1.3.6.1.4.1.19376.1.3.3.2.1

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-->> need better presentation of list of loinc codes and display name pairs<<--

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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 https://www.ihe.net/resources/technical_frameworks/#pcc

Laboratory Speciality Section Section

Template ID	1.3.6.1.4.1.19376.1.3.3.2.1
General Description	description of lab speciality secton
LOINC Code	Opt	Description
18717-9,18718-7,18719-5,18720-3,18721-1,18722-9,19723-7,18724-5,18725-2,18727-8, 18728-6,18729-4,18767-4,18768-2,18769-0,26435-8,26346-6,26437-4, 26438-2	R	BLOOD BANK STUDIES,CELL MARKER STUDIES,CHEMISTRY STUDIES,COAGULATION STUDIES,THERAPEUTIC DRUG MONITORING STUDIES,FERTILITY STUDIES,HEMATOLOGY STUDIES,HLA STUDIES,MICROBIOLOGY STUDIES,SEROLOGY STUDIES,TOXICOLOGY STUDIES,URINALYSIS STUDIES,BLOOD GAS STUDIES,CELL COUNTS+DIFFERENTIAL STUDIES,MICROBIAL SUSCEPTIBILITY TESTS,MOLECULAR PATHOLOGY STUDIES,LABORATORY STUDIES,CHEMISTRY CHALLENGE STUDIES,CYTOLOGY STUDIES(add notes p24)
Entries	Opt	Description
1.3.6.1.4.1.19376.1.3.1	R	Lab Report Data Processing Entry
Subsections	Opt	Description
1.3.6.1.4.1.19376.1.3.3.2.2	O	Laboratory Report Item Section

Sample Laboratory Speciality Section Section

<component> <section> <templateId root='1.3.6.1.4.1.19376.1.3.3.2.1'/> <id root=' ' extension=' '/> <code code='18717-9,18718-7,18719-5,18720-3,18721-1,18722-9,19723-7,18724-5,18725-2,18727-8, 18728-6,18729-4,18767-4,18768-2,18769-0,26435-8,26346-6,26437-4, 26438-2' displayName='BLOOD BANK STUDIES,CELL MARKER STUDIES,CHEMISTRY STUDIES,COAGULATION STUDIES,THERAPEUTIC DRUG MONITORING STUDIES,FERTILITY STUDIES,HEMATOLOGY STUDIES,HLA STUDIES,MICROBIOLOGY STUDIES,SEROLOGY STUDIES,TOXICOLOGY STUDIES,URINALYSIS STUDIES,BLOOD GAS STUDIES,CELL COUNTS+DIFFERENTIAL STUDIES,MICROBIAL SUSCEPTIBILITY TESTS,MOLECULAR PATHOLOGY STUDIES,LABORATORY STUDIES,CHEMISTRY CHALLENGE STUDIES,CYTOLOGY STUDIES(add notes p24)' codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/> <text> Text as described above </text>   <entry>  : <!-- Required Lab Report Data Processing Entry element --> <templateId root='1.3.6.1.4.1.19376.1.3.1'/>  : </entry>  <component> <section> <templateId root='1.3.6.1.4.1.19376.1.3.3.2.2'/> <!-- Optional Laboratory Report Item Section Section content --> </section> </component>     </section> </component>

Schematron

<pattern name='Template_1.3.6.1.4.1.19376.1.3.3.2.1'> 
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.3.3.2.1"]'> 
     <!-- Verify that the template id is used on the appropriate type of object --> 
   <assert test='../cda:section'> 
      Error: The Laboratory Speciality Section can only be used on sections. 
   </assert> 
   <!-- Verify the section type code --> 
   <assert test='cda:code[@code = "18717-9,18718-7,18719-5,18720-3,18721-1,18722-9,19723-7,18724-5,18725-2,18727-8, 18728-6,18729-4,18767-4,18768-2,18769-0,26435-8,26346-6,26437-4, 26438-2"]'> 
     Error: The section type code of a Laboratory Speciality Section must be 18717-9,18718-7,18719-5,18720-3,18721-1,18722-9,19723-7,18724-5,18725-2,18727-8, 18728-6,18729-4,18767-4,18768-2,18769-0,26435-8,26346-6,26437-4, 26438-2 
   </assert> 
   <assert test='cda:code[@codeSystem = "2.16.840.1.113883.6.1"]'> 
     Error: The section type code must come from the LOINC code  
     system (2.16.840.1.113883.6.1). 
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.3.3.2.2"]'> 
     <!-- Note any missing optional elements -->
     Note: This Laboratory Speciality Section Section does not contain a(n)  Laboratory Report Item Section Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.3.2.1
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.3.1"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Laboratory Speciality Section Section must contain a(n) Lab Report Data Processing Entry Entry.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.3.2.1
   </assert> 
 </rule> 
</pattern>

Uses

See Templates using the Laboratory Speciality Section Section

Laboratory Specialty Section Rendering

Each top section represents a specialty. A laboratory report may be composed of test results from a single specialty (e.g. a microbiology report, a virology report), or from any number of specialties (a report from a multidisciplinary laboratory). The structure of the report allows both kinds of reports.

The “specialty”sections use the LOINC codes defined as report subject identifier codes for the US claim attachment A clinical laboratory report SHALL contain one or more of these sections, in any order. These “specialty” sections SHALL NOT be nested.

LOINC Code Name 18717-9 BLOOD BANK STUDIES 18718-7 CELL MARKER STUDIES 18719-5 CHEMISTRY STUDIES 18720-3 COAGULATION STUDIES 18721-1 THERAPEUTIC DRUG MONITORING STUDIES 18722-9 FERTILITY STUDIES 18723-7 HEMATOLOGY STUDIES 18724-5 HLA STUDIES 18725-2 MICROBIOLOGY STUDIES 18727-8 SEROLOGY STUDIES 18728-6 TOXICOLOGY STUDIES 18729-4 URINALYSIS STUDIES 18767-4 BLOOD GAS STUDIES 18768-2 CELL COUNTS+DIFFERENTIAL STUDIES 18769-0 MICROBIAL SUSCEPTIBILITY TESTS 26435-8 MOLECULAR PATHOLOGY STUDIES 26436-6 LABORATORY STUDIES 26437-4 CHEMISTRY CHALLENGE STUDIES 26438-2 CYTOLOGY STUDIES

Note 1: 26436-6 (LABORATORY STUDIES) enables to issue a report putting together observations from multiple specialties (disciplines) in the same text block, allowing to deliver a global interpretation comment at the end of the text block, that will be rendered at the end of the report.

Note 2: 18721-1 (THERAPEUTIC DRUG MONITORING STUDIES) will be used for a section carrying pharmacology observations on a patient.

Note 3: Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (MICROBIOLOGY STUDIES) specialty.

Note 4: Virology may be included in 18725-2 (MICROBIOLOGY STUDIES) specialty or 18727-8 (SEROLOGY STUDIES) or split between both specialties, depending upon the Content Creator Actor’s choice.

Laboratory Specialty Section Constraints

Example

<ClinicalDocument> 
  ...
  <component typeCode="COMP">
    <structuredBody classCode="DOCBODY" moodCode="EVN">
      <component typeCode="COMP">
        <section classCode="DOCSECT">
          <templateId extension="??" root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HEMATOLOGY STUDIES"/>
          <title>Laboratory Hematology Results</title>
          <component>
            <section>
              <templateId extension="??" root="1.3.6.1.4.1.19376.1.3.3.2.2"/>
              <code code="16931-8" codeSystem="2.16.840.1.113883.6.1" displayName="Hemoglobin/Hematocrit"/>
              <text/>
              <entry typeCode="DRIV">
                <templateId extension="Lab.Report.Data.Processing.Entry" root="1.3.6.1.4.1.19376.1.3"/>
                <act classCode="ACT" moodCode="EVN">
                  ...
                </act>
              </entry>
            </section>
          </component>
        </section>
      </component>
      <component typeCode="COMP">
        <section classCode="DOCSECT">
          <templateId extension="??" root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18719-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CHEMISTRY STUDIES"/>
          <title>Laboratory Chemistry Results</title>
          <text/>
          <entry typeCode="DRIV">
            <templateId extension="Lab.Report.Data.Processing.Entry" root="1.3.6.1.4.1.19376.1.3"/>
            <act classCode="ACT" moodCode="EVN">
              ...
            </act>
          </entry>
        </section>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>

Lab specialty code. Required. Not sure about if there is a limit of one per specialty code in a report. No specification in documentation today.

<title/>

Lab section title. Optional.

</>

A specialty section contains EITHER a leaf section OR a <text/> and <entry/>.

<component><section/>

Uses leaf section for report items.

<text/><entry/>

Uses root section for collection of report items.