| Item | DT | Card | Conf | Description | Label |
|---|
| | 1 … 1 | M | | (Laborat… |
 | @classCode
|
| cs | 1 … 1 | F | OBS |
| @moodCode
|
| cs | 1 … 1 | F | EVN |
| hl7:templateId
|
| II | 1 … 1 | M | | (Laborat… |
 | | @root
|
| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.1.6 |
| hl7:id
|
| II | 0 … 1 | | A Laboratory Observation identifier MAY be present. | (Laborat… |
| hl7:code
|
| CD | 1 … 1 | R | Unique test code in an international standard (LOINC or SNOMED CT) or a national standard (e.g. JC10 in Japan) | (Laborat… |
| hl7:statusCode
|
| CS | 1 … 1 | M | ‘completed’ when the result is present.
‘aborted’ if the test could not be performed. | (Laborat… |
| | CONF | | @code shall be "completed" | | or | | @code shall be "aborted" |
|
| hl7:effectiveTime
|
| IVL_TS | 0 … 1 | R | Physiologically relevant time | (Laborat… |
| hl7:value
|
| ANY | 0 … 1 | R | The result obtained for this test using the appropriate data type. Numeric results use data type PQ, which includes the unit. The result is absent in case of ‘obsolete’ or ‘aborted’ observation. | (Laborat… |
| | @xsi:type
|
| | 1 … 1 | F | ANY |
| hl7:interpretationCode
|
| CE | 0 … 1 | R | One or more codes interpreting the result, expressed with ObservationInterpretation vocabulary (e.g. H = high, L = low)
In case of a antimicrobial susceptibility test in microbiology, the vocabulary domain is ObservationInterpretationSusceptibility: S = susceptible, R = resistant, I = intermediate, VS = very susceptible, MS = moderately susceptible | (Laborat… |
| | CONF | | shall be drawn from concept domain "Observation Interpretation" |
|
| hl7:methodCode
|
| CE | 0 … 1 | R | method used for this observation expressed with ObservationMethod vocabulary (CWE) | (Laborat… |
| | CONF | | shall be drawn from concept domain "Observation Method" |
|
| Choice | … 1 | | Elements to choose from:- hl7:subject containing template 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMIC)
- hl7:subject containing template 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMIC)
|
| | hl7:subject
|
| | 0 … 1 | | subject in case of a non-human subject attached to the isolate
Contains 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMIC) | (Laborat… |
| cs | 0 … 1 | F | SBJ |
| | hl7:subject
|
| | 0 … 1 | | subject in case of a non-human subject attached to the isolate
Contains 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMIC) | (Laborat… |
| cs | 0 … 1 | F | SBJ |
| hl7:performer
|
| | 0 … * | | performer participation. Performer to supersede those recorded at higher level.
Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC) | (Laborat… |
| | @typeCode
|
| cs | 1 … 1 | F | PRF |
| hl7:author
|
| | 0 … * | R | author participation used to supersede the authors of higher level.
Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC) | (Laborat… |
| | @typeCode
|
| cs | 1 … 1 | F | AUT |
| Choice | … 3 | | Elements to choose from:- hl7:participant[@typeCode='AUTHEN']
- hl7:participant[@typeCode='RESP']
- hl7:participant[@typeCode='DEV']
|
| | hl7:participant
|
| | 0 … 1 | | Other participants "AUTHEN", "RESP", and "DEV". - AUTHEN: The verifier of the battery organizer. In the case where a laboratory report has multiple verifiers. Each verifier is attached to the subset of batteries/observations he or she verified, by the means of a <participant> element.
| (Laborat… |
| | where [@typeCode='AUTHEN'] |
| |
| cs | 1 … 1 | F | AUTHEN |
| | hl7:participant
|
| | 0 … 1 | | Other participants "AUTHEN", "RESP", and "DEV". - RESP: The person responsible for the provision of the battery. In the case where this battery is subcontracted to an external laboratory, this external laboratory (with its address and telcom) and the actual performer is represented by a <performer> element, whereas the Director of this subcontractor laboratory is carried by the <participant> element
being attached to the same level as the <performer> element.
| (Laborat… |
| | where [@typeCode='RESP'] |
| |
| cs | 1 … 1 | F | RESP |
| | hl7:participant
|
| | 0 … 1 | | Other participants "AUTHEN", "RESP", and "DEV". - DEV: A device or equipment, which was used to produce this battery of results (e.g. an analyzer).
| (Laborat… |
| | where [@typeCode='DEV'] |
| |
| cs | 1 … 1 | F | DEV |
| hl7:entryRelationship
|
| | 0 … * | R | Comment on this Observation
Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry (DYNAMIC) | (Laborat… |
| where [@typeCode='COMP'] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | COMP |
| hl7:entryRelationship
|
| | 0 … * | R | Previous observations obtained for the same patient, test, same method, same unit (1)
Contains 1.3.6.1.4.1.19376.1.3.1.2 Specimen Collection (DYNAMIC) | (Laborat… |
| where [@typeCode='REFR'] |
| |
| | @typeCode
|
| cs | 1 … 1 | F | REFR |
| | hl7:observation
|
| | 1 … 1 | R | | (Laborat… |
| cs | 0 … 1 | F | OBS |
| cs | 0 … 1 | F | EVN |
| | 1 … 1 | R | | (Laborat… |
| | 1 … 1 | R | | (Laborat… |
| | 1 … 1 | R | | (Laborat… |
| cs | 0 … 1 | | |
| | 1 … 1 | R | | (Laborat… |
| hl7:referenceRange
|
| | 0 … 1 | R | Reference range for the current test result | (Laborat… |
| | @typeCode
|
| cs | 1 … 1 | F | REFV |
| | hl7:observationRange
|
| | 1 … 1 | M | | (Laborat… |
| cs | 1 … 1 | F | OBS |
| cs | 1 … 1 | F | EVN.CRT |
| | 0 … 1 | | | (Laborat… |
| CV | 1 … 1 | R | | (Laborat… |
| CONF | 1 … 1 | F | N |
| 1 … 1 | F | 2.16.840.1.113883.5.83 (Observation Interpretation) |
| | 0 … * | | Extension to CDA Clinical statement | (Laborat… |
| cs | 1 … 1 | F | PRCN |
| | 1 … 1 | R | | (Laborat… |
| cs | 1 … 1 | F | COND |
| cs | 1 … 1 | F | EVN |
| CE | 1 … 1 | R | Code of the criterion (e.g. age, sex) | (Laborat… |
| | 1 … 1 | R | | (Laborat… |
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