CH LAB-Order (R4)
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This page is part of the CH LAB-Order (R4) (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: sodium-serum - JSON Representation

Draft as of 2023-06-05

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{
  "resourceType" : "PlanDefinition",
  "id" : "sodium-serum",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LabServiceDefinition"
    ]
  },
  "language" : "en-US",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative: PlanDefinition</b><a name=\"sodium-serum\"> </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;sodium-serum&quot;  (Language &quot;en-US&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/order-catalog/2020Sep/StructureDefinition-LabServiceDefinition.html\">Laboratory Service Definition</a></p></div><p><b>Reference to a catalog</b>: <a href=\"Composition-Gantenbein-Catalog-Header.html\">Composition/Gantenbein-Catalog-Header</a></p><p><b>Healthcare Service Billing Code</b>: Sodium, serum <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#CPTfakecode)</span></p><p><b>Healthcare Service Billing Code</b>: Kalium Grosslabor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (laboratory_analyses#1479.00)</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>: Set up: Mon-Sat (Day shift or Night shift), Sun (Day shift); Report available: 1 day</p><p><b>Limitation summary for the plan definition</b>: No specific limitation for this test</p><p><b>Summary of regulations applicable to the laboratory service</b>: CLIA Law &amp; Regulations apply</p><p><b>url</b>: <code>http://hl7.org/fhir/uv/order-catalog/PlanDefinition/example-lab-service-sodium-serum</code></p><p><b>identifier</b>: id:\u00a0Na_serum_test\u00a0(use:\u00a0OFFICIAL)</p><p><b>version</b>: 2.0.0-ballot</p><p><b>name</b>: SodiumSerumMeasurement</p><p><b>title</b>: Sodium measurement on in vitro blood serum</p><p><b>type</b>: unitary measurement performed on an in vitro biologic specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/uv/order-catalog/2020Sep/CodeSystem-laboratory-service-definition-type.html\">Code system for types of laboratory service definitions</a>#test)</span></p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2023-06-05 20:00:00+0200</p><p><b>publisher</b>: HL7 Switzerland</p><p><b>contact</b>: HL7 Switzerland: <a href=\"https://www.hl7.ch\">https://www.hl7.ch</a>, Marcel Hanselmann: <a href=\"mailto:laborprojektgruppe@gmail.com\">laborprojektgruppe@gmail.com</a></p><p><b>description</b>: Sodium measurement on serum specimen</p><h3>UseContexts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>Workflow Task (Details: http://terminology.hl7.org/CodeSystem/usage-context-type code task = 'Workflow Task', stated as 'null')</td><td>laboratory test order entry task <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html\">ActCode</a>#LABOE)</span></td></tr></table><p><b>jurisdiction</b>: Switzerland <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.1.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#CH)</span></p><p><b>copyright</b>: CC0-1.0</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>, Blood chemistry <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166312007)</span></p><blockquote><p><b>relatedArtifact</b></p><p><b>type</b>: documentation</p><p><b>citation</b>: Sodium (Na) is a positively charged electrolyte and a mineral. Eighty-five percent of Na is located in the blood and lymph fluid. The hormone aldosterone that is secreted by the adrenal glands helps to regulate Na levels by signaling the kidneys to either retain or secrete it. Damage or disease to the kidneys can lead to dangerous fluctuations of sodium. Na plays a number of key roles in the homeostasis of the human body. It helps to maintain blood volume by osmotically pulling water into the blood vessels. Too much sodium in the blood may cause too much water to be brought into the blood vessels and lead to high blood pressure. Muscles and nerves conduct electrical impulses that require charged particles including Na. The electrical currents cause muscle cells to contract and nerve cells to relay electrical signals between them. Too little sodium can lead to muscle spasms, cramps, headache, irritability, restlessness, nausea and fatigue. Extreme hyponatremia can lead to confusion, hallucinations, decreased consciousness and coma. Conversely, hypernatremia can cause lethargy or restlessness, deep tendon reflexes, muscle spasticity and seizures.</p><p><b>url</b>: <a href=\"https://loinc.org/2951-2/\">https://loinc.org/2951-2/</a></p><blockquote><p><b>document</b></p></blockquote></blockquote><h3>Actions</h3><table class=\"grid\"><tr><td>-</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>*</td><td/><td>Sodium, Serum <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#733; <a href=\"https://loinc.org/\">LOINC</a>#2951-2 &quot;Sodium [Moles/volume] in Serum or Plasma&quot;)</span></td><td>30 minutes<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mn = 'mn')</span></td><td><a href=\"ActivityDefinition-procedure-sodium-serum.html\">Procedure - sodium measurement on in vitro blood serum</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/CatalogReference",
      "valueReference" : {
        "reference" : "Composition/Gantenbein-Catalog-Header"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ServiceBillingCode",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://www.ama-assn.org/go/cpt",
            "code" : "CPTfakecode",
            "display" : "Sodium, serum"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ServiceBillingCode",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://medcodesearch.ch/de/AL/laboratory_analyses",
            "code" : "1479.00",
            "display" : "Kalium Grosslabor"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "textualSummary",
          "valueMarkdown" : "no notable particularity for billing"
        },
        {
          "url" : "reimbursabilitySummary",
          "valueCode" : "normal"
        }
      ],
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"
    },
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/ScheduleSummary",
      "valueString" : "Set up: Mon-Sat (Day shift or Night shift), Sun (Day shift); Report available: 1 day"
    },
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/LimitationSummary",
      "valueString" : "No specific limitation for this test"
    },
    {
      "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/RegulatorySummary",
      "valueString" : "CLIA Law & Regulations apply"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/order-catalog/PlanDefinition/example-lab-service-sodium-serum",
  "identifier" : [
    {
      "use" : "official",
      "value" : "Na_serum_test"
    }
  ],
  "version" : "2.0.0-ballot",
  "name" : "SodiumSerumMeasurement",
  "title" : "Sodium measurement on in vitro blood serum",
  "_title" : {
    "extension" : [
      {
        "extension" : [
          {
            "url" : "lang",
            "valueCode" : "de-CH"
          },
          {
            "url" : "content",
            "valueString" : "Dosage du sodium sérique"
          }
        ],
        "url" : "http://hl7.org/fhir/StructureDefinition/translation"
      }
    ]
  },
  "type" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/uv/order-catalog/CodeSystem/laboratory-service-definition-type",
        "code" : "test",
        "display" : "unitary measurement performed on an in vitro biologic specimen"
      }
    ]
  },
  "status" : "draft",
  "experimental" : true,
  "date" : "2023-06-05T20:00:00+02:00",
  "publisher" : "HL7 Switzerland",
  "contact" : [
    {
      "name" : "HL7 Switzerland",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.hl7.ch"
        }
      ]
    },
    {
      "name" : "Marcel Hanselmann",
      "telecom" : [
        {
          "system" : "email",
          "value" : "laborprojektgruppe@gmail.com",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Sodium measurement on serum specimen",
  "useContext" : [
    {
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        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "task"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code" : "LABOE"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "CH"
        }
      ]
    }
  ],
  "copyright" : "CC0-1.0",
  "topic" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "18719-5",
          "display" : "Chemistry studies (set)"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "166312007",
          "display" : "Blood chemistry"
        }
      ]
    }
  ],
  "relatedArtifact" : [
    {
      "type" : "documentation",
      "citation" : "Sodium (Na) is a positively charged electrolyte and a mineral. Eighty-five percent of Na is located in the blood and lymph fluid. The hormone aldosterone that is secreted by the adrenal glands helps to regulate Na levels by signaling the kidneys to either retain or secrete it. Damage or disease to the kidneys can lead to dangerous fluctuations of sodium. Na plays a number of key roles in the homeostasis of the human body. It helps to maintain blood volume by osmotically pulling water into the blood vessels. Too much sodium in the blood may cause too much water to be brought into the blood vessels and lead to high blood pressure. Muscles and nerves conduct electrical impulses that require charged particles including Na. The electrical currents cause muscle cells to contract and nerve cells to relay electrical signals between them. Too little sodium can lead to muscle spasms, cramps, headache, irritability, restlessness, nausea and fatigue. Extreme hyponatremia can lead to confusion, hallucinations, decreased consciousness and coma. Conversely, hypernatremia can cause lethargy or restlessness, deep tendon reflexes, muscle spasticity and seizures.",
      "url" : "https://loinc.org/2951-2/",
      "document" : {
        "url" : "https://loinc.org/2951-2/"
      }
    }
  ],
  "action" : [
    {
      "extension" : [
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "Material",
                  "valueReference" : {
                    "reference" : "SpecimenDefinition/single-test-serum-capillary",
                    "display" : "example-specimen-capillary-serum-single-test"
                  }
                }
              ],
              "url" : "ExclusiveGroup"
            }
          ],
          "url" : "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/SpecimenRequested"
        }
      ],
      "code" : [
        {
          "coding" : [
            {
              "system" : "https://testdirectory.questdiagnostics.com/",
              "code" : "733",
              "display" : "Sodium, Serum"
            },
            {
              "system" : "http://loinc.org",
              "code" : "2951-2",
              "display" : "Sodium [Moles/volume] in Serum or Plasma"
            }
          ]
        }
      ],
      "timingDuration" : {
        "value" : 30,
        "unit" : "minutes",
        "system" : "http://unitsofmeasure.org",
        "code" : "mn"
      },
      "definitionCanonical" : "http://fhir.ch/ig/ch-lab-order/lab-compendium/ActivityDefinition/procedure-sodium-serum"
    }
  ]
}