Order Catalog Implementation Guide
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Order Catalog Implementation Guide, published by HL7 International - Orders and Observations Work Group. This is not an authorized publication; it is the continuous build for version current). This version is based on the current content of https://github.com/HL7/fhir-order-catalog/ and changes regularly. See the Directory of published versions

: Lab service 24H urine creat - XML Representation

Draft as of 2020-02-12

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<PlanDefinition xmlns="http://hl7.org/fhir">
  <id value="example-lab-panel-urine24h-creatinine"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabServiceDefinition"/>
  </meta>
  <language value="en-US"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><p><b>Generated Narrative: PlanDefinition</b><a name="example-lab-panel-urine24h-creatinine"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource PlanDefinition &quot;example-lab-panel-urine24h-creatinine&quot;  (Language &quot;en-US&quot;) </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-LabServiceDefinition.html">Laboratory Service Definition</a></p></div><p><b>Reference to a catalog</b>: <a href="Composition-example-lab-compendium-header.html">Composition/example-lab-compendium-header</a></p><p><b>Healthcare Service Billing Code</b>: 0627 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (nabm#0627)</span></p><blockquote><p><b>Billing summary for the plan definition</b></p><blockquote><p><b>url</b></p><code>textualSummary</code></blockquote><p><b>value</b>: no notable particularity for billing</p><blockquote><p><b>url</b></p><code>reimbursabilitySummary</code></blockquote><p><b>value</b>: normal</p></blockquote><p><b>Schedule summary for the plan definition</b>: Daily ; report on D0</p><p><b>Summary of result interpretation guidance of the laboratory service</b>: Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas.</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/order-catalog/PlanDefinition/example-lab-panel-urine24h-creatinine</code></p><p><b>version</b>: current</p><p><b>name</b>: UrineCreatininePanel</p><p><b>title</b>: 24-hour urine creatinine panel</p><p><b>type</b>: collection of tests and panels performed on one or more in vitro biologic specimens <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-laboratory-service-definition-type.html">Code system for types of laboratory service definitions</a>#panel)</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2020-02-12 19:00:00+0100</p><p><b>publisher</b>: HL7 International - Orders and Observations Work Group</p><p><b>contact</b>: <a href="http://hl7.org/Special/committees/orders">http://hl7.org/Special/committees/orders</a></p><p><b>description</b>: Potassium measurement on serum specimen</p><h3>UseContexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>Workflow Task (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code task = 'Workflow Task', stated as 'null')</td><td>this panel is orderable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LABOE &quot;laboratory test order entry task&quot;)</span></td></tr><tr><td style="display: none">*</td><td>Workflow Task (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code task = 'Workflow Task', stated as 'null')</td><td>This panel may be added upon the pathologist initiative after result review of the order <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LABRREV &quot;laboratory results review task&quot;)</span></td></tr></table><p><b>jurisdiction</b>: Global (Whole world) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (m49.htm#001)</span></p><p><b>topic</b>: Chemistry studies (set) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#18719-5)</span>, 24 hour urine measurement (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#409091002)</span>, Biochimie générale et spécialisée <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (SH-REF-08#BIOCHBM)</span>, BIOCHIMIE - URINE <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (nabm#13-03)</span></p><h3>Actions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Code</b></td><td><b>Timing[x]</b></td><td><b>Definition[x]</b></td></tr><tr><td style="display: none">*</td><td/><td>Creatinine 24 hour urine panel - 24 hour Urine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#65634-8)</span></td><td>2 hours<span style="background: LightGoldenRodYellow"> (Details: UCUM code h = 'h')</span></td><td><a href="ActivityDefinition-example-lab-urine24h-creatinine.html">Procedure - urine creatinine - 24H urine</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/CatalogReference">
    <valueReference>
      <reference value="Composition/example-lab-compendium-header"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ServiceBillingCode">
    <valueCodeableConcept>
      <coding>
        <system value="http://www.codage.ext.cnamts.fr/codif/nabm"/>
        <code value="0627"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary">
    <extension url="textualSummary">
      <valueMarkdown value="no notable particularity for billing"/>
    </extension>
    <extension url="reimbursabilitySummary">
      <valueCode value="normal"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ScheduleSummary">
    <valueString value="Daily ; report on D0"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ResultInterpretationSummary">
    <valueMarkdown
                   value="Creatinine or creatine anhydride, is a breakdown product of creatine phosphate in muscle. The loss of water molecule from creatine results in the formation of creatinine. It is transferred to the kidneys by blood plasma, whereupon it is eliminated by glomular filtration and partial tubular excretion. Creatinine is usually produced at a fairly constant rate and measuring its serum level is a simple test. A rise in blood creatinine levels is observed only with marked damage to functioning nephrons; therefore this test is not suitable for detecting early kidney disease. Creatine and creatinine are metabolized in the kidneys, muscle, liver and pancreas."/>
  </extension>
  <url
       value="http://hl7.org/fhir/uv/order-catalog/PlanDefinition/example-lab-panel-urine24h-creatinine"/>
  <version value="current"/>
  <name value="UrineCreatininePanel"/>
  <title value="24-hour urine creatinine panel"/>
  <type>
    <coding>
      <system
              value="http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-definition-type"/>
      <code value="panel"/>
    </coding>
  </type>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2020-02-12T19:00:00+01:00"/>
  <publisher value="HL7 International - Orders and Observations Work Group"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/orders"/>
    </telecom>
  </contact>
  <description value="Potassium measurement on serum specimen"/>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="task"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="LABOE"/>
        <display value="laboratory test order entry task"/>
      </coding>
      <text value="this panel is orderable"/>
    </valueCodeableConcept>
  </useContext>
  <useContext>
    <code>
      <system
              value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
      <code value="task"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="LABRREV"/>
        <display value="laboratory results review task"/>
      </coding>
      <text
            value="This panel may be added upon the pathologist initiative after result review of the order"/>
    </valueCodeableConcept>
  </useContext>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <topic>
    <coding>
      <system value="http://loinc.org"/>
      <code value="18719-5"/>
      <display value="Chemistry studies (set)"/>
    </coding>
  </topic>
  <topic>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="409091002"/>
      <display value="24 hour urine measurement (procedure)"/>
    </coding>
  </topic>
  <topic>
    <coding>
      <system value="http://tools.cofrac.fr/documentation/SH-REF-08"/>
      <code value="BIOCHBM"/>
      <display value="Biochimie générale et spécialisée"/>
    </coding>
  </topic>
  <topic>
    <coding>
      <system value="http://www.codage.ext.cnamts.fr/codif/nabm"/>
      <code value="13-03"/>
      <display value="BIOCHIMIE - URINE"/>
    </coding>
  </topic>
  <action>
    <extension
               url="http://hl7.org/fhir/uv/order-catalog/StructureDefinition/SpecimenRequested">
      <extension url="ExclusiveGroup">
        <extension url="Material">
          <valueReference>
            <reference value="SpecimenDefinition/example-specimen-urine-24h"/>
            <display value="example-specimen-urine-24h"/>
          </valueReference>
        </extension>
      </extension>
    </extension>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="65634-8"/>
        <display value="Creatinine 24 hour urine panel - 24 hour Urine"/>
      </coding>
    </code>
    <timingDuration>
      <value value="2"/>
      <unit value="hours"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="h"/>
    </timingDuration>
    <definitionCanonical
                         value="http://hl7.org/fhir/uv/order-catalog/ActivityDefinition/example-lab-urine24h-creatinine"/>
  </action>
</PlanDefinition>