2.2 Proteinanalyser: proteinfraktioner

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)

Siffrorna indikerar var informationen i tabellen nedan visas i gränssnittet.

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

#	Namn	Kod	Benämning	Kodverk	Urval	Kommentar

#	Namn	Kod	Benämning	Kodverk	Urval	Kommentar
Analysgrupp
1.	namn		Provsvar			Laboratoriet har valt att namnge analysgruppen med fritext.
Prov
2.	material	119297000	blod	Snomed CT	urval provtyp laboratoriemedicin	Provmaterialet kan även anges som fritext.
2.	material	258450006	cerebrospinalvätska	Snomed CT	urval provtyp laboratoriemedicin	Provmaterialet kan även anges som fritext.
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

Informationsmodell för proteinfraktioner

4. XML-kod för exemplet proteinfraktioner

<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>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>
		</GetLaboratoryOrderOutcomeResponse>
	</s:Body>
</s:Envelope>