Back To Index << Back To Templates

# Template Laboratory Report Data Processing Entry

Id | 1.3.6.1.4.1.19376.1.3.1 ref XDLAB- | Effective Date | 2008‑08‑08 Other versions this id: LaboratoryReportDataProcessingEntry as of 2024‑06‑18 14:13:32 LaboratoryReportDataProcessingEntry as of 2024‑06‑13 16:33:02
Status | Active | Version Label | 2017
Name | LaboratoryReportDataProcessingEntry | 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 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.
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Used by / Uses |
Used by 0 transactions and 2 templates, Uses 15 templates
Used by | as | Name | Version
--- | --- | --- | ---
1.3.6.1.4.1.19376.1.3.3.2.1 | Containment | Laboratory Specialty Section (2017) | 2008‑08‑08
1.3.6.1.4.1.19376.1.3.3.2.2 | Containment | Laboratory Report Item Section (2017) | 2008‑08‑08
Uses | as | Name | Version
1.3.6.1.4.1.19376.1.3.3.1.2.1 | Containment | Non-Human Subject (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.3.1 | Containment | Human Patient with Non-Human Subject (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.7 | Containment | Laboratory Performer (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.3.1.5 | Containment | Laboratory Results Validator (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1 | Containment | Notification Organizer (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.2 | Containment | Specimen Collection (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.3 | Containment | Specimen Received (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.4 | Containment | Laboratory Battery Organizer (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.5 | Containment | Laboratory Isolate Organizer (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.6 | Containment | Laboratory Observation (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.5.3.1.4.2 | Containment | IHE Comment Entry (2014) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.1 | Containment | Notifiable Condition (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.2 | Containment | Case Identification (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.1.1.3 | Containment | Outbreak Identification (2017) | DYNAMIC
1.3.6.1.4.1.19376.1.3.10.9.2 | Containment | Multimedia Embedded Content (2017) | DYNAMIC
Relationship | Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07) ref ad1bbr-
Example |
Laboratory Report Data Processing Entry within a Specialty section
<entry typeCode="DRIV"> <templateId root="1.3.6.1.4.1.19376.1.3.1"/> <act classCode="ACT" moodCode="EVN"> <!-- Specialty Level Entry : LOINC Specialty Code --> <code code="18719-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Chemistry Studies"/> <statusCode code="completed"/> <effectiveTime value="200806180512"/> <specimen typeCode="SPC"> <specimenRole classCode="SPEC"> <!-- .. --> </specimenRole> </specimen> <entryRelationship typeCode="COMP"> <!-- .. --> </entryRelationship> <!-- .. --> </act></entry>
Example |
Laboratory Report Data Processing Entry within a Report Item Section
<entry typeCode="DRIV"> <templateId root="1.3.6.1.4.1.19376.1.3.1"/> <act classCode="ACT" moodCode="EVN"> <!-- Report Item Level Entry : Result Item Code --> <code code="12814-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="POTASSIUM" originalText="Serum potassium"/> <statusCode code="completed"/> <effectiveTime value="200806180512"/> <specimen typeCode="SPC"> <specimenRole classCode="SPEC"> <!-- .. --> </specimenRole> </specimen> <entryRelationship typeCode="COMP"> <!-- .. --> </entryRelationship> <!-- .. --> </act></entry>
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:templateId | II | 1 … 1 | M |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.1
hl7:act |  | 1 … 1 |  | There shall be one Act sub-element. This <act> is hereafter referred to as the Specimen Act. This sub-element uses the modules conforming to the following requirements. These modules, when present, shall be recorded as <entryRelationship> elements under the Specimen Act. Specimen Collection 1.3.6.1.4.1.19376.1.3.1.2 Specimen Received 1.3.6.1.4.1.19376.1.3.1.3 Specimen Site 1.3.6.1.4.1.19376.1.3.1.8 Notification Organizer Notifiable Condition Case Identifier Outbreak Identifier Laboratory Isolate Organizer Laboratory Battery Organizer Laboratory Observation Mutimedia Embedded Content Annotation Comment |
@classCode | cs | 1 … 1 | F | ACT
@moodCode | cs | 1 … 1 | F | EVN
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. |
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. |
| CONF |
@code SHALL be "completed"
or
@code SHALL be "active"
or
@code SHALL be "aborted"
Choice | 0 … 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 Contains 1.3.6.1.4.1.19376.1.3.3.1.2.1 Non-Human Subject (DYNAMIC) |
@typeCode | cs | 0 … 1 | F | SBJ
hl7:subject |  | 0 … 1 |  | subject in case of a non-human subject Contains 1.3.6.1.4.1.19376.1.3.3.1.3.1 Human Patient with Non-Human Subject (DYNAMIC) |
@typeCode | cs | 0 … 1 | F | SBJ
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) |
@typeCode | cs | 0 … 1 | F | PRF
hl7:author |  | 0 … * |  | author used if different from the author of the header, to supersede it for this section. |
hl7:participant |  | 0 … * |  | Other participants such as validator (AUTHEN) or responsible party (RESP) or device (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. Contains 1.3.6.1.4.1.19376.1.3.3.1.5 Laboratory Results Validator (DYNAMIC) |
where [@typeCode='AUTHEN'] |
hl7:participant |  | 0 … * |  | Other participants such as validator (AUTHEN) or responsible party (RESP) or device (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. |
where [@typeCode='RESP'] |
@typeCode | cs | 1 … 1 | F | RESP
hl7:participant |  | 0 … * |  | Other participants such as validator (AUTHEN) or responsible party (RESP) or device (DEV) DEV: A device or equipment, which was used to produce this battery of results (e.g. an analyzer). |
where [@typeCode='DEV'] |
@typeCode | cs | 1 … 1 | F | DEV
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.1 Notification Organizer (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.2 Specimen Collection (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.3 Specimen Received (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.4 Laboratory Battery Organizer (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.5 Laboratory Isolate Organizer (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.6 Laboratory Observation (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.5.3.1.4.2 IHE Comment Entry (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.1.1 Notifiable Condition (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.1.2 Case Identification (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.1.1.3 Outbreak Identification (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
hl7:entryRelationship |  | 0 … * | R | Contains 1.3.6.1.4.1.19376.1.3.10.9.2 Multimedia Embedded Content (DYNAMIC) |
@typeCode | cs | 1 … 1 | F | COMP
| Schematron assert | role | error |
| test | hl7:entryRelationship |
| Message | A Laboratory Result Content SHALL be present. |