2.1 Hematologi: differentialräkning av leukocyter
- Rebecca Ceder
Owned by Rebecca Ceder
Detta är ett exempel på ett laboratoriesvar för en maskinell klassning av B-celler (6 olika cellslag) och en mätning av B—Hemoglobin med en patientnära analys (PNA). En NPU-listkod kan också användas för att gruppera resultaten från differentialräkningen och ge en visningsrubrik.
1. Visning av provsvar för differentialräkning av leukocyter i nationell patientöversikt (NPÖ)
2. Tabell med kodade värden som används i exemplet ovan och tillhörande kommentarer
# | Namn | Kod | Benämning | Kodverk | Urval | Kommentar |
|---|---|---|---|---|---|---|
Analysgrupp | ||||||
1. | listkod | B—Diff, maskinell | NPU | En list-kod kan användas som rubrik på analysgruppen. | ||
2. | name |
| Patientnära analyser |
|
| Laboratoriet har valt att namnge analysgruppen med fritext. |
Prov | ||||||
3 | material | 119297000 | blod | Snomed CT | Provmaterial kan även anges som fritext. | |
Laboratorieanalys | ||||||
| status | 398166005 | utförd | Snomed CT |
| |
4. | kod | B—Neutrofila granulocyter | NPU |
| ||
B—Eosinofila granulocyter | ||||||
B—Basofila granulocyter | ||||||
B—Lymfocyter | ||||||
B—Monocyter | ||||||
B—Leukocyter | ||||||
B—Hemoglobin (Hb) | ||||||
5. | metod | 708058007 | flödescytometri | Snomed CT | Det är frivilligt att ange metod. | |
65831000052108 | patientnära analys | |||||
Laboratorieanalysresultat | ||||||
| typ | B—Neutrofila granulocyter | NPU |
| ||
B—Eosinofila granulocyter | ||||||
B—Basofila granulocyter | ||||||
B—Lymfocyter | ||||||
B—Monocyter | ||||||
B—Leukocyter | ||||||
B—Hemoglobin (Hb) | ||||||
6. | tolkning | 394844007 | utanför referensintervall | Snomed CT |
| |
3. Informationsmodell för en differentialräkning av leukocyter
4. XML-kod för exemplet differentialräkning av leukocyter
<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">
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<extension>TSTNMT2321000156-1003</extension>
</accountableCareUnit>
<lockTime>20180303083000</lockTime>
<blockComparisonTime>20180303083000</blockComparisonTime>
<approvedForPatient>true</approvedForPatient>
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<sourceSystemId>
<root>1.2.752.129.2.1.4.1</root>
<extension>LOAD-MOCKS</extension>
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<id>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
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<timestamp>20180303083000</timestamp>
</record>
<author>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TESTNMT00123-OJFG</extension>
</id>
<name>PC Jersild</name>
<timestamp>20180303083000</timestamp>
<byRole>
<originalText>Läkare</originalText>
</byRole>
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<id>
<root>1.2.752.129.2.1.4.1</root>
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<name>Marie Carlsson</name>
<timestamp>20180304083000</timestamp>
<byRole>
<originalText>Läkare</originalText>
</byRole>
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</header>
<body xmlns='urn:riv:clinicalprocess:healthcond:actoutcome:4'>
<identifier>
<root>LOAD-MOCKS</root>
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<root>LAB-IDENTIFIER</root>
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<version>1</version>
<question>Infektion?</question>
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<id>
<root>1.2.752.129.2.1.4.1</root>
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<name>Anna Eriksson</name>
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<root>1.2.752.129.2.1.4.1</root>
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<groupOfAnalyses>
<code>
<code>NPU18156</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Diff, maskinell</displayName>
</code>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
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<timestamp>20180303100500</timestamp>
<code>
<code>NPU02902</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Neutrofila granulocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<status>
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<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
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<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU02902</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Neutrofila granulocyter</displayName>
</type>
<value>
<pq>
<value>6,3</value>
<unit>x10^9/L</unit>
</pq>
</value>
<comment>Angivelse av kommentar som rör laboratorieanalysresultatet</comment>
<interpretation>
<code>394844007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>SNOMED-CT-SE</codeSystemName>
<displayName>Utanför referensintervall</displayName>
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<reference>
<description>1,6-5,9</description>
<population>vuxna</population>
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</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303101000</timestamp>
<code>
<code>NPU01933</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Eosinofila granulocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
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<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU01933</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Eosinofila granulocyter</displayName>
</type>
<value>
<pq>
<value>0,3</value>
<unit>x10^9/L</unit>
</pq>
</value>
<reference>
<interval>
<high>0,5</high>
<highClosed>false</highClosed>
<unit/>
</interval>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303101500</timestamp>
<code>
<code>NPU01349</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Basofila granulocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
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<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU01349</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Basofila granulocyter</displayName>
</type>
<value>
<pq>
<value>0,2</value>
<unit>x10^9/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>0,1</high>
<highClosed>false</highClosed>
<unit/>
</interval>
<population>vuxna</population>
</reference>
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<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303102000</timestamp>
<code>
<code>NPU02636</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Lymfocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<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>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU02636</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Lymfocyter</displayName>
</type>
<value>
<pq>
<value>5</value>
<unit>x10^9/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>1,1-3,5</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303102500</timestamp>
<code>
<code>NPU02840</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Monocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
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<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
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<timestamp>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU02840</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Monocyter</displayName>
</type>
<value>
<pq>
<value>5</value>
<unit>x10^9/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>0,2-0,8</description>
<population>vuxna</population>
</reference>
</result>
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<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303102500</timestamp>
<code>
<code>NPU02593</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Leukocyter</displayName>
</code>
<method>
<code>708058007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>flödescytometri</displayName>
</method>
<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>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU02593</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Leukocyter</displayName>
</type>
<value>
<pq>
<value>5</value>
<unit>x10^9/L</unit>
</pq>
</value>
<reference>
<description>3,5-8,8</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
</groupOfAnalyses>
<groupOfAnalyses>
<name>Patientnära analyser</name>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-16</extension>
</identifier>
<timestamp>20180303100500</timestamp>
<code>
<code>NPU28309</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Hemoglobin (Hb)</displayName>
</code>
<method>
<code>65831000052108</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>patientnära analys</displayName>
</method>
<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>20180303083000</timestamp>
</specimen>
<result>
<type>
<code>NPU28309</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>B—Hemoglobin (Hb)</displayName>
</type>
<value>
<pq>
<value>125</value>
<unit>g/L</unit>
</pq>
</value>
<reference>
<description>117-153</description>
<population>vuxna</population>
</reference>
</result>
</analysis>
</groupOfAnalyses>
<recipientUnit>
<name>Hematologen, Norrbotten</name>
</recipientUnit>
<contactInformation>
<text>Laboratoriemedicin Norrbotten 0920-123 456 789</text>
</contactInformation>
</body>
</laboratoryOrderOutcome>
</GetLaboratoryOrderOutcomeResponse>
</s:Body>
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