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pending Template  Laboratory Isolate Organizer - Pathogen Detection

Id 2.16.756.5.30.1.1.10.4.85 Effective Date 2018‑04‑19
Status pending Under pre-publication review Version Label 2018
Name cdachlrep_entry_LaboratoryIsolateOrganizerPathogenDetection Display Name Laboratory Isolate Organizer - Pathogen Detection
Description Coding of a pathogen detection.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.85
Label CDA‑CH‑LREP
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 14 templates
Uses as Name Version
2.16.756.5.30.1.1.10.4.5 Containment pending Non-Human Subject - subject Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.6 Containment pending Human Patient with Non-Human Subject - subject Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.49 Include active Original Text Reference (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.7 Containment pending Laboratory Performer - performer Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.16 Containment active Author Compilation with name, addr and telecom (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.8 Containment pending Laboratory Results Validator - authenticator/participant Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.9 Containment pending Responsible Party - participant Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.10 Containment pending Device - participant Containment (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.3 Containment pending Laboratory Observation (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.87 Containment pending Laboratory Battery Organizer - Antibiogram (2018) DYNAMIC
2.16.756.5.30.1.1.10.4.11 Containment pending Specimen Collection (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.18 Containment pending Multimedia Embedded Content (2017) DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment pending Annotation Comments (2016) DYNAMIC
2.16.756.5.30.1.1.10.4.29 Containment pending External document (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.3.1.5 (DYNAMIC)
Example
Example
<organizer classCode="CLUSTER" moodCode="EVN">
  <templateId root="2.16.756.5.30.1.1.10.4.85"/>  <templateId root="2.16.756.5.30.1.1.10.4.17"/>  <templateId root="1.3.6.1.4.1.19376.1.3.1.5"/>  <text>
    <reference value="#nartext1"/>  </text>
  <statusCode code="completed"/>  <effectiveTime value="20180311200054+01:00"/>  <specimen typeCode="SPC">
    <specimenRole classCode="SPEC">
      <id root="2.999" extension="65432132"/>      <specimenPlayingEntity classCode="MIC">
        <code nullFlavor="UNK">
          <originalText>vergrünende Streptokokken</originalText>        </code>
      </specimenPlayingEntity>
    </specimenRole>
  </specimen>
  <component typeCode="COMP">
    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.3.1.6"/>      <code code="6463-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Bacteria identified in Unspecified specimen by Culture"/>      <text>
        <reference value="#nartext2"/>      </text>
      <statusCode code="completed"/>      <effectiveTime value="20180311200054+01:00"/>      <value xsi:type="ST">
        vereinzelt        <reference value="#nartext1"/>      </value>
    </observation>
  </component>
</organizer>
Item DT Card Conf Description Label
hl7:organizer
1 … 1 R Coding of a pathogen detection. CDA-dotsLREP
@classCode
cs 1 … 1 F CLUSTER
@moodCode
cs 1 … 1 F EVN
hl7:templateId
II 1 … 1 M CDA-dotsLREP
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.85
hl7:templateId
II 1 … 1 M CDA-dotsLREP
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.4.17
hl7:templateId
II 1 … 1 M CDA-dotsLREP
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1.5
hl7:id
II 0 … 1 R An ID for this item MAY be filled for traceability. CDA-dotsLREP
@root
uid 1 … 1 R 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
st 0 … 1   Contains the ID itself. The ID MUST be unique within the system that issued the ID.
hl7:code
CE 0 … 1

If the results in this isolate group are associated to a codable group, then the code SHOULD be specified. The code system is not further specified. LOINC (2.16.840.1.113883.6.1) or SNOMED CT (2.16.840.1.113883.6.96) codes or values from the HL7 vocabulary ObservationType (2.16.840.1.113883.1.11.16226) SHOULD be used.

IF this isolate group contains any other results, then the code SHOULD be omitted.

CDA-dotsLREP
@code
cs 1 … 1 R The code MUST be specified.
@codeSystem
oid 1 … 1 R The OID of the code system MUST be specified.
@codeSystemName
st 1 … 1 R The name of the code system MUST be specified for tracking purposes. However, processing is NOT ALLOWED.
@displayName
st 1 … 1 R The 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.
hl7:statusCode
CS 1 … 1 M

The status 'completed' means that all expected results for this isolate are present and in a final state.

CDA-dotsLREP
@code
cs 1 … 1 F completed
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20309 ActStatusAbortedCancelledCompleted (DYNAMIC)
hl7:effectiveTime
IVL_TS.CH.TZ 1 … 1 R Timestamp or period of findings (physiologically relevant period) for all results in this result group. CDA-dotsLREP
@value
TS.CH.TZ 0 … 1   Timestamp. Accuracy of the value: Date and time with hour and minute. If it is not known, nullFavor='UNK' must be used.
hl7:low
TS.CH.TZ 0 … 1 Start of the period. Accuracy of the value: Date and time with hour and minute. If it is not known, nullFavor='UNK' must be used. CDA-dotsLREP
  Schematron assert role red error  
  test string-length(@value)>11  
  Message A precision of date and time of day with at least hour and minute is required.  
hl7:high
TS.CH.TZ 0 … 1 End of the period. Accuracy of the value: Date and time with hour and minute. If it is not known, nullFavor='UNK' must be used. CDA-dotsLREP
  Schematron assert role red error  
  test string-length(@value)>11  
  Message A precision of date and time of day with at least hour and minute is required.  
  Schematron assert role red error  
  test @nullFlavor='UNK' or @value or (hl7:low and hl7:high)  
  Message Either the imestamp or the period of the findings MUST be declared. If it is not known, nullFavor='UNK' must be used.  
Choice 0 … 1
IF this isolate group is based on a specimen of a non-human material, the subject element MUST be declared.
Elements to choose from:
hl7:subject
0 … 1 Contains 2.16.756.5.30.1.1.10.4.5 Non-Human Subject - subject Containment (DYNAMIC) CDA-dotsLREP
treeblank treeblank where [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.5'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.2.1']]
hl7:subject
0 … 1 Contains 2.16.756.5.30.1.1.10.4.6 Human Patient with Non-Human Subject - subject Containment (DYNAMIC) CDA-dotsLREP
treeblank treeblank where [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.3.1']]
hl7:specimen
1 … 1 R The specific sub-specimen on which a microorganism was isolated and cultivated. CDA-dotsLREP
@typeCode
cs 1 … 1 F SPC
hl7:specimenRole
1 … 1 R CDA-dotsLREP
@classCode
cs 1 … 1 F SPEC
hl7:id
II 1 … 1 R Unique identifier for this isolate, known to the laboratory. CDA-dotsLREP
@extension
st 1 … 1 R MUST contain the ID itself. The ID MUST be unique within the system that issued the ID.
@root
uid 1 … 1 R 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.
hl7:specimenPlayingEntity
1 … 1 R CDA-dotsLREP
@classCode
cs 1 … 1 F MIC
hl7:code
CE 1 … 1 R Identification of the microorganism, in a standard vocabulary. CDA-dotsLREP
@nullFlavor
cs 0 … 1 F UNK
  If no code is known, nullFlavor='UNK' MUST be used.
@code
cs 0 … 1   The code MUST be specified.
@codeSystem
oid 0 … 1   The OID of the code system MUST be specified.
@codeSystemName
st 0 … 1   The name of the code system MUST be specified for tracking purposes. However, processing is NOT ALLOWED.
@displayName
st 0 … 1   The 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.
Included 0 … 1 C from 2.16.756.5.30.1.1.10.9.49 Original Text Reference (DYNAMIC)
The human-readable text MUST be generated automatically from the structured information of this element. The text element MUST contain the reference to the corresponding text in the human readable part, ONLY.
hl7:originalText
ED 0 … 1 C CDA‑CH V2
hl7:reference
TEL 1 … 1 M The reference to the corresponding text in the human readable part must be specified by reference to content[@ID]: reference[@value='#xxx'] CDA‑CH V2
@value
1 … 1 R Reference to the narrative part of the section in the format '#xxx', where xxx is the ID of the corresponding element.
  Schematron assert role red error  
  test starts-with(@value,'#')  
  Message The @value attribute content MUST conform to the format '#xxx', where xxx is the ID of the corresponding <content/> element.  
  Variable let Name idvalue  
  Value substring-after(@value,'#')  
  Schematron assert role red error  
  test ancestor::hl7:structuredBody//*[@ID=$idvalue]  
  Message No narrative text found for this reference (no content element within this document has an ID that corresponds to '<value-of select="$idvalue"/>').  
  Schematron assert role red error  
  test parent::*/text()=ancestor::hl7:structuredBody//*[@ID=$idvalue]/text()  
  Message The originalText content MUST be identical to the narrative text for this reference.  
  Schematron assert role red error  
  test (@code and @codeSystem) or (@nullFlavor='UNK')  
  Message Either a code with its code system or nullFlavor='UNK' is required.  
  Schematron assert role red error  
  test not(@nullFlavor='UNK') or (hl7:originalText/text())  
  Message If no code is known, the name of the microorganism MUST be declared in the originalText element.  
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)
CDA-dotsLREP
treeblank where [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.7'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.7']]
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)
CDA-dotsLREP
treeblank where [hl7:functionCode [concat(@code, @codeSystem) = doc('include/voc-2.16.756.5.30.1.127.3.10.1.1.3-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code, @codeSystem) or @nullFlavor]]
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
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 - authenticator/participant Containment (DYNAMIC)
CDA-dotsLREP
treeblank treeblank where [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.8'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.5']]
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)
CDA-dotsLREP
treeblank treeblank where [@typeCode = 'RESP'] [hl7:participantRole]
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)
CDA-dotsLREP
treeblank treeblank where [@typeCode = 'DEV'] [hl7:participantRole]
Choice 1 … *
Possible contents:
  • Coding of the method by means of "Laboratory Observation". The observation MUST be coded by a LOINC code having culture as method. Use the filter 'method:culture' on search.loinc.org (see https://search.loinc.org/searchLOINC/search.zul?query=method%3Aculture).
  • Coding of an antibiogram or by means of "Laboratory Battery Organizer - Antibiogram".
Elements to choose from:
hl7:component
0 … * Coding of the method. The observation MUST be coded by a LOINC code having culture as method. Use the filter 'method:culture' on search.loinc.org (see https://search.loinc.org/searchLOINC/search.zul?query=method%3Aculture)
Contains 2.16.756.5.30.1.1.10.4.3 Laboratory Observation (DYNAMIC)
CDA-dotsLREP
treeblank treeblank where [hl7:observation [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.1.6'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.3']]]
@typeCode
cs 1 … 1 F COMP
hl7:component
0 … * Coding of an antibiogram.
Contains 2.16.756.5.30.1.1.10.4.87 Laboratory Battery Organizer - Antibiogram (DYNAMIC)
CDA-dotsLREP
treeblank treeblank where [hl7:organizer [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.87'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.19'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.1.4']]]
@typeCode
cs 1 … 1 F COMP
hl7:component
0 … * Contains 2.16.756.5.30.1.1.10.4.11 Specimen Collection (DYNAMIC) CDA-dotsLREP
treeblank treeblank where [hl7:procedure [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.1.2'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.11']]]
@typeCode
cs 1 … 1 F COMP
hl7:component
0 … * Contains 2.16.756.5.30.1.1.10.4.18 Multimedia Embedded Content (DYNAMIC) CDA-dotsLREP
treeblank treeblank where [hl7:observationMedia [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.18'] and hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.83']]]
@typeCode
cs 1 … 1 F COMP
hl7:component
0 … * Contains 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC) CDA-dotsLREP
treeblank treeblank where [hl7:act [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.2'] and hl7:templateId [@root = '2.16.840.1.113883.10.20.1.40'] and hl7:templateId [@root = '1.3.6.1.4.1.19376.1.5.3.1.4.2']]]
@typeCode
cs 1 … 1 F 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)
CDA-dotsLREP
treeblank where [hl7:externalDocument [hl7:templateId [@root = '2.16.756.5.30.1.1.10.4.29']]]
@typeCode
cs 1 … 1 F REFR