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2.2 Proteinanalyser: proteinfraktioner

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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)

image-20241108-081835.png

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

#

Namn

Kod

Benämning

Kodverk

Urval

Kommentar

Analysgrupp

1.

namn

Provsvar

Prov

2.

material

119297000

blod

Snomed CT

urval provtyp laboratoriemedicin

Provmaterialet kan även anges som fritext.

258450006

cerebrospinalvätska

Laboratorieanalys

status

398166005

utförd

Snomed CT

urval analysstatus laboratoriemedicin

3.

kod

NPU19673

P—Albumin

NPU

urval analyskoder laboratoriemedicin

NPU19814

P—Immunglobulin G

NPU19664

Csv—Albumin

NPU19813

Csv—Immunglobulin G

NPU19659

Csv—Albumin kvot (Csv/P)

NPU19660

Csv—IgG kvot (Csv/P)

NPU19811

Csv—IgG index

Laboratorieanalysresultat

typ

NPU19673

P—Albumin

NPU

urval analyskoder laboratoriemedicin

NPU19814

P—Immunglobulin G

NPU19664

Csv—Albumin

NPU19813

Csv—Immunglobulin G

NPU19659

Csv—Albumin kvot (Csv/P)

NPU19660

Csv—IgG kvot (Csv/P)

NPU19811

Csv—IgG index

4.

tolkning

394844007

utanför referensintervall

Snomed CT

urval tolkning resultat laboratoriemedicin

3. Informationsmodell för proteinfraktioner

image-20240812-130831.png

4. Kod för exempel

			<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>
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