Difference between revisions of "1.3.6.1.4.1.19376.1.3.1.1.1"

From IHE Wiki
Jump to navigation Jump to search
 
(17 intermediate revisions by the same user not shown)
Line 1: Line 1:
−
Return to: [[PCC TF-1/PHLAB/XDSLAB Harmonization]]
+
Return to:[[PCC_TF-1/PHLAB/XDSLAB_Harmonization | XDS-LAB Harmonization]]
 
<br>
 
<br>
−
Return to: [[1.3.6.1.4.1.19376.1.3.1|Laboratory Data Processing Entry]]
+
Return to:[[PCC_TF-1/PHLAB/XDSLAB_Harmonization#CDA_Document_Content_Modules | Laboratory Content Modules]]
 +
<br>
 +
Return to:[[1.3.6.1.4.1.19376.1.3.1 | Laboratory Report Data Processing Entry]]
 +
<br>
 +
Return to:[[1.3.6.1.4.1.19376.1.3.1.1 | Notification Organizer]]
 +
 
 +
{{HL7V3|Notifiable Condition|1.3.6.1.4.1.19376.1.3.1.1.1|Trial|
 +
Notifiable Condition, when present, SHALL be recorded as an <observation> in an <entryRelationship> under the [[1.3.6.1.4.1.19376.1.3.1.1|Notification Organizer]] as demonstrated in the figure below. Notifiable Condition SHALL be present when dictated by local public health requirements.
  
−
{{HL7V3|Notifiable Condition|1.3.6.1.4.1.19376.1.3.1.1|Trial|
 
−
Notifiable Condition, when present, SHALL be recorded as an observation in an entryRelationship under the 'Specimen Act' of a Laboratory data processing entry ([[1.3.6.1.4.1.19376.1.3.1]]) as demonstrated in the figure below. Notifiable Condition SHALL be present when dictated by local public health requirements.
 
  
 
The figure below shows how the information for this element is coded, and further constraints are provided in the following sections.
 
The figure below shows how the information for this element is coded, and further constraints are provided in the following sections.
 
|Example=
 
|Example=
 
<pre>
 
<pre>
−
<ClinicalDocument
+
<ClinicalDocument>
 
   ...
 
   ...
 
   <component typeCode="COMP">
 
   <component typeCode="COMP">
Line 15: Line 20:
 
       <component typeCode="COMP">
 
       <component typeCode="COMP">
 
         <section classCode="DOCSECT">
 
         <section classCode="DOCSECT">
−
           ...
+
           <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
 +
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
 +
          <text/>
 
           <entry typeCode="DRIV">
 
           <entry typeCode="DRIV">
−
             <templateId extension="Lab.Report.Data.Processing.Entry" root="1.3.6.1.4.1.19376.1.3.1"/>
+
             <templateId root="1.3.6.1.4.1.19376.1.3.1"/>
 
             <act classCode="ACT" moodCode="EVN">
 
             <act classCode="ACT" moodCode="EVN">
−
              ...
 
 
               <entryRelationship typeCode="COMP">
 
               <entryRelationship typeCode="COMP">
−
                 <observation classCode="COND" moodCode="EVN">
+
                 <organizer classCode="CLUSTER" moodCode="EVN">
 
                   <templateId root="1.3.6.1.4.1.19376.1.3.1.1"/>
 
                   <templateId root="1.3.6.1.4.1.19376.1.3.1.1"/>
−
                   <code code="170516003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
+
                   <statusCode code="completed"/>
−
                        displayName="Notification of Disease">
+
                  <component>
−
                    <qualifier>
+
                    <observation classCode="COND" moodCode="EVN">
−
                      <name code="246087005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
+
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/>
−
                            displayName="Source of Specimen"/>
+
                      <id extension="SALM" root="1.3.6.1.4.1.19376.1.3.4"/>
−
                      <value code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
+
                      <code code="170516003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
−
                            displayName="Patient"/>
+
                            displayName="Notification of Disease">
−
                    </qualifier>
+
                        <qualifier>
−
                  </code>
+
                          <name code="246087005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
−
                  <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
+
                                displayName="Source of Specimen"/>
−
                                      displayName="Salmonella">
+
                          <value code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
−
                     <translation code="L-17100" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED"/>
+
                                displayName="Patient"/>
−
                   </value>
+
                        </qualifier>
−
                 </observation>
+
                      </code>
 +
                      <statusCode code="completed"/>
 +
                      <effectiveTime value="20080408000000.0000-0400"/>
 +
                      <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT"  
 +
                            displayName="Salmonella"/>
 +
                     </observation>
 +
                  </component>
 +
                  <component>
 +
                    <observation classCode="CASE" moodCode="EVN">
 +
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.2"/>
 +
                      ...
 +
                    </observation>
 +
                  </component>
 +
                  <component>
 +
                    <observation classCode="OUTB" moodCode="EVN">
 +
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/>
 +
                      ...
 +
                    </observation>
 +
                   </component>
 +
                 </organizer>
 
               </entryRelationship>
 
               </entryRelationship>
 +
            </act>
 +
          </entry>
 +
        </section>
 +
      </component>
 +
      <component>
 +
        <section>
 +
          <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
 +
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
 +
          <title>Laboratory Microbiology Results</title>
 +
          <text/>
 +
          <entry typeCode="DRIV">
 +
            <templateId root="1.3.6.1.4.1.19376.1.3"/>
 +
            <act classCode="ACT" moodCode="EVN">
 +
              ...
 +
            </act>
 +
          </entry>
 +
        </section>
 +
      </component>
 +
    </structuredBody>
 +
  </component>
 +
</ClinicalDocument>
 
</pre>
 
</pre>
 
}}
 
}}
  
 
=====<observation classCode="COND" moodCode="EVN">=====
 
=====<observation classCode="COND" moodCode="EVN">=====
−
The Notifiable Condition Observation shall be recorded as shown above, classCode "COND" and moodCode "EVN".
+
The Notifiable Condition Observation SHALL be recorded as shown above, classCode "COND" and moodCode "EVN".
  
−
=====<templateId root="1.3.6.1.4.1.19376.1.3.1.1"/>=====
+
=====<templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/>=====
−
The <templateId> element identifies this <observation> as the Notifiable Condition.  The templateId shall be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1".
+
The <templateId> element identifies this <observation> as the Notifiable Condition.  The templateId SHALL be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1.1".
 +
 
 +
=====<id extension=" " root=" "/>=====
 +
The Notifiable Condition Observation id MAY be present.  
  
 
=====<code code=" " codeSystem=" " codeSystemName=" " displayName=" "/>=====
 
=====<code code=" " codeSystem=" " codeSystemName=" " displayName=" "/>=====
−
The Notifiable Condition Observation shall contain a unique public health code.  
+
The Notifiable Condition Observation SHALL contain a unique public health code.  
  
 
=====<qualifier/>=====
 
=====<qualifier/>=====
−
The Notifiable Condition Observation qualifier shall identify the source of the notifiable condition. Eg, Patient, Food, Animal.
+
The Notifiable Condition Observation qualifier SHALL identify the source of the notifiable condition. Eg, Patient, Food, Animal.
 +
 
 +
=====<statusCode code=" "/>=====
 +
The Notifiable Condition Observation statusCode SHALL be either "completed", "aborted", or "obsolete". A status of completed means the patient has been associated with the given notifiable condition. A status of aborted means the patient was associated with the notifiable condition in error. A status of obsolete means the Notifiable Condition Observation has been replaced by a newer Notifiable Condition Observation (following it) in this revision of the report.
 +
 
 +
=====<effectiveTime value=" "/>=====
 +
The Case Identifier Observation MAY contain a relevant time.  
  
 
=====<value/>=====
 
=====<value/>=====
−
The Notifiable Condition Observation value shall specify the specific public health notifiable condition. Eg, Salmonella, Rabies, Bacillus anthracis.
+
The Notifiable Condition Observation value SHALL specify the specific public health notifiable condition. This value SHALL be type "CE".
 +
Eg, Salmonella (27268008 SNOMED-CT), Rabies (59881000 SNOMED-CT), Bacillus anthracis (21927003 SNOMED-CT).

Latest revision as of 14:47, 23 July 2008

Return to: XDS-LAB Harmonization
Return to: Laboratory Content Modules
Return to: Laboratory Report Data Processing Entry
Return to: Notification Organizer

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

Trial.gif Notifiable Condition 1.3.6.1.4.1.19376.1.3.1.1.1

Notifiable Condition, when present, SHALL be recorded as an <observation> in an <entryRelationship> under the Notification Organizer as demonstrated in the figure below. Notifiable Condition SHALL be present when dictated by local public health requirements.


The figure below shows how the information for this element is coded, and further constraints are provided in the following sections.


Uses

See Templates using Notifiable Condition

Specification
Notifiable Condition Example 
<ClinicalDocument>
  ...
  <component typeCode="COMP">
    <structuredBody classCode="DOCBODY" moodCode="EVN">
      <component typeCode="COMP">
        <section classCode="DOCSECT">
          <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
          <text/>
          <entry typeCode="DRIV">
            <templateId root="1.3.6.1.4.1.19376.1.3.1"/>
            <act classCode="ACT" moodCode="EVN">
              <entryRelationship typeCode="COMP">
                <organizer classCode="CLUSTER" moodCode="EVN">
                  <templateId root="1.3.6.1.4.1.19376.1.3.1.1"/>
                  <statusCode code="completed"/>
                  <component>
                    <observation classCode="COND" moodCode="EVN">
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/>
                      <id extension="SALM" root="1.3.6.1.4.1.19376.1.3.4"/>
                      <code code="170516003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                            displayName="Notification of Disease">
                        <qualifier>
                          <name code="246087005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                                displayName="Source of Specimen"/>
                          <value code="116154003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                                 displayName="Patient"/>
                        </qualifier>
                      </code>
                      <statusCode code="completed"/>
                      <effectiveTime value="20080408000000.0000-0400"/>
                      <value xsi:type="CE" code="27268008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" 
                             displayName="Salmonella"/>
                    </observation>
                  </component>
                  <component>
                    <observation classCode="CASE" moodCode="EVN">
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.2"/>
                      ...
                    </observation>
                  </component>
                  <component>
                    <observation classCode="OUTB" moodCode="EVN">
                      <templateId root="1.3.6.1.4.1.19376.1.3.1.1.3"/>
                      ...
                    </observation>
                  </component>
                </organizer>
              </entryRelationship>
            </act>
          </entry>
        </section>
      </component>
      <component>
        <section>
          <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>
          <code code="18725-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MICROBIOLOGY STUDIES"/>
          <title>Laboratory Microbiology Results</title>
          <text/>
          <entry typeCode="DRIV">
            <templateId root="1.3.6.1.4.1.19376.1.3"/>
            <act classCode="ACT" moodCode="EVN">
              ...
            </act>
          </entry>
        </section>
      </component>
    </structuredBody>
  </component>
</ClinicalDocument>


<observation classCode="COND" moodCode="EVN">

The Notifiable Condition Observation SHALL be recorded as shown above, classCode "COND" and moodCode "EVN".

<templateId root="1.3.6.1.4.1.19376.1.3.1.1.1"/>

The <templateId> element identifies this <observation> as the Notifiable Condition. The templateId SHALL be recorded as shown above, root="1.3.6.1.4.1.19376.1.3.1.1.1".

<id extension=" " root=" "/>

The Notifiable Condition Observation id MAY be present.

The Notifiable Condition Observation SHALL contain a unique public health code.

<qualifier/>

The Notifiable Condition Observation qualifier SHALL identify the source of the notifiable condition. Eg, Patient, Food, Animal.

<statusCode code=" "/>

The Notifiable Condition Observation statusCode SHALL be either "completed", "aborted", or "obsolete". A status of completed means the patient has been associated with the given notifiable condition. A status of aborted means the patient was associated with the notifiable condition in error. A status of obsolete means the Notifiable Condition Observation has been replaced by a newer Notifiable Condition Observation (following it) in this revision of the report.

<effectiveTime value=" "/>

The Case Identifier Observation MAY contain a relevant time.

<value/>

The Notifiable Condition Observation value SHALL specify the specific public health notifiable condition. This value SHALL be type "CE". Eg, Salmonella (27268008 SNOMED-CT), Rabies (59881000 SNOMED-CT), Bacillus anthracis (21927003 SNOMED-CT).

Retrieved from "http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.1.1.1&oldid=22150"