3.1 Droger: screening och verifiering av amfetaminer
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)
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 |
|
| Laboratoriet har valt att namnge analysgruppen med fritext. |
Prov | ||||||
2. | material | 122575003 | urin | Snomed CT | Provmaterial kan även anges som fritext. | |
Laboratorieanalys | ||||||
| status | 398166005 | utförd | Snomed CT |
| |
3. | kod | U—Amfetaminer (screen) | NPU |
| ||
U—Amfetaminer (verif) | ||||||
U—Amfetamin (verif) | ||||||
U—Amfetamin | ||||||
U—Metamfetamin (verif) | ||||||
U—MDA (verif) | ||||||
U—MDMA (verif) | ||||||
U—MDEA (verif) | ||||||
Laboratorieanalysresultat | ||||||
| typ | U—Amfetaminer (screen) | NPU |
| ||
U—Amfetaminer (verif) | ||||||
U—Amfetamin (verif) | ||||||
U—Amfetamin | ||||||
U—Metamfetamin (verif) | ||||||
U—MDA (verif) | ||||||
U—MDMA (verif) | ||||||
U—MDEA (verif) | ||||||
4. | värde | 10828004 | positiv | Snomed CT | Resultaten kan koderas med en Snomed CT kod eller fritext. | |
260385009 | negativ |
3. Informationsmodell för screening och verifiering av amfetaminer
4. XML-kod för exemplet screening och verifiering av amfetaminer
<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>
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