Detta är ett exempel på ett laboratoriesvar för diabetesdiagnostik.
1. Visning av provsvar för diabetesdiagnostik i
...
nationell patientöversikt (NPÖ)
2. Tabell med kodade värden som används i exemplet och tillhörande kommentarer
# | Namn | Kod | Benämning | Kodverk | Urval | Kommentar |
|---|---|---|---|---|---|---|
Analysgrupp | ||||||
1. | namn | |||||
Diabetesdiagnostik | Laboratoriet har valt att namnge analysgruppen med fritext. | |||||
Prov | ||||||
2. | material | 119297000 | blod | Snomed CT | Provmaterialet kan även anges som fritext. | |
Laboratorieanalys | ||||||
status | 398166005 | utförd | Snomed CT | |||
3. | kod | P—Glukos | NPU | |||
B—HbA1c (IFCC) | ||||||
P—GAD65-ak | ||||||
P—Ö-cell(IA-2)-ak | ||||||
P—C-peptid | ||||||
P—Kolesterol | ||||||
P—HDL-kolesterol | ||||||
P—LDL-kolesterol, direkt | ||||||
P—non-HDL-kolesterol | ||||||
P—Triglycerider | ||||||
Laboratorieanalysresultat | ||||||
typ | P—Glukos | NPU | ||||
B—HbA1c (IFCC) | ||||||
P—GAD65-ak | ||||||
P—Ö-cell(IA-2)-ak | ||||||
P—C-peptid | ||||||
P—Kolesterol | ||||||
P—HDL-kolesterol | ||||||
P—LDL-kolesterol, direkt | ||||||
P—non-HDL-kolesterol | ||||||
P—Triglycerider | ||||||
4. | tolkning | 394844007 | utanför referensintervall | Snomed CT | ||
3. Informationsmodell för diabetesdiagnostik
...
4. XML-kod för exemplet diabetesdiagnostik
| 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>20240130153000</lockTime>
<blockComparisonTime>20240130153000</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-19</extension>
</id>
<timestamp>20240130153000</timestamp>
</record>
<author>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TESTNMT00123-OJFG</extension>
</id>
<name>PC Jersild</name>
<timestamp>20240130153000</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>20240131153000</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-19</extension>
</identifier>
<laboratoryIdentifier>
<root>LAB-IDENTIFIER</root>
<extension>LAB-IDENTIFIER-19</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-19</extension>
</identifier>
<timestamp>20240130153000</timestamp>
<version>1</version>
<question>Diabetes?</question>
<requester>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TESTNMT00123-OJFG</extension>
</id>
<name>Erik Andersson</name>
<byRole>
<originalText>Läkare</originalText>
</byRole>
<orgUnit>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TSTNMT2321000156-1003</extension>
</id>
<name>Diabetes- och endokrinmottagningen, Uppsala</name>
</orgUnit>
</requester>
</referral>
<groupOfAnalyses>
<name>Diabetesdiagnostik</name>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU02192</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Glukos</displayName>
</code>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<comment>Kommentar för enskild analys</comment>
<accredited>false</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU02192</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Glukos</displayName>
</type>
<value>
<pq>
<value>15,3</value>
<unit>mmol/L</unit>
</pq>
</value>
<comment>Angivelse av kommentar som rör laboratorieanalysresultatet</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>
<description>4,2-6,3</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU27300</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—HbA1c (IFCC)</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU27300</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—HbA1c (IFCC)</displayName>
</type>
<value>
<pq>
<value>54</value>
<unit>mmol/mol</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>31-46</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU28628</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—GAD65-ak (IgG, ELISA)</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU28628</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—GAD65-ak (IgG, ELISA)</displayName>
</type>
<value>
<pq>
<value>12</value>
<unit>kIE/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>5</high>
<highClosed>false</highClosed>
<unit/>
</interval>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU28739</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Ö-cell(IA-2)-ak</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU28739</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Ö-cell(IA-2)-ak</displayName>
</type>
<value>
<pq>
<value>9</value>
<unit>kIE/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>7,5</high>
<highClosed>false</highClosed>
<unit/>
</interval>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU03247</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—C-peptid</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU03247</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—C-peptid</displayName>
</type>
<value>
<pq>
<value>0,42</value>
<unit>nmol/L</unit>
</pq>
</value>
<reference>
<description>0,37-1,47</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU01566</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Kolesterol</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU01566</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Kolesterol</displayName>
</type>
<value>
<pq>
<value>5,7</value>
<unit>mmol/L</unit>
</pq>
</value>
<reference>
<description>3,9-7,8</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU01567</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—HDL-kolesterol</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU01567</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—HDL-kolesterol</displayName>
</type>
<value>
<pq>
<value>2,1</value>
<unit>mmol/L</unit>
</pq>
</value>
<reference>
<description>1,0-2,7</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>SWE05408</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—LDL-kolesterol, direkt</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>SWE05408</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—LDL-kolesterol, direkt</displayName>
</type>
<value>
<pq>
<value>2,6</value>
<unit>mmol/L</unit>
</pq>
</value>
<reference>
<description>2,0-5,3</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU29055</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—non-HDL-kolesterol</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU29055</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—non-HDL-kolesterol</displayName>
</type>
<value>
<pq>
<value>3,6</value>
<unit>mmol/L</unit>
</pq>
</value>
<reference>
<description>2,4-6,2</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-19</extension>
</identifier>
<timestamp>20240130163000</timestamp>
<code>
<code>NPU04094</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Triglycerider</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>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20240130153000</timestamp>
</specimen>
<result>
<type>
<code>NPU04094</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—Triglycerider</displayName>
</type>
<value>
<pq>
<value>4,2</value>
<unit>mmol/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>2,6</high>
<highClosed>false</highClosed>
<unit/>
</interval>
<population>vuxna</population>
</reference>
</result>
</analysis>
</groupOfAnalyses>
<recipientUnit>
<name>Diabetes- och endokrinmottagningen, Uppsala</name>
</recipientUnit>
<contactInformation>
<text>Laboratoriemedicin Uppsala, 018-123 456 789</text>
</contactInformation>
</body>
</laboratoryOrderOutcome>
</GetLaboratoryOrderOutcomeResponse>
</s:Body>
</s:Envelope> |