Specimen Collection is used when a set of laboratory or pathology observations produced on one or more specimens need to be associated with the minimal characteristics of the specimen(s): specimen source site and type of specimen. In addition this template enables to convey when the specimen was collected. In a patient summary there is no need to provide more data than these 4:
collection method,
source site,
type of specimen and
time of collection.
An occurrence of this template describes one specimen collected, used by the set of observations present in the same Result Organizer.
Kontext
Elternknoten des Template-Element mit Id 2.16.840.1.113883.10.22.4.30
Klassifikation
CDA Entry Level Template
Offen/Geschlossen
Offen (auch andere als die definierten Elemente sind erlaubt)
<procedureclassCode="PROC"moodCode="EVN"> <templateIdroot="2.16.840.1.113883.10.22.4.30"/><codecode="33882-2"codeSystem="2.16.840.1.113883.6.1"displayName="Collection date of Unspecified specimen"/><effectiveTime> <lowvalue="20170719123716"/></effectiveTime><targetSiteCode/><participanttypeCode="PRD"> <participantRoleclassCode="SPEC"> <idroot="1.2.3.999"extension="__example only__"/><playingEntityclassCode="ENT"determinerCode="INSTANCE"> <codecode="122555007"codeSystem="2.16.840.1.113883.6.96"displayName="Venous blood specimen (specimen)"/></playingEntity></participantRole></participant></procedure>
Item
DT
Kard
Konf
Beschreibung
Label
hl7:procedure
@classCode
cs
1 … 1
F
PROC
@moodCode
cs
1 … 1
F
EVN
hl7:templateId
II
1 … 1
M
@root
uid
1 … 1
F
2.16.840.1.113883.10.22.4.30
hl7:code
CD.IPS
0 … 1
R
LOINC code representing the act of specimen collection
@code
CONF
0 … 1
F
33882-2
@codeSystem
0 … 1
F
2.16.840.1.113883.6.1 (LOINC)
hl7:effectiveTime
IVL_TS
0 … 1
R
Date and time of specimen collection
hl7:methodCode
CE.IPS
0 … 1
R
CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.76 IPS Results Specimen Collection Method (DYNAMIC)
hl7:targetSiteCode
CE.IPS
0 … 1
R
CONF
Der Wert von @code MUSS gewählt werden aus dem Value Set 2.16.840.1.113883.11.22.55 IPS Body Site (DYNAMIC)
hl7:participant
0 … 1
R
One single participant, which is the product of the procedure (PRD), role of specimen (SPEC) played by the playingEntity, which conveys the type of specimen collected (blood, urine, tissue, ...)
@typeCode
cs
1 … 1
F
PRD
hl7:participantRole
1 … 1
M
@classCode
cs
0 … 1
F
SPEC
hl7:id
II
0 … 1
R
hl7:playingEntity
1 … 1
R
@determinerCode
cs
0 … 1
F
INSTANCE
@classCode
cs
0 … 1
F
ENT
hl7:code
CE (preferred)
1 … 1
M
CONF
Der Wert von @code kommt vorzugsweise aus dem Value Set 2.16.840.1.113883.11.22.56 IPS Specimen Type (DYNAMIC)