1.1.1 Virus-påvisning (Luftvägsblock)
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>