Template ID(s)

1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10 (IHE PCC CDA Suppl: 6.3.4.48)

Description

The antenatal testing and surveillance battery is used to express results from a single antenatal care visit. The single author and time of authorship is applied to all component observations.

RMIM Class

Organizer

Profiled Elements

 

Element

Notes

@classCode 1..1
CS

The class code attribute of the organizer must be present and must be valued with 'BATTERY'

code [1..1]
CD

The code element must be present and must be valued with code XX-ANTENATALTESTINGBATTERY in code system LOINC.

statusCode [1..1]CS

The status code must be present and must carry code 'completed'

author [1..1]

The author and author/time elements are used to express the provider which observed/performed the tests described in the component observations.

component [1..*]

The organizer shall contain one or more component observations adhering to the simple observation (see 3.4.2.20). All observations shall have a code drawn from the following table having the specified value type. Note all codes listed in the table are drawn from the LOINC code system.

Code

Description

Value

11630-1

Biophysical profile. Amniotic fluid volume

ED

11631-9

Biophysical profile. Body movement

ED

11632-7

Biophysical profile. Breathing movement

ED

11633-5

Biophysical profile. Heart rate reactivity

ED

11635-0

Biophysical profile. Tone

ED

11634-3

Biophysical profile. Sum

ED

 35096-7

Ultrasound morphologic

ED

49086-2

Nuchal translucency screening

ED

51659-1

Hbs1 Antigen

ED

OpenSHR Implementation Notes

 

Data Model

Obs (group / member obs)

Code File

AntenatalTestingAndSurveillanceBatteryEntryProcessor.java

Permitted Moods

EVN

Additional Constraints

  • OpenSHR will accept either author/time or effectiveTime as the timestamp of the organizer.

Example

 


The following example illustrates an antenatal testing battery which has one component observation describing the amniotic fluid volume as determined by ultrasound.

 

<organizer classCode="BATTERY" moodCode="EVN">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.21.3.10"/>
<code code="XX-ANTENATALTESTINGBATTERY" codeSystem="2.16.840.1.113883.6.1"/>
<statusCode code="completed"/>
<effectiveTime value="20141230"/>
<component typeCode="COMP" contextConductionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/>
<id root="e79bc01f-86fe-4928-96f4-6ecf01ad496c"/>
<code code="11630-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"
displayName="Fetal Biophysical profile.amniotic fluid volume US"/>
<statusCode code="completed"/>
<effectiveTime value="20141230155804.228-0500"/>
<value xsi:type="ED" representation="TXT" language="en-US">...</value>
<interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="ObservationInterpretation"/>
</observation>
</component>
</organizer>

 

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