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ref Template  Laboratory Report Data Processing Entry

Id 1.3.6.1.4.1.19376.1.3.1 ref (from repository: XDLAB-) Effective Date valid from 2016‑07‑05

There are versions of templates with this id:
  • IHELaboratoryReportDataProcessingEntry as of 2016‑07‑05
  • BCLaboratoryReportDataProcessingEntry as of 2016‑04‑05 01:31:43
Status draft Draft Version Label 2016
Name IHELaboratoryReportDataProcessingEntry Display Name Laboratory Report Data Processing Entry
Description

One Laboratory Report Data Processing Entry SHALL be present in each leaf section of the report. The entry element SHALL be present and have its root attribute valued "1.3.6.1.4.1.19376.1.3.1". The entry SHALL contain a single act sub-element. This act is hereafter referred to as the Specimen Act. All other CDA level 3 content modules are nested in this one act. The Specimen Act shall contain at least one Laboratory Observation. If all observations of the entry have been produced on the same specimen, this specimen SHALL be attached to the top Specimen Act as a specimen collection procedure sub-element.

A particular section of the laboratory report MAY carry results more confidential than the rest of the report (e.g., the section of the HIV serology). This is expressed with the confidentialityCode sub-element of the Specimen Act.

The Laboratory Report Data Processing Entry SHALL conform to statements here and those made in the following tables and sections.

Context Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.1
Classification CDA Entry Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 4 templates, Uses 18 templates
Used by Template id as Name Version
1.3.6.1.4.1.19376.1.3.3.2.2 Containment Laboratory Report Item Section 2016‑07‑05
1.3.6.1.4.1.19376.1.3.3.2.1.1 link BC CDA LabResultSpecialtyStructuredBody 2016‑04‑05 00:27:44
2.16.840.1.113883.3.51.60.2.1 link BC CDA ClinicalDocumentBCLabResult 2016‑04‑02 11:52:37
1.3.6.1.4.1.19376.1.3.3.2.2 Containment BC CDA Laboratory Report Item Section 2016‑04‑05 02:22:00
Uses Template id as Name Version
1.3.6.1.4.1.19376.1.3.3.1.2.1 Containment IHENonHumanSubject DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.3.1 Containment IHEHumanPatientWithNonHumanSubject DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.7 Containment IHELaboratoryPerformer DYNAMIC
1.3.6.1.4.1.19376.1.3.1.9999.10.9.17 Containment IHEAuthorWithNameAddrTelecom DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.5 Containment IHELaboratoryResultsValidator DYNAMIC
1.3.6.1.4.1.19376.1.3.1.9999.10.9.10 Containment IHEParticipantBodyResponsibleParty DYNAMIC
1.3.6.1.4.1.19376.1.3.1.9999.10.9.11 Containment IHEParticipantBodyDevice DYNAMIC
1.3.6.1.4.1.19376.1.3.1.2 Containment IHESpecimenCollection DYNAMIC
1.3.6.1.4.1.19376.1.3.1.3 Containment IHESpecimenReceived DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1 Containment IHENotificationOrganizer DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.1 Containment IHENotifiableCondition DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.2 Containment IHECaseIdentification DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.3 Containment IHEOutbreakIdentification DYNAMIC
1.3.6.1.4.1.19376.1.3.1.5 Containment BCLaboratoryIsolateOrganizer2 DYNAMIC
1.3.6.1.4.1.19376.1.3.1.4 Containment IHELaboratoryBatteryOrganizer DYNAMIC
1.3.6.1.4.1.19376.1.3.1.6 Containment IHELaboratoryObservation DYNAMIC
1.3.6.1.4.1.19376.1.3.1.9999.10.9.12 Containment IHEMultimediaEmbeddedContent DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.2 Containment BCAnnotationComment DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Item DT Card Conf Description Label
hl7:act
(IHELaboratoryReportDataProcessingEntry)
treetree @classCode
cs 1 … 1 F ACT
treetree @moodCode
cs 1 … 1 F EVN
treetree hl7:templateId
II 1 … 1 M (IHELaboratoryReportDataProcessingEntry)
treeblank treetree @root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.1
treetree hl7:code
CD 1 … 1 M

Mandatory. When section is a Specialty Section, code is a LOINC Specialty. When section is a Report Item Section, code is a Report Item code.

(IHELaboratoryReportDataProcessingEntry)
treetree hl7:statusCode
CS 1 … 1 M

Mandatory.

  • ‘completed’ when all expected results are in a final state.
  • ‘active’ if not all expected results are present
  • ‘aborted’ if the tests of this section did not reach completion. Some results MAY be there, but not all.
(IHELaboratoryReportDataProcessingEntry)
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20309 ActStatusAbortedCancelledCompleted (DYNAMIC)
Choice 0 … 1

Subject in case of a non-human subject attached to the report

Elements to choose from:
treeblank treetree hl7:subject
0 … 1 Contains 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (Body) (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.2.1']
treeblank treetree hl7:subject
0 … 1 Contains 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (Body) (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.3.1']
treetree hl7:performer
0 … *

performer participation used if different from the performer of the header, to supersede it for this section.


Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMIC) 		(IHELaboratoryReportDataProcessingEntry)
where [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.7']
treetree hl7:author
0 … *

author used if different from the author of the header, to supersede it for this section.


Contains 1.3.6.1.4.1.19376.1.3.1.9999.10.9.17 Author with Name, Addr, Telecom (DYNAMIC) 		(IHELaboratoryReportDataProcessingEntry)
Choice 0 … *

Other participants such as verifier (AUTHEN) or responsible party (RESP).

Elements to choose from:
treeblank treetree hl7:participant
0 … *

AUTHEN for verifier,


Contains 1.3.6.1.4.1.19376.1.3.3.1.5 Laboratory Results Validator (DYNAMIC) 		(IHELaboratoryReportDataProcessingEntry)
where [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.3.1.5']
treeblank treetree hl7:participant
0 … *

RESP for responsible party


Contains 1.3.6.1.4.1.19376.1.3.1.9999.10.9.10 CDA Participant (Body, responsible party) (DYNAMIC) 		(IHELaboratoryReportDataProcessingEntry)
treeblank treetree hl7:participant
0 … *

DEV for device (e.g., lab analyzer)


Contains 1.3.6.1.4.1.19376.1.3.1.9999.10.9.11 CDA Participant (Body, device) (DYNAMIC) 		(IHELaboratoryReportDataProcessingEntry)
Choice 1 … * Elements to choose from:
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.2 Specimen Collection (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:procedure [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.2']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.3 Specimen Received (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:act [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.3']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.1 Notification Organizer (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:organizer [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.1']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.1.1 Notifiable Condition (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.1.1']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.1.2 Case Identification (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.1.2']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.1.3 Outbreak Identification (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.1.3']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.5 BC Laboratory Isolate Organizer (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:organizer [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.5']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.4 Laboratory Battery Organizer (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:organizer [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.4']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.6 Laboratory Observation (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:observation [hl7:templateId/@root='1.3.6.1.4.1.19376.1.3.1.6']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * R Contains 1.3.6.1.4.1.19376.1.3.1.9999.10.9.12 Multimedia Embedded Content (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
treeblank treeblank treetree @typeCode
1 … 1 F COMP
treeblank treetree hl7:entryRelationship
0 … * Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 BC Annotation Comment (DYNAMIC) (IHELaboratoryReportDataProcessingEntry)
where [hl7:act [hl7:templateId/@root='1.3.6.1.4.1.19376.1.5.3.1.4.2']]
treeblank treeblank treetree @typeCode
1 … 1 F COMP