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Re: [Gnumed-devel] HL7 OBX result messages that involve multiple lines e
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] HL7 OBX result messages that involve multiple lines esp Microbiology |
Date: |
Thu, 14 Feb 2008 03:08:28 +0100 |
> >> OBR|1||02-123456-URC-0^bcb|URC^URINE CULTURE^L||200011081429|
> >> 200011081429|||||||200011081429||TTTT2^TEST^BLAIR^^^^^L||||||
> >> 200011300944|MICRO|LAB_ORG
> >> |F||^^^200011081429|||||||204
> >> OBX|1|FT|19803-6^SITE^L||Urine|||N|||F|||200011081430|EDM|204
> >> OBX|2|FT|6463-4^Culture^L|1|Light growth of: Klebsiella sp.|||N|||
> >> F|||
> >> 200011081434
> >> OBX|3|FT|28-1^Ampicillin^L|1|R|||N|||F|||200011081434
> >> OBX|4|FT|149-5^Cephalexin^L|1|R|||N|||F|||200011081434
> >> OBX|5|FT|267-5^Gentamicin^L|1|S|||N|||F|||200011081434
> >> OBX|6|FT|7057-3^TMP/SMX^L|1|S|||N|||F|||200011081434
> >> OBX|7|FT|363-2^Nitrofurantoin^L|1|S|||N|||F|||200011081434
> >> OBX|8|FT|6463-4^Culture^L|2|Light growth of: Staphylococcus aureus|||
> >> N|||F|||200011081434
> >> OBX|9|FT|6932-8^Penicillin^L|2|R|||N|||F|||200011081434
> >> OBX|10|FT|197-4^Cloxacillin^L|2|R|||N|||F|||200011081434
> >> OBX|11|FT|233-7^Erythromycin^L|2|S|||N|||F|||200011081434
> >> OBX|12|FT|7057-3^TMP/SMX^L|2|S|||N|||F|||200011081434
> >> OBX|13|FT|193-3^Clindamycin^L|2|R|||N|||F|||200011081434
> >> OBX|14|FT|524-9^Vancomycin^L|2|R|||N|||F|||200011081434
> >> OBX|15|FT|Ms.OX2^Cloxacillin^L|2|R|||N|||F|||200011081434
> >> OBX|16|FT|28-1^Ampicillin^L|2|S|||N|||F|||200011081434
> >> OBX|17|FT|149-5^Cephalexin^L|2|S|||N|||F|||200011081434
> >> OBX|18|FT|20-8^Amoxicillin/clavulanate^L|2|S|||N|||F|||200011081434
> Seeing below, it appears that LOINC 19803-6 is used above as "Site"
> and they have re-interpreted 6463-4 to imply "Culture".
Doesn't look unreasonable to me given the LOINC extract below ?
> The problem
> is that there is one OBX per antibiotic making none of their LOINCs
> unique to the test_type,
Apparently LOINC defines a code per antibiotic (or per sensitivity test
for a given antibiotic). This also seems consistent given Cephalexin
has the same code under both bacteria.
> also "Urine culture" has no LOINC so we are
> back to the problem of the test_code or test_panel
It'd be test_panel IMO.
> "LOINC_NUM" "COMPONENT" "PROPERTY" "TIME_ASPCT" "SYSTEM"
> "SCALE_TYP" "ME
> THOD_TYP" "RELAT_NMS"
> "19803-6" "Specimen site" "Type" "Stdy" "*" "Nar"
> "ENDO.GI"
> "6460-0" "Bacteria
> identified" "Prid" "Pt" "Sputum" "Nom" "Culture"
> "MICRO"
> "6461-8" "Bacteria identified" "Prid" "Pt" "Stool" "Nom"
> "Anaerobic
> culture" "MICRO"
> "6462-6" "Bacteria
> identified" "Prid" "Pt" "Wound" "Nom" "Culture" "MICRO"
> "6463-4" "Bacteria
> identified" "Prid" "Pt" "XXX" "Nom" "Culture" "MICRO"
>
>
>
>
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