt		SpecdotsHCIM
@displayName
1 … 1Rnl-NL Weergavenaam van de code, bijvoorbeeld "Specimen Collection"
en-US Display name for the code, e.g. "Specimen Collection"
@code
CONF1 … 1F33882-2
@codeSystem
1 … 1F2.16.840.1.113883.6.1
Choice0 … 1Elements to choose from:
  • hl7:effectiveTime
  • hl7:effectiveTime
hl7:effectiveTime
IVL_TS0 … 1Ren-US CollectionPeriod
nl-NL AfnamePeriode		SpecdotsHCIM
hl7:effectiveTime
TS0 … 1Ren-US CollectionDateTime
nl-NL AfnameDatumTijd		SpecdotsHCIM
hl7:methodCode
CE0 … 1en-US CollectionMethod
nl-NL Afnameprocedure		SpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2 (2017‑12‑31)
hl7:targetSiteCode
CD0 … 1en-US AnatomicalLocation
nl-NL AnatomischeLocatie		SpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11 (2017‑12‑31)
hl7:qualifier
CR0 … 1en-US Laterality
nl-NL Lateraliteit		SpecdotsHCIM
hl7:name
CV1 … 1Men-US SNOMED CT: Laterality (attribute)
nl-NL SNOMED CT: Laterality (attribute)		SpecdotsHCIM
@code
CONF1 … 1F272741003
@codeSystem
1 … 1F2.16.840.1.113883.6.96
hl7:value
CD1 … 1RSpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12 (2017‑12‑31)
hl7:qualifier
CR0 … 1en-US Morphology
nl-NL Morfologie		SpecdotsHCIM
hl7:name
CV1 … 1Men-US SNOMED CT: Specimen source morphology (attribute)
nl-NL SNOMED CT: Specimen source morphology (attribute)		SpecdotsHCIM
@code
CONF1 … 1F118168003
@codeSystem
1 … 1F2.16.840.1.113883.6.96
hl7:value
CD1 … 1RSpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13 (2017‑12‑31)
hl7:targetSiteCode
CD0 … 1en-US SpecimenSource
nl-NL BronMonster		SpecdotsHCIM
@nullFlavor
cs1 … 1FOTH
hl7:originalText
ST1 … 1SpecdotsHCIM
hl7:performer
0 … 1en-US Performer participation used if specific performer on this specimen collection procedure, to supersede all performers of higher level.
nl-NL Uitvoerende participant, te gebruiken wanneer een specifieke uitvoerende bestaat voor deze afnameprocedure, en welke alle uitvoerenden op hogere niveau's vervangt.		SpecdotsHCIM
hl7:participant
0 … 1Ren-US Specimen Collection: Specimen details
nl-NL Afname: Details materiaal		SpecdotsHCIM
@typeCode
cs1 … 1FPRD
hl7:participantRole
1 … 1MSpecdotsHCIM
@classCode
cs0 … 1FSPEC
hl7:id
II1 … 1Ren-US SpecimenId
nl-NL Monsternummer		SpecdotsHCIM
hl7:playingEntity
1 … 1RSpecdotsHCIM
hl7:code
CE1 … 1en-US SpecimenMaterial
nl-NL Monstermateriaal		SpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6 (2017‑12‑31)
hl7:quantity
PQ0 … 1en-US CollectionVolume
nl-NL Verzamelvolume		SpecdotsHCIM
hl7:participant
0 … 1Ren-US Specimen Collection: Container details
nl-NL Afname: Details container		SpecdotsHCIM
@typeCode
cs1 … 1FSBJ
hl7:participantRole
1 … 1MSpecdotsHCIM
@classCode
cs1 … 1FCONT
hl7:id
II0 … 1en-US SpecimenId + SpecimenNumberExtension
nl-NL Monsternummer + Monstervolgnummer		SpecdotsHCIM
hl7:playingEntity
1 … 1RSpecdotsHCIM
@classCode
cs1 … 1FCONT
hl7:code
CE1 … 1en-US ContainerType
nl-NL Containertype		SpecdotsHCIM
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9 (2017‑12‑31)
hl7:entryRelationship
0 … 1en-US ReceivedDateTime
nl-NL AannameDatumTijd
Contains 1.3.6.1.4.1.19376.1.3.1.3 Specimen Received (DYNAMIC)		SpecdotsHCIM
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Rnl-NL Toelichting
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry (DYNAMIC)		SpecdotsHCIM
@typeCode
cs0 … 1FCOMP