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active Template  Laboratory Report Data Processing Entry

Id 2.16.756.5.30.1.1.10.4.4
ref
ch-palm-
 		Effective Date 2019‑08‑20
Status active 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 1 transaction and 3 templates, Uses 19 templates
Used by as Name Version
cdachlrep-transaction-2 Transaction pending CDA-CH-LREP - General Laboratory Report (2018) 2018‑03‑06 18:38:46
2.16.756.5.30.1.1.10.3.3 Containment active Laboratory Speciality Section - coded (2019) 2019‑08‑20
2.16.756.5.30.1.1.10.1.10 link rejected General Laboratory Report (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.3.5 Containment active Laboratory Report Item Section - coded (2019) 2019‑08‑20
Uses as Name Version
2.16.756.5.30.1.1.10.4.5 Containment active Non-Human Subject - subject Containment (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.6 Containment active Human Patient with Non-Human Subject - subject Containment (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.7 Containment active Laboratory Performer - performer Containment (2019) DYNAMIC
2.16.756.5.30.1.1.10.9.16 Containment active Author Compilation with name, addr and telecom (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.8 Containment active Laboratory Results Validator - participant Containment (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.9 Containment active Responsible Party - participant Containment (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.10 Containment active Device - participant Containment (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.11 Containment active Specimen Collection (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.12 Containment active Specimen Received (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.13 Containment active Notification Organizer (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.14 Containment active Notifiable Condition (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.15 Containment active Case Identification (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.16 Containment active Outbreak Identification (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.17 Containment active Laboratory Isolate Organizer (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.19 Containment active Laboratory Battery Organizer (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.3 Containment active Laboratory Observation (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.18 Containment active Multimedia Embedded Content (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.2 Containment active Annotation Comments (2016) DYNAMIC
2.16.756.5.30.1.1.10.4.29 Containment active External document (2017) 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 BC Laboratory Report Data Processing Entry (DYNAMIC)
ref
bccdapilot-
Example
Example
<templateId root="2.16.756.5.30.1.1.10.4.4"/><templateId root="1.3.6.1.4.1.19376.1.3.1"/><act classCode="ACT" moodCode="EVN">
  <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HEMATOLOGY STUDIES"/>  <statusCode code="completed"/>  <!-- One of these templates:
2.16.756.5.30.1.1.10.4.15 - Case Identification
2.16.756.5.30.1.1.10.4.19 - Laboratory Battery Organizer
2.16.756.5.30.1.1.10.4.17 - Laboratory Isolate Organizer
2.16.756.5.30.1.1.10.4.18 - Multimedia Embedded Content
2.16.756.5.30.1.1.10.4.14 - Notifiable Condition
2.16.756.5.30.1.1.10.4.13 - Notification Organizer
2.16.756.5.30.1.1.10.4.16 - Outbreak Identification
2.16.756.5.30.1.1.10.4.11 - Specimen Collection
2.16.756.5.30.1.1.10.4.12 - Specimen Received
-->
</act>
Item DT Card Conf Description Label
hl7:templateId
 		II 1 … 1 M IHE PalM TF3 Rev.10, 6.3.4.2
@root
 		uid 1 … 1 F 2.16.756.5.30.1.1.10.4.4
hl7:templateId
 		II 1 … 1 M IHE PalM TF3 Rev.10, 6.3.4.2
@root
 		uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1
hl7:act
 		1 … 1 R IHE PalM TF3 Rev.10, 6.3.4.2
@classCode
 		cs 1 … 1 F ACT
@moodCode
 		cs 1 … 1 F EVN
hl7:id
 		II 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 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.10, 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.10, 6.3.4.2
hl7:statusCode
 		CS 1 … 1 M

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
 		st 1 … 1 R
  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
 		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
 		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
 		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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		cs 1 … 1 F 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
 		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) 		IHE PalM TF3 Rev.10, 6.3.4.2
@typeCode
 		cs 1 … 1 F REFR
  Schematron assert role red 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.