Back To Index  <<  Back To Templates

draft Template  XeH Laboratory Specialty Section, Variant 2

Id 2.16.840.1.113883.2.51.10.54 Effective Date 2022‑02‑16 10:55:28
Status draft Draft Version Label 0.1
Name XeHLaboratoryspecialtysection2 Display Name XeH Laboratory Specialty Section, Variant 2
Description
Every Laboratory Report SHALL contain at least one Laboratory Specialty Section. Each top section represents a specialty. A laboratory report MAY be composed of test results from a single specialty (e.g. a microbiology report, a virology report), or from any number of specialties (a report from a multidisciplinary laboratory). The structure of the report allows both kinds of reports.
The Laboratory Specialty Sections use the LOINC codes defined as report subject identifier codes. A laboratory report SHALL contain one or more of these sections, in any order. Laboratory Specialty Sections SHALL NOT be nested.
  • <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/> - The templateId element identifies this section as a Laboratory Specialty Section. The templateId SHALL be present with root="1.3.6.1.4.1.19376.1.3.3.2.1".
  • <code code=" " codeSystem=" " codeSystemName=" " displayName=" "/> - The Laboratory Specialty Section SHALL identify the LOINC laboratory specialty. The code, codeSystem, and displayName attributes SHALL be present. The codeSystemName MAY also be present.
  • <title/> - The Laboratory Specialty Section <title> MAY be present. It is the local translation of the code@displayName.
The semantic content of each specialty section is not constant between countries. The relationship between Report Items and Specialties varies from country to country, and MAY even vary in the same country, from a healthcare organization to another. A Report Item can be a battery (or test panel), an individual test, or the complete study of a specimen (particularly in the MICROBIOLOGY STUDIES specialty). Realm extensions of this profile MAY further constrain these definitions.
A Laboratory Specialty Section SHALL contain EITHER a list of Laboratory Report Item Section(s) OR a single text and entry element to represent the Report Items.
  • Choice 1: Laboratory Report Item Section - With this option, this Laboratory Specialty Section SHALL contain NEITHER a top level text NOR entry elements. Each Report Item is contained in a corresponding Laboratory Report Item Section which contains the Lab Report Data Processing Entry. See 2.3.4.2.
  • Choice 2: Text and Entry - With this option, the Laboratory Specialty Section text SHALL be present and not blank. This narrative block SHALL present to the human reader, all the observations produced for this Specialty, using the various structures available in the CDA Narrative Block schema (NarrativeBlock.xsd): tables, lists, paragraphs, hyperlinks, footnotes, references to attached or embedded multimedia objects. The narrative block is fully derived from the entry containing the machine-readable result data. Additionally, a single Laboratory Report Data Processing Entry SHALL be present with attribute typeCode="DRIV". This entry contains the machine-readable result data from which the narrative block of this section is derived.
Should a Laboratory Report contain multiple Laboratory Speciality Sections they need not adhere to the same choice of representation, that is, one MAY expect a mixture of choice 1 and choice 2 representations among multiple Laboratory Speciality Sections.
Context Parent nodes of template element with id 2.16.840.1.113883.2.51.10.54
Classification CDA Section Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 1 template, Uses 1 template
Used by as Name Version
2.16.840.1.113883.2.51.10.33 Containment draft XeH Laboratory Result Report (0.1) 2021‑10‑01 11:41:22
Uses as Name Version
2.16.840.1.113883.2.51.10.55 Containment draft XeH Laboratory Report Item Section (0.1) DYNAMIC
Relationship Adaptation: template 1.3.6.1.4.1.19376.1.3.3.2.1 Laboratory Specialty Section (2008‑08‑08)
ref
XDLAB-

Specialization: template 2.16.840.1.113883.10.12.201 CDA Section (2005‑09‑07)
ref
ad1bbr-
Example
Specialty Section that holds a leaf section and Leaf Section that holds one Report Item
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>  <code code="18723-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HEMATOLOGY STUDIES"/>  <title>Laboratory Hematology Results</title>  <component>
    <section>
      <templateId root="1.3.6.1.4.1.19376.1.3.3.2.2"/>      <!-- Leaf Section that holds one Report Item -->
    </section>
  </component>
</section>
Example
Specialty Section that holds Report Items directly as a Laboratory Report Data Processing Entry
<section classCode="DOCSECT">
  <templateId root="1.3.6.1.4.1.19376.1.3.3.2.1"/>  <code code="18719-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="CHEMISTRY STUDIES"/>  <title>Laboratory Chemistry Results</title>  <text/>  <entry typeCode="DRIV">
    <templateId root="1.3.6.1.4.1.19376.1.3"/>    <act classCode="ACT" moodCode="EVN"> ... </act>  </entry>
</section>
Item DT Card Conf Description Label
hl7:section
(XeHdotson2)
  Constraint A Laboratory Specialty Section SHALL contain EITHER a list of Laboratory Report Item Section(s) OR a single text and entry element to represent the Report Items.
  • Choice 1: Laboratory Report Item Section - With this option, this Laboratory Specialty Section SHALL contain NEITHER a top level text NOR entry elements. Each Report Item is contained in a corresponding Laboratory Report Item Section which contains the Lab Report Data Processing Entry. See 2.3.4.2.
  • Choice 2: Text and Entry - With this option, the Laboratory Specialty Section text SHALL be present and not blank. This narrative block SHALL present to the human reader, all the observations produced for this Specialty, using the various structures available in the CDA Narrative Block schema (NarrativeBlock.xsd): tables, lists, paragraphs, hyperlinks, footnotes, references to attached or embedded multimedia objects. The narrative block is fully derived from the entry containing the machine-readable result data. Additionally, a single Laboratory Report Data Processing Entry SHALL be present with attribute typeCode="DRIV". This entry contains the machine-readable result data from which the narrative block of this section is derived.
hl7:templateId
II 1 … 1 M (XeHdotson2)
@root
uid 1 … 1 F 2.16.840.1.113883.2.51.10.54
hl7:templateId
II 1 … 1 M (XeHdotson2)
@root
uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.3.2.1
  TemplateId for "Laboratory Specialty Section" according to IHE XD-LAB
hl7:id
II 0 … 1 R (XeHdotson2)
hl7:code
CE 1 … 1 M Code of the Laboratory Study Type, related to which observations are within this section
(XeHdotson2)
@code
1 … 1 R
@codeSystem
1 … 1 R
@displayName
1 … 1 R
  CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.2.51.13.1.2 XeH Lab Study Types (DYNAMIC)
hl7:title
ST 1 … 1 M (XeHdotson2)
hl7:text
SD.TEXT NP A text element is not allowed in Variant 2 of the Laboratory Specialty Section (XeHdotson2)
hl7:component
1 … * M Contains 2.16.840.1.113883.2.51.10.55 XeH Laboratory Report Item Section (DYNAMIC) (XeHdotson2)