ARCHETYPE Microscopy stain findings (openEHR-EHR-CLUSTER.lab_microscopy_stain.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.lab_microscopy_stain.v0
ConceptMicroscopy stain findings
DescriptionFindings observed during microscopic examination of tissue treated with specialised stains, intended to enhance the visualisation of specimen, including microorganisms, tissue structures and cellular details.
UseUse to record findings observed on microscopic examination of specimens.
PurposeTo record findings observed on microscopic examination of specimens.
References
Copyright© openEHR Foundation, Ministry of Health and Wellness Jamaica
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-08-29
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2024-08-29
Other Details (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/.
  • Custodian Organisation: openEHR Foundation
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 76955E97886B931E600143D5944F6BEC
  • Build Uid: 7de6b744-863b-4493-b9ff-faf9f3abd9ae
  • Revision: 0.0.1-alpha
Keywords
Lifecyclein_development
UIDb5da1158-c2d8-4948-9dbe-62f83cec4605
Language useden
Citeable Identifier1013.1.7649
Revision Number0.0.1-alpha
items
Staining methodStaining method: Name of the technique used to stain the specimen.
For example: Ziehl–Neelsen; Gram stain
Choice of:
  •  Text
  •  Coded Text
    • Gram stain
    • India ink stain
    • Ziehl-Neelsen stain
Staining agentStaining agent: A chemical dye or compound that interacts with biological specimens to produce a colour change, improving their visibility and differentiation under a microscope.
For example: crystal violet, carbol fuchsin.
SpecimenSpecimen: Include:
All not explicitly excluded archetypes
Clinical findingsClinical findings: Narrative description about the findings observed using the identified stain.
For example: an overall description; the presence of non-targeted findings such as epithelial cells or debris.
Per target findingPer target finding: Details about a specific microorganism, tissue structure, or cell structure observed during the microscopic examination of a stained specimen.
Staining targetStaining target: Identification of the target organism, cell or structure.
For example: gram-positive cocci, fungi, acid-fast bacilli, cell nuclei or pathological inclusions. Coding with an external terminology is preferred, if available.
PresencePresence: Statement about detection of the staining target in the specimen.
  • Detected
  • Not detected
  • Indeterminate
Qualitative resultQualitative result: Qualitative assessment of the amount of the target organism, cell, or structure observed using the stain.
Choice of:
  •  Coded Text
    • Scant
    • Low
    • Moderate
    • High
    • Absent
  •  Text
MorphologyMorphology: Narrative description about the physical characteristics of the staining target.
For example: gram-positive cocci in clusters; gram-negative bacilli, short rods; elongated fibroblasts; multinucleated giant cells; branching hyphae; oval yeast forms with budding.
CommentComment: Additional narrative about the target findings using the identified stain, not captured in other fields.
CommentComment: Additional narrative about the overall microscopy findings using the identified stain, not captured in other fields.
Other contributorsNicola Ewen, SERHA/Ministry of Health and Wellness, Jamaica
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Yohann White, Ministry of Health and Wellness, Jamaica
Translators