...
2. Tabell med kodade värden som används i exemplet och tillhörande kommentarer
# | Namn | Kod | Benämning | Kodverk | Urval | Kommentar |
---|---|---|---|---|---|---|
Analysgrupp | ||||||
1. | namn | Provsvar | Laboratoriet har valt att namnge analysgruppen med fritext. | |||
Prov | ||||||
2. | material | 119297000 | blod | Snomed CT | Provmaterialet kan även anges som fritext. | |
258450006 | cerebrospinalvätska | |||||
Laboratorieanalys | ||||||
status | 398166005 | utförd | Snomed CT | |||
3. | kod | P—Albumin | NPU | |||
P—Immunglobulin G | ||||||
Csv—Albumin | ||||||
Csv—Immunglobulin G | ||||||
Csv—Albumin kvot (Csv/P) | ||||||
Csv—IgG kvot (Csv/P) | ||||||
Csv—IgG index | ||||||
Laboratorieanalysresultat | ||||||
typ | P—Albumin | NPU | ||||
P—Immunglobulin G | ||||||
Csv—Albumin | ||||||
Csv—Immunglobulin G | ||||||
Csv—Albumin kvot (Csv/P) | ||||||
Csv—IgG kvot (Csv/P) | ||||||
Csv—IgG index | ||||||
4. | tolkning | 394844007 | utanför referensintervall | Snomed CT |
3. Informationsmodell för proteinfraktioner
4.
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XML-kod för exemplet proteinfraktioner
Kodblock | ||||
---|---|---|---|---|
| ||||
<s:Envelope xmlns:s="http://schemas.xmlsoap.org/soap/envelope/"> <s:Body xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"> <GetLaboratoryOrderOutcomeResponse xmlns="urn:riv:clinicalprocess:healthcond:actoutcome:GetLaboratoryOrderOutcomeResponder:4"> <laboratoryOrderOutcome> <header xmlns='urn:riv:clinicalprocess:healthcond:actoutcome:4'> <accessControlHeader> <accountableCareGiver> <root>1.2.752.129.2.1.4.1</root> <extension>TSTNMT2321000156-1002</extension> </accountableCareGiver> <accountableCareUnit> <root>1.2.752.129.2.1.4.1</root> <extension>TSTNMT2321000156-1003</extension> </accountableCareUnit> <lockTime>20180417130000</lockTime> <blockComparisonTime>20180417130000</blockComparisonTime> <approvedForPatient>true</approvedForPatient> </accessControlHeader> <sourceSystemId> <root>1.2.752.129.2.1.4.1</root> <extension>LOAD-MOCKS</extension> </sourceSystemId> <record> <id> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </id> <timestamp>20180417130000</timestamp> </record> <author> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TESTNMT00123-OJFG</extension> </id> <name>PC Jersild</name> <timestamp>20180417130000</timestamp> <byRole> <originalText>Läkare</originalText> </byRole> </author> <signature> <id> <root>1.2.752.129.2.1.4.1</root> <extension>SE162321000024-0004</extension> </id> <name>Marie Carlsson</name> <timestamp>20180418130000</timestamp> <byRole> <originalText>Läkare</originalText> </byRole> </signature> </header> <body xmlns='urn:riv:clinicalprocess:healthcond:actoutcome:4'> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <laboratoryIdentifier> <root>LAB-IDENTIFIER</root> <extension>LAB-IDENTIFIER-17</extension> </laboratoryIdentifier> <type> <code>final</code> <codeSystem>2.16.840.1.113883.4.642.3.235</codeSystem> <displayName>Slutsvar</displayName> </type> <referral> <identifier> <root>LOAD-MOCKS</root> <extension>RID-17</extension> </identifier> <timestamp>20180417130000</timestamp> <version>1</version> <question>Malignitet?</question> <requester> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TESTNMT00123-OJFG</extension> </id> <name>Erik Olsson</name> <byRole> <originalText>Läkare</originalText> </byRole> <orgUnit> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TSTNMT2321000156-1003</extension> </id> <name>Onkologisk avdelning, Örebro</name> </orgUnit> </requester> </referral> <groupOfAnalyses> <name>Provsvar</name> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19673</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>P—Albumin</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>true</accredited> <specimen> <material> <code>119297000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>blod</displayName> </material> <timestamp>20180417130000</timestamp> </specimen> <result> <type> <code>NPU19673</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>P—Albumin</displayName> </type> <value> <pq> <value>24</value> <unit>g/L</unit> </pq> </value> <interpretation> <code>394844007</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>SNOMED-CT-SE</codeSystemName> <displayName>Utanför referensintervall</displayName> </interpretation> <reference> <description>34-45</description> </reference> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19814</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>P—Immunglobulin G</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>true</accredited> <specimen> <material> <code>119297000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>blod</displayName> </material> <timestamp>20180417130000</timestamp> </specimen> <result> <type> <code>NPU19814</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>P—Immunglobulin G</displayName> </type> <value> <pq> <value>2</value> <unit>g/L</unit> </pq> </value> <interpretation> <code>394844007</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>SNOMED-CT-SE</codeSystemName> <displayName>Utanför referensintervall</displayName> </interpretation> <reference> <description>6,7-14,5</description> </reference> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19664</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Albumin</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>true</accredited> <specimen> <material> <code>258450006</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>cerebrospinalvätska</displayName> </material> <timestamp>20180417133000</timestamp> </specimen> <result> <type> <code>NPU19664</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Albumin</displayName> </type> <value> <pq> <value>589</value> <unit>mg/L</unit> </pq> </value> <interpretation> <code>394844007</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>SNOMED-CT-SE</codeSystemName> <displayName>Utanför referensintervall</displayName> </interpretation> <reference> <description>100-400</description> </reference> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19813</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Immunglobulin G</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>true</accredited> <specimen> <material> <code>258450006</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>cerebrospinalvätska</displayName> </material> <timestamp>20180417133000</timestamp> </specimen> <result> <type> <code>NPU19813</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Immunglobulin G</displayName> </type> <value> <pq> <value>92</value> <unit>mg/L</unit> </pq> </value> <interpretation> <code>394844007</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>SNOMED-CT-SE</codeSystemName> <displayName>Utanför referensintervall</displayName> </interpretation> <reference> <interval> <high>56</high> <highClosed>false</highClosed> <unit/> </interval> </reference> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19659</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Albumin kvot (Csv/P)</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>false</accredited> <specimen> <material> <code>258450006</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>cerebrospinalvätska</displayName> </material> <timestamp>20180417133000</timestamp> </specimen> <result> <type> <code>NPU19659</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Albumin kvot (Csv/P)</displayName> </type> <value> <pq> <value>97,7</value> <unit/> </pq> </value> <comment>Ökad albuminkvot som tecken på barriärskada alternativ stickblödning i samband med provtagningen.</comment> <interpretation> <code>394844007</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>SNOMED-CT-SE</codeSystemName> <displayName>Utanför referensintervall</displayName> </interpretation> <reference> <interval> <high>10,2</high> <highClosed>false</highClosed> <unit/> </interval> </reference> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19660</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—IgG kvot (Csv/P)</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>false</accredited> <specimen> <material> <code>258450006</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>cerebrospinalvätska</displayName> </material> <timestamp>20180417133000</timestamp> </specimen> <result> <type> <code>NPU19660</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—Albumin kvot (Csv/P)</displayName> </type> <value> <pq> <value>46,00</value> <unit>x10^-3</unit> </pq> </value> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-17</extension> </identifier> <timestamp>20180417150000</timestamp> <code> <code>NPU19811</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—IgG index</displayName> </code> <status> <code>398166005</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>utförd</displayName> </status> <accredited>false</accredited> <specimen> <material> <code>258450006</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>cerebrospinalvätska</displayName> </material> <timestamp>20180417133000</timestamp> </specimen> <result> <type> <code>NPU19811</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Csv—IgG index</displayName> </type> <value> <pq> <value>0,47</value> <unit/> </pq> </value> <comment>Tecken till lokal IgG syntes i CNS.</comment> <reference> <interval> <high>0,63</high> <highClosed>false</highClosed> <unit/> </interval> </reference> </result> </analysis> </groupOfAnalyses> <recipientUnit> <name>Onkologisk avdelning, Örebro</name> </recipientUnit> <contactInformation> <text>Laboratoriemedicin Örebro 0583-123 456 789</text> </contactInformation> </body> </laboratoryOrderOutcome> </GetLaboratoryOrderOutcomeResponse> </s:Body> </s:Envelope> |