LaboratoryTestResultForTransfer-v3.0(2016EN): verschil tussen versies
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(Een tussenliggende versie door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
− | ==General information== | + | <!-- Hieronder wordt een transclude page aangeroepen --> |
− | Name: '''nl.zorg.LaboratoryTestResultForTransfer''' [[Bestand:NL.png|link=OverdrachtLaboratoriumUitslag-v3.0(2016NL)]]<BR> | + | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.1(EN)|1|LaboratoryTestResultForTransfer-v3.0(2016EN)}} |
− | Version: '''3.0''' <br> | + | <!-- Tot hier de transclude page --> |
− | HCIM Status:Final<br> | + | ==General information<!--hdGeneralInformation-->== |
− | Release: '''2016''' <br> | + | Name<!--hdName-->: '''nl.zorg.LaboratoryTestResultForTransfer''' [[Bestand:NL.png|link=OverdrachtLaboratoriumUitslag-v3.0(2016NL)]]<BR> |
− | Release status: Published<br> | + | Version<!--hdVersion-->: '''3.0''' <br> |
− | Release date: 1-5-2016 | + | HCIM Status<!--hdStatus-->:Final<br> |
+ | Release<!--hdPublication-->: '''2016''' <br> | ||
+ | Release status<!--hdPublicationStatus-->: Published<br> | ||
+ | Release date<!--hdPublicationDate-->: 1-5-2016 | ||
----- | ----- | ||
− | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | + | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
==Metadata== | ==Metadata== | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
− | ''Only available in Dutch'' | + | ''Only available in Dutch<!--noTranslation-->'' |
<u>Publicatieversie 1.0</u> (15-02-2013) | <u>Publicatieversie 1.0</u> (15-02-2013) | ||
Regel 177: | Regel 180: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
− | <imagemap> Bestand:LaboratoryTestResultForTransfer-v3.0Model( | + | <imagemap> Bestand:LaboratoryTestResultForTransfer-v3.0Model(2016EN).png | center |
− | rect | + | rect 225 378 367 428 [[#ResultStatusCodelist]] |
− | rect | + | rect 68 173 211 223 [[#TestCodelist]] |
− | rect | + | rect 637 164 749 234 [[#10897]] |
− | rect | + | rect 371 297 483 367 [[#10919]] |
− | rect | + | rect 624 378 764 428 [[#ResultTypeCodelist]] |
− | rect | + | rect 426 152 545 222 [[#10899]] |
− | rect | + | rect 499 297 611 367 [[#10911]] |
− | rect | + | rect 240 164 352 234 [[#10896]] |
− | rect | + | rect 636 269 748 339 [[#10892]] |
− | rect | + | rect 240 269 352 339 [[#10895]] |
desc none | desc none | ||
</imagemap> | </imagemap> | ||
− | <imagemap> Bestand:LaboratoriumTest-v3.0Model( | + | <imagemap> Bestand:LaboratoriumTest-v3.0Model(2016EN).png | center |
− | rect | + | rect 35 104 190 154 [[#TestNameCodelist]] |
− | rect | + | rect 35 188 190 238 [[#TestMethodCodelist]] |
− | rect | + | rect 325 381 477 431 [[#ResultFlagsCodelist]] |
− | rect | + | rect 503 182 619 252 [[#10913]] |
− | rect | + | rect 351 284 451 354 [[#10910]] |
− | rect | + | rect 356 86 446 156 [[#10911]] |
− | rect | + | rect 503 88 619 158 [[#10909]] |
− | rect | + | rect 216 185 302 255 [[#10903]] |
− | rect | + | rect 216 91 302 161 [[#10905]] |
− | rect | + | rect 503 285 619 355 [[#10907]] |
− | rect | + | rect 216 284 302 354 [[#10915]] |
desc none | desc none | ||
</imagemap> | </imagemap> | ||
− | <imagemap> Bestand:Monster-v3.0Model( | + | <imagemap> Bestand:Monster-v3.0Model(2016EN).png | center |
− | rect | + | rect 408 414 561 464 [[#DrawingProcedureCodelist]] |
− | rect | + | rect 169 414 320 464 [[#SpecimenMaterialCodelist]] |
− | rect | + | rect 311 115 401 185 [[#10919]] |
− | rect | + | rect 435 305 525 375 [[#10918]] |
− | rect | + | rect 195 305 285 375 [[#10920]] |
− | rect | + | rect 145 179 235 249 [[#10921]] |
− | rect | + | rect 480 179 570 249 [[#10916]] |
− | rect | + | rect 314 305 404 375 [[#10917]] |
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 218: | Regel 221: | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | |-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | ||
− | |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | + | |style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--> |
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
Regel 275: | Regel 278: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=399445004 399445004] specimen collection date</span> |
|} | |} | ||
| | | | ||
Regel 303: | Regel 306: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> |
|} | |} | ||
| | | | ||
Regel 433: | Regel 436: | ||
{| | {| | ||
|- | |- | ||
− | |<span | + | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> |
|} | |} | ||
| | | | ||
Regel 450: | Regel 453: | ||
|} | |} | ||
|} | |} | ||
− | Columns Concept and DefinitionCode: hover over the values for more information<BR> | + | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> |
− | For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | + | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] |
==Example Instances== | ==Example Instances== | ||
− | ''Only available in Dutch'' | + | ''Only available in Dutch<!--noTranslation-->'' |
{|class="wikitable" width="1021px" style= "font-size: 9.5pt;" | {|class="wikitable" width="1021px" style= "font-size: 9.5pt;" | ||
Regel 557: | Regel 560: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
− | |SNOMED CT: <17636008 <noWiki>|</noWiki> specimen collection <noWiki>|</noWiki> | + | |SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=17636008 17636008]<noWiki>|</noWiki>specimen collection<noWiki>|</noWiki> |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
− | |||
=== ResultFlagsCodelist=== | === ResultFlagsCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|High | |High | ||
Regel 611: | Regel 615: | ||
|Sensitief | |Sensitief | ||
|} | |} | ||
− | |||
=== ResultStatusCodelist=== | === ResultStatusCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Pending | |Pending | ||
Regel 654: | Regel 658: | ||
|Gecorrigeerd | |Gecorrigeerd | ||
|} | |} | ||
− | |||
=== ResultTypeCodelist=== | === ResultTypeCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Conceptcode | + | |Conceptcode<!--vsConceptCode--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
− | |Description | + | |Description<!--vsDescription--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Hematology | |Hematology | ||
− | |252275004 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=252275004 252275004] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 674: | Regel 678: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Chemistry | |Chemistry | ||
− | |275711006 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=275711006 275711006] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 680: | Regel 684: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Serology | |Serology | ||
− | |68793005 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=68793005 68793005] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 686: | Regel 690: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Virology | |Virology | ||
− | |395124008 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=395124008 395124008] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 692: | Regel 696: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Toxicology | |Toxicology | ||
− | |314076009 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=314076009 314076009] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 698: | Regel 702: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Microbiology | |Microbiology | ||
− | |19851009 | + | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=19851009 19851009] |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Microbiologie | |Microbiologie | ||
|} | |} | ||
− | |||
=== SpecimenMaterialCodelist=== | === SpecimenMaterialCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
− | |SNOMED CT: <123038009 <noWiki>|</noWiki> specimen <noWiki>|</noWiki> | + | |SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=123038009 123038009]<noWiki>|</noWiki>specimen<noWiki>|</noWiki> |
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
− | |||
=== TestCodelist=== | === TestCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Alle waarden | |Alle waarden | ||
Regel 733: | Regel 737: | ||
|2.16.840.1.113883.6.1 | |2.16.840.1.113883.6.1 | ||
|} | |} | ||
− | |||
=== TestMethodCodelist=== | === TestMethodCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Alle waarden | |Alle waarden | ||
Regel 748: | Regel 752: | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
− | |||
=== TestNameCodelist=== | === TestNameCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
− | |Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3 | + | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3 |
+ | |Binding<!--vsBindingTag-->: | ||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
− | |Conceptname | + | |Conceptname<!--vsConceptName--> |
− | |Codesystem name||Codesystem OID | + | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> |
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Alle waarden | |Alle waarden | ||
Regel 764: | Regel 768: | ||
|} | |} | ||
− | + | ==This information model in other releases<!--ftOtherReleases-->== | |
− | ==This information model in other releases== | + | <!-- Hieronder wordt een transclude page aangeroepen --> |
− | < | + | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.1(EN)|2|2016}} |
− | + | <!-- Tot hier de transclude page --> | |
− | < | + | ==Information model references<!--ftReferences-->== |
− | < | + | ====This information model refers to<!--ftRefersTo-->==== |
− | == | + | :-- |
+ | ====This information model is used in<!--ftReferredBy-->==== | ||
+ | :-- | ||
+ | ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | ||
− | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications: | + | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> |
<ul> | <ul> | ||
− | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.13.1&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | + | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.13.1&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> |
− | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR | + | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li> |
</ul> | </ul> | ||
− | This information model is also available as [[Media:nl.zorg.LaboratoryTestResultForTransfer-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.LaboratoryTestResultForTransfer-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | + | ==Downloads<!--ftDownloadTitle-->== |
− | ==About this information== | + | This information model is also available as [[Media:nl.zorg.LaboratoryTestResultForTransfer-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.LaboratoryTestResultForTransfer-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> |
− | The information in this wikipage is based on Release summer 2016 <BR> | + | ==About this information<!--ftHeader2-->== |
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Huidige versie van 24 dec 2018 om 11:09
Inhoud
- 1 General information
- 2 Metadata
- 3 Revision History
- 4 Concept
- 5 Purpose
- 6 Evidence Base
- 7 Information Model
- 8 Example Instances
- 9 References
- 10 Valuesets
- 11 This information model in other releases
- 12 Information model references
- 13 Technical specifications in HL7v3 CDA and HL7 FHIR
- 14 Downloads
- 15 About this information
General information
Name: nl.zorg.LaboratoryTestResultForTransfer
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
Metadata
DCM::CoderList | Kerngroep Registratie aan de Bron |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::CreationDate | 7-6-2012 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.13.1 |
DCM::KeywordList | laboratorium uitslag, lab, laboratorium bepaling |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.OverdrachtLaboratoriumUitslag |
DCM::PublicationDate | 1-5-2016 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 25-8-2015 |
DCM::Superseeds | nl.nfu.OverdrachtLaboratoriumUitslag-v1.2.2 |
DCM::Version | 3.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 1.2 (01-04-2015)
ZIB-238 | In de klinische bouwsteen OverdrachtLabUitslag de tagged value DCM::ValueSet LOINC - eLab valueset van concept TestNaam opsplitsen. |
ZIB-239 | In de klinische bouwsteen OverdrachtLabUitslag de tagged value DCM::ValueSet SNOMED - eLab valueset van concept Testmethode opsplitsen. |
ZIB-240 | In de klinische bouwsteen OverdrachtLabUitslag kwam de tagged value DCM::ValueSet van concept LaboratoriumTest niet overeen met de naam van de gekoppelde waardenlijst ResultNormalcyStatus Valueset (HL7). |
ZIB-241 | In de klinische bouwsteen OverdrachtLabUitslag de tagged value DCM::ValueSet LOINC - eLab valueset van concept Onderzoek opsplitsen. |
ZIB-242 | In de klinische bouwsteen OverdrachtLabuitslag kwam de naam van de gekoppelde waardenlijst van concept ResultaatStatus niet overeen met de tagged value van het concept. |
ZIB-243 | In de klinische bouwsteen OverdrachtLabuitslag kwam de naam van de gekoppelde waardenlijst van concept ResultaatType niet overeen met de tagged value van het concept. |
ZIB-244 | Tagged values van concept Onderzoek van OverdrachtLabUitslag aangepast, door tagged value DCM:ValueSet e-lab een codelijst naam te geven incl. in tagged value notes verwijzing naar extern codesystem. |
ZIB-245 | Tagged values van concept Testmethode van OverdrachtLabUitslag aangepast, door tagged value DCM:ValueSet e-lab een codelijst naam te geven incl. in tagged value notes verwijzing naar extern codesystem. |
ZIB-246 | Tagged values van concept TestNaam van OverdrachtLabUitslag aangepast, door tagged value DCM:ValueSet e-lab een codelijst naam te geven incl. in tagged value notes verwijzing naar extern codesystem. |
ZIB-353 | Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst. |
ZIB-361 | Naamgeving concept Opmerking aangepast |
ZIB-367 | Opschonen ResultaatVlaggenCodelijst |
ZIB-370 | ResultaatStatusCodelijst en TekstUitslagCodelijst codes aanpassen |
Incl. algemene wijzigingsverzoeken:
ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
ZIB-309 | EOI aangepast |
ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 1.2.1 (22-05-2015)
ZIB-392 | De ResultaatTypeCodelijst heeft geen "OID: " aanduiding in de onderliggende codelijst. |
Publicatieversie 1.2.2 (16-07-2015)
ZIB-420 | Vervallen SNOMED CT code in ResultaatTypeCodelijst |
Publicatieversie 3.0 (01-05-2016)
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
.
Concept
A laboratory result describes the result of a laboratory analysis.
In addition to the results of tests with a singular result, the results of more complex tests with multiple results or a ‘panel’ can also be recorded.
Purpose
Laboratory tests are done for the purpose of diagnosing and preventing disease and follow-up on the effects of treatment.
Evidence Base
There are two information models for recording laboratory test results: TextResultTransfer and LaboratoryResultTransfer.
In the case of laboratory test results, it is difficult to clearly indicate exactly when to use this information model and when to use the TextResultTransfer information model.
In general, laboratory tests resulting in a value (7.1 mmol/L), ordinal number (++ from series to ++++) or a quantitative result (Low) are recorded using this information model. The TextResultTransfer information model is better suited for textual results that are more descriptive in nature and which are longer than just a few words. Both types of tests occur in almost all laboratories.
The applicability of the aforementioned information models is not determined by the kind of lab but by the kind of result.
In developing the information model, the definitions were used from the data set and coding choices from the IHE/Nictiz e-Lab program.
The now determined information model is a subset of the e-Lab data set, provided that the detailing that is less relevant to the general transfer use case was left out. If this information is required, it can be entered in the comments field.
Information Model
![LaboratoryTestResultForTransfer-v3.0Model(2016EN).png](/images/3/3c/LaboratoryTestResultForTransfer-v3.0Model%282016EN%29.png)
![LaboratoriumTest-v3.0Model(2016EN).png](/images/5/53/LaboratoriumTest-v3.0Model%282016EN%29.png)
![Monster-v3.0Model(2016EN).png](/images/1/14/Monster-v3.0Model%282016EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
![]() |
NL-CM:13.1.1 | ![]() |
Root concept of the LaboratoryTestResultTransfer information model. This root concept contains all data elements of the Laboratory TestResultTransfer information model. | ||||||||||
![]() |
NL-CM:13.1.2 | ![]() |
1 | Container of the Specimen concept. This container contains all data elements of the Specimen concept. | |||||||||
![]() |
NL-CM:13.1.15 | ![]() |
0..* | Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization. | |||||||||
![]() |
NL-CM:13.1.16 | ![]() |
1 | SpecimenMaterial describes the material obtained. If the LOINC test code also implicitly describes a material, this element may not conflict with the description. If desired, this component can provide a more detailed description of the material: LOINC codes only contain the materials at a main level.
This is in line with the agreements made in the IHE/Nictiz program e-Lab. If the test is carried out on derived material (such as plasma), this element will still contain the material drawn (in this case, blood). In this case, the LOINC code will generally refer to plasma. |
| ||||||||
![]() |
NL-CM:13.1.17 | ![]() |
1 | Time at which the material was drawn. |
|
||||||||
![]() |
NL-CM:13.1.18 | ![]() |
0..1 | If relevant for the results, the method of obtaining the specimen can be entered as well. |
| ||||||||
![]() |
NL-CM:13.1.19 | ![]() |
0..1 | Comments on administering the test, such as drawing material after a (glucose) stimulus or taking medicine. |
|
||||||||
![]() |
NL-CM:13.1.3 | ![]() |
0..* | Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept. | |||||||||
![]() |
NL-CM:13.1.8 | ![]() |
1 | The TestName is the name of the executed test. |
| ||||||||
![]() |
NL-CM:13.1.9 | ![]() |
0..1 | The test method used to obtain the result. |
| ||||||||
![]() |
NL-CM:13.1.13 | ![]() |
0..1 | The date and if possible the time at which the test was carried out. | |||||||||
![]() |
NL-CM:13.1.10 | ![]() |
1 | The test result. Depending on the type of test, the result will consist of a value with a unit or a coded value (ordinal or nominal). | |||||||||
![]() |
NL-CM:13.1.11 | ![]() |
0..1 | The upper reference limit for the patient of the value measured in the test. | |||||||||
![]() |
NL-CM:13.1.12 | ![]() |
0..1 | The lower reference limit for the patient of the value measured with the test. | |||||||||
![]() |
NL-CM:13.1.14 | ![]() |
0..* | Attention codes indicating whether the result is above or below certain reference values. |
| ||||||||
![]() |
NL-CM:13.1.4 | ![]() |
0..1 | For laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology. |
| ||||||||
![]() |
NL-CM:13.1.6 | ![]() |
0..1 | The status of the laboratory test result. |
| ||||||||
![]() |
NL-CM:13.1.5 | ![]() |
0..1 | Comments, such as a textual interpretation or advice accompanying the result, for example. |
|
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![]() |
NL-CM:13.1.7 | ![]() |
1 | The type of result defines the laboratory specialty under which the test is categorized. |
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
LaboratoriumUitslag | |||||||||
Resultaat Type |
Resultaat Status |
Monster | LaboratoriumTest | ||||||
Monster materiaal |
Afname DatumTijd |
TestNaam | Test DatumTijd |
Uitslag | Referentie Ondergrens |
Referentie Bovengrens |
Resultaat Vlaggen | ||
Klinische chemie | Definitief | Bloed | 12-06-2012 09:00 | Natrium | 12-06-2012 13:15 | 138 mmol/l | 136 mmol/l | 146 mmol/l |
LaboratoriumUitslag | |||||||||
Resultaat Type |
Resultaat Status |
Monster | LaboratoriumTest | ||||||
Monster materiaal |
Afname DatumTijd |
TestNaam | Test DatumTijd |
Uitslag | Referentie Ondergrens |
Referentie Bovengrens |
Resultaat Vlaggen | ||
Klinische chemie | Definitief | Bloed | 23-05-2012 08:08 | Chloride | 23-05-2012 12:00 | 109 mmol/l | 99 mmol/l | 108 mmol/l | Boven referentie- waarde |
LaboratoriumUitslag | |||||||||
Resultaat Type |
Resultaat Status |
Monster | LaboratoriumTest | ||||||
Monster materiaal |
Afname DatumTijd |
TestNaam | Test DatumTijd |
Uitslag | Referentie Ondergrens |
Referentie Bovengrens |
Resultaat Vlaggen | ||
Virologie | Definitief | Bloed | 16-01-2012 08:00 | Hepatitis A IgM | 16-01-2012 10:12 | Negatief |
References
1. Nederlandse Vereniging voor Medische Microbiologie (2010) ELab en EvT. [Online] Beschikbaar op: http://www.nvmm.nl/ict/vereniging/werkgroepen_commissies/elab-en-evt [Geraadpleegd: 23 juli 2014].
Valuesets
DrawingProcedureCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <17636008|specimen collection| | SNOMED CT | 2.16.840.1.113883.6.96 |
ResultFlagsCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
High | H | ObservationInterpretation | 2.16.840.1.113883.5.83 | Boven referentiewaarde |
Low | L | ObservationInterpretation | 2.16.840.1.113883.5.83 | Onder referentiewaarde |
Intermediate | I | ObservationInterpretation | 2.16.840.1.113883.5.83 | Variabel |
Resistant | R | ObservationInterpretation | 2.16.840.1.113883.5.83 | Resistent |
Susceptible | S | ObservationInterpretation | 2.16.840.1.113883.5.83 | Sensitief |
ResultStatusCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Pending | pending | ResultaatStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.16.1 | Uitslag volgt |
Preliminary | preliminary | ResultaatStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.16.1 | Voorlopig |
Final | final | ResultaatStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.16.1 | Definitief |
Appended | appended | ResultaatStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.16.1 | Aanvullend |
Corrected | corrected | ResultaatStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.16.1 | Gecorrigeerd |
ResultTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Hematology | 252275004 | SNOMED CT | 2.16.840.1.113883.6.96 | Hematologie |
Chemistry | 275711006 | SNOMED CT | 2.16.840.1.113883.6.96 | Klinische chemie |
Serology | 68793005 | SNOMED CT | 2.16.840.1.113883.6.96 | Serologie/ immunologie |
Virology | 395124008 | SNOMED CT | 2.16.840.1.113883.6.96 | Virologie |
Toxicology | 314076009 | SNOMED CT | 2.16.840.1.113883.6.96 | Toxicologie |
Microbiology | 19851009 | SNOMED CT | 2.16.840.1.113883.6.96 | Microbiologie |
SpecimenMaterialCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <123038009|specimen| | SNOMED CT | 2.16.840.1.113883.6.96 |
TestCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | LOINC | 2.16.840.1.113883.6.1 |
TestMethodCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | SNOMED CT | 2.16.840.1.113883.6.96 |
TestNameCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | LOINC | 2.16.840.1.113883.6.1 |
This information model in other releases
- Release 2015, (Version 1.2.2)
- Release 2017, (Version 4.1)
- Prerelease 2018-2, (Version 4.3)
- Prerelease 2019-2, (Version 4.5)
- Release 2020, (Version 4.6)
- Prerelease 2021-2, (Version 5.0)
- Prerelease 2022-1, (Version 5.1)
- Prerelease 2023-1, (Version 6.0)
- Prerelease 2024-1, (Version 7.0)
Information model references
This information model refers to
- --
This information model is used in
- --
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 15:40:38 with ZibExtraction v. 3.0.6929.24609