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# Template XD-LAB DocumentationOf

Id | 1.3.6.1.4.1.19376.1.3.10.9.15 ref XDLAB- | Effective Date | 2016‑07‑05
Status | Active | Version Label | 2017
Name | IHEDocumentationOfLaboratoryPerformer | Display Name | XD-LAB DocumentationOf
Description
Content Modules for CDA Header (Level 1): Laboratory Performer template in the CDA header (ClinicalDocument/documentationOf/serviceEvent) ClinicalDocument/documentationOf(s) MAY be present. The documentationOf/serviceEvent represents the main Act being documented, that is an act of reporting Result Event(s) produced by a laboratory. Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate. This laboratory report content module adds the optional sub element documentationOf/serviceEvent/statusCode to enable the sharing of non-final reports. A report is considered as non-final (e.g., a preliminary report) if and only if it documents an Act, which is still in the status “active” (i.e., serviceEvent/statusCode@code=”active”). The statusCode sub element is an extension to the CDA R2 schema. This sub-element is optional. When it is not there, the documented Act is assumed to be completed and the report is assumed to be a final report.
Classification | CDA Header Level Template
Open/Closed | Open (other than defined elements are allowed)
Used by / Uses |
Used by 0 transactions and 0 templates, Uses 1 template
Uses | as | Name | Version
--- | --- | --- | ---
1.3.6.1.4.1.19376.1.3.3.1.7 | Containment | Laboratory Performer (2017) | DYNAMIC
Relationship | Specialization: template 2.16.840.1.113883.10.12.110 CDA documentationOf (2005‑09‑07) ref ad1bbr-
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:documentationOf |  | 0 … * |  |  |
hl7:serviceEvent |  | 1 … 1 | R |  |
hl7:effectiveTime | IVL_TS | 0 … 1 |  | Use of sub element documentationOf/serviceEvent/effectiveTime to document the time boundaries of events in the document is appropriate. |
lab:statusCode | CS | 0 … 1 |  | This Laboratory Report Content Module can express both final and non-final reports. To distinguish between the two, the statusCode element has been added to the documentationOf/serviceEvent element. A non-final report is a report documenting a serviceEvent, which is in the status "active". This sub-element serviceEvent/statusCode is optional. When it is not present the serviceEvent is assumed to be in the status "completed". |
| CONF |
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.19376.1.3.11.4 ActStatusActiveCompleted (DYNAMIC)
hl7:performer |  | 0 … * |  | Laboratory Performer template in the CDA header Contains 1.3.6.1.4.1.19376.1.3.3.1.7 Laboratory Performer (DYNAMIC) |