| TEMPLATE ID | Laboratory panel report (LOINC) example |
|---|---|
| Concept | Laboratory panel report (LOINC) example |
| Description | To provide an example of a simple laboratory panel/battery report typical of haematology and clinical chemistry reports using the LOINC terminology. |
| Purpose | To provide an example of a simple laboratory panel/battery report typical of haematology and clinical chemistry reports using the LOINC terminology. |
| References | |
| Other Details (Language Independent) |
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| Language used | en |
| Citeable Identifier | 1013.26.69 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| Laboratory report | Laboratory report: Document to communicate information to others, commonly in response to a request from another party. |
| Lipid profile | Lipid profile: The findings and interpretation of a pathology laboratory test performed on patient-related specimens. 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. |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Test name | Test name: Identification of the pathology test performed, sometimes including specimen type and patient state. 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". Optional[{fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}] Default value: LOINC::57698-3::Lipid panel with direct LDL - Serum or Plasma |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Sampling conditions | Sampling conditions: Any conditions to be met before the sample should be taken. 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. Default value: Fasting |
| Status | Status: The status of the laboratory test result as a whole. Optional[{fhir_mapping=DiagnosticReport.status}]
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| Status timestamp | Status timestamp: The date and/or time that the entire result was issued for the recorded ‘Test Report Status’. Optional[{fhir_mapping=DiagnosticReport.issued}] |
| Service category | Service category: The diagnostic service that performs the examination. 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. Optional[{fhir_mapping=DiagnosticReport.serviceCategory, fhir_valueset=diagnostic-service-sections}] Default value: Biochemistry |
| Lipids panel | Lipids panel: Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing. |
| Cholesterol | Cholesterol: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::35200-5::Cholesterol | LOINC::35200-5::Cholesterol: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Triglyceride | Triglyceride: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::35217-9::Triglyceride | LOINC::35217-9::Triglyceride: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| HDL Cholesterol | HDL Cholesterol: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::2085-9::HDL Cholesterol | LOINC::2085-9::HDL Cholesterol: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| LDL Cholesterol by Direct assay | LDL Cholesterol by Direct assay: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::18262-6::Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | LOINC::18262-6::Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| VLDL Cholesterol Calculated | VLDL Cholesterol Calculated: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::13458-5::Cholesterol in VLDL [Mass/volume] in Serum or Plasma by calculation | LOINC::13458-5::Cholesterol in VLDL [Mass/volume] in Serum or Plasma by calculation: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| LDL/HDL ratio | LDL/HDL ratio: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::11054-4::Lipid panel with direct LDL - Serum or Plasma | LOINC::11054-4::Lipid panel with direct LDL - Serum or Plasma: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Total cholesterol/ HDL cholesterol ratio | Total cholesterol/ HDL cholesterol ratio: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| LOINC::9830-1::Cholesterol.total/Cholesterol in HDL [Mass Ratio] in Serum or Plasma | LOINC::9830-1::Cholesterol.total/Cholesterol in HDL [Mass Ratio] in Serum or Plasma: 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. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Conclusion | Conclusion: Concise and clinically contextualised narrative interpretation of the laboratory test results. Optional[{fhir_mapping=DiagnosticReport.conclusion}] |
| Coded diagnosis | Coded diagnosis: Single word, phrase or brief description representing the narrative in the 'Conclusion'. Coding with a terminology is preferred, where possible. Optional[{fhir_mapping=DiagnosticReport.codedDiagnosis}] |
| Protocol | |
| Test request details | Test request details: Details concerning a single laboratory test requested. 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. Optional[{fhir_mapping=DiagnosticReport.requestDetail}] |
| Original test requested Name | Original test requested Name: Identification of the original laboratory test requested, where the test requested differs from the test actually performed. Default value: LOINC::57698-3::Lipid panel with direct LDL - Serum or Plasma |