LaboratoryTestResult-v6.0(2023EN): verschil tussen versies
(Nieuwe pagina aangemaakt met '<!-- Hieronder wordt een transclude page aangeroepen --> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.1(EN)|1|LaboratoryTestResult-v6.0(2023EN)}} <!-- Tot hier de transclude page --> ==General information<!--hdGeneralInformation-->== Name<!--hdName-->: '''nl.zorg.LaboratoryTestResult''' link=LaboratoriumUitslag-v6.0(2023NL)<BR> Version<!--hdVersion-->: '''6.0''' <br> HCIM Status<!--hdStatus-->:Final<br> Release<!--hdPublication-->...') |
Geen bewerkingssamenvatting |
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Regel 26: | Regel 26: | ||
|style="width:250px; "|DCM::ContactInformation.Telecom||* | |style="width:250px; "|DCM::ContactInformation.Telecom||* | ||
|- | |- | ||
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & | |style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::CreationDate||7-6-2012 | |style="width:250px; "|DCM::CreationDate||7-6-2012 | ||
Regel 54: | Regel 54: | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & | |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate||17-07-2023 | |style="width:250px; "|DCM::RevisionDate||17-07-2023 | ||
Regel 120: | Regel 120: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]] | ||
|Aanpassen tekst van Disclaimer, Terms of Use & | |Aanpassen tekst van Disclaimer, Terms of Use & Copyrights | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]] | ||
Regel 145: | Regel 145: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-392 | ZIB-392 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-392 | ZIB-392 ]] | ||
|De ResultaatTypeCodelijst heeft geen | |De ResultaatTypeCodelijst heeft geen "OID: " aanduiding in de onderliggende codelijst. | ||
|} | |} | ||
Regel 159: | Regel 159: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-423 | ZIB-423 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-423 | ZIB-423 ]] | ||
|Verkeerd bron-codestelsel gekoppeld aan de | |Verkeerd bron-codestelsel gekoppeld aan de 'TestStatusCodelijst'. | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]] | ||
|Wijziging naamgeving ZIB | |Wijziging naamgeving ZIB's en logo's door andere opzet van beheer | ||
|} | |} | ||
Regel 181: | Regel 181: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_0#ZIB-481 | ZIB-481 ]] | |style="width:75px; "|[[ZIBIssues500_0#ZIB-481 | ZIB-481 ]] | ||
| | |Ambiguïteit in interpretatie van ResultaatStatus | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_1#ZIB-577 | ZIB-577 ]] | |style="width:75px; "|[[ZIBIssues500_1#ZIB-577 | ZIB-577 ]] | ||
Regel 213: | Regel 213: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_1#ZIB-676 | ZIB-676 ]] | |style="width:75px; "|[[ZIBIssues500_1#ZIB-676 | ZIB-676 ]] | ||
|Typefout in | |Typefout in "CollectioMethodCodelist" | ||
|} | |} | ||
Regel 233: | Regel 233: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_1#ZIB-880 | ZIB-880 ]] | |style="width:75px; "|[[ZIBIssues500_1#ZIB-880 | ZIB-880 ]] | ||
|scope van de opmerking klopt niet met de context van de container | |scope van de opmerking klopt niet met de context van de container 'monster' | ||
|} | |} | ||
Regel 275: | Regel 275: | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1551 | ZIB-1551 ]] | |style="width:75px; "|[[ZIBIssues500_3#ZIB-1551 | ZIB-1551 ]] | ||
|LaboratoriumUitslag typo | |LaboratoriumUitslag typo's | ||
|- | |- | ||
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1553 | ZIB-1553 ]] | |style="width:75px; "|[[ZIBIssues500_3#ZIB-1553 | ZIB-1553 ]] | ||
Regel 494: | Regel 494: | ||
|colspan ="4" style ="padding-left: 0px"|<span Id=2080 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=2080 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span> | ||
|0..1 | |0..1 | ||
|Anatomical location where the material is collected, | |Anatomical location where the material is collected, <i>e.g. </i>elbow. | ||
| | | | ||
{| | {| | ||
Regel 606: | Regel 606: | ||
|colspan ="4" style ="padding-left: 0px"|<span Id=1162 Title="NL: BronMonster">[[Bestand: arrowright.png | 10px | link=]]SpecimenSource</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=1162 Title="NL: BronMonster">[[Bestand: arrowright.png | 10px | link=]]SpecimenSource</span> | ||
|0..1 | |0..1 | ||
|If the material is not collected directly from the patient but comes from a patient-related object, | |If the material is not collected directly from the patient but comes from a patient-related object, <i>e.g.</i> a cathetertip, this source of material can be recorded here. | ||
| | | | ||
{| | {| | ||
Regel 743: | Regel 743: | ||
|colspan ="4" style ="padding-left: 0px"|<span Id=1149 Title="NL: InterpretatieVlaggen">[[Bestand: arrowright.png | 10px | link=]]ResultFlags</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=1149 Title="NL: InterpretatieVlaggen">[[Bestand: arrowright.png | 10px | link=]]ResultFlags</span> | ||
|0..1 | |0..1 | ||
|Attention codes indicating whether the result of a quantitative test is above or below certain reference values or interpreting the result otherwise.(Resistent). The values Resistant, Intermediate en Susceptible are used with microbiological test results. | |Attention codes indicating whether the result of a quantitative test is above or below certain reference values or interpreting the result otherwise.(Resistent). The values Resistant, Intermediate en Susceptible are used with microbiological test results. | ||
| | | | ||
{| | {| | ||
Regel 830: | Regel 830: | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=1133 Title="NL: GerelateerdeUitslag::LaboratoriumUitslag">[[Bestand: arrowright.png | 10px | link=]]RelatedResult::LaboratoryTestResult</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=1133 Title="NL: GerelateerdeUitslag::LaboratoriumUitslag">[[Bestand: arrowright.png | 10px | link=]]RelatedResult::LaboratoryTestResult</span> | ||
|0..* | |0..* | ||
|Reference to related tests, | |Reference to related tests, <i>e.g.</i> paired tests or sequential tests like gram staining and microbiological cultures. It concerns previous results that collectively lead to the current interpretation. | ||
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| | | | ||
Regel 1.339: | Regel 1.339: | ||
*[[LaboratoryTestResult-v6.0(2023EN)|LaboratoryTestResult-v6.0]] | *[[LaboratoryTestResult-v6.0(2023EN)|LaboratoryTestResult-v6.0]] | ||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ==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. | 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:<!--ftReferenceIntro--> | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li> | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|13.1}}</li> | ||
<li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|LaboratoriumUitslag}}</li> | ||
</ul> | </ul> | ||
==Downloads<!--ftDownloadTitle-->== | ==Downloads<!--ftDownloadTitle-->== | ||
Regel 1.355: | Regel 1.355: | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on | This page is generated on 31/10/2023 18:34:37 with ZibExtraction v. 9.3.8704.31782<!--ftDate--> <BR> | ||
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Huidige versie van 31 okt 2023 om 20:59
General information
Name: nl.zorg.LaboratoryTestResult
Version: 6.0
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023
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.LaboratoriumUitslag |
DCM::PublicationDate | 15-10-2023 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 17-07-2023 |
DCM::Supersedes | nl.zorg.LaboratoriumUitslag-v5.1 |
DCM::Version | 6.0 |
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-423 | Verkeerd bron-codestelsel gekoppeld aan de 'TestStatusCodelijst'. |
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 4.0 (04-09-2017)
ZIB-479 | Monster herkomst ontbreekt |
ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
ZIB-576 | Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen. |
ZIB-481 | Ambiguïteit in interpretatie van ResultaatStatus |
ZIB-577 | Toevoegen SNOMED CT concept in ResultaatTypeCodelijst |
Publicatieversie 4.1 (31-12-2017)
ZIB-609 | Biopsie niet in AfnameprocedureCodelijst |
ZIB-611 | cardinaliteit ResultaatType |
ZIB-621 | Aanpassingen naar aanleiding van overleg met NHG |
ZIB-645 | Diverse terminologiekoppelingen lijken niet te kloppen |
ZIB-646 | Aanpassing SNOMED codes |
Publicatieversie 4.2 (01-10-2018)
ZIB-649 | Toevoegen data-element UitgevoerdDoor |
ZIB-676 | Typefout in "CollectioMethodCodelist" |
Publicatieversie 4.3 (26-02-2019)
ZIB-639 | 13.1.4 Onderzoek / 13.1.8 Test mist NHG Tabel 45 |
ZIB-703 | In plaatje komt term TestNaam voor, terwijl de zib die niet (meer) kent. |
Publicatieversie 4.4 (06-07-2019)
ZIB-669 | datatype element Verzamelperiode |
ZIB-880 | scope van de opmerking klopt niet met de context van de container 'monster' |
Publicatieversie 4.5 (31-01-2020)
ZIB-910 | Labcodeset ipv geheel LOINC |
ZIB-901 | Microorganism in LaboratoriumTestUitslag |
ZIB-902 | LaboratoriumUitslag |
Publicatieversie 4.6 (01-09-2020)
ZIB-1016 | Monsternummer kan niet 0..* zijn |
ZIB-1148 | Specifieke definitie ZIB LaboratoriumUitslag: InterpretatieVlaggen |
Publicatieversie 5.0 (01-12-2021)
ZIB-1072 | Labtest / interpretatievlaggen |
ZIB-1269 | LaboratoriumUitslag: verwijderen Aanvrager (niet implementeerbaar) |
ZIB-1293 | Waardenlijsten voor LaboratoriumTest#TestUitslag |
ZIB-1465 | Meldingen terminology report bij overlijdensIndicator en BronMonster |
ZIB-1551 | LaboratoriumUitslag typo's |
ZIB-1553 | LaboratoriumUitslag SpecimenSource DefinitionCode deprecated |
Publicatieversie 5.1 (10-06-2022)
ZIB-1292 | InterpretatieMethodeCodelijst verbeteren of opheffen? |
ZIB-1552 | LaboratoriumUitslag ContainerType binding te strikt |
ZIB-1686 | Spelfout in NL-CM:13.1.6/ResultStatus |
ZIB-1698 | Uitvoerder in ZIB Labuitslag is in praktijk meer de verantwoordelijke partij dan de uitvoerder |
ZIB-1699 | Voorbeeld in ART Decor van Testcode klopt niet met codesystemen die genoemd zijn |
Publicatieversie 6.0 (15-10-2023)
ZIB-1584 | GerelateerdeUitslag nader specificeren |
ZIB-1697 | Testuitslag verwijst voor datatype naar LOINC code in Testcode, hoe zit dit bij een NHG code? |
ZIB-1784 | NL-CM:13.1.31 TestUitslagStatus |
ZIB-1845 | Bronmonster/SpecimenSource: Toevoegen van codelijst |
ZIB-1958 | Testmethode aanpassen waardelijst |
ZIB-1990 | Monster beschrijving aanpassen zodat het verschil tussen monster en substantie duidelijk is |
ZIB-1974 | Suggested typo and textual improvements |
ZIB-2019 | Aanpassen concepttype Verzamelperiode in zib Laboratoriumuitslag naar PQ |
Concept
A laboratory result describes the result of a laboratory analysis.
These are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.
In addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’.
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: TextResult and LaboratoryTestResult.
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 TextResult 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 TextResult 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.
Information Model
![LaboratoryTestResult-v6.0Model(2023EN).png](/images/6/6b/LaboratoryTestResult-v6.0Model%282023EN%29.png)
![LaboratoriumTest-v6.0Model(2023EN).png](/images/9/98/LaboratoriumTest-v6.0Model%282023EN%29.png)
![Monster-v6.0Model(2023EN).png](/images/7/7a/Monster-v6.0Model%282023EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||
![]() |
NL-CM:13.1.1 | ![]() |
Root concept of the LaboratoryTestResult information model. This root concept contains all data elements of the LaboratoryTestResult information model. | ||||||||||||
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NL-CM:13.1.2 | ![]() |
0..1 | Container of the concept Specimen. This container contains all data elements of the concept Specimen. A completed container is related to a sample from the Snomed Hierarchy.
If the TestCode implicitly also describes a specimen (often the case if coded in LOINC), elements within the concept specimen may not conflict with it. However, if desired, these data can provide a more detailed description.This is in line with the agreements made in the IHE/Nictiz e-Lab programme. |
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![]() |
NL-CM:13.1.15 | ![]() |
0..1 | 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:13.1.20 | ![]() |
0..1 | The specimen number extension is used when the collected material is distributed from the original tube or container across multiple tubes. In combination with the specimen Id the extension yield a unique identification of the tube or container | |||||||||||
![]() |
NL-CM:13.1.21 | ![]() |
0..1 | Container type describes the envelope in which the material is collected or sent. Examples include blood tubes, transport container, possibly including culture medium. |
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![]() |
NL-CM:13.1.16 | ![]() |
0..1 | SpecimenMaterial describes the base material taken. For example: Plasma, Urine, Saliva etc. This element refers to the Substance hierarchy in Snomed. |
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![]() |
NL-CM:13.1.36 | ![]() |
0..1 | Anatomical location where the material is collected, e.g. elbow. |
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NL-CM:13.1.22 | ![]() |
0..1 | In particular in microbiological determinations the subject of the test is an isolate of a certain microorganism rather then a material. This concept provides the ability to capture information about this microorganism. |
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![]() |
NL-CM:13.1.23 | ![]() |
0..1 | Total volume of the collected material. If it is necessary to determine the absolute amount of a particular substance in the collected material, the volume thereof must be given. | |||||||||||
![]() |
NL-CM:13.1.24 | ![]() |
0..1 | If the material has not been collected at a single point in time but over a certain period, this period can be captured in this concept. An example is 24 hour urine. | |||||||||||
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NL-CM:13.1.17 | ![]() |
0..1 | Date and time at which the material was collected. |
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NL-CM:13.1.25 | ![]() |
0..1 | Date and time that the material is handed over at the laboratory or specimen collection center. This is the case with material that is collected by the patient himself. | |||||||||||
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NL-CM:13.1.18 | ![]() |
0..1 | If relevant for the results, the method of obtaining the specimen can be entered as well. |
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NL-CM:13.1.28 | ![]() |
0..1 | Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer. |
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NL-CM:13.1.29 | ![]() |
0..1 | If the material is not collected directly from the patient but comes from a patient-related object, e.g. a cathetertip, this source of material can be recorded here. |
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NL-CM:13.1.19 | ![]() |
0..1 | Comments on the specimen , such as drawing material after a (glucose) stimulus or taking medicine. |
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NL-CM:13.1.3 | ![]() |
0..* | Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept. | |||||||||||
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NL-CM:13.1.8 | ![]() |
1 | The name and code of the executed test. |
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![]() |
NL-CM:13.1.9 | ![]() |
0..1 | The test method used to obtain the result. |
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NL-CM:13.1.13 | ![]() |
0..1 | The date and if possible the time at which the test was carried out. | |||||||||||
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NL-CM:13.1.10 | ![]() |
0..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). |
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NL-CM:13.1.31 | ![]() |
0..1 | The status of the test result of this test. If the laboratory test is a panel/cluster, the overall status is given in the status of the panel/cluster. |
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NL-CM:13.1.11 | ![]() |
0..1 | The upper reference limit for the patient of the value measured in the test. | |||||||||||
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NL-CM:13.1.12 | ![]() |
0..1 | The lower reference limit for the patient of the value measured with the test. | |||||||||||
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NL-CM:13.1.14 | ![]() |
0..1 | Attention codes indicating whether the result of a quantitative test is above or below certain reference values or interpreting the result otherwise.(Resistent). The values Resistant, Intermediate en Susceptible are used with microbiological test results. |
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![]() |
NL-CM:13.1.32 | ![]() |
0..1 | Comment of the laboratory specialist regarding the interpretation of the results |
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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. |
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NL-CM:13.1.6 | ![]() |
0..1 | The status of the laboratory test result. If the laboratory test is a panel/cluster, this status reflects the status of the whole panel/cluster. If the status item per subtest is used too, this status must be in accordance with these status values. |
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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 | ![]() |
0..1 | The type of result defines the laboratory specialty under which the test is categorized. |
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NL-CM:13.1.33 | ![]() |
0..* | Reference to related tests, e.g. paired tests or sequential tests like gram staining and microbiological cultures. It concerns previous results that collectively lead to the current interpretation. |
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![]() |
NL-CM:13.1.35 | ![]() |
0..1 | The healthcare provider who is responsible for the excecution of the laboratory examination and delivering the Laboratory result. |
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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 |
TestCode | Test DatumTijd |
TestUitslag | Referentie Ondergrens |
Referentie Bovengrens |
Interpretatie 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 |
TestCode | Test DatumTijd |
TestUitslag | Referentie Ondergrens |
Referentie Bovengrens |
Interpretatie 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 |
TestCode | Test DatumTijd |
TestUitslag | Referentie Ondergrens |
Referentie Bovengrens |
Interpretatie 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
CollectionMethodCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <71388002|Procedure| | SNOMED CT | 2.16.840.1.113883.6.96 |
ContainerTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <434711009|Specimen container| | SNOMED CT | 2.16.840.1.113883.6.96 |
MicroorganismCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.10 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: ^2581000146104|Dutch microorganism simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
MorphologyCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <49755003|Morphologically abnormal structure| | SNOMED CT | 2.16.840.1.113883.6.96 |
PanelOrBatteryCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | LOINC | 2.16.840.1.113883.6.1 |
ResultFlagsCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.7 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Above reference range | 281302008 | SNOMED CT | 2.16.840.1.113883.6.96 | Boven referentiewaarde |
Below reference range | 281300000 | SNOMED CT | 2.16.840.1.113883.6.96 | Onder referentiewaarde |
Intermediate | 11896004 | SNOMED CT | 2.16.840.1.113883.6.96 | Intermediair |
Resistant | 30714006 | SNOMED CT | 2.16.840.1.113883.6.96 | Resistent |
Susceptible | 131196009 | SNOMED CT | 2.16.840.1.113883.6.96 | Sensitief |
ResultStatusCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8 | Binding: Extensible |
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: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Hematology test | 252275004 | SNOMED CT | 2.16.840.1.113883.6.96 | Hematologie |
Serum chemistry test | 275711006 | SNOMED CT | 2.16.840.1.113883.6.96 | Klinische chemie |
Serologic test | 68793005 | SNOMED CT | 2.16.840.1.113883.6.96 | Serologie/ immunologie |
Viral studies | 395124008 | SNOMED CT | 2.16.840.1.113883.6.96 | Virologie |
Toxicology screening test | 314076009 | SNOMED CT | 2.16.840.1.113883.6.96 | Toxicologie |
Microbiology procedure | 19851009 | SNOMED CT | 2.16.840.1.113883.6.96 | Microbiologie |
Molecular genetic test | 405825005 | SNOMED CT | 2.16.840.1.113883.6.96 | Moleculaire genetica |
SpecimenMaterialCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <105590001|Substance| | SNOMED CT | 2.16.840.1.113883.6.96 |
SpecimenSourceCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.18 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <<125676002|Person| | SNOMED CT | 2.16.840.1.113883.6.96 |
TestCodeNHGCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.16 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
Alle labbepaling waarden | NHG tabel 45 | 2.16.840.1.113883.2.4.4.30.45 |
Note: These are the values of which the field "Soort" contains the letter "L"
TestMethodCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.4 | Binding: Extensible |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <272394005|Technique| | SNOMED CT | 2.16.840.1.113883.6.96 |
SNOMED CT: ^260131000146101|Dutch laboratory test method simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
TestNameLOINCCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.3 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | Nederlandse Labcodeset | 2.16.840.1.113883.2.4.3.11.51.1 |
TestResultCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.17 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
Refset: SNOMED CT: ^2581000146104|Dutch microorganism simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
Refset: SNOMED CT: ^46231000146109|Dutch ordinal test result simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
Refset: SNOMED CT: ^97801000146108|Dutch microscopic ordinal test result simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
Refset: SNOMED CT: ^140301000146101|Dutch simple reference set for ordinal antimicrobial susceptibility test results| | SNOMED CT | 2.16.840.1.113883.6.96 |
Refset: SNOMED CT: ^145871000146106|Dutch mixed flora finding simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
TestResultStatusCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.1.15 | Binding: Extensible |
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 |
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- Release 2015, (Version 1.2.2)
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About this information
The information in this wikipage is based on Prerelease 2023-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
- LOINC version 2.76
Conditions for use are located on the mainpage
This page is generated on 31/10/2023 18:34:37 with ZibExtraction v. 9.3.8704.31782