From the CCR Standard perspective, the intent would be to have tests  
that are part of a profile (multiple tests on a specimen that are  
intended to be interpreted together) to reside in a single <Result>  
node as separate <Test> nodes. Unfortunately, there is no absolute  
definition of what is and is not a profile.

In this example, I am confused with the labeling of <DateTime><Text>  
as "Date blood collected".  I assume this is not a blood sample but  
rather a cervical scraping.  If it is a cervical scraping, then I  
would agree these <Test> nodes should belong to the same <Result> node.

Best,
Steven
--
Steven E. Waldren, MD MS
Director, Center for Health-IT
American Academy of Family Physicians
11400 Tomahawk Creek Parkway
Leawood, KS 66211
Email:  [email protected]
Skype:  steven.waldren
http://www.linkedin.com/in/stevenwaldren

On Jan 5, 2009, at 12:36 PM, th55 wrote:

>
> Hi,  We have processed a CCR from Google in which we believe that the
> CCR is not constructed as it should be.  The issue involves multiple
> tests for a single profile, specifically a group of test belonging to
> a HPV profile.  Rather than having a <Result> tag for the profile with
> many embedded <test> tags reflecting each test associated with the
> profile, the CCR has each test within it's own <result> tag.  This
> then appears to us as mutiple HPV profiles each with one test.   A
> snippet of the xml is shown below.  Can someone shed some light on
> this issue?
>
>  <Result>
>             <DateTime>
>               <Type>
>                 <Text>Date blood collected</Text>
>               </Type>
>               <ExactDateTime>2005-09-13T17:12:00+00:00</ExactDateTime>
>             </DateTime>
>             <Description />
>             <Source>
>               <Actor>
>                 <ActorID>STEPHEN FISCHER</ActorID>
>                 <ActorRole />
>               </Actor>
>               <Actor>
>                  
> <ActorID>google.staging.physicianswellnessnetwork.com</
> ActorID>
>                 <ActorRole>
>                   <Text>Information Provider</Text>
>                 </ActorRole>
>               </Actor>
>             </Source>
>             <Test>
>               <DateTime>
>                 <Type>
>                   <Text>Date results observed</Text>
>                 </Type>
>                 <ExactDateTime>2005-09-15T10:34:00+00:00</
> ExactDateTime>
>               </DateTime>
>               <Description>
>                 <Text>HPV DNA (HIGH RISK)</Text>
>               </Description>
>               <TestResult>
>                 <Value>DETECTED</Value>
>                 <Units />
>               </TestResult>
>               <NormalResult>
>                 <Normal>
>                   <Description>
>                     <Text>INFECTION BY HIGH-RISK HPV (TYPES 16,
> 18,31,33,35,39,45,51,52,56,58,59 OR
> 68) MAY BE ASSOCIATED WITH
> PRECANCEROUS LESIONS OR CANCER OF THE
> CERVIX.</Text>
>                   </Description>
>                 </Normal>
>               </NormalResult>
>             </Test>
>           </Result>
>           <Result>
>             <DateTime>
>               <Type>
>                 <Text>Date blood collected</Text>
>               </Type>
>               <ExactDateTime>2005-09-13T17:12:00+00:00</ExactDateTime>
>             </DateTime>
>             <Description />
>             <Source>
>               <Actor>
>                 <ActorID>STEPHEN FISCHER</ActorID>
>                 <ActorRole />
>               </Actor>
>               <Actor>
>                  
> <ActorID>google.staging.physicianswellnessnetwork.com</
> ActorID>
>                 <ActorRole>
>                   <Text>Information Provider</Text>
>                 </ActorRole>
>               </Actor>
>             </Source>
>             <Test>
>               <DateTime>
>                 <Type>
>                   <Text>Date results observed</Text>
>                 </Type>
>                 <ExactDateTime>2005-09-15T10:34:00+00:00</
> ExactDateTime>
>               </DateTime>
>               <Description>
>                 <Text>MICROSCOPIC DESCRIPTION:</Text>
>               </Description>
>               <TestResult>
>                 <Units />
>               </TestResult>
>               <NormalResult>
>                 <Normal>
>                   <Description />
>                 </Normal>
>               </NormalResult>
>             </Test>
>           </Result>
>           <Result>
>             <DateTime>
>               <Type>
>                 <Text>Date blood collected</Text>
>               </Type>
>               <ExactDateTime>2005-09-13T17:12:00+00:00</ExactDateTime>
>             </DateTime>
>             <Description />
>             <Source>
>               <Actor>
>                 <ActorID>STEPHEN FISCHER</ActorID>
>                 <ActorRole />
>               </Actor>
>               <Actor>
>                  
> <ActorID>google.staging.physicianswellnessnetwork.com</
> ActorID>
>                 <ActorRole>
>                   <Text>Information Provider</Text>
>                 </ActorRole>
>               </Actor>
>             </Source>
>             <Test>
>               <DateTime>
>                 <Type>
>                   <Text>Date results observed</Text>
>                 </Type>
>                 <ExactDateTime>2005-09-15T10:34:00+00:00</
> ExactDateTime>
>               </DateTime>
>               <Description>
>                 <Text>NARRATIVE DESCRIPTION:</Text>
>               </Description>
>               <TestResult>
>                 <Units />
>               </TestResult>
>               <NormalResult>
>                 <Normal>
>                   <Description>
>                     <Text>NEGATIVE FOR INTRAEPITHELIAL LESION
> OR MALIGNANCY.
> BASED ON THE CYTOLOGY RESULT, REFLEX
> HIGH/INT RISK HPV DNA PROBE TESTING
> IS NOT PERFORMED.</Text>
>                   </Description>
>                 </Normal>
>               </NormalResult>
>             </Test>
>           </Result>
> >


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