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Template Laboratory Report Data Processing Entry 2017‑03‑21 10:41:01

Id2.16.756.5.30.1.1.10.4.4
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ch-palm-
Effective Date2017‑03‑21 10:41:01
Statusdraft DraftVersion Label2017
Namechpalm_entry_LaboratoryReportDataProcessingEntryDisplay NameLaboratory Report Data Processing Entry
DescriptionEach chapter (Laboratory Speciality Section and Laboratory Report Item Section) MUST contain exactly one findings group (CDA Body Laboratory Report Data Processing Entry).
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
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Specialization: template 1.3.6.1.4.1.19376.1.3.1 (2016‑07‑05)
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ch-palm-
ItemDTCardConfDescriptionLabel
hl7:act
chpadotsntry
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:templateId
II1 … 1Mchpadotsntry
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.1
hl7:id
II0 … 1An ID for this item CAN be filled for traceability.chpadotsntry
@extension
st1 … 1RMUST contain the ID itself. The ID MUST be unique within the system that issued the ID.
@root
uid1 … 1RMUST contain the OID of the system that issued the ID. OIDs of code systems, which are published in the public OID registry for the Swiss health care system (oid.refdata.ch) are REQUIRED. Others are NOT ALLOWED.
hl7:code
CD1 … 1M The same code as in the chapter (Laboratory Speciality Section Code or Laboratory Report Item Section Code) MUST be used. Both codes MUST be the identical.
TODO schematron to check these busines rules. 		chpadotsntry
hl7:text
EDNPIn the Laboratory Report Data Processing Entry, the text element is NOT PERMITTED for laboratory findings in Switzerland.chpadotsntry
hl7:statusCode
CS1 … 1M The status 'completed' means that all expected results for this findings group are present and in a final state.
The status 'active' means that the examinations are still running. Some results are still pending.
The status 'aborted' means that the examinations had to be aborted. Some results MAY be available. 		chpadotsntry
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20309 ActStatusAbortedCancelledCompleted (DYNAMIC)
Choice0 … 1
IF this findings group is based on a specimen of a non-human material, this MUST be declared with the subject element.
Elements to choose from:
hl7:subject
0 … 1Contains 2.16.756.5.30.1.1.10.4.5 Non-Human Subject - subject Containment (DYNAMIC)chpadotsntry
hl7:subject
0 … 1Contains 2.16.756.5.30.1.1.10.4.6 Human Patient with Non-Human Subject - subject Containment (DYNAMIC)chpadotsntry
hl7:performer
0 … *This CAN be used to indicate who has performed the test. This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.4.7 Laboratory Performer - performer Containment (DYNAMIC)		chpadotsntry
hl7:author
0 … *This CAN be used to indicate who has documented the result. This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.9.16 Author Compilation with name, addr and telecom (DYNAMIC)		chpadotsntry
Choice0 … *
This CAN be used to identify other parties:
  • Who has verified the result (AUTHEN).
  • Which external laboratory has delivered the result (RESP).
  • Which device (analyzer) was used to determine the result (DEV).
Elements to choose from:
hl7:participant
0 … *Who has verified the result (AUTHEN). This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.4.8 Laboratory Results Validator - participant Containment (DYNAMIC)		chpadotsntry
hl7:participant
0 … *Which external laboratory has delivered the result (RESP). This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.4.9 Responsible Party - participant Containment (DYNAMIC)		chpadotsntry
hl7:participant
0 … *Which device (analyzer) was used to determine the result (DEV). This information supersedes any information recorded at higher level.
Contains 2.16.756.5.30.1.1.10.4.10 Device - participant Containment (DYNAMIC)		chpadotsntry
Choice1 … *
A findings group may contain the following elements.
Note:The usage of Laboratory Observations, permitted by XD-LAB is NOT ALLOWED for this specification. Such Laboratory Observations MUST be placed in a Laboratory Battery Organizer.
Elements to choose from:
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.11 Specimen Collection (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.12 Specimen Received (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.13 Notification Organizer (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.14 Notifiable Condition (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.15 Case Identification (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.16 Outbreak Identification (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.17 Laboratory Isolate Organizer (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.19 Laboratory Battery Organizer (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.18 Multimedia Embedded Content (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *RContains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)chpadotsntry
@typeCode
cs1 … 1FCOMP
hl7:reference
0 … *This CAN be used to make reference to an external document.
Contains 2.16.756.5.30.1.1.10.4.29 External document (DYNAMIC)		chpadotsntry
@typeCode
cs1 … 1FREFR