Detta är ett exempel på ett laboratoriesvar för genompåvisning (RNA) av fyra olika luftvägsvirus (Influensa A, Influensa B, RS-virus och SARS-CoV-2 (Covid-19). Resultaten svaras ut ordinalt (påvisad eller ej påvisad). Analysgruppen kan ges ett valfritt namn av laboratoriet, exempelvis “Luftvägsblock”.
1. Visning av provsvar för viruspåvisning (luftvägsblock) i nationell patientöversikt (NPÖ)
2. Tabell med kodade värden som använts i exemplet ovan och tillhörande kommentarer
# | Namn | Kod | Benämning | Kodverk | Urval | Kommentar |
---|---|---|---|---|---|---|
Analysgrupp | ||||||
namn | LUFTVÄGSBLOCK | Laboratoriet har valt att namnge analysgruppen med fritext. | ||||
Prov | ||||||
2. | material | 258500001 | nasofarynxsekret | Snomed CT | Provmaterial kan även anges som fritext. | |
Laboratorieanalys | ||||||
status | 398166005 | utförd | Snomed CT | |||
3. | kod | Nf—Influensa A-RNA | NPU | För analyser som svaras ut ordinalt så väljs koder med egenskapsslaget “arbiträr koncentration”. | ||
Nf—Influensa B-RNA | ||||||
Nf—RS-virus-RNA | ||||||
Sekr(Nasof)—SARS-CoV 2RNA | ||||||
4. | metod | 258066000 | PCR | Snomed CT | Det är frivilligt att ange metod. | |
Laboratorieanalysresultat | ||||||
typ | Nf—Influensa A-RNA | NPU | ||||
Nf—Influensa B-RNA | ||||||
Nf—RS-virus-RNA | ||||||
Sekr(Nasof)—SARS-CoV 2RNA | ||||||
5. | värde | 260373001 | påvisad | Snomed CT | Resultaten kan koderas med en Snomed CT kod eller fritext. | |
260415000 | inte påvisad |
3. Informationsmodell för viruspåvisning (luftvägsblock)
4. XML-kod för exemplet viruspåvisning (luftvägsblock)
<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>20180416160000</lockTime> <blockComparisonTime>20180416160000</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-22</extension> </id> <timestamp>20180416160000</timestamp> </record> <author> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TESTNMT00123-OJFG</extension> </id> <name>PC Jersild</name> <timestamp>20180416160000</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>20180417160000</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-22</extension> </identifier> <laboratoryIdentifier> <root>LAB-IDENTIFIER</root> <extension>LAB-IDENTIFIER-22</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-22</extension> </identifier> <timestamp>20180416160000</timestamp> <version>1</version> <question>Luftvägsinfektion?</question> <requester> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TESTNMT00123-OJFG</extension> </id> <name>Lars Johansson</name> <byRole> <originalText>Läkare</originalText> </byRole> <orgUnit> <id> <root>1.2.752.129.2.1.4.1</root> <extension>TSTNMT2321000156-1003</extension> </id> <name>Ortopedisk avdelning, Dalarna</name> </orgUnit> </requester> </referral> <groupOfAnalyses> <name>Luftvägsblock</name> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-22</extension> </identifier> <timestamp>20180416203000</timestamp> <code> <code>NPU18055</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—Influensa A-RNA</displayName> </code> <method> <code>258066000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>PCR</displayName> </method> <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>258500001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>nasofarynxsekret</displayName> </material> <timestamp>20180416160000</timestamp> </specimen> <result> <type> <code>NPU18055</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—Influensa A-RNA</displayName> </type> <value> <cv> <code>260373001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>påvisad</displayName> </cv> </value> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-22</extension> </identifier> <timestamp>20180416203000</timestamp> <code> <code>NPU18060</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—Influensa B-RNA</displayName> </code> <method> <code>258066000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>PCR</displayName> </method> <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>258500001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>nasofarynxsekret</displayName> </material> <timestamp>20180416160000</timestamp> </specimen> <result> <type> <code>NPU18060</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—Influensa B-RNA</displayName> </type> <value> <cv> <code>260415000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>inte påvisad</displayName> </cv> </value> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-22</extension> </identifier> <timestamp>20180416203000</timestamp> <code> <code>NPU18074</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—RS-virus-RNA</displayName> </code> <method> <code>258066000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>PCR</displayName> </method> <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>258500001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>nasofarynxsekret</displayName> </material> <timestamp>20180416160000</timestamp> </specimen> <result> <type> <code>NPU18074</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—RS-virus-RNA</displayName> </type> <value> <cv> <code>260415000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>inte påvisad</displayName> </cv> </value> </result> </analysis> <analysis> <identifier> <root>LOAD-MOCKS</root> <extension>LOAD-MOCKS-GMH-DEMO-22</extension> </identifier> <timestamp>20180416203000</timestamp> <code> <code>NPU59105</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—SARS-CoV 2-RNA</displayName> </code> <method> <code>258066000</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>PCR</displayName> </method> <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>258500001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <displayName>nasofarynxsekret</displayName> </material> <timestamp>20180416160000</timestamp> </specimen> <result> <type> <code>NPU59105</code> <codeSystem>1.2.752.108.1</codeSystem> <codeSystemName>NPU</codeSystemName> <displayName>Nf—SARS-CoV 2-RNA</displayName> </type> <value> <cv> <code>260373001</code> <codeSystem>1.2.752.116.2.1.1</codeSystem> <codeSystemName>Snomed CT</codeSystemName> <displayName>påvisad</displayName> </cv> </value> </result> </analysis> </groupOfAnalyses> <recipientUnit> <name>Ortopedisk avdelning, Dalarna</name> </recipientUnit> <contactInformation> <text>Laboratoriemedicin Dalarna 023-123 456 789</text> </contactInformation> </body> </laboratoryOrderOutcome> </GetLaboratoryOrderOutcomeResponse> </s:Body> </s:Envelope>