Template 2.16.756.5.30.1.1.10.4.85 - cdachlrep_entry_LaboratoryIsolateOrganizerPathogenDetection

Template Laboratory Isolate Organizer - Pathogen Detection

Id 2.16.756.5.30.1.1.10.4.85 Effective Date 2018‑04‑19

Status 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	Non-Human Subject - subject Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.6	Containment	Human Patient with Non-Human Subject - subject Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.9.49	Include	Original Text Reference (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.7	Containment	Laboratory Performer - performer Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.9.16	Containment	Author Compilation with name, addr and telecom (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.8	Containment	Laboratory Results Validator - authenticator/participant Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.9	Containment	Responsible Party - participant Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.10	Containment	Device - participant Containment (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.3	Containment	Laboratory Observation (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.87	Containment	Laboratory Battery Organizer - Antibiogram (2018)	DYNAMIC
2.16.756.5.30.1.1.10.4.11	Containment	Specimen Collection (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.18	Containment	Multimedia Embedded Content (2017)	DYNAMIC
2.16.756.5.30.1.1.10.4.2	Containment	Annotation Comments (2016)	DYNAMIC
2.16.756.5.30.1.1.10.4.29	Containment	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

<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-LREP

@classCode cs 1 … 1 F CLUSTER

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M CDA-LREP

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.85

hl7:templateId II 1 … 1 M CDA-LREP

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.17

hl7:templateId II 1 … 1 M CDA-LREP

@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-LREP

@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

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-

LREP

@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

1 … 1

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

CDA-

LREP

@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-LREP

@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-LREP

Schematron assert role 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-LREP

Schematron assert role 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 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 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) CDA-LREP

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-LREP

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-LREP

@typeCode cs 1 … 1 F SPC

hl7:specimenRole 1 … 1 R CDA-LREP

@classCode cs 1 … 1 F SPEC

hl7:id II 1 … 1 R Unique identifier for this isolate, known to the laboratory. CDA-LREP

@extension st 1 … 1 R MUST contain the ID itself. The ID MUST be unique within the system that issued the ID.

hl7:specimenPlayingEntity 1 … 1 R CDA-LREP

@classCode cs 1 … 1 F MIC

hl7:code CE 1 … 1 R Identification of the microorganism, in a standard vocabulary. CDA-LREP

@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 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 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 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 error

test (@code and @codeSystem) or (@nullFlavor='UNK')

Message Either a code with its code system or nullFlavor='UNK' is required.

Schematron assert role 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-LREP

where [@typeCode='PRF'] [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-LREP

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 containing template 2.16.756.5.30.1.1.10.4.8 Laboratory Results Validator - authenticator/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 - authenticator/participant Containment (DYNAMIC) CDA-LREP

where [@typeCode='AUTHEN'] [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-LREP

where [@typeCode='RESP']

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-LREP

where [@typeCode='DEV']

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 containing template 2.16.756.5.30.1.1.10.4.3 Laboratory Observation (DYNAMIC)
hl7:component containing template 2.16.756.5.30.1.1.10.4.87 Laboratory Battery Organizer - Antibiogram (DYNAMIC)
hl7:component containing template 2.16.756.5.30.1.1.10.4.11 Specimen Collection (DYNAMIC)
hl7:component containing template 2.16.756.5.30.1.1.10.4.18 Multimedia Embedded Content (DYNAMIC)
hl7:component containing template 2.16.756.5.30.1.1.10.4.2 Annotation Comments (DYNAMIC)

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-LREP

where [@typeCode='COMP'] [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']]]