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active Template  Laboratory Isolate Organizer - Pathogen Detection

Id 2.16.756.5.30.1.1.10.4.85 Effective Date 2020‑06‑26
Status active Active Version Label 2020
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 1 transaction and 4 templates, Uses 14 templates
Used by as Name Version
cdachlrep-transaction-2 Transaction pending CDA-CH-LREP - General Laboratory Report (2018) 2018‑03‑06 18:38:46
2.16.756.5.30.1.1.10.4.118 Containment active Laboratory Report Data Processing Entry (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.3.76 link active Laboratory Report Item Section - coded (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.3.77 link active Laboratory Speciality Section - coded (2020) 2020‑06‑26
2.16.756.5.30.1.1.10.1.10 link active General Laboratory Report (2020) 2020‑06‑26
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
2.16.756.5.30.1.1.10.9.49 Include active Original Text Reference (2017) 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
2.16.756.5.30.1.1.10.4.3 Containment active Laboratory Observation (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.87 Containment active Laboratory Battery Organizer - Antibiogram (2020) DYNAMIC
2.16.756.5.30.1.1.10.4.11 Containment active Specimen Collection (2019) DYNAMIC
2.16.756.5.30.1.1.10.4.18 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 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-

Specialization: template 1.3.6.1.4.1.19376.1.3.1.5 BC Laboratory Isolate Organizer (DYNAMIC)
ref
bccdapilot-
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
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
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
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
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) 		CDA-dotsLREP
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
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
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
@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
@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
@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
@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
@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
@typeCode
 		cs 1 … 1 F REFR