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2. Tabell med kodade värden som används i exemplet ovan och tillhörande kommentarer

#

Namn

Kod

Benämning

Kodverk

Urval

Kommentar

Analysgrupp

1.

namn

Blododling

Laboratoriet har valt att namnge analysgruppen med fritext.

2.

grupp-kommentar

Växt i 2 av 2 flaskor.

Provbehållare

typ

767383005

anaerob flaska

Snomed CT

urval provbehållare laboratoriemedicin

767385003

aerob flaska

Prov

3.

material

119297000

blod

Snomed CT

urval provtyp laboratoriemedicin

Provmaterialet kan även anges som fritext.

Laboratorieanalys (odling)

status

398166005

utförd

Snomed CT

urval analysstatus laboratoriemedicin

4.

kod

NPU58581

B—Blododling, anaerob

NPU

urval analyskoder laboratoriemedicin

För odlingsanalyser som svaras ut med fynd av bakterier så väljs NPU-koder med egenskapsslaget “taxon”.

NPU58580

B—Blododling, aerob

5.

metod

703725008

odling

Snomed CT

urval analysmetod laboratoriemedicin

Det är frivilligt att ange metod.

Laboratorieanalys (resistensbestämning)

6.

kod

NPU06000

Amikacin

NPU

urval analyskoder laboratoriemedicin

Separata NPU-koder används för respektive antibiotika. Notera att olika koder också används för resultat som svaras ut som SIR eller MIC-värden (mg/L).

NPU56156

Daptomycin

NPU29654

Daptomycin (MIC)

NPU06034

Klindamycin

NPU07436

Sulfametoxazol+
Trimetoprim

Laboratorieanalysresultat (odling)

typ

NPU58581

B—Blododling, anaerob

NPU

urval analyskoder laboratoriemedicin

7.

värde

3092008

Staphylococcus aureus

Snomed CT

urval fynd mikroorganism laboratoriemedicin

Svaret kan också anges i fritext.

Laboratorieanalysresultat (resistensbestämning)

typ

NPU06000

Amikacin

NPU

urval analyskoder laboratoriemedicin

NPU56156

Daptomycin

NPU29654

Daptomycin (MIC)

NPU06034

Klindamycin

NPU07436

Sulfametoxazol+
Trimetoprim

8.

värde

131196009

S

Snomed CT

urval fynd resistens laboratoriemedicin

Ordinala resultat koderas med en Snomed CT kod.

3. Informationsmodell för en blododling med resistensbestämning

image-20241107-132417.png

4. XML-kod för exemplet blododling med resistensbestämning

Kodblock
breakoutModewide
languagexml
<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>
						<blockComparisonTime>20180315203200</blockComparisonTime>
						<approvedForPatient>true</approvedForPatient>
					</accessControlHeader>
					<sourceSystemId>
						<root>1.2.752.129.2.1.4.1</root>
						<extension>HSATEST2-D2V</extension>
					</sourceSystemId>
					<record>
						<id>
							<root>LOAD-MOCKS</root>
							<extension>LOAD-MOCKS-GMH-DEMO-11</extension>
						</id>
						<timestamp>20180315203200</timestamp>
					</record>
				</header>
				<body xmlns="urn:riv:clinicalprocess:healthcond:actoutcome:4">
					<identifier>
						<root>LOAD-MOCKS</root>
						<extension>LOAD-MOCKS-GMH-DEMO-11</extension>
					</identifier>
					<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>LOAD-MOCKS-GMH-DEMO-11</extension>
						</identifier>
						<timestamp>20180315203200</timestamp>
						<requester>
							<id>
								<root>1.2.752.129.2.1.4.1</root>
								<extension>TESTNMT00123-OJFG</extension>
							</id>
							<name>Maria Svensson</name>
							<byRole>
								<originalText>Läkare</originalText>
							</byRole>
							<orgUnit>
								<id>
									<root>1.2.752.129.2.1.4.1</root>
									<extension>SE2321000198-019221</extension>
								</id>
								<name>Geriatrisk avdelning, Värmland</name>
							</orgUnit>
						</requester>
					</referral>
					<groupOfAnalyses>
						<name>Blododling</name>
						<comment>Växt i 2 av 2 flaskor.</comment>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-11</extension>
							</identifier>
							<code>
								<code>NPU58581</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>B—Blododling, anaerob</displayName>
							</code>
							<method>
								<code>703725008</code>
								<codeSystem>1.2.752.116.2.1.1</codeSystem>
								<codeSystemName>Snomed CT</codeSystemName>
								<displayName>odling</displayName>
							</method>
							<status>
								<code>398166005</code>
								<codeSystem>1.2.752.116.2.1.1</codeSystem>
								<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>20180315203200</timestamp>
								<container>
									<identifier>
										<root>SE1234-ABCD</root>
										<extension>ARR39HT1</extension>
									</identifier>
									<type>
										<code>767383005</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<displayName>anaerob flaska</displayName>
									</type>
								</container>
							</specimen>
							<result>
								<type>
									<code>NPU58581</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>B—Blododling, anaerob</displayName>
								</type>
								<value>
									<cv>
										<code>3092008</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>Staphylococcus aureus</displayName>
									</cv>
								</value>
								<related>
									<code>
										<code>NPU06034</code>
										<codeSystem>1.2.752.108.1</codeSystem>
										<codeSystemName>NPU</codeSystemName>
										<displayName>Klindamycin</displayName>
									</code>
									<result>
										<type>
											<code>NPU06034</code>
											<codeSystem>1.2.752.108.1</codeSystem>
											<codeSystemName>NPU</codeSystemName>
											<displayName>Klindamycin</displayName>
										</type>
										<value>
											<cv>
												<code>131196009</code>
												<codeSystem>1.2.752.116.2.1.1</codeSystem>
												<displayName>S</displayName>
											</cv>
										</value>
									</result>
								</related>
								<related>
									<code>
										<code>NPU56156</code>
										<codeSystem>1.2.752.108.1</codeSystem>
										<codeSystemName>NPU</codeSystemName>
										<displayName>Daptomycin</displayName>
									</code>
									<result>
										<type>
											<code>NPU56156</code>
											<codeSystem>1.2.752.108.1</codeSystem>
											<codeSystemName>NPU</codeSystemName>
											<displayName>Daptomycin</displayName>
										</type>
										<value>
											<cv>
												<code>131196009</code>
												<codeSystem>1.2.752.116.2.1.1</codeSystem>
												<displayName>S</displayName>
											</cv>
										</value>
									</result>
								</related>
								<related>
									<code>
										<code>NPU29654</code>
										<codeSystem>1.2.752.108.1</codeSystem>
										<codeSystemName>NPU</codeSystemName>
										<displayName>Daptomycin (MIC)</displayName>
									</code>
									<result>
										<type>
											<code>NPU29654</code>
											<codeSystem>1.2.752.108.1</codeSystem>
											<codeSystemName>NPU</codeSystemName>
											<displayName>Daptomycin (MIC)</displayName>
										</type>
										<value>
											<pq>
												<value>0,75</value>
												<unit>mg/L</unit>
											</pq>
										</value>
									</result>
								</related>
								<related>
									<code>
										<code>NPU06000</code>
										<codeSystem>1.2.752.108.1</codeSystem>
										<codeSystemName>NPU</codeSystemName>
										<displayName>Amikacin</displayName>
									</code>
									<result>
										<type>
											<code>NPU06000</code>
											<codeSystem>1.2.752.108.1</codeSystem>
											<codeSystemName>NPU</codeSystemName>
											<displayName>Amikacin</displayName>
										</type>
										<value>
											<cv>
												<code>131196009</code>
												<codeSystem>1.2.752.116.2.1.1</codeSystem>
												<displayName>S</displayName>
											</cv>
										</value>
									</result>
								</related>
								<related>
									<code>
										<code>NPU07436</code>
										<codeSystem>1.2.752.108.1</codeSystem>
										<codeSystemName>NPU</codeSystemName>
										<displayName>Sulfametoxazol+Trimetoprim</displayName>
									</code>
									<result>
										<type>
											<code>NPU07436</code>
											<codeSystem>1.2.752.108.1</codeSystem>
											<codeSystemName>NPU</codeSystemName>
											<displayName>Sulfametoxazol+Trimetoprim</displayName>
										</type>
										<value>
											<cv>
												<code>131196009</code>
												<codeSystem>1.2.752.116.2.1.1</codeSystem>
												<displayName>S</displayName>
											</cv>
										</value>
									</result>
								</related>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-11</extension>
							</identifier>
							<code>
								<code>NPU58580</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>B—Blododling, aerob</displayName>
							</code>
							<method>
								<code>703725008</code>
								<codeSystem>1.2.752.116.2.1.1</codeSystem>
								<codeSystemName>Snomed CT</codeSystemName>
								<displayName>odling</displayName>
							</method>
							<status>
								<code>398166005</code>
								<codeSystem>1.2.752.116.2.1.1</codeSystem>
								<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>20180315203200</timestamp>
								<container>
									<identifier>
										<root>SE1234-ABCD</root>
										<extension>NRJCCBZR</extension>
									</identifier>
									<type>
										<code>767385003</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<displayName>aerob flaska</displayName>
									</type>
								</container>
							</specimen>
							<result>
								<type>
									<code>NPU58580</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>B—Blododling, aerob</displayName>
								</type>
								<value>
									<st>se resultat anaerob flaska</st>
								</value>
							</result>
						</analysis>
					</groupOfAnalyses>
					<recipientUnit>
						<id>
							<root>1.2.752.129.2.1.4.1</root>
							<extension>SE2321000198-019221</extension>
						</id>
						<name>Geriatrisk avdelning, Värmland</name>
					</recipientUnit>
					<contactInformation>
						<text>Laboratoriemedicin Värmland 0570-123 456 789</text>
					</contactInformation>
				</body>
			</laboratoryOrderOutcome>
		</GetLaboratoryOrderOutcomeResponse>
	</s:Body>
</s:Envelope>