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Result with an unstructured string as value (urine color)


Approval Status

  • Approval Status: Pending
  • Example Task Force: 3/22/2018
  • SDWG:

THIS ALL NEEDS TO BE UPDATED!

C-CDA 2.1 Example:

  • 2.16.840.1.113883.10.20.22.2.3.1:2015-08-01
  • 2.16.840.1.113883.10.20.22.4.1:2015-08-01
  • 2.16.840.1.113883.10.20.22.4.119
  • 2.16.840.1.113883.10.20.22.4.2:2015-08-01

Reference to full CDA sample:

  • Results in empty CCD

Validation location

Comments

  • This is an example of a value from a lab result that may not be structured.

    Custodian

  • John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • Results

Permalink

Links

 

Example: download example view on GitHub

<!-- **************************** RESULTS ************************************** -->
			<component>
				<section>
					<!-- conforms to Results section with entries optional -->
					<templateId root="2.16.840.1.113883.10.20.22.2.3" extension="2015-08-01"/>
					<!-- Results section with entries required -->
					<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
					<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
						displayName="Relevant diagnostic tests/laboratory data Narrative"/>
					<title>RESULTS</title>
					<text>
						<table>
							<thead>
								<tr> 
									<th>Test Name</th>
									<th>Results</th>
									<th>Reference Range</th>
									<th>Interpretation</th>
								</tr>
							</thead>
							<tbody>
								<tr ID="result1">
									<td>Antinuclear Antibodies, IFA</td>
									<td>Borderline, equal to 1:80</td>
									<td>Negative: &lt;1:80 Borderline: 1:80 Positive: &gt;1:80</td>
									<td>Abnormal</td>
								</tr>
							</tbody>
						</table>
					</text>
					<entry typeCode="DRIV">
						<organizer classCode="BATTERY" moodCode="EVN">
							<!-- ** Result organizer (V3) ** -->
							<templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/>
							<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
							<id root="7d5a02b0-67a4-11db-bd13-0800200c9a66"/>
							<code code="5048-4" displayName="Nuclear Ab [Titer] in Serum by Immunofluorescence" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"></code>
							<statusCode code="completed"/>
							<effectiveTime>
								<low value="201703191230-0800"/>
								<high value="201703191230-0800"/>
							</effectiveTime>
							<component>
								<observation classCode="OBS" moodCode="EVN">
									<!-- ** Result observation (V3) ** -->
									<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
									<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
									<id root="107c2dc0-67a5-11db-bd13-0800200c9a66"/>
									<code code="5048-4" displayName="Nuclear Ab [Titer] in Serum by Immunofluorescence" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
										<text>
											<reference value="#result1"/>
										</text>
									<statusCode code="completed"/>
									<effectiveTime value="201703191230-0800"/>
									<value xsi:type="ST" >
										Borderline, equal to 1:80
									</value>
									<!-- Borderline is considered abnormal -->
									<interpretationCode code="A" displayName="Abnormal" codeSystem="2.16.840.1.113883.5.83"/>
									<author typeCode="AUT">
										<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
										<time value="201703191230-0800"/>
										<assignedAuthor>
											<id extension="333444444" root="2.16.840.1.113883.4.6"/>
											<code code="246Q00000X" displayName="Technician, Pathology" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)"/>
										</assignedAuthor>
									</author>
									<!-- Example showing multiple referenceRanges-->
									<referenceRange>
										<observationRange>
											<!--  Negative being less than 1:80) as indicated in the text tag ** -->
											<text>Negative, less than 1:80</text>
											<value xsi:type="ST">
											     less than 1:80 
											</value>
											<!-- Note that the interprentationCode is Normal -->
											<interpretationCode code="N" displayName="Normal" codeSystem="2.16.840.1.113883.5.83"/>
										</observationRange>
									</referenceRange>
									<referenceRange>
										<observationRange>
											<!-- Represents a Borderline being exactly 1:80 ** as indicated in the text tag -->
											<text>Borderline, equal to 1:80</text>
											<value xsi:type="ST">
												equal to 1:80 
											</value>
											<!-- Note that Borderline is considered Abnormal -->
											<interpretationCode code="A" displayName="Abnormal" codeSystem="2.16.840.1.113883.5.83"/>
										</observationRange>
									</referenceRange>
									<referenceRange>
										<observationRange>
											<!-- Represents a Positive being greater than 1:80)as indicated in the text tag ** -->
											<text>Positive, greater than 1:80</text>
											<value xsi:type="ST">
											     greater than 1:80 
											</value>
											<!-- Note that the interprentationCode is Abnormal -->
											<interpretationCode code="A" displayName="Abnormal" codeSystem="2.16.840.1.113883.5.83"/>
										</observationRange>
									</referenceRange>
								</observation>
							</component>
						</organizer>
					</entry>
				</section>
			</component>
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