Difference between revisions of "1.3.6.1.4.1.19376.1.3.3"

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{{Std|CRS}}
 
{{Std|CRS}}
 
<!-- {{Std|CCD}} -->
 
<!-- {{Std|CCD}} -->
−
|<!--Parent=1.3.6.1.4.1.19376.1.5.3.1.1.2|ParentName=Medical Summary-->
+
|Parent=1.3.6.1.4.1.19376.1.5.3.1.1.2|ParentName=Medical Summary
 
|Index={{T|Data Elements|HL7 Care Record Summary|CDA Release 2.0|
 
|Index={{T|Data Elements|HL7 Care Record Summary|CDA Release 2.0|
−
Rows= {{R|Intended Recipient|?|informationRecipient/intendedRecipient}}
+
Rows={{R|Date of Admission|Header|encompassingEncounter/effectiveTime}}
 +
{{R|Date of Discharge|Header|encompassingEncounter/effectiveTime}}
 +
{{R|Participating Providers and Roles|Header|documentationOf/serviceEvent/performer}}
 +
{{R|Intended Recipient|?|informationRecipient/intendedRecipient}}
 
}}
 
}}
 
|Section|Intended Recipient|R|1.3.6.1.4.1.19376.1.3.3.1.1|
 
|Section|Intended Recipient|R|1.3.6.1.4.1.19376.1.3.3.1.1|
 
|Section|Active Problems|R|1.3.6.1.4.1.19376.1.5.3.1.3.6|
 
|Section|Active Problems|R|1.3.6.1.4.1.19376.1.5.3.1.3.6|
 
}}
 
}}

Revision as of 15:42, 7 May 2008

Return to: PCC TF-1/PHLAB/XDSLAB Harmonization

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 Laboratory Report Specification 1.3.6.1.4.1.19376.1.3.3

TODO - description and use case

  • put list of header conformance statements (4.1 in 2007 version of XDS_Lab, at least those inherent in CRS specification)


Format Code

The XDSDocumentEntry format code for this content is urn:ihe:lab:xds-lab:2008

Parent Template

This document is an instance of the Medical Summary template.

Standards
CDAR2 HL7 CDA Release 2.0
CRS HL7 Care Record Summary
Data Element Index
Data Elements HL7 Care Record Summary CDA Release 2.0
Date of Admission Header encompassingEncounter/effectiveTime
Date of Discharge Header encompassingEncounter/effectiveTime
Participating Providers and Roles Header documentationOf/serviceEvent/performer
Intended Recipient ? informationRecipient/intendedRecipient
Specification
Data Element Name Opt Template ID
Intended Recipient R 1.3.6.1.4.1.19376.1.3.3.1.1
Active Problems R 1.3.6.1.4.1.19376.1.5.3.1.3.6


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 Medical Summary 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 Laboratory Report Document 
<ClinicalDocument xmlns='urn:hl7-org:v3'>
  <typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3"/>
  <templateId root='1.3.6.1.4.1.19376.1.5.3.1.1.2'/>
  <templateId root='1.3.6.1.4.1.19376.1.3.3'/>
  <id root=' ' extension=' '/>
  <code code=' ' displayName=' '
    codeSystem='2.16.840.1.113883.6.1' codeSystemName='LOINC'/>
  <title>Laboratory Report</title>
  <effectiveTime value='20240419012005'/>
  <confidentialityCode code='N' displayName='Normal' 
    codeSystem='2.16.840.1.113883.5.25' codeSystemName='Confidentiality' />
  <languageCode code='en-US'/>     
     :
  <component><structuredBody>
    <component>
      <section>
        <templateId root='1.3.6.1.4.1.19376.1.3.3.1.1'/>
        <!-- Required Intended Recipient Section content -->
      </section>
    </component>

    <component>
      <section>
        <templateId root='1.3.6.1.4.1.19376.1.5.3.1.3.6'/>
        <!-- Required Active Problems Section content -->
      </section>
    </component>

       
  </structuredBody></component>
</ClinicalDocument>
Schematron
<pattern name='Template_1.3.6.1.4.1.19376.1.3.3'>
 <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.3.3"]'>
   <!-- Verify that the template id is used on the appropriate type of object -->
   <assert test='../cda:ClinicalDocument'>
     Error: The Laboratory Report can only be used on Clinical Documents.
   </assert> 
   <!-- Verify that the parent templateId is also present. -->
   <assert test='cda:templateId[@root="1.3.6.1.4.1.19376.1.5.3.1.1.2"]'>
     Error: The parent template identifier for Laboratory Report is not present.
   </assert> 
   <!-- Verify the document type code -->
   <assert test='cda:code[@code = "{{{LOINC}}}"]'>
     Error: The document type code of a Laboratory Report must be {{{LOINC}}}
   </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> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.3.3.1.1"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Laboratory Report Document must contain a(n) Intended Recipient Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.3
   </assert> 
   <assert test='.//cda:templateId[@root = "1.3.6.1.4.1.19376.1.5.3.1.3.6"]'> 
     <!-- Verify that all required data elements are present -->
     Error: The Laboratory Report Document must contain a(n) Active Problems Section.
     See http://wiki.ihe.net/index.php?title=1.3.6.1.4.1.19376.1.3.3
   </assert> 
 </rule>
</pattern>
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