Detta är ett exempel på ett laboratoriesvar där man mäter Albumin och Immunoglobulin G i plasma och cerebrospinalvätska. Baserat på dessa mätvärden beräknas kvoter/index, Csv—Albuminkvot (Csv/P), Csv—Immunoglobulin G kvot (Csv/P) samt Csv—IgG-index.
1. Visning av provsvar för proteinfraktioner nationell patientöversikt (NPÖ)
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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. 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> |