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3.1 Droger: screening och verifiering av amfetaminer

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Detta är ett exempel på ett laboratoriesvar för screening och verifiering av amfetaminer i urin. Screening och verifiering (på gruppnivå) svaras ut ordinalt (positiv/negativ). De verifierade metaboliterna svaras ut ordinalt eller med en masskoncentration.

1. Visning av provsvar för screening och verifiering av amfetaminer i nationell patientöversikt (NPÖ)

image-20241111-102215.png

SAKNAR VERIFIERAD NPU-KOD visas om NPU-koden inte finns i det urval som Equalis förvaltar för NPÖ och 1177 journal.

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

122575003

urin

Snomed CT

urval provtyp laboratoriemedicin

Provmaterial kan även anges som fritext.

Laboratorieanalys

status

398166005

utförd

Snomed CT

urval analysstatus laboratoriemedicin

3.

kod

NPU08960

U—Amfetaminer (screen)

NPU

urval analyskoder laboratoriemedicin

SWE05173

U—Amfetaminer (verif)

NPU18177

U—Amfetamin (verif)

NPU23111

U—Amfetamin

NPU27991

U—Metamfetamin (verif)

SWE05477

U—MDA (verif)

NPU28011

U—MDMA (verif)

SWE05478

U—MDEA (verif)

Laboratorieanalysresultat

typ

NPU08960

U—Amfetaminer (screen)

NPU

urval analyskoder laboratoriemedicin

SWE05173

U—Amfetaminer (verif)

NPU18177

U—Amfetamin (verif)

NPU23111

U—Amfetamin

NPU27991

U—Metamfetamin (verif)

SWE05477

U—MDA (verif)

NPU28011

U—MDMA (verif)

SWE05478

U—MDEA (verif)

4.

värde

10828004

positiv

Snomed CT

urval fynd övrigt laboratoriemedicin

Resultaten kan koderas med en Snomed CT kod eller fritext.

260385009

negativ

3. Informationsmodell för screening och verifiering av amfetaminer

image-20240226-083741.png

4. XML-kod för exemplet sårodling med resistensbestämning

<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>20180405082500</lockTime>
						<blockComparisonTime>20180405082500</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-20</extension>
						</id>
						<timestamp>20180405082500</timestamp>
					</record>
					<author>
						<id>
							<root>1.2.752.129.2.1.4.1</root>
							<extension>TESTNMT00123-OJFG</extension>
						</id>
						<name>PC Jersild</name>
						<timestamp>20180405082500</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>20180406082500</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-20</extension>
					</identifier>
					<laboratoryIdentifier>
						<root>LAB-IDENTIFIER</root>
						<extension>LAB-IDENTIFIER-20</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-20</extension>
						</identifier>
						<timestamp>20180405082500</timestamp>
						<version>1</version>
						<question>Amfetamin?</question>
						<requester>
							<id>
								<root>1.2.752.129.2.1.4.1</root>
								<extension>TESTNMT00123-OJFG</extension>
							</id>
							<name>Karl Larsson</name>
							<byRole>
								<originalText>Läkare</originalText>
							</byRole>
							<orgUnit>
								<id>
									<root>1.2.752.129.2.1.4.1</root>
									<extension>TSTNMT2321000156-1003</extension>
								</id>
								<name>Smärtmottagning, Västerbotten</name>
							</orgUnit>
						</requester>
					</referral>
					<groupOfAnalyses>
						<name>Provsvar</name>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180406091500</timestamp>
							<code>
								<code>NPU08960</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—Amfetaminer (screen)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>NPU08960</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—Amfetaminer (screen)</displayName>
								</type>
								<value>
									<cv>
										<code>10828004</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>positiv</displayName>
									</cv>
								</value>
								<comment>Gränsnivå för positiv, 500 ng/mL.Avvakta verifiering</comment>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413172400</timestamp>
							<code>
								<code>SWE05173</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—Amfetaminer (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>SWE05173</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—Amfetaminer (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>10828004</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>positiv</displayName>
									</cv>
								</value>
								<comment>Verifikation av U-Amfetaminer positiv. Gränsvärde: 200 ng/mL. Amfetamin påvisat vid verifiering</comment>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413174000</timestamp>
							<code>
								<code>NPU18177</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—Amfetamin (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>NPU18177</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—Amfetamin (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>10828004</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>positiv</displayName>
									</cv>
								</value>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413174200</timestamp>
							<code>
								<code>NPU23111</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—Amfetamin</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>NPU23111</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—Amfetamin</displayName>
								</type>
								<value>
									<intervalPQ>
										<low>5000</low>
										<lowClosed>false</lowClosed>
										<unit>ng/mL</unit>
									</intervalPQ>
								</value>
								<comment>Positiv</comment>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413174700</timestamp>
							<code>
								<code>NPU27991</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—Metamfetamin (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>NPU27991</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—Metamfetamin (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>260385009</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>negativ</displayName>
									</cv>
								</value>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413180000</timestamp>
							<code>
								<code>SWE05477</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—MDA (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>SWE05477</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—MDA (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>260385009</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>negativ</displayName>
									</cv>
								</value>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413180500</timestamp>
							<code>
								<code>NPU28011</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—MDMA (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>NPU28011</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—MDMA (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>260385009</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>negativ</displayName>
									</cv>
								</value>
							</result>
						</analysis>
						<analysis>
							<identifier>
								<root>LOAD-MOCKS</root>
								<extension>LOAD-MOCKS-GMH-DEMO-20</extension>
							</identifier>
							<timestamp>20180413181000</timestamp>
							<code>
								<code>SWE05478</code>
								<codeSystem>1.2.752.108.1</codeSystem>
								<codeSystemName>NPU</codeSystemName>
								<displayName>U—MDEA (verif)</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>122575003</code>
									<codeSystem>1.2.752.116.2.1.1</codeSystem>
									<displayName>urin</displayName>
								</material>
								<timestamp>20180405082500</timestamp>
							</specimen>
							<result>
								<type>
									<code>SWE05478</code>
									<codeSystem>1.2.752.108.1</codeSystem>
									<codeSystemName>NPU</codeSystemName>
									<displayName>U—MDEA (verif)</displayName>
								</type>
								<value>
									<cv>
										<code>260385009</code>
										<codeSystem>1.2.752.116.2.1.1</codeSystem>
										<codeSystemName>Snomed CT</codeSystemName>
										<displayName>negativ</displayName>
									</cv>
								</value>
							</result>
						</analysis>
					</groupOfAnalyses>
					<recipientUnit>
						<name>Smärtmottagning, Västerbotten</name>
					</recipientUnit>
					<contactInformation>
						<text>Laboratoriemedicin Västerbotten 090-123 456 789</text>
					</contactInformation>
				</body>
			</laboratoryOrderOutcome>
		</GetLaboratoryOrderOutcomeResponse>
	</s:Body>
</s:Envelope>
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