# Quality Observable with Process

This template is employed when the LOINC term involves an observation that specifies a process or an outcome of a process

This template is documented in Confluence here: [Process Observable for LOINC (observable entity) - v1.0](https://conf.spaces.snomed.org/wiki/spaces/SCTEMPLATES/pages/134001888/Process+Observable+for+LOINC+observable+entity+-+v1.0)

The java implementation of this template can be found [here](https://github.com/IHTSDO/reporting-engine/tree/7.9.2/script-engine/src/main/java/org/ihtsdo/termserver/scripting/pipeline/loinc/template/LoincTemplatedConceptWithProcess.java).

## Attributes <a href="#id-4.2.4qualityobservablewithprocess-attributes" id="id-4.2.4qualityobservablewithprocess-attributes"></a>

* **LOINC Property**: Represents the property of the observation, such as mass concentration or presence.
* **LOINC Scale**: Describes the scale type, like quantitative or qualitative.
* **LOINC Time**: Indicates the time aspect of the observation, e.g., single point in time.
* **LOINC System**: Specifies the direct site of the observation.
* **LOINC Method**: Describes the technique used for the observation.
* **LOINC Component**: Specifies the SNOMED CT process output.

{% hint style="info" %}
LOINC Properties currently supported: "ArVRat", "CRat", "MRat", "NRat", "ARat", "SRat", "VRat"
{% endhint %}

## Template <a href="#id-4.2.4qualityobservablewithprocess-template" id="id-4.2.4qualityobservablewithprocess-template"></a>

### Model <a href="#id-4.2.4qualityobservablewithprocess-model" id="id-4.2.4qualityobservablewithprocess-model"></a>

{% code overflow="wrap" %}

```
<<< 363787002 |Observable entity (observable entity)| : 
	{
		[S1] 370130000 |Property (attribute)| -> 118544000 |Mass rate (property) (qualifier value)|,
		[S1] 370132008 |Scale type (attribute)| -> 30766002 |Quantitative (qualifier value)|,
		[S1] 704323007 |Process duration (attribute)| -> 123027009 |24 hours (qualifier value)|,
		[S1] 704321009 |Characterizes (attribute)| -> 718500008 |Excretory process (qualifier value)|,
		[S1] 704322002 |Process agent (attribute)| -> 64033007 |Kidney structure (body structure)|,
		[S1] 704324001 |Process output (attribute)| -> 24427005 |Metanephrine (substance)|,
		[S1] 704327008 |Direct site (attribute)| -> 122575003 |Urine specimen (specimen)|
	}
```

{% endcode %}

### Terming <a href="#id-4.2.4qualityobservablewithprocess-terming" id="id-4.2.4qualityobservablewithprocess-terming"></a>

Template slots are filled by taking the preferred term of the relevant value from the model and making the initial character lower case, if allowed by the case significance setting of the preferred term.

```
[PROPERTY] of [COMPONENT] in [SYSTEM] at [TIME] by [METHOD] using [DEVICE] [CHALLENGE]
```

Some slots are optional, and are then tidied up along with any linking words (eg 'using')

The LOINC Long Common Name is specified as the Preferred Term and the LOINC Short Common Name is also included unchanged as an acceptable synonym. Finally a terse form of the LOINC Parts is added, with all part names specified, separated by colons.

In the case of the example below, this results in the following terms:

<table><thead><tr><th>Concept Id</th><th>Description Id</th><th width="96.0806884765625">Acceptability</th><th width="328.7083740234375">Term</th><th>Case</th></tr></thead><tbody><tr><td>483131010000100</td><td>2220831010000114</td><td>US: P</td><td>Mass rate of excretion of metanephrine in 24 hours in urine by lC/MS/MS (observable entity)</td><td>cI</td></tr><tr><td>483131010000100</td><td>2220821010000111</td><td>US: P</td><td>Metanephrine [Mass/time] in 24 hour Urine by LC/MS/MS</td><td>CS</td></tr><tr><td>483131010000100</td><td>2220851010000116</td><td>US: A</td><td>Metanephrine:MRat:24H:Urine:Qn:LC/MS/MS</td><td>CS</td></tr><tr><td>483131010000100</td><td>2220841010000118</td><td>US: A</td><td>Metanephrine LC/MS/MS (24H U) [Mass/Time]</td><td>CS</td></tr><tr><td>483131010000100</td><td>2220811010000117</td><td>US: A</td><td>Mass rate of excretion of metanephrine in 24 hours in urine by lC/MS/MS</td><td>cI</td></tr></tbody></table>

## Examples <a href="#id-4.2.4qualityobservablewithprocess-examples" id="id-4.2.4qualityobservablewithprocess-examples"></a>

#### LOINC Term [104629-1](https://loinc.org/search/?t=1\&s=104629-1)

#### Loinc Parts mapped to SNOMED Attributes <a href="#id-4.2.4qualityobservablewithprocess-loincpartsmappedtosnomedattributes" id="id-4.2.4qualityobservablewithprocess-loincpartsmappedtosnomedattributes"></a>

<table data-full-width="true"><thead><tr><th width="113.55078125">Part Type</th><th width="153.48046875">LOINC Part Name</th><th width="171.23046875">LOINC Part Num</th><th>Mapped to Attribute Type / Value</th></tr></thead><tbody><tr><td>Property</td><td>Type</td><td>LP6886-8</td><td>370130000 |Property (attribute)| -> 118544000 |Mass rate (property) (qualifier value)|</td></tr><tr><td>Time</td><td>24H</td><td>LP6924-7</td><td>704323007 |Process duration (attribute)| -> 123027009 |24 hours (qualifier value)|</td></tr><tr><td><br></td><td><br></td><td><br></td><td>704322002 |Process agent (attribute)| -> 64033007 |Kidney structure (body structure)|</td></tr><tr><td><br></td><td><br></td><td><br></td><td>704321009 |Characterizes (attribute)| -> 718500008 |Excretory process (qualifier value)|</td></tr><tr><td>Component</td><td>Metanephrine</td><td>LP14463-1</td><td>704324001 |Process output (attribute)| -> 24427005 |Metanephrine (substance)|</td></tr><tr><td>System</td><td>Urine</td><td>LP7681-2</td><td>704327008 |Direct site (attribute)| -> 122575003 |Urine specimen (specimen)|</td></tr><tr><td>Scale</td><td>Qn</td><td>LP7753-9</td><td>370132008 |Scale type (attribute)| -> 30766002 |Quantitative (qualifier value)|</td></tr></tbody></table>

<a href="https://docs.google.com/forms/d/e/1FAIpQLScTmbZIf0UEQwYDkY27EEWBkaiYkHSbR0_9DmFrMLXoQLyL7Q/viewform?usp=pp_url&#x26;entry.1767247133=LOINC+Implementation+Guide&#x26;entry.670899847=Quality%20Observable%20with%20Process" class="button primary">Provide Feedback</a>


---

# Agent Instructions: Querying This Documentation

If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question.

Perform an HTTP GET request on the current page URL with the `ask` query parameter:

```
GET https://docs.snomed.org/implementation-guides/loinc-implementation-guide/content-development/4.2-template-based-content-creation/4.2.4-quality-observable-with-process.md?ask=<question>
```

The question should be specific, self-contained, and written in natural language.
The response will contain a direct answer to the question and relevant excerpts and sources from the documentation.

Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.