| ARCHETYPE ID | openEHR-EHR-OBSERVATION.urinalysis.v1 |
| Concept | Urinalysis |
| Description | Qualitative and semi-quantitative test array using reagent test strips to indicate possible abnormalities in a sample of urine, often performed as part of Point of Care Testing (POCT). |
| Use | Use to record the results of a qualitative and semi-quantitative test array performed on a sample of urine, using reagent test strips. On exposure to urine, chemical pads on the reagent test strip change colour and the test result is read by visual comparison to a color chart at specified times after exposure or by an automated device. Different commercial products carry a variety of test /reagent pads. This archetype is heavily influenced by the commonly available Multistix test strips in Australia, recording ten commonly used analytes, but is intended to be generically applicable. If requirements for other parameters become apparent to meet the requirements for other test strips then product-specific urinalysis archetypes may need to be developed. |
| Misuse | Not to be used for recording urine microscopy or quantitative test results. Use the OBSERVATION.laboratory_test family of archetypes for this purpose. Not to be used for recording urine pregnancy tests. Use the OBSERVATION.pregnancy_test for this purpose. |
| Purpose | To record the results of a qualitative and semi-quantitative test array using reagent test strips to indicate possible abnormalities in a sample of urine. This test may be performed by clinicians at the point of care, technicians in a laboratory setting or individuals at home. |
| References | Urinalysis, unpublished archetype, National eHealth Transition Authority. NEHTA Clinical Knowledge Manager [Internet]. Authored: 08 Sep 2006. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1071 (accessed Jan 23, 2015). Forked from original archetype on openEHR CKM to NEHTA CKM on 16 Jan 2012. Urine Dipstick Multistix (R) 10SG, Johns Hopkins Hospital. The Johns Hopkins Hospital Point-of-Care Testing Program [Internet]. Revised: Oct 2010. Available at: http://pathology.jhu.edu/department/staff/poct/selfstudy/urinedipstick-10sg.pdf (Accessed Mar 4, 2015). Multistix 9 (R) and Uristix (R) Urinalysis, UCSF Medical Center. Point of Care Testing [Internet]. Revision 2, version 1: Jun 2013. Available at: http://labmed.ucsf.edu/labmanual/mftlng-mtzn/dnld/poct-MultistixUristix.pdf (Accessed Mar 4, 2015). Various product labels. |
| Copyright | © openEHR Foundation |
| Authors | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2006-09-08 |
| Other Details Language | Author name: Heather Leslie Organisation: Ocean Informatics Email: heather.leslie@oceaninformatics.com Date originally authored: 2006-09-08 |
| OtherDetails Language Independent | {licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Urinalysis, unpublished archetype, National eHealth Transition Authority. NEHTA Clinical Knowledge Manager [Internet]. Authored: 08 Sep 2006. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1071 (accessed Jan 23, 2015). Forked from original archetype on openEHR CKM to NEHTA CKM on 16 Jan 2012. Urine Dipstick Multistix (R) 10SG, Johns Hopkins Hospital. The Johns Hopkins Hospital Point-of-Care Testing Program [Internet]. Revised: Oct 2010. Available at: http://pathology.jhu.edu/department/staff/poct/selfstudy/urinedipstick-10sg.pdf (Accessed Mar 4, 2015). Multistix 9 (R) and Uristix (R) Urinalysis, UCSF Medical Center. Point of Care Testing [Internet]. Revision 2, version 1: Jun 2013. Available at: http://labmed.ucsf.edu/labmanual/mftlng-mtzn/dnld/poct-MultistixUristix.pdf (Accessed Mar 4, 2015). Various product labels., current_contact=Heather Leslie, Ocean Informatics, heather.leslie@oceaninformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=34C8CC056A5D79A65E6CA500A9B373A6, build_uid=2db17bc4-d5af-4efa-99ce-2b41974aa800, revision=1.1.0} |
| Keywords | urine, test, dip-stick, strip, multistix, urinalysis, analysis, dipstick, urinalyses |
| Lifecycle | published |
| UID | f80bb44d-5e4e-495f-8c45-694525dc1df4 |
| Language used | en |
| Citeable Identifier | 1013.1.150 |
| Revision Number | 1.1.0 |
| All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Qualitative and semi-quantitative test array using reagent test strips to indicate possible abnormalities in a sample of urine, often performed as part of Point of Care Testing (POCT)., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS, Norway Koray Atalag, University of Auckland, New Zealand Sandra Bertram, Ascribe, Australia Rong Chen, Cambio Healthcare Systems, Sweden Stephen Chu, NEHTA, Australia Christian Ghan, The Chris O'Brien Lifehouse at RPA, Australia Heather Grain, Llewelyn Grain Informatics, Australia Sam Heard, Ocean Informatics, Australia Oliver Hosking, Remote Health NT, Australia Lars Karlsen, DIPS ASA, Norway Sabine Leh, Haukeland University Hospital, Department of Pathology, Norway Heather Leslie, Ocean Informatics, Australia (Editor) Chunlan Ma, Ocean Informatics, Australia Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Mona Saleh (Translator) Rosalie Schultz, Anyinginyi Health Aboriginal Corporation, Australia Fabian Schwarz, NT Health, Australia Gary Sinclair, NT DoH, Australia Micaela Thierley, Helse Bergen, Norway Lin Zhang, BIPH, China, originalLanguage=en, translators=
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0079]/items[at0186], code=at0186, itemType=ELEMENT, level=2, text=Method, description=Method by which the reagent strips were read., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0079]/items[at0184], code=at0184, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0050], code=at0050, itemType=ELEMENT, level=4, text=Glucose, description=Detection of glucose in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No glucose detected.] 2: Trace [Amount equivalent to 1/10 g/dl (100mg/dL or 5 mmol/L) detected.] 3: 1+ [Amount equivalent to 1/4 g/dL (250 mg/dL or 15 mmol/L) detected.] 4: 2+ [Amount equivalent to 1/2 g/dl (500mg/dL or 30 mmol/L) detected.] 5: 3+ [Amount equivalent to 1 g/dl (1000mg/dL or 60 mmol/L) detected.] 6: 4+ [Amount equivalent >2 g/dl (>2000mg/dL or >120 mmol/L) detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0062], code=at0062, itemType=ELEMENT, level=4, text=Bilirubin, description=Detection of bilirubin in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No bilirubin detected.] 2: 1+ [Small amount detected.] 3: 2+ [Moderate amount detected.] 4: 3+ [Large amount detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Ketones, description=Detection of ketones in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No ketones detected.] 2: Trace [Amount equivalent to 5mg/dL (or 0.5 mmol/L) detected.] 3: Small [Amount equivalent to 15mg/dL (or 1.5 mmlol/L) detected.] 4: Moderate [Amount equivalent to 40mg/dL (or 4.0 mmol/L) detected.] 5: Large [Amount equivalent to 80mg/dL (or 8.0 mmol/L) detected.] 6: Large+ [Amount equivalent to 160mg/dL (or 16 mmol/L) detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Specific gravity, description=Measurement of the concentration of substances dissolved (solutes) in the urine sample relative to distilled water., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: 1.000 [Specific gravity is equivalent to 1.000.] 2: 1.005 [Specific gravity is equivalent to 1.005.] 3: 1.010 [Specific gravity is equivalent to 1.010.] 4: 1.015 [Specific gravity is equivalent to 1.015.] 5: 1.020 [Specific gravity is equivalent to 1.020.] 6: 1.025 [Specific gravity is equivalent to 1.025.] 7: 1.030 [Specific gravity is equivalent to 1.030.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=4, text=Blood, description=Detection of blood in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No blood detected.] 2: Non-haemolysed Trace [Trace of non-haemolysed blood detected.] 3: Non-haemolysed Moderate [Moderate amount of non-haemolysed blood detected.] 4: Haemolysed Trace [Trace of haemolysed blood detected.] 5: 1+ [Small amount of blood detected.] 6: 2+ [Moderate amount of blood detected.] 7: 3+ [Large amount of blood detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0126], code=at0126, itemType=ELEMENT, level=4, text=pH, description=Measurement of pH in urine 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occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No protein detected.] 2: Trace [Trace of protein detected.] 3: 1+ [Amount equivalent to 30mg/dL (or 0.3 g/L) detected.] 4: 2+ [Amount equivalent to 100mg/dL (or 1.0 g/L) detected.] 5: 3+ [Amount equivalent to 300mg/dL (or 3.0 g/L) detected.] 6: 4+ [Amount equivalent to >2000mg/dL (or >20 g/L) detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Urobilinogen, description=Detection of urobilinogen in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Normal (lower) [Amount equivalent to 0.2 mg/dL detected.] 2: Normal (upper) [Amount equivalent to 1 mg/dL detected.] 3: 2 mg/dL [Amount equivalent to 2mg/dL detected.] 4: 4 mg/dL [Amount equivalent to 4mg/dL detected.] 5: 8 mg/dL [Amount equivalent to 8mg/dL detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0043], code=at0043, itemType=ELEMENT, level=4, text=Nitrite, description=Detection of nitrites in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=1: Negative [No nitrites detected.] 2: Positive [Nitrites were detected.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=Leukocytes, description=Detection of white blood 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openEHR-EHR-CLUSTER.device.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0079]/items[at0184], code=at0184, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: Local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |