Results of Basic Metabolic Panel and Troponin

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 3/10/2016
  • SDWG approved: 3/31/2016
  • SDWG C-CDA R2.1 Upgrade: 2/2/2017

C-CDA 2.1 Example:

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

  • Sample from Meaningful Use test data (inpatient data)

Certification

  • ONC

Custodian

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

Keywords

  • Metabolic, Panel

Permalink

Links

 

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>
				<!-- Note that in the human readable portions, we have drawn text directly from the sample test script (See 170.314(b)(2) – 2: Inpatient)-->
				<!-- The use of acronyms may not be appropriate in all instances when communicating lab results and should be evaluated for appropriateness-->
				<tr>
					<!-- To break up the data into lab orders, we've chosten to use a breaker row with column span.-->
					<!-- There are other ways to format, but the Example Task Force thought important that relevant labs be grouped-->
					<td colspan="4">
						<content ID="PanelName1">
							Basic Metabolic Panel
						</content>
						<!-- Rather than repeat the time on each human readable result, we've just included once.-->
						at 10-02-2012 9:08a
					</td>
				</tr>
				<tr ID="Result1">
					<td ID="Result1Name">Na</td>
					<td>140 mmol/L</td>
					<td>Normal</td>
					<td>135-145 mmol/L</td>
				</tr>
				<tr ID="Result2">
					<td ID="Result2Name">K</td>
					<td>4.2 mmol/L</td>
					<td>Normal</td>
					<td>3.5-5.2 mmol/L</td>
				</tr>
				<tr ID="Result3">
					<td ID="Result3Name">Cl</td>
					<td>98 mmol/L</td>
					<td>Normal</td>
					<td>95-110 mmol/L</td>
				</tr>
				<tr ID="Result4">
					<td ID="Result4Name">CO2</td>
					<td>24 mmol/L</td>
					<td>Normal</td>
					<td>23-29 mmol/L</td>
				</tr>
				<tr ID="Result5">
					<td ID="Result5Name">BUN</td>
					<td>10 mg/dL</td>
					<td>Normal</td>
					<td>8-24 mg/dL</td>
				</tr>
				<tr ID="Result6">
					<td ID="Result6Name">Cr</td>
					<td>1.2 mg/dL</td>
					<td>Normal</td>
					<td>0.8-1.3 mg/dL</td>
				</tr>
				<tr ID="Result7">
					<td ID="Result7Name">Glu</td>
					<td>185 mg/dL</td>
					<td>High</td>
					<td>70-140 mg/dL</td>
				</tr>
				<tr>
					<td colspan="4">
						<content ID="PanelName2">Troponin T </content>
						at 10-02-2012 9:08p 
					</td>
				</tr>
				<tr ID="Result8">
					<td ID="Result8Name">Troponin T</td>
					<td>0.01 ng/mL</td>
					<td>Normal</td>
					<td>0.0-0.10 ng/mL</td>
				</tr>
				<tr>
					<td colspan="4">
						<content ID="PanelName3">Troponin T </content>
						at 10-03-2012 10:08a 
					</td>
				</tr>
				<tr ID="Result9">
					<td ID="Result9Name">Troponin T</td>
					<td>0.01 ng/mL</td>
					<td>Normal</td>
					<td>0.0-0.10 ng/mL</td>
				</tr>
			</tbody>
		</table>
	</text>
	<entry>
		<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="cda1fc54-59fb-412d-86e0-acf6b78aa9a6"/>
			<!-- Note that we've included the first set of lab results in a BATTERY classCode and under the Basic Metabolic Panel -->
			<!-- Note the code for Basic Metabolic Panel IN BLOOD was not specifically noted in test script.  -->
			<!-- Warning: Basic Metabolic Panels in SERUM are more common in the real-word, but does not align with with provided test scenario. -->
			<!-- Technically this Basic Metabolic Panel order returns slightly different LOINC codes (e.g. CO2 would be 20565-8), but it's close overall. -->
			<code code="51990-0" displayName="Basic Metabolic Panel - Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
				<originalText>
					<reference value="#PanelName1" />
				</originalText>		
			</code>
			<statusCode code="completed"/>
			<!-- You could include an organizer/effectiveTime value="201210020908-0500" but it's not included in the test data --> 
			<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="d8fe6100-c31a-4b8c-b97d-57a6bd415bf7"/>
					<!-- There was significant discussion on what should be in the displayName, our current decision was to show LOINC long name-->
					<!-- Note that displayName will not correspond to human readable and originalText used for referencing that information-->
					<code code="2947-0" displayName="Sodium [Moles/​volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName1" />
						</originalText>
					</code>
					<text>
						<reference value="#Result1"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="140" unit="mmol/L" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>135-145 mmol/L</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="135" unit="mmol/L"/>
								<high value="145" unit="mmol/L"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="3ee6ac58-d22c-4416-9acc-c1c75c1c2c91"/>
					<code code="6298-4" displayName="Potassium [Moles/​volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName2" />
						</originalText>
					</code>
					<text>
						<reference value="#Result2"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="4.2" unit="mmol/L" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>3.5-5.2 mmol/L</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="3.5" unit="mmol/L"/>
								<high value="5.2" unit="mmol/L"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="0431a3ec-8ad6-49da-9de1-0a8704b7609d"/>
					<code code="2069-3" displayName="Chloride [Moles/volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName3" />
						</originalText>
					</code>
					<text>
						<reference value="#Result3"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="98" unit="mmol/L" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>95-110 mmol/L</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="95" unit="mmol/L"/>
								<high value="110" unit="mmol/L"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="70c62997-9f12-4b7c-9023-0cdf249336a7"/>
					<!-- Note that this exception is base on LOINC code in test data. CO2 code of 20565-8 (In Blood) would more accurately align with panel ordered --> 
					<code code="2028-9" displayName="Carbon dioxide, total [Moles/volume] in Serum or Plasma" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName4" />
						</originalText>
					</code>
					<text>
						<reference value="#Result4"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="24" unit="mmol/L" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>23-29 mmol/L</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="23" unit="mmol/L"/>
								<high value="29" unit="mmol/L"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="e3db8661-71b7-4cf3-a666-4ed9e127e134"/>
					<code code="6299-2" displayName="Urea nitrogen [Mass/volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName5" />
						</originalText>
					</code>
					<text>
						<reference value="#Result5"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="10" unit="md/dL" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>8-24 mg/dL</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="8" unit="mg/dL"/>
								<high value="24" unit="mg/dL"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="21261c16-b527-49f2-916b-2ad5dabf4381"/>
					<code code="38483-4" displayName="Creatinine [Mass/volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName6" />
						</originalText>
					</code>
					<text>
						<reference value="#Result6"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="1.2" unit="mg/dL" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>0.8-1.3 mg/dL</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="0.8" unit="mg/dL"/>
								<high value="1.3" unit="mg/dL"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
			<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="7e68c2a8-a507-413b-aed4-87de5081b369"/>
					<code code="2339-0" displayName="Glucose [Mass/volume] in Blood" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName7" />
						</originalText>
					</code>
					<text>
						<reference value="#Result7"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="185" unit="mmol/L" />
					<interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83" displayName="High" />
					<referenceRange>
						<observationRange>
							<text>70-140 mg/dL</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="70" unit="mg/dL"/>
								<high value="140" unit="mg/dL"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
					<referenceRange>
						<observationRange>
							<text>70-140 mg/dL</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="141" unit="mg/dL"/>
								<high nullFlavor="PINF"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for high results. This is not the interpretation of specific patient result-->
							<interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83" displayName="High" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
		</organizer>
	</entry>
	<entry>
		<organizer classCode="CLUSTER" 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="950c948f-e5b2-4973-b7c0-e9ee08875e04"/>
			<!-- For an individual result which may be ordered independently, we choose a CLUSTER classCode and used the specific LOINC code as organizer/code-->
			<code code="6598-7" displayName="Troponin T.Cardiac [Mass/Volume] In Serum Or Plasma" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
				<originalText>
					<reference value="#PanelName2" />
				</originalText>
			</code>
			<statusCode code="completed"/>
			<!-- You could include an organizer/effectiveTime value="201210020908-0500" but it's not included in the test data --> 
			<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="01323ca7-4a72-4ae3-963d-af903df828d2"/>
					<code code="6598-7" displayName="Troponin T.Cardiac [Mass/Volume] In Serum Or Plasma" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName8" />
						</originalText>
					</code>
					<text>
						<reference value="#Result8"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210020908-0500"/>
					<value xsi:type="PQ" value="0.01" unit="ng/mL" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>0.0-0.1 ng/mL</text>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<value xsi:type="IVL_PQ">
								<low value="0.0" unit="ng/mL"/>
								<high value="0.1" unit="ng/mL"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation a specific patient value-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
		</organizer>
	</entry>
	<entry>
		<organizer classCode="CLUSTER" 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="a4307cb2-b3b4-4f42-be03-1d9077376f4a"/>
			<!-- For an individual result which may be ordered independently, we choose a CLUSTER classCode and used the specific LOINC code as organizer/code-->
			<code code="6598-7" displayName="Troponin T.Cardiac [Mass/Volume] In Serum Or Plasma" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
				<originalText>
					<reference value="#PanelName3" />
				</originalText>
			</code>			<statusCode code="completed"/>
			<!-- You could include an organizer/effectiveTime value="201210031008-0500" but it's not included in the test data --> 
			<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="bf9c0a26-4524-4395-b3ce-100450b9c9ac"/>
					<code code="6598-7" displayName="Troponin T.Cardiac [Mass/Volume] In Serum Or Plasma" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC">
						<originalText>
							<reference value="#ResultName9" />
						</originalText>
					</code>
					<text>
						<reference value="#Result9"/>
					</text>
					<statusCode code="completed"/>
					<effectiveTime value="201210031008-0500"/>
					<value xsi:type="PQ" value="0.01" unit="ng/mL" />
					<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
					<referenceRange>
						<observationRange>
							<text>0.0-0.1 ng/mL</text>
							<!-- Reference ranges can be expressed as structured physical quantity interval-->
							<value xsi:type="IVL_PQ">
								<low value="0.0" unit="ng/mL"/>
								<high value="0.1" unit="ng/mL"/>
							</value>
							<!-- This interpretation code denotes that this reference range is for normal results. This is not the interpretation of specific patient result-->
							<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" displayName="Normal" />
						</observationRange>
					</referenceRange>
				</observation>
			</component>
		</organizer>
	</entry>
</section>

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  6. Execute the search based on the criteria entered (or retrieve all examples if no criteria specified).

  7. The number of results that match the query parameters can be found here.

  8. Use this link to jump back to the initial page of the application (that lists the sections).

  9. This columns list the names of the examples that match the criteria (and the comment for each example).

  10. This columns lists the area in the C-CDA specification (the specification is broken into distinct topics for the various exchangeable documents, the common header, and the sections that occur within the exchangeable documents) that the example demonstrates.

  11. This columns lists the state of the example in the example verification and approval process.

  12. You can select to download the examples directly or navigate to page with the full detailed description of the example.

  13. Tour Complete

    Return to the C-CDA Example Search Results page.