chpalm_entry_LaboratoryReportDataProcessingEntry

Template Laboratory Report Data Processing Entry 2019‑08‑20

2.16.756.5.30.1.1.10.4.4

ref

ch-palm-

Effective Date

2019‑08‑20

Status

Active

Version Label

2019

Name

chpalm_entry_LaboratoryReportDataProcessingEntry

Display Name

Laboratory Report Data Processing Entry

Description

Each chapter (Laboratory Speciality Section and Laboratory Report Item Section) MUST contain exactly one findings group (CDA Body Laboratory Report Data Processing Entry).

Context

Sibling nodes of template element with id 2.16.756.5.30.1.1.10.4.4

Label

IHE PalM TF3 Rev.10, 6.3.4.2

Classification

CDA Entry Level Template

Open/Closed

Open (other than defined elements are allowed)

Used by / Uses

Used by 3 transactions and 5 templates, Uses 19 templates

Used by	as	Name	Version
2.16.756.5.30.1.127.77.1.4.5	Transaction	CDA-CH-VACD - Immunization Recommendation Request (2018)	2018‑04‑10 18:08:44
2.16.756.5.30.1.127.77.1.4.6	Transaction	CDA-CH-VACD - Immunization Recommendation Response (2018)	2018‑04‑10 18:09:59
2.16.756.5.30.1.127.77.1.4.7	Transaction	CDA-CH-VACD - Vaccination Record (2018)	2018‑04‑10 18:10:49
2.16.756.5.30.1.1.10.1.17		Immunization Recommendation Request (2020)	2020‑06‑26
2.16.756.5.30.1.1.10.1.18		Immunization Recommendation Response (2020)	2020‑06‑26
2.16.756.5.30.1.1.10.1.19		Vaccination Record (2020)	2020‑06‑26
2.16.756.5.30.1.1.10.3.3	Containment	Laboratory Speciality Section - coded (2019)	2019‑08‑20
2.16.756.5.30.1.1.10.3.5	Containment	Laboratory Report Item Section - coded (2019)	2019‑08‑20
Uses	as	Name	Version
2.16.756.5.30.1.1.10.4.2	Containment	Annotation Comments (2016)	DYNAMIC
2.16.756.5.30.1.1.10.4.3	Containment	Laboratory Observation (2020)	DYNAMIC
2.16.756.5.30.1.1.10.4.5	Containment	Non-Human Subject - subject Containment (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.6	Containment	Human Patient with Non-Human Subject - subject Containment (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.7	Containment	Laboratory Performer - performer Containment (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.8	Containment	Laboratory Results Validator - participant Containment (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.9	Containment	Responsible Party - participant Containment (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.10	Containment	Device - participant Containment (2020)	DYNAMIC
2.16.756.5.30.1.1.10.4.11	Containment	Specimen Collection (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.12	Containment	Specimen Received (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.13	Containment	Notification Organizer (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.14	Containment	Notifiable Condition (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.15	Containment	Case Identification (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.16	Containment	Outbreak Identification (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.17	Containment	Laboratory Isolate Organizer (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.18	Containment	Multimedia Embedded Content (2020)	DYNAMIC
2.16.756.5.30.1.1.10.4.19	Containment	Laboratory Battery Organizer (2019)	DYNAMIC
2.16.756.5.30.1.1.10.4.29	Containment	External document (2017)	DYNAMIC
2.16.756.5.30.1.1.10.9.16	Containment	Author Compilation with name, addr and telecom (2020)	DYNAMIC

Relationship

Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)

ref

ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.1 Laboratory Report Data Processing Entry (DYNAMIC)

ref

XDLAB-

Example

Item

Card

Conf

Description

Label

hl7:templateId

1 … 1

IHE PalM TF3 Rev.10, 6.3.4.2

@root

uid

1 … 1

2.16.756.5.30.1.1.10.4.4

hl7:templateId

1 … 1

IHE PalM TF3 Rev.10, 6.3.4.2

@root

uid

1 … 1

1.3.6.1.4.1.19376.1.3.1

hl7:act

1 … 1

IHE PalM TF3 Rev.10, 6.3.4.2

@classCode

1 … 1

ACT

@moodCode

1 … 1

EVN

hl7:id

0 … 1

An ID for this item MAY be filled for traceability.

IHE PalM TF3 Rev.10, 6.3.4.2

@root

uid

1 … 1

MUST 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.

@extension

0 … 1

Contains the ID itself. The ID MUST be unique within the system that issued the ID.

hl7:code

1 … 1

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.

IHE PalM TF3 Rev.10, 6.3.4.2

@code

1 … 1

@codeSystem

oid

1 … 1

@codeSystemName

1 … 1

@displayName

1 … 1

hl7:text

In the Laboratory Report Data Processing Entry, the text element is NOT PERMITTED for laboratory findings in Switzerland.

IHE PalM TF3 Rev.10, 6.3.4.2

hl7:statusCode

1 … 1

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.

IHE PalM TF3 Rev.10, 6.3.4.2

@code

1 … 1

CONF

The value of @code shall be drawn from value set 2.16.756.5.30.1.1.11.80 ActStatusActiveAbortedCompleted (DYNAMIC)

Choice

0 … 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 containing template 2.16.756.5.30.1.1.10.4.5 Non-Human Subject - subject Containment (DYNAMIC)
hl7:subject containing template 2.16.756.5.30.1.1.10.4.6 Human Patient with Non-Human Subject - subject Containment (DYNAMIC)

hl7:subject

0 … 1

Contains 2.16.756.5.30.1.1.10.4.5 Non-Human Subject - subject Containment (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

hl7:subject

0 … 1

Contains 2.16.756.5.30.1.1.10.4.6 Human Patient with Non-Human Subject - subject Containment (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

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)

IHE PalM TF3 Rev.10, 6.3.4.2

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)

IHE PalM TF3 Rev.10, 6.3.4.2

Choice

0 … *

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 containing template 2.16.756.5.30.1.1.10.4.8 Laboratory Results Validator - participant Containment (DYNAMIC)
hl7:participant containing template 2.16.756.5.30.1.1.10.4.9 Responsible Party - participant Containment (DYNAMIC)
hl7:participant containing template 2.16.756.5.30.1.1.10.4.10 Device - participant Containment (DYNAMIC)

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)

IHE PalM TF3 Rev.10, 6.3.4.2

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)

IHE PalM TF3 Rev.10, 6.3.4.2

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)

IHE PalM TF3 Rev.10, 6.3.4.2

Choice

1 … *

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 containing template 2.16.756.5.30.1.1.10.4.11 Specimen Collection (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.12 Specimen Received (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.13 Notification Organizer (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.14 Notifiable Condition (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.15 Case Identification (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.16 Outbreak Identification (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.17 Laboratory Isolate Organizer (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.19 Laboratory Battery Organizer (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.3 Laboratory Observation (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.18 Multimedia Embedded Content (DYNAMIC)
hl7:entryRelationship containing template 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.11 Specimen Collection (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.12 Specimen Received (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.13 Notification Organizer (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.14 Notifiable Condition (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.15 Case Identification (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.16 Outbreak Identification (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.17 Laboratory Isolate Organizer (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.19 Laboratory Battery Organizer (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.3 Laboratory Observation (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.18 Multimedia Embedded Content (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

hl7:entryRelationship

0 … *

Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

COMP

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)

IHE PalM TF3 Rev.10, 6.3.4.2

@typeCode

1 … 1

REFR

Schematron assert

role

error

test

(hl7:code/@code=parent::hl7:entry/parent::hl7:section/hl7:code/@code) and (hl7:code/@codeSystem=parent::hl7:entry/parent::hl7:section/hl7:code/@codeSystem)

Message

The code MUST be the identical to the one of the section.

Template
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Template

Template Laboratory Report Data Processing Entry 2019‑08‑20