Id1.3.182.11.3.3.4Effective Date2018‑09‑26 15:53:06
Statusdraft DraftVersion Label
NameLaboratoryObservationXDLABDisplay NameLaboratory Observation
ContextPathname /
ClassificationCDA Entry Level Template
Open/ClosedClosed (only defined elements are allowed)
Used by / Uses
Used by 0 transactions and 3 templates, Uses 2 templates
Used by as NameVersion
1.3.182.11.3.3.5Containmentdraft Laboratory Battery Organizer2018‑09‑26 16:34:35
1.3.182.11.3.3.6Containmentdraft Laboratory Isolate Organizer2018‑09‑26 16:45:01
1.3.182.11.3.3.7Containmentdraft Laboratory Report Data Processing Entry2018‑09‑26 16:56:18
Uses as NameVersion
1.3.182.11.3.3.2Containmentdraft Specimen CollectionDYNAMIC
1.3.182.11.9.3.1Containmentdraft Annotation Comment EntryDYNAMIC
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.1.6"/>  <id root=" " extension=" "/>  <code code="10912-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Lead Measurement, Quantitative">
    <originalText>
      <reference value="pbTest"/>    </originalText>  </code>  <statusCode code="completed"/>  <effectiveTime value="20071108000000.0000-0500"/>  <value xsi:type="PQ" unit="mg/dL" value="6.4"/>  <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83"/>  <methodCode code=" " codeSystem=" " codeSystemName=" "/>  <specimen typeCode="SPC">
    <specimenRole classCode="SPEC">
      <id extension="555847399003" root="1.3.6.1.4.1.19376.1.3.4"/>      <specimenPlayingEntity>
        <code code="BLD" codeSystem="2.16.840.1.113883.5.129" codeSystemName="HL7" displayName="Blood"/>      </specimenPlayingEntity>    </specimenRole>  </specimen>  <performer typeCode="PRF">
    <templateId root="1.3.6.1.4.1.19376.1.3.3.1.7"/>    <!-- ... -->
  </performer>  <author typeCode="AUT">
    <!-- ... -->
  </author>  <participant typeCode="AUTHEN">
    <templateId root="1.3.6.1.4.1.19376.1.3.3.1.5"/>    <!-- ... -->
  </participant>  <participant typeCode="RESP">
    <!-- ... -->
  </participant>  <participant typeCode="DEV">
    <!-- ... -->
  </participant>  <entryRelationship typeCode="COMP">
    <act classCode="ACT" moodCode="EVN">
      <templateId root="2.16.840.1.113883.10.20.1.40"/>      <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>      <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation Comment"/>      <text>
        <reference value="pbTestComment"/>      </text>      <statusCode code="completed"/>    </act>  </entryRelationship>  <entryRelationship typeCode="REFR">
    <sequenceNumber value="1"/>    <observation classCode="OBS" moodCode="EVN">
      <templateId root="1.3.6.1.4.1.19376.1.3.1.6"/>      <code code="10912-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Lead Measurement, Quantitative">
        <originalText>
          <reference value="pbTest"/>        </originalText>      </code>      <statusCode code="completed"/>      <effectiveTime value="20071101000000.0000-0500"/>      <value xsi:type="PQ" unit="mg/dL" value="8.7"/>      <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83"/>      <entryRelationship typeCode="COMP">
        <act classCode="ACT" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.1.40"/>          <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.2"/>          <code code="48767-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Annotation Comment"/>          <text>
            <reference value="pbTestComment"/>          </text>          <statusCode code="completed"/>        </act>      </entryRelationship>    </observation>  </entryRelationship>  <referenceRange typeCode="REFV">
    <observationRange classCode="OBS" moodCode="EVN.CRT">
      <value xsi:type="IVL_PQ">
        <low value="0.0" unit="mg/dL"/>        <high value="5.0" unit="mg/dL"/>      </value>      <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>    </observationRange>    <lab:precondition typeCode="PRCN">
      <lab:criterion classCode="COND">
        <lab:code code="AGE"/>        <lab:value xsi:type="IVL_PQ">
          <lab:low value="35" unit="Y"/>          <lab:high value="55" unit="Y"/>        </lab:value>      </lab:criterion>    </lab:precondition>  </referenceRange></observation>
Example
Example
<observation classCode="OBS" moodCode="EVN">
  <templateId root="1.3.6.1.4.1.19376.1.3.1.3"/>  <code code="11273-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="ERYTHROCYTES"/>  <statusCode code="completed"/>  <effectiveTime value="20060321063000.0000-0500"/>  <value xsi:type="PQ" value="4.95" unit="10*6/mm3"/>  <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>  <entryRelationship typeCode="REFR">
    <!-- Previous result 4.85 from Mar 12, 2006 08:15 -->
    <observation classCode="OBS" moodCode="EVN">
      <code code="11273-0" codeSystem="2.16.840.1.113883.6.1"/>      <statusCode code="completed"/>      <effectiveTime value="20060312081500.0000-0500"/>      <value xsi:type="PQ" value="4.85" unit="10*6/mm3"/>    </observation>  </entryRelationship>  <!-- reference range given patient sex -->
  <referenceRange typeCode="REFV">
    <observationRange classCode="OBS" moodCode="EVN.CRT">
      <value xsi:type="IVL_PQ">
        <low value="4.50" unit="10*6/mm3"/>        <high value="6.00" unit="10*6/mm3"/>      </value>    </observationRange>    <lab:precondition typeCode="PRCN">
      <lab:criterion classCode="COND">
        <lab:code code="SEX"/>        <lab:value xsi:type="CD" code="M" codeSystem="2.16.840.1.113883.5.1"/>      </lab:criterion>    </lab:precondition>  </referenceRange></observation>
ItemDTCardConfDescriptionLabel
hl7:observation
1 … 1MLabodotsDLAB
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:templateId
1 … 1MLabodotsDLAB
@root
uid1 … 1F1.3.182.11.3.3.4
hl7:id
0 … 1A Laboratory Observation identifier MAY be present.LabodotsDLAB
hl7:code
CD1 … 1RUnique test code in an international standard (LOINC or SNOMED CT) or a national standard (e.g. JC10 in Japan)LabodotsDLAB
hl7:text
ED0 … 1LabodotsDLAB
hl7:reference
TEL1 … 1MLabodotsDLAB
@value
st1 … 1R
hl7:statusCode
1 … 1M‘completed’ when the result is present.
‘aborted’ if the test could not be performed
"active" if the test is not ready yet but will come		LabodotsDLAB
 CONF
@code shall be "completed"
or
@code shall be "aborted"
hl7:effectiveTime
TS.DATE.MIN0 … 1RPhysiologically relevant time
LabodotsDLAB
hl7:value
ANY0 … 1RThe result obtained for this test using the appropriate data type. Numeric results use data type PQ, which includes the unit. The result is absent in case of ‘obsolete’ or ‘aborted’ observation.LabodotsDLAB
hl7:interpretationCode
CE0 … 1ROne or more codes interpreting the result, expressed with ObservationInterpretation vocabulary (e.g. H = high, L = low)
In case of a antimicrobial susceptibility test in microbiology, the vocabulary domain is ObservationInterpretationSusceptibility: S = susceptible, R = resistant, I = intermediate, VS = very susceptible, MS = moderately susceptible		LabodotsDLAB
hl7:methodCode
CE0 … 1Rmethod used for this observation expressed with ObservationMethod vocabulary (CWE)LabodotsDLAB
hl7:performer
0 … *performer participation. Performer to supersede those recorded at higher level.LabodotsDLAB
@typeCode
cs0 … 1FPRF
hl7:author
0 … *Rauthor participation used to supersede the authors of higher level.LabodotsDLAB
@typeCode
cs0 … 1FAUT
hl7:participant
0 … 1Other participants "AUTHEN", "RESP", and "DEV".
  • AUTHEN: The verifier of the battery organizer. In the case where a laboratory report has multiple verifiers. Each verifier is attached to the subset of batteries/observations he or she verified, by the means of a <participant> element.
LabodotsDLAB
where [@typeCode='AUTHEN']
@typeCode
cs1 … 1FAUTHEN
hl7:participant
0 … 1Other participants "AUTHEN", "RESP", and "DEV".
  • RESP: The person responsible for the provision of the battery. In the case where this battery is subcontracted to an external laboratory, this external laboratory (with its address and telcom) and the actual performer is represented by a <performer> element, whereas the Director of this subcontractor laboratory is carried by the <participant> element being attached to the same level as the <performer> element.
LabodotsDLAB
where [@typeCode='RESP']
@typeCode
cs1 … 1FRESP
hl7:participant
0 … 1Other participants "AUTHEN", "RESP", and "DEV".
  • DEV: A device or equipment, which was used to produce this battery of results (e.g. an analyzer).
LabodotsDLAB
where [@typeCode='DEV']
@typeCode
cs1 … 1FDEV
hl7:entryRelationship
0 … *RComment on this Observation
Contains 1.3.182.11.9.3.1 Annotation Comment Entry (DYNAMIC)		LabodotsDLAB
hl7:entryRelationship
0 … *RSpecimen Collection
Contains 1.3.182.11.3.3.2 Specimen Collection (DYNAMIC)		LabodotsDLAB
hl7:entryRelationship
0 … *RPrevious observations obtained for the same patient, test, same method, same unit (1)LabodotsDLAB
where [@typeCode='REFR']
@typeCode
cs1 … 1FREFR
hl7:sequenceNumber
INT0 … 1R
If there is more than one previous observation, the sequenceNumber need to be set, starting from 1 to n
LabodotsDLAB
hl7:observation
1 … 1RLabodotsDLAB
@classCode
cs1 … 1FOBS
@moodCode
cs1 … 1FEVN
hl7:code
1 … 1RLabodotsDLAB
hl7:text
ED0 … 1LabodotsDLAB
hl7:reference
TEL1 … 1MLabodotsDLAB
@value
st1 … 1R
hl7:statusCode
1 … 1RLabodotsDLAB
@code
1 … 1Fcompleted
hl7:effectiveTime
TS.DATE.MIN1 … 1MLabodotsDLAB
hl7:value
1 … 1RLabodotsDLAB
hl7:referenceRange
0 … 1RReference range for the current test resultLabodotsDLAB
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1MLabodotsDLAB
@classCode
cs0 … 1FOBS
@moodCode
cs0 … 1FEVN.CRT
hl7:text
ED0 … 1LabodotsDLAB
hl7:reference
TEL1 … 1MLabodotsDLAB
@value
st1 … 1R
hl7:value
0 … 1nl-NL interval (IVL) representationLabodotsDLAB
hl7:interpretationCode
1 … 1MLabodotsDLAB
@code
cs1 … 1FN
lab:precondition
0 … *Extension to CDA Clinical statementLabodotsDLAB
@typeCode
cs1 … 1FPRCN
lab:criterion
1 … 1RLabodotsDLAB
@classCode
cs1 … 1FCOND
@moodCode
cs1 … 1FEVN
lab:code
CE1 … 1RCode of the criterion (e.g. age, sex)LabodotsDLAB
lab:value
1 … 1Rnl-NL Value of the criterionLabodotsDLAB