Template 2.16.756.5.30.1.1.10.4.4 - chpalm_entry_LaboratoryReportDataProcessingEntry

Template Laboratory Report Data Processing Entry

2.16.756.5.30.1.1.10.4.4

ref

ch-palm-

Effective Date

2017‑06‑21

Other versions this id:

chpalm_entry_LaboratoryReportDataProcessingEntry as of 2018‑07‑14 12:26:38

Status Under pre-publication review Version Label 2017

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 Parent nodes of template element with id 2.16.756.5.30.1.1.10.4.4

Label IHE PalM TF3 Rev.8, 6.3.4.2

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 18 templates

Relationship Specialization: template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Specialization: template 1.3.6.1.4.1.19376.1.3.1 (DYNAMIC)

Example

Item DT Card Conf Description Label

hl7:act IHE PalM TF3 Rev.8, 6.3.4.2

@classCode cs 1 … 1 F ACT

@moodCode cs 1 … 1 F EVN

hl7:templateId II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.2

@root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1

hl7:templateId II 1 … 1 M IHE PalM TF3 Rev.8, 6.3.4.2

@root uid 1 … 1 F 2.16.756.5.30.1.1.10.4.4

hl7:id II 0 … 1 An ID for this item MAY be filled for traceability. IHE PalM TF3 Rev.8, 6.3.4.2

@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 CD 1 … 1 M 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.8, 6.3.4.2

@code st 1 … 1 R

@codeSystem oid 1 … 1 R

@codeSystemName st 1 … 1 R

@displayName st 1 … 1 R

hl7:text ED NP In the Laboratory Report Data Processing Entry, the text element is NOT PERMITTED for laboratory findings in Switzerland. IHE PalM TF3 Rev.8, 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.8, 6.3.4.2

CONF

The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20309 ActStatusAbortedCancelledCompleted (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.8, 6.3.4.2

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) IHE PalM TF3 Rev.8, 6.3.4.2

where [hl7:templateId [@root = '1.3.6.1.4.1.19376.1.3.3.1.3.1']]

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.8, 6.3.4.2

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) IHE PalM TF3 Rev.8, 6.3.4.2

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) IHE PalM TF3 Rev.8, 6.3.4.2

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) IHE PalM TF3 Rev.8, 6.3.4.2

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) IHE PalM TF3 Rev.8, 6.3.4.2

where [@typeCode = 'DEV'] [hl7:participantRole]

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 2.16.756.5.30.1.1.10.4.18 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.8, 6.3.4.2

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']]]