1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2: Difference between revisions

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The Antepartum Laboratory document SHALL follow all constraints as defined in the XD-LAB profile, as described in [http://www.ihe.net/Technical_Framework/index.cfm#laboratory LAB TF-3:4]  There is a suggested code list provided in the APR Laboratory Value Set.  Due to the variation possible in these laboratory results and the potential for new codes representing new types of laboratory data a tightly constrained code list is not provided.
The Antepartum Laboratory document SHALL follow all constraints as defined in the XD-LAB profile, as described in [http://www.ihe.net/Technical_Framework/index.cfm#laboratory LAB TF-3:4]  There is a suggested code list provided in the APR Laboratory Value Set.  Due to the variation possible in these laboratory results and the potential for new codes representing new types of laboratory data a tightly constrained code list is not provided.
|LOINC=26436-6|LOINCName=Laboratory Studies
|LOINC=26436-6|LOINCName=Laboratory Studies
|Parent=1.3.6.1.4.1.19376.1.3.3.2.1|ParentName=XD Lab Report
|Parent=1.3.6.1.4.1.19376.1.3.3|ParentName=XD Lab Report
|formatCode=urn:ihe:pcc:apr:lab:2008
|formatCode=urn:ihe:pcc:apr:lab:2008
|Standards={{Std|CDAR2}}
|Standards={{Std|CDAR2}}

Latest revision as of 17:09, 17 September 2008

Development Only

The PCC Wiki Content is used only for development of IHE PCC Content. The Normative content of the PCC Technical Framework and the current supplements can be found at http://www.ihe.net/Technical_Framework/index.cfm#PCC

Antepartum Laboratory Specification 1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2

The Antepartum Laboratory document SHALL follow all constraints as defined in the XD-LAB profile, as described in LAB TF-3:4 There is a suggested code list provided in the APR Laboratory Value Set. Due to the variation possible in these laboratory results and the potential for new codes representing new types of laboratory data a tightly constrained code list is not provided.


Format Code

The XDSDocumentEntry format code for this content is urn:ihe:pcc:apr:lab:2008

Parent Template

This document is an instance of the XD Lab Report template.

LOINC Code

The LOINC code for this document is 26436-6 Laboratory Studies

Standards
CDAR2 HL7 CDA Release 2.0



Conformance

CDA Release 2.0 documents that conform to the requirements of this content module shall indicate their conformance by the inclusion of the appropriate <templateId> elements in the header of the document. This is shown in the sample document below. A CDA Document may conform to more than one template. This content module inherits from the XD Lab Report content module, and so must conform to the requirements of that template as well, thus all <templateId> elements shown in the example below shall be included.

Sample Antepartum Laboratory Document 
<ClinicalDocument xmlns='urn:hl7-org:v3'>
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
  <templateId root='1.3.6.1.4.1.19376.1.3.3'/>
  <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2'/>
  <id root=' ' extension=' '/>
  <code code='26436-6' displayName='Laboratory Studies'
    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
  <title>Antepartum Laboratory</title>
  <effectiveTime value='20260408012005'/>
  <confidentialityCode code='N' displayName='Normal' 
    codeSystem='2.16.840.1.113883.5.25' codeSystemName='Confidentiality' />
  <languageCode code='en-US'/>     
     :
  <component><structuredBody>
       
  </structuredBody></component>
</ClinicalDocument>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2'>
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.16.1.2"]'>
   <!-- Verify that the template id is used on the appropriate type of object -->
   <assert test='../cda:ClinicalDocument'>
     Error: The Antepartum Laboratory can only be used on Clinical Documents.
   </assert> 
   <!-- Verify that the parent templateId is also present. -->
   <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.3.3"]'>
     Error: The parent template identifier for Antepartum Laboratory is not present.
   </assert> 
   <!-- Verify the document type code -->
   <assert test='cda:code[@code = "26436-6"]'>
     Error: The document type code of a Antepartum Laboratory must be 26436-6
   </assert>
   <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'>
     Error: The document type code must come from the LOINC code 
     system (2.16.840.1.113883.6.1).
   </assert> 
 </rule>
</pattern>

APR Laboratory Value Sets

APR Laboratory Value Set 1.3.6.1.4.1.19376.1.5.3.1.1.16.5.7

Lab LOINC Code Comments
Antepartum Record Laboratory LOINC Codes
Antibody Screen (AB)
890-4 Ab Screen
Blood Type
XX-AR ABO RH (profile test)
XX-AR: A LOINC profile code will be requested
Hepatitis B virus (HBV) surface Antigen (Ag)
5196-1 HBV surface Ag (EIA)
5195-3 HBV surface Ag
5197-9 HBV surface Ag (RIA)
7905-3 HBV surface Ag (Neut)
Hemoglobin (Hgb)/Hematocrit (Hct)
718-7 Hgb
4544-3 Hct (Automated count)
30350-3 Hgb
Pap Test/Human papilloma virus (HPV)
21440-3 HPV I/H Risk DNA Cervix (Probe)
21441-1 HPV Low Risk DNA Cervix (Probe)
10524-7 Cytology Cervix
18500-9 Thin Prep Cervix
19765-7 Cytology Cervix/Vaginal (Nominal)
19766-5 Cytology Cervix/Vaginal (Narrative)
Rubella Virus (RUBV) Antibody (Ab)
5334-8 RUBV Ab IgG (EIA)
25514-1 RUBV Ab IgG
40667-8 RUBV Ab IgG (EIA)
8014-3 RUBV Ab IgG
Urine Culture Screen
630-4 Bacteria Urine Culture
Hemoglobin (Hgb) Electrophoresis
XX-HTPR Hemoglobinopathy/Thalassemia Panel (Reflexive) (Profile)
XX-HTPR: A LOINC profile code will be requested
Purified protein derivative (PPD)
1647-7 Purified protein derivative skin test
Chlamydia
6347-9 Chlamydia Ag
XX-CTD Chlamydia Trachomatis (DFA) (Profile)
XX-CTA Chlamydia Trachomatis (Aptima) (Profile)
6349-5 Neisseria Gonorrhoeae
XX-CTNGA Chlamydia Trachomatis Neisseria Gonorrhoeae (Aptima) (Profile)
XX-CTD, XX-CTA and XX-CTNGA: A LOINC profile code will be requested
Gonorrhea
XX-CTNGA Chlamydia Trachomatis Neisseria Gonorrhoeae (Aptima) (Profile)
691-6 Neisseria Gonorrhoeaea
9568-7 Neisseria Gonorrhoeaea Ab
XX-CNGA Chlamydia Neisseria Gonorrhoeae (Aptima) (Profile)
XX-CTNGA and XX-CNGA: A LOINC profile code will be requested
Ultrasound
35096-7 OB Ultrasound Panel
MSAFP Multiple Markers
XX-AFPM Alpha-Feto Protein (Maternal) (Profile)
1834-1 Alpha-1 Fetoprotein
8270-1 Prenatal Risk Quad Screen
XX-AFP Alpha-Feto Protein (Profile)
XX-AFPM and XX-AFP: A LOINC profile code will be requested
Amnio Chorionic Villus Sampling (CVS) XX-CVS CVS XX-CVS: A LOINC profile code will be requested
Karotype
33373-2 Karyotype (Amino Fluid)
33774-0 Karyotype (CVS)
Amniotic Fluid (AFP)
XX-AFPAFR Alpha-Feto Protein, Amniotic Fluid (Reflexive) (Profile)
XX-AFPAFR: A LOINC profile code will be requested
Diabetes Screen
12646-6 Glucose Challenge, Pregnant (1hr)
Glucose Tolerance Test (GTT)
12646-6 Glucose Challenge, Pregnant (1hr)
XX-GTP2 Glucose Tolerance, Pregnant (2hr)
XX-GTP3 Glucose Tolerance, Pregnant (3hr)
XX-GTP2 and XX-GTP3: A LOINC profile code will be requested
Anti-D Immune Globulin (RhIG) XX-RHIG Anti-D Immune Globulin (RhIG) XX-RHIG: A LOINC profile code will be requested
Venereal Disease Research Laboratory (VDRL)
20507-0 Rapid Plasma Reagin (RPR)
XX-RWRTT RPR with Reflex to Titer (Reflexive) (Profile)
XX-RR Rubella and RPR (Profile)
XX-RWRTT and XX-RR: A LOINC profile code will be requested
Group B Strep
XX-BSGB Beta Strep Group B (PCR)
11267-2 Strep Group B
XX-BSGB: A LOINC profile code will be requested
Beta Human Chorionic Gonadotropin (HCG)
21198-7 Beta HCG
Urinalysis (Urine Screen)
XX-U Urinalysis (Profile)
XX-UM Urinalysis with Microscopic (Profile)
XX-UMA Urinalysis with Microscopic Analysis (Profile)
XX-UD Urinalysis Dipstick (Profile)
XX-UDO Urinalysis Dipstick Only (Profile)
XX-UMO Urinalysis Microscopic Only (Profile)
XX-UMON Urinalysis Microscopic Only (New)(Profile)
XX-U, XX-UM, XX-UMA, XX-UD, XX-UDO, XX-UMO and XX-UMON: A LOINC profile code will be requested
Aneuploidy Screening (Ultrasound) XX-ASU Aneuploidy Screening (Ultrasound) XX-ASU: A LOINC profile code will be requested
First Trimester Screening with Nuchal Translucency and maternal serum XX-NTMS Nuchal Translucency and Maternal Serum XX-NTMS: A LOINC profile code will be requested
Maternal Serum Triple Screen XX-MSTS Maternal Serum Triple Screen (Profile XX-MSTS: A LOINC profile code will be requested
Thyroid Stimulating Hormone (TSH)
11580-8 Thyrotropin (3rd generation)
3016-3 TSH
5385-0 Thyrotropin Receptor Ab
Triiodothyronine (T3)
3051-0 T3 Free
3052-8 T3 Reverse
3054-4 T3 True
3050-2 T3 Resin Uptake
XX-T3FT T3 Free and Total (Profile)
XX-T3FT: A LOINC profile code will be requested
Varicella Zoster Virus (VZV) Ab
22600-1 Varicella Zoster Virus Ab
XX-VZVP Varicella Zoster Virus (PCR) (Profile)
10860-5 Varicella Zoster Virus
6584-7 Virus Identified
XX-VZVP: A LOINC profile code will be requested
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