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Template Laboratory Report Item Section 2017‑03‑20 21:27:50

Id2.16.756.5.30.1.1.10.3.5
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ch-palm-
Effective Date2017‑03‑20 21:27:50
Statusdraft DraftVersion Label2017
Namechpalm_section_LaboratoryReportItemDisplay NameLaboratory Report Item Section
Description
A Laboratory Specialty Section SHALL contain EITHER a list of Laboratory Report Item Section(s) OR a single text and entry element to represent the Report Items.
Choice 1: Use of sub-sections (Laboratory Report Item Sections)
With this option, the results of the examination MUST be documented in the subsections, and the main section (Laboratory Specialty Section) MUST NOT contain any text OR entry elements.
ClassificationCDA Section Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
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Specialization: template 1.3.6.1.4.1.19376.1.3.3.2.2 Laboratory Report Item Section (2008‑08‑08)
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XDLAB-
ItemDTCardConfDescriptionLabel
hl7:section
chpadotsItem
hl7:templateId
II1 … 1MchpadotsItem
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.2.2
hl7:code
CE1 … 1RThis declares the laboratory discipline of the section.chpadotsItem
@displayName
1 … 1RThe displayName of the code MUST be specified for tracking purposes. However, processing is NOT ALLOWED. Instead, a processing system is to display a user readable language translation of the code from the value set.
@codeSystemName
st1 … 1FLOINC
@codeSystem
oid1 … 1F2.16.840.1.113883.6.1
@code
cs1 … 1RThe code MUST be declared and taken from the value set 'Laboratory Specialties'.
 CONF
The value of @code shall be drawn from value set 1.3.6.1.4.1.19376.1.3.11.1 Laboratory Specialties (DYNAMIC)
hl7:title
ST1 … 1M The title of the chapter MUST be specified and correspond to the following text format, where <human readable code> contains the corresponding translation of the document LOINC code:
  • [ge]: 'Laborbefund - <human readable code>'
  • [fr]: 'Rapport de laboratoire - <human readable code>'
  • [it]: 'Referto di laboratorio - <human readable code>'
  • [en]: 'Laboratory Specialty - <human readable code>'

The following translations of the LOINC codes given in XD-LAB MUST be used:
LOINC CodeText
18717-9[ge]: Immunhämatologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18718-7[ge]: Molekularbiologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18719-5[ge]: Chemie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18720-3[ge]: Gerinnung
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18721-1[ge]: Medikamente
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18722-9[ge]: Fertilität
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18723-7[ge]: Hämatologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18724-5[ge]: HLA
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18725-2[ge]: Mikrobiologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18727-8[ge]: Serologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18728-6[ge]: Toxikologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18729-4[ge]: Urin Untersuchungen
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18767-4[ge]: Blutgase
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18768-2[ge]: Differenzialblutbild
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
18769-0[ge]: Antibiogramme
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
26435-8[ge]: Molekulare Pathologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
26436-6[ge]: Laboruntersuchungen
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
26437-4[ge]: Stimulationen
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
26438-2[ge]: Zytologie
[fr]: TOTRANSLATE
[it]: TOTRANSLATE
chpadotsItem
 Example
German
<title>Laborbefund - Immunhämatologie</title>
 Example
English
<title>Laboratory Specialty - Blood Bank Studies</title>
hl7:text
SD.TEXT1 … 1RThe laboratory results MUST be automatically generated readable for humans in the text element of the section from the information in the Laboratory Data Processing Entry.chpadotsItem
hl7:entry
1 … 1RContains 2.16.756.5.30.1.1.10.4.4 Laboratory Report Data Processing Entry (DYNAMIC)chpadotsItem
@typeCode
cs1 … 1FDRIV