TEMPLATE Generic Laboratory Test Report.v0 (65d9e89a-81d8-4344-afbe-88508d42dcfc)

TEMPLATE ID65d9e89a-81d8-4344-afbe-88508d42dcfc
ConceptGeneric Laboratory Test Report.v0
DescriptionDemonstrates use of laboratory test and component archetypes to align with a typical battery/panel type lab message.
PurposeDemonstrates use of laboratory test and component archetypes to align with a typical battery/panel type lab message.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
Language useden
Citeable Identifier1013.26.185
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report-result.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1], code=at0000.1, itemType=COMPOSITION, level=0, text=Laboratory test report, description=Document to communicate information to others about the result of a test or assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0], code=at0000, itemType=OBSERVATION, level=1, text=Laboratory test, description=The findings and interpretation of a pathology laboratory test performed on patient-related specimens., comment=This archetype may be used to record a single valued test, but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests, e.g. microbiology, histopathology., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Test name, description=Identification of the pathology test performed, sometimes including specimen type and patient state., comment=A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy"., uncommonOntologyItems={fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0], code=at0000, itemType=CLUSTER, level=4, text=Specimen, description=To record details of a laboratory specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0029], code=at0029, itemType=ELEMENT, level=5, text=Specimen type, description=The type of specimen to be collected e.g venous blood, prostatic biopsy., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.type}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Datetime collected, description=The date and time that collection has been ordered to take place or has taken place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Sampling conditions, description=Any conditions to be met before the sample should be taken., comment=e.g. fasting, 'full bladder', 'sterile field' or any special instructions on the handling or immediate processing of the sample e.g. centrifuge on receipt. Can also be used to document any known deviations from collection or handling instructions e.g patient was not fasted., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Collection method, description=The method of collection to be used eg Venepuncture, biopsy, resection., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.collection.method}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0079], code=at0079, itemType=ELEMENT, level=5, text=Collection method description, description=Additional detailed description of method of sample collection., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Potential risk, description=Any risk or biohazard associated with collecting or handling the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0067], code=at0067, itemType=ELEMENT, level=5, text=Collection setting, description=Identification of the setting at which the specimen was collected from a subject of care. The specimen is often collected by a healthcare provider, but may be collected directly by the patient or carer at home., comment=This specifies the specimen collection location within the healthcare environment. It enables the laboratory to ask questions about the collection of the specimen, if required. The specimen collection setting may provide additional information relevant to the analysis of the result., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0070], code=at0070, itemType=ELEMENT, level=5, text=Specimen collector identifier, description=Identifier of the person or agency responsible for collecting the specimen., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.collection.collector}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0080], code=at0080, itemType=ELEMENT, level=5, text=Number of containers, description=The total number of containers holding this specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0], code=at0000, itemType=CLUSTER, level=5, text=Specimen container, description=Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Container type, description=The type of container., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Tissue cassette  [The container is a tissue cassette.]
    • Tissue microarray cassette  [The container is a tissue microarray cassette.]
    • Specimen vial  [The container is a specimen vial.]
    • Microscope slide  [The container is a microscope slide.]
    • Specimen container  [The container is a gneric specimen container.]
    • Electron microscopy grid  [The container is an electron microscopy grid.]
    • Specimen well  [The container is a specimen well.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=6, text=Container additive, description=Any special fixative or transport medium requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0013], code=at0013, itemType=ELEMENT, level=6, text=Description, description=A text description of the container., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Datetime transported, description=The data and time that the specimen was uplifted for transportation to the laboratory., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Container Identifier, description=The unique identifier given to the container. May be multiple., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Collection area Identifier, description=Identifier of the place from where the container should be collected., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Transporter identifier, description=Identifier of person or agency responsible for transporting the container to the lab., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0039], code=at0039, itemType=CLUSTER, level=5, text=Specimen quality, description=Problems with the received specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0039]/items[at0042], code=at0042, itemType=ELEMENT, level=6, text=Specimen received issues, description=Specific issue with a received specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Haemolysed  [The specimen was haemolysed.]
    • Lipaemic  [The specimen was lipaemic.]
    • Incorrect transport medium  [An incorrect preservative was used when transporting the specimen.]
    • Insufficient sample  [An insufficient sample was given to undertake measurement.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0039]/items[at0044], code=at0044, itemType=ELEMENT, level=6, text=Laboratory handling issues, description=Issue arising with handling or processing of the specimen within the laboratory., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Handling error  [An error arose when handling the specimen.]
    • Age  [The specimen was too old to analyse accurately.]
    • Laboratory accident  [An accident occurred with the sample in the laboratory.]
    • Technical failure  [The specimen could not be analysed for technical reasons.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0039]/items[at0041], code=at0041, itemType=ELEMENT, level=6, text=Adequacy for testing, description=Is the specimen adequate for testing?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Satisfactory  [The specimen is of sufficient quality to allow reporting.]
    • Unsatisfactory - processed  [The specimen is unsatisfactory but has been processed.]
    • Unsatisfactory - not processed  [The specimen is unsatisfactory and has not been processed.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0039]/items[at0045], code=at0045, itemType=ELEMENT, level=6, text=Comment, description=An additional text comment on the quality of the received specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0046], code=at0046, itemType=CLUSTER, level=5, text=Processing, description=Workflow of specimen processing/handling., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0046]/items[at0034], code=at0034, itemType=ELEMENT, level=6, text=Datetime received, description=The date and time that the sample was received at the laboratory., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.receivedTime}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0046]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Laboratory specimen identifier, description=Unique identifier of the specimen, normally assigned by the laboratory., comment=Sometimes called the Accession Identifier., uncommonOntologyItems={fhir_mapping=Specimen.accessionIdentifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0081], code=at0081, itemType=CLUSTER, level=5, text=Related specimen, description=Details of a related specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0081]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Parent specimen identifier, description=Unique identifier of the parent specimen, where the specimen is split into sub-samples., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0073], code=at0073, itemType=ELEMENT, level=4, text=Test status, description=The status of the laboratory test result as a whole., comment=null, uncommonOntologyItems={fhir_mapping=DiagnosticReport.status}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
  • Final  [The Test result is complete and verified by an authorised person.]
  • Corrected  [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist.]
  • 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.]
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0075], code=at0075, itemType=ELEMENT, level=4, text=Test status timestamp, description=The date and/or time that the entire result was issued for the recorded ‘Test Report Status’., comment=null, uncommonOntologyItems={fhir_mapping=DiagnosticReport.issued}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Diagnostic service category, description=The diagnostic service that performs the examination., comment=For example, biochemistry, haematology. This helps clinicians filter for broad categories of results accoridng to local laboratory arrangements. Coding with a terminology is desirable, where possible., uncommonOntologyItems={fhir_mapping=DiagnosticReport.serviceCategory, fhir_valueset=diagnostic-service-sections}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0100], code=at0100, itemType=ELEMENT, level=4, text=Clinical information provided, description=Description of clinical information available at the time of interpretation of results, which may include a link to the original clinical information provided in the test request., comment=In HL7 fhir this information is held within the linked requestDetail.clinical Notes., uncommonOntologyItems={fhir_mapping=DiagnosticReport.requestDetail.clinicalNotes}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0], code=at0000, itemType=CLUSTER, level=4, text=Laboratory test panel, description=Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002], code=at0002, itemType=CLUSTER, level=5, text=Laboratory result, description=Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Result value, description=Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier, fhir_mapping=Observation.result; Observation.name}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Comment, description=Comment about the Result., comment=null, uncommonOntologyItems={hl7v2_mapping=NTE.3, fhir_mapping=Observation.comments}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Reference range guidance, description=Additional advice on the applicability of the reference range., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Result status, description=The status of the result value., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX-11-observation result status, fhir_mapping=status}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Registered  [No result yet available.]
  • Interim  [This is an initial or interim result: data may be missing or verification not been performed.]
  • Final  [The result is complete and verified by the responsible pathologist.]
  • Amended  [The result has been modified subsequent to being Final, and is complete and verified by the responsible pathologist.]
  • Cancelled/Aborted  [The result is unavailable because the test was not started or not completed.]
  • Not requested  [The result is not available as the test was not requested.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Result status timestamp, description=The date and/or time that the entire result was issued for the recorded ‘Result status’., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX-22 and/or OBX-19, fhir_mapping=Observation.issued}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0057], code=at0057, itemType=ELEMENT, level=4, text=Conclusion, description=Concise and clinically contextualised narrative interpretation of the laboratory test results., comment=null, uncommonOntologyItems={fhir_mapping=DiagnosticReport.conclusion}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0098], code=at0098, itemType=ELEMENT, level=4, text=Pathological diagnosis, description=Single word, phrase or brief description representing the narrative in the 'Conclusion'., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems={fhir_mapping=DiagnosticReport.codedDiagnosis}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the test not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Test representation, description=Rich text or other multimedia representation of the entire result as issued by the diagnostic service., comment=Multiple formats are allowed but they must be semantically equivalent., uncommonOntologyItems={fhir_mapping=DiagnosticReport.presentedForm}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/state[at0112]/items[at0113], code=at0113, itemType=ELEMENT, level=3, text=Confounding factors, description=Aspects of the condition or circumstances of the patient that may alter interpretation of the laboratory test., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0068], code=at0068, itemType=ELEMENT, level=2, text=Laboratory test identifier, description=The local identifier given to the laboratory test result by the Laboratory Information System., comment=null, uncommonOntologyItems={fhir_mapping=DiagnosticReport.identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0094], code=at0094, itemType=CLUSTER, level=2, text=Test request details, description=Details concerning a single laboratory test requested., comment=Usually there is one test request (or "order") for each result, however in some circumstances multiple test requests may be represented using a single Pathology test result archetype., uncommonOntologyItems={fhir_mapping=DiagnosticReport.requestDetail}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0094]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Original test requested Name, description=Identification of the original laboratory test requested, where the test requested differs from the test actually performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0094]/items[at0062], code=at0062, itemType=ELEMENT, level=3, text=Requester order identifier, description=The local ID assigned to the test order by the order requester., comment=Equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0094]/items[at0063], code=at0063, itemType=ELEMENT, level=3, text=Receiver order identifier, description=The local ID assigned to the test order by the order filler, usually by the Laboratory Information System (LIS)., comment=Assigning an identifier to a request by the Laboratory lnformation System (LIS) enables tracking progress of the request and enables linking results to requests. It also provides a reference to assist with enquiries and it is usually equivalent to the HL7 Filler Order Identifier., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test.v0]/protocol[at0004]/items[at0111], code=at0111, itemType=ELEMENT, level=2, text=Point of care device, description=True if a point of care device supplies the test result rather than a formal laboratory service., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Assumed value: false, extendedValues=null]], templateType=normal]