Result with an unstructured string as value (urine color)

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Example metadata last updated 2017-08-06 10:15:50.642000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 3/5/2015
  • SDWG: 3/12/2015
  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

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Certification

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)

Full sample: Results in empty CCD

Example: download example view on GitHub

<section>
	<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
	<templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
	<!-- Results Section with Coded Entries Required-->
	<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
		displayName="Relevant diagnostic tests and/or laboratory data"/>
	<title>Results</title>
	<text>
		<table border="1">
			<thead>
				<tr>
					<th>Description</th>
					<th>Value / Unit</th>
					<th>Interpretation</th>
					<th>Reference Range</th>
				</tr>
			</thead>
			<tbody>
				<tr>
					<th colspan="4">Lab Results For HL7 Example Task Force</th>
				</tr>
				<tr>
					<th colspan="4">Urine Color at 10-23-2013 9:10a</th>
				</tr>
				<tr ID="Result1">
					<td>Urine Color</td>
					<td>Amber</td>
					<td>Normal</td>
					<td>None provided</td>
				</tr>
			</tbody>
		</table>
	</text>
	<entry>
		<!-- A complete urinanalysis would return multiple components, but only the urine color example is shown below to demonstrate a string result-->
		<organizer classCode="BATTERY" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.1" extension="2015-08-01"/>
			<id root="f1aa44dd-6f39-4f5c-b267-897c3824b563"/>
			<code code="24356-8" displayName="Urinalysis complete pnl Ur"
				codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
			<statusCode code="completed"/>
			<effectiveTime>
				<low value="201310230910+0500"/>
				<high value="201310230910+0500"/>
			</effectiveTime>
			<component>
				<observation classCode="OBS" moodCode="EVN">
					<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
					<templateId root="2.16.840.1.113883.10.20.22.4.2" extension="2015-08-01"/>
					<id root="f1aa44dd-6f39-4f5c-b267-897c3824b563"/>
					<code code="5778-6" displayName="Color of Urine"
						codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
					<text>
						<reference value="#Result1"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="20131023090823+0500"/>
					<!-- Representing a result returned as unstructured string-->
					<!-- There may be a code for this and other colors, but this would be practice when the code is not provided or unkonwn-->
					<value xsi:type="ST">Amber</value>
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
				</observation>
			</component>
			<!-- A complete urinanalysis would return multiple components, but only the urine color example is shown above-->
		</organizer>
	</entry>
</section>
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