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Template Speciality-Section 2013‑11‑07

Id1.3.6.1.4.1.19376.1.3.3.2.1
ref
elgabbr-
Gültigkeit ab2013‑11‑07
Statusactive AktivVersions-Label
NameSpecialitySectionBezeichnungSpeciality-Section
KontextElternknoten des Template-Element mit Id 1.3.6.1.4.1.19376.1.3.3.2.1
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 4 Transactions und 13 Templates, Benutzt 1 Template
Benutzt von als NameVersion
1.2.40.0.34.777.10.4.2Transaktiondraft elgainfk Infektionsmeldung (2020)2020‑04‑15 12:34:57
1.3.6.1.4.1.19376.1.5.3.1.4.11Transaktiondraft en-US IHE Immunization Content2017‑03‑30 09:28:26
1.2.40.0.34.77.4.30Transaktiondeprecated ELGA CDA Dokument Laborbefund2011‑08‑31
1.2.40.0.34.77.4.104Transaktiondraft Laborbefund (v2)2023‑05‑09 07:25:41
1.2.40.0.34.6.0.11.0.12Containmentdraft Infektionsmeldung (2020)2020‑04‑14 10:11:19
1.2.40.0.34.6.0.11.2.104Containmentactive EXNDS Speciality-Section Container (1.0.0+20210310)2021‑02‑11 13:16:50
1.2.40.0.34.11.4Containmentretired Laborbefund2013‑11‑07
1.2.40.0.34.11.4Containmentretired Laborbefund2014‑03‑01
1.2.40.0.34.11.4Containmentretired Laborbefund2014‑03‑25
1.2.40.0.34.11.4Containmentretired Laborbefund2014‑12‑06
1.2.40.0.34.11.4Containmentretired Laborbefund2015‑02‑02
1.2.40.0.34.11.4Containmentdraft Laborbefund2023‑05‑08 13:51:02
1.2.40.0.34.11.1004Containmentcancelled Laborbefund2015‑09‑24
1.2.40.0.34.11.10003linkretired ELGA CDA Dokument Laborbefund2013‑11‑07
1.3.6.1.4.1.19376.1.3.3Containmentactive Sharing Laboratory Reports (XD-LAB) Content Module (2017)2016‑07‑05
1.3.6.1.4.1.19376.1.5.3.1.1.18.1.2Containmentactive IHE Immunization Content Specification (2016)2017‑03‑20 09:59:31
2.16.840.1.113883.3.1937.99.61.67.10.9Containmentdraft XeH Laboratory Report (wip)2020‑10‑24 18:01:42
Benutzt als NameVersion
1.2.40.0.34.11.30020Inklusiondraft ELGA Spezimen-Act-Entry AllgemeinDYNAMIC
Beispiel
Beispiel
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>  <id extension="P-body" root="2.16.840.1.113883.3.933.1.1"/>  <code code="300" codeSystem="1.2.40.0.34.5.11" codeSystemName="ELGA_LaborparameterErgaenzung" displayName="Hämatologie"/>  <title>Hämatologie</title>  <text>
    <!-- .. -->
  </text>
  <entry typeCode="DRIV">
    <templateId root="1.3.6.1.4.1.19376.1.3.1"/>    <!-- .. -->
  </entry>
</section>
ItemDTKardKonfBeschreibungLabel
hl7:section
Specdotstion
@classCode
cs1 … 1FDOCSECT
hl7:templateId
II1 … 1Specdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.2.1
hl7:id
II0 … *Specdotstion
hl7:code
CE1 … 1MSpecdotstion
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.47 ELGA_Laborstruktur (DYNAMIC)
hl7:title
ST1 … 1MSpecdotstion
hl7:text
ED1 … 1MSpecdotstion
hl7:entry
1 … *Lab.Report.Data.Processing.EntrySpecdotstion
@typeCode
cs0 … 1FDRIV
 Beispiel<entry typeCode="DRIV">
  <templateId root="1.3.6.1.4.1.19376.1.3.1"/>  <act classCode="ACT" moodCode="EVN">
    <code code="600" codeSystem="1.2.40.0.34.5.11" codeSystemName="ELGA_LaborparameterErgaenzung" displayName="Endokrinologie"/>    <statusCode code="completed"/>    <!-- Schilddrüsendiagnostik -->
    <entryRelationship typeCode="COMP">
      <organizer classCode="BATTERY" moodCode="EVN">
        <templateId root="1.3.6.1.4.1.19376.1.3.1.4"/>        <!-- .. -->
      </organizer>
    </entryRelationship>
  </act>
</entry>
hl7:templateId
II1 … 1Specdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.1
Eingefügt1 … 1M von 1.2.40.0.34.11.30020 ELGA Spezimen-Act-Entry Allgemein (DYNAMIC)
hl7:act
1 … 1MSpezdotsmein
@classCode
cs1 … 1FACT
@moodCode
cs1 … 1FEVN
hl7:code
CE1 … 1MAngabe der Befundart.Spezdotsmein
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.2.40.0.34.10.47 ELGA_Laborstruktur (DYNAMIC)
hl7:statusCode
CS1 … 1MNachdem in ELGA nur abgeschlossene Befunde abgelegt werden ist dieses Attribut  fix mit „completed“ zu belegen.Spezdotsmein
@code
CONF1 … 1Fcompleted
Auswahl1 … Elemente in der Auswahl:
  • hl7:entryRelationship welches enthält Template 1.2.40.0.34.11.30021 Abnahmeinformationen (Specimen Collection) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.3.6.1.4.1.19376.1.3.1.4 Befundgruppen (Laboratory Battery Organizer) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.3.6.1.4.1.19376.1.3.1.6 Laborergebnisse (Laboratory Observation) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.2.40.0.34.11.4.3.4 Laborergebnisse aktiv (Laboratory Observation Active) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.2.40.0.34.11.30025 Kultureller Keimnachweis (Laboratory Isolate Organzier) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.2.40.0.34.11.4.3.2 Befundtext (Anmerkungen und Kommentare) (DYNAMIC)
  • hl7:entryRelationship welches enthält Template 1.3.6.1.4.1.19376.1.3.1.1 Notification Organizer (DYNAMIC)
  • hl7:entryRelationship[hl7:observationMedia] welches enthält Template 1.2.40.0.34.11.1.3.1 Eingebettetes Objekt Entry (DYNAMIC)
hl7:entryRelationship
0 … *Beinhaltet 1.2.40.0.34.11.30021 Abnahmeinformationen (Specimen Collection) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.3.6.1.4.1.19376.1.3.1.4 Befundgruppen (Laboratory Battery Organizer) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.3.6.1.4.1.19376.1.3.1.6 Laborergebnisse (Laboratory Observation) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.2.40.0.34.11.4.3.4 Laborergebnisse aktiv (Laboratory Observation Active) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.2.40.0.34.11.30025 Kultureller Keimnachweis (Laboratory Isolate Organzier) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.2.40.0.34.11.4.3.2 Befundtext (Anmerkungen und Kommentare) (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.3.6.1.4.1.19376.1.3.1.1 Notification Organizer (DYNAMIC)Spezdotsmein
@typeCode
cs1 … 1FCOMP
hl7:entryRelationship
0 … *Beinhaltet 1.2.40.0.34.11.1.3.1 Eingebettetes Objekt Entry (DYNAMIC)Spezdotsmein
wo [hl7:observationMedia]
@typeCode
cs1 … 1FCOMP

Template Laboratory Specialty Section 2008‑08‑08

Id1.3.6.1.4.1.19376.1.3.3.2.1
ref
XDLAB-
Gültigkeit ab2008‑08‑08
Statusactive AktivVersions-Label2017
NameLaboratoryspecialtysectionBezeichnungLaboratory Specialty Section
Beschreibung
en-US Every Laboratory Report SHALL contain at least one Laboratory Specialty Section. Each top section represents a specialty. A laboratory report MAY be composed of test results from a single specialty (e.g. a microbiology report, a virology report), or from any number of specialties (a report from a multidisciplinary laboratory). The structure of the report allows both kinds of reports.
The Laboratory Specialty Sections use the LOINC codes defined as report subject identifier codes. A laboratory report SHALL contain one or more of these sections, in any order. Laboratory Specialty Sections SHALL NOT be nested.
  • <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/> - The templateId element identifies this section as a Laboratory Specialty Section. The templateId SHALL be present with root="1.3.6.1.4.1.19376.1.3.3.2.1".
  • <code code=" " codeSystem=" " codeSystemName=" " displayName=" "/> - The Laboratory Specialty Section SHALL identify the LOINC laboratory specialty. The code, codeSystem, and displayName attributes SHALL be present. The codeSystemName MAY also be present.
  • <title/> - The Laboratory Specialty Section <title> MAY be present. It is the local translation of the code@displayName.
The semantic content of each specialty section is not constant between countries. The relationship between Report Items and Specialties varies from country to country, and MAY even vary in the same country, from a healthcare organization to another. A Report Item can be a battery (or test panel), an individual test, or the complete study of a specimen (particularly in the MICROBIOLOGY STUDIES specialty). Realm extensions of this profile MAY further constrain these definitions.
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: Laboratory Report Item Section - With this option, this Laboratory Specialty Section SHALL contain NEITHER a top level text NOR entry elements. Each Report Item is contained in a corresponding Laboratory Report Item Section which contains the Lab Report Data Processing Entry. See 2.3.4.2.
  • Choice 2: Text and Entry - With this option, the Laboratory Specialty Section text SHALL be present and not blank. This narrative block SHALL present to the human reader, all the observations produced for this Specialty, using the various structures available in the CDA Narrative Block schema (NarrativeBlock.xsd): tables, lists, paragraphs, hyperlinks, footnotes, references to attached or embedded multimedia objects. The narrative block is fully derived from the entry containing the machine-readable result data. Additionally, a single Laboratory Report Data Processing Entry SHALL be present with attribute typeCode="DRIV". This entry contains the machine-readable result data from which the narrative block of this section is derived.
Should a Laboratory Report contain multiple Laboratory Speciality Sections they need not adhere to the same choice of representation, that is, one MAY expect a mixture of choice 1 and choice 2 representations among multiple Laboratory Speciality Sections.
KontextElternknoten des Template-Element mit Id 1.3.6.1.4.1.19376.1.3.3.2.1
KlassifikationCDA Section level template
Offen/GeschlossenOffen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt
Benutzt von 0 Transactions und 0 Templates, Benutzt 2 Templates
Benutzt als NameVersion
1.3.6.1.4.1.19376.1.3.1Containmentactive Laboratory Report Data Processing Entry (2017)DYNAMIC
1.3.6.1.4.1.19376.1.3.3.2.2Containmentactive Laboratory Report Item Section (2017)DYNAMIC
BeziehungSpezialisierung: Template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Beispiel
Specialty Section that holds a leaf section and Leaf Section that holds one Report Item
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>  <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HEMATOLOGY STUDIES"/>  <title>Laboratory Hematology Results</title>  <component>
    <section>
      <templateId root="1.3.6.1.4.1.19376.1.3.3.2.2"/>      <!-- Leaf Section that holds one Report Item -->
    </section>
  </component>
</section>
Beispiel
Specialty Section that holds Report Items directly as a Laboratory Report Data Processing Entry
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>  <code code="18719-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CHEMISTRY STUDIES"/>  <title>Laboratory Chemistry Results</title>  <text/>  <entry typeCode="DRIV">
    <templateId root="1.3.6.1.4.1.19376.1.3"/>    <act classCode="ACT" moodCode="EVN"> ... </act>  </entry>
</section>
ItemDTKardKonfBeschreibungLabel
hl7:section
Labodotstion
 Constrainten-US 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: Laboratory Report Item Section - With this option, this Laboratory Specialty Section SHALL contain NEITHER a top level text NOR entry elements. Each Report Item is contained in a corresponding Laboratory Report Item Section which contains the Lab Report Data Processing Entry. See 2.3.4.2.
  • Choice 2: Text and Entry - With this option, the Laboratory Specialty Section text SHALL be present and not blank. This narrative block SHALL present to the human reader, all the observations produced for this Specialty, using the various structures available in the CDA Narrative Block schema (NarrativeBlock.xsd): tables, lists, paragraphs, hyperlinks, footnotes, references to attached or embedded multimedia objects. The narrative block is fully derived from the entry containing the machine-readable result data. Additionally, a single Laboratory Report Data Processing Entry SHALL be present with attribute typeCode="DRIV". This entry contains the machine-readable result data from which the narrative block of this section is derived.
hl7:templateId
II1 … 1MLabodotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.3.2.1
hl7:id
II0 … 1RLabodotstion
hl7:code
CE1 … 1MLabodotstion
@code
1 … 1R
@codeSystem
1 … 1R
@displayName
1 … 1R
 CONF
Der Wert von @code muss gewählt werden aus dem Value Set 1.3.6.1.4.1.19376.1.3.11.1 Laboratory Specialties (DYNAMIC)
hl7:title
ST0 … 1RLabodotstion
hl7:text
SD.TEXT0 … 1CLabodotstion
Auswahl1 … *Elemente in der Auswahl:
hl7:component
0 … *CBeinhaltet 1.3.6.1.4.1.19376.1.3.3.2.2 Laboratory Report Item Section (DYNAMIC)Labodotstion
hl7:entry
0 … 1CBeinhaltet 1.3.6.1.4.1.19376.1.3.1 Laboratory Report Data Processing Entry (DYNAMIC)Labodotstion
@typeCode
cs1 … 1FDRIV
 Schematron assertrolered error 
 test(hl7:component and not(hl7:text or hl7:entry)) or (not(hl7:component) and hl7:text and hl7:entry) 
 MeldungA 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.