ARCHETYPE Laboratory analyte result (openEHR-EHR-CLUSTER.laboratory_test_analyte.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.laboratory_test_analyte.v1
ConceptLaboratory analyte result
DescriptionThe result of a laboratory test for a single analyte value.
UseUse to record a single value laboratory analyte result, commonly found in clinical pathology testing such as medical biochemistry, haematology, immunology and transfusion medicine. They may also be found in anatomical pathology reports as 'ancillary tests'. One or more instances of this archetype may be nested within the 'Test result' SLOT in the OBSERVATION.laboratory_test_result. In some circumstances this archetype may be carried within a CLUSTER.laboratory_test_panel archetype, together with other analytes which are normally tested and/or reported as part of a battery, panel or profile. This archetype may be used within the setting of more complex laboratory/pathology reporting such as anatomical pathology reports where quantitative results such as cytometric flow studies are often reported alongside conventional macroscopic and microscopic reporting.
MisuseNot to be used to record anatomical pathology macroscopic/microscopic findings, other than for additional testing such as cytometric flow studies. Not to be used to record results for microbiological findings.
PurposeTo record a single value laboratory analyte result, commonly found in clinical pathology testing such as medical biochemistry, haematology, immunology and transfusion medicine.
ReferencesPathology Test Result, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-06-27]. No longer available.

Pathology (Data Specifications) Version 1.0 [Internet]. Sydney, Australia: National E-Health Transition Authority; 2007 May 29 [cited 2011 Jul 11]; No longer available.

Laboratory Technical Framework, Volume 3: Content, Revision 3.0 [Internet]. USA: IHE International; 2011 May 19; [cited 2011 Jul 11]. Available from: https://www.ihe.net/Technical_Framework/upload/IHE_Lab_TF_Rev3-0_Vol3_FT_2011-05-19.pdf

Hl7 FHIR Observation resource: HL7 [Internet]; [cited 2017 Jun 27]. Available from http://www.hl7.org/implement/standards/fhir/observation.html
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics, UK
Email: ian@freshehr.com
Date originally authored: 2015-07-20
Other Details LanguageAuthor name: Ian McNicoll
Organisation: freshEHR Clinical Informatics, UK
Email: ian@freshehr.com
Date originally authored: 2015-07-20
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.0/., custodian_organisation=openEHR Foundation, references=Pathology Test Result, Draft Archetype [Internet]. Australian Digital Health Agency, Australian Digital Health Agency Clinical Knowledge Manager [cited: 2017-06-27]. No longer available. Pathology (Data Specifications) Version 1.0 [Internet]. Sydney, Australia: National E-Health Transition Authority; 2007 May 29 [cited 2011 Jul 11]; No longer available. Laboratory Technical Framework, Volume 3: Content, Revision 3.0 [Internet]. USA: IHE International; 2011 May 19; [cited 2011 Jul 11]. Available from: https://www.ihe.net/Technical_Framework/upload/IHE_Lab_TF_Rev3-0_Vol3_FT_2011-05-19.pdf Hl7 FHIR Observation resource: HL7 [Internet]; [cited 2017 Jun 27]. Available from http://www.hl7.org/implement/standards/fhir/observation.html, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=1D7F193B80F5A6C248478AB8E9E29B05, build_uid=ce1dd128-3152-46c7-b152-4e5ab7546995, revision=1.0.1}
Keywordslaboratory, pathology, analyte, constituent, result
Lifecyclepublished
UIDf86cd61b-0e0e-4a18-8c07-9c4e537bb4e4
Language useden
Citeable Identifier1013.1.2881
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=The result of a laboratory test for a single analyte value., archetypeConceptComment=null, otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Heidi Aursand, Oslo universitetssykehus, Norway
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)
SB Bhattacharyya, Sudisa Consultancy Services, India
Fatemeh Chalabianloo, Helse Bergen, Norway
Anca Heyd, DIPS ASA, Norway
Evelyn Hovenga, EJSH Consulting, Australia
Nasjonal IKT, Norway
Silje Kaada, Helse-Bergen, Avdeling for immunologi og transfusjonsmedisin, Norway
Lars Morgan Karlsen, DIPS ASA, Norway
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Liv Laugen, Oslo universitetssykehus, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ole Martin Sand, DIPS ASA, Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)
Paul Miller, SCIMP NHS Scotland, United Kingdom
Andrej Orel, Marand d.o.o., Slovenia
Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil
Norwegian Review Summary, Nasjonal IKT HF, Norway
Line Sæle, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Wouter Zanen, Eurotranplant, Netherlands
Lin Zhang, Taikang Insurance Group, China, originalLanguage=en, translators=German: Michael Lieser, Department of Infectious Diseases, Heidelberg University Hospital, michael.lieser@med.uni-heidelberg.de
Norwegian Bokmål: Silje Ljosland Bakke, Nasjonal IKT HF
Portuguese (Brazil): Adriana Kitajima, Débora Farage, Fernanda Maia, Laíse Figueiredo, Marivan Abrahão, Core Consulting, contato@coreconsulting.com.br, Hospital Alemão Oswaldo Cruz (HAOC)
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={details=[], identities=[], source=[], credentials=[], context=[], description=[], ism_transition=[], events=[], content=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Analyte result sequence, description=The intended position of this analyte result within the overall sequence of analyte results., comment=For example: ''1' '2', '3'. Where multiple analyte results are reported, the 'Analyte result sequence' makes the order in which they were reported explicit., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0024], code=at0024, itemType=ELEMENT, level=1, text=Analyte name, description=The name of the analyte result., comment=The value for this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte. For example: 'Serum sodium', 'Haemoglobin'. Coding with an external terminology is strongly recommended, such as LOINC, NPU, SNOMED CT, or local lab terminologies., uncommonOntologyItems={hl7v2_mapping=OBX.3, fhir_mapping=Observation.code}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8, fhir_mapping=Observation.value[x]}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ANY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014], code=at0014, itemType=SLOT, level=1, text=Analyte result detail, description=Further detail regarding an individual result., comment=null, 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], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Reference range guidance, description=Additional advice on the applicability of the reference range to this result or may carry text or coded textual guidance as to whether the result is within the normal range., comment=For example, 'within normal limits for age and sex'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0025], code=at0025, itemType=ELEMENT, level=1, text=Validation time, description=The date and time that the analyte result was validated in the laboratory by a healthcare practitioner., comment=In many jurisdictions the 'Result status' is assumed to include medical validation i.e. a 'final' result will be assumed to be medically validated, but in others this will be recorded and reported separately using this data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Result status, description=The status of the analyte result value., comment=The values have been specifically chosen to match those in the HL7 FHIR Diagnostic report, historically derived from HL7v2 practice. Other local codes/terms can be used via the Text 'choice'., uncommonOntologyItems={hl7v2_mapping=OBX.11, fhir_mapping=Observation.status}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Registered [The existence of the test is registered in the Laboratory Information System, but there is nothing yet available.]
    • Partial [This is a partial (e.g. initial, interim or preliminary) Test Result: data in the Test Result may be incomplete or unverified.]
    • Preliminary [Verified early results are available, but not all results are final. This is a sub-category of 'Partial'.]
    • Final [The Test result is complete and verified by an authorised person.]
    • Amended [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist, and result data has been changed.]
    • Corrected [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist. This is a sub-category of 'Amended'.]
    • Appended [Subsequent to being final, the report has been modified by adding new content. The existing content is unchanged. This is a sub-category of 'Amended'.]
    • Cancelled [The result is unavailable because the test was not started or not completed (also sometimes called 'aborted').]
    • Entered in error [The Test Result has been withdrawn following previous Final release.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Result status time, description=The date and time that the analyte result was issued for the recorded ‘Result status’., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX.19, fhir_mapping=Observation.issued}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0026], code=at0026, itemType=ELEMENT, level=1, text=Specimen, description=Identification of the specimen used for the analyte result., comment=In some situations, a single Laboratory test result archetype will contain multiple Specimen archetypes and multiple Analyte result archetypes. In these situations, this 'Specimen' data element is needed to be able to connect the results with the correct specimens., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Identifier
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={hl7v2_mapping=NTE.3, fhir_mapping=Observation.note}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], capabilities=[], other_participations=[], contacts=[], target=[], data=[], relationships=[], state=[], protocol=[], activities=[], provider=[]}, topLevelItems={items=ResourceSimplifiedHierarchyItem [path=ROOT_/, code=at0000, itemType=CLUSTER, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=items, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/items[at0027], code=at0027, itemType=ELEMENT, level=1, text=Analyte result sequence, description=The intended position of this analyte result within the overall sequence of analyte results., comment=For example: ''1' '2', '3'. Where multiple analyte results are reported, the 'Analyte result sequence' makes the order in which they were reported explicit., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0024], code=at0024, itemType=ELEMENT, level=1, text=Analyte name, description=The name of the analyte result., comment=The value for this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte. For example: 'Serum sodium', 'Haemoglobin'. Coding with an external terminology is strongly recommended, such as LOINC, NPU, SNOMED CT, or local lab terminologies., uncommonOntologyItems={hl7v2_mapping=OBX.3, fhir_mapping=Observation.code}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0001], code=at0001, itemType=ELEMENT, level=1, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8, fhir_mapping=Observation.value[x]}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ANY, bindings=null, values=null, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014], code=at0014, itemType=SLOT, level=1, text=Analyte result detail, description=Further detail regarding an individual result., comment=null, 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], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Reference range guidance, description=Additional advice on the applicability of the reference range to this result or may carry text or coded textual guidance as to whether the result is within the normal range., comment=For example, 'within normal limits for age and sex'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0025], code=at0025, itemType=ELEMENT, level=1, text=Validation time, description=The date and time that the analyte result was validated in the laboratory by a healthcare practitioner., comment=In many jurisdictions the 'Result status' is assumed to include medical validation i.e. a 'final' result will be assumed to be medically validated, but in others this will be recorded and reported separately using this data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Result status, description=The status of the analyte result value., comment=The values have been specifically chosen to match those in the HL7 FHIR Diagnostic report, historically derived from HL7v2 practice. Other local codes/terms can be used via the Text 'choice'., uncommonOntologyItems={hl7v2_mapping=OBX.11, fhir_mapping=Observation.status}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Registered [The existence of the test is registered in the Laboratory Information System, but there is nothing yet available.]
    • Partial [This is a partial (e.g. initial, interim or preliminary) Test Result: data in the Test Result may be incomplete or unverified.]
    • Preliminary [Verified early results are available, but not all results are final. This is a sub-category of 'Partial'.]
    • Final [The Test result is complete and verified by an authorised person.]
    • Amended [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist, and result data has been changed.]
    • Corrected [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist. This is a sub-category of 'Amended'.]
    • Appended [Subsequent to being final, the report has been modified by adding new content. The existing content is unchanged. This is a sub-category of 'Amended'.]
    • Cancelled [The result is unavailable because the test was not started or not completed (also sometimes called 'aborted').]
    • Entered in error [The Test Result has been withdrawn following previous Final release.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=ELEMENT, level=1, text=Result status time, description=The date and time that the analyte result was issued for the recorded ‘Result status’., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX.19, fhir_mapping=Observation.issued}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0026], code=at0026, itemType=ELEMENT, level=1, text=Specimen, description=Identification of the specimen used for the analyte result., comment=In some situations, a single Laboratory test result archetype will contain multiple Specimen archetypes and multiple Analyte result archetypes. In these situations, this 'Specimen' data element is needed to be able to connect the results with the correct specimens., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Identifier
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={hl7v2_mapping=NTE.3, fhir_mapping=Observation.note}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]