ARCHETYPE Laboratory result annotation (openEHR-EHR-CLUSTER.lab_result_annotation.v1)

ARCHETYPE IDopenEHR-EHR-CLUSTER.lab_result_annotation.v1
ConceptLaboratory result annotation
DescriptionTo record comments and other per-node annotations within a lab_test archetype.
UseTo be used within a lab_test archetype.
PurposeTo record comments and other per-node annotations within a lab_test archetype.
ReferencesNEHTA, Australia. Pathology Episode v1.0 - Data Group library [Internet]. 2009;[cited 2009 Dec 8 ] Available from: http://www.nehta.gov.au/data-group-library/data-specifications/dgl-pathology

IHE. IHE, Laboratory Technical Framework, Volume 3 Content [Internet]. 2008;Available from: http://www.ihe.net/Technical_Framework/upload/ihe_lab_TF_rel2_1-Vol-3_FT_2008-08-08.pdf
Copyright© openEHR Foundation
AuthorsAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 08/12/2009
Other Details LanguageAuthor name: Dr Ian McNicoll
Organisation: Ocean Informatics, United Kingdom
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 08/12/2009
Other Details (Language Independent)
  • References: NEHTA, Australia. Pathology Episode v1.0 - Data Group library [Internet]. 2009;[cited 2009 Dec 8 ] Available from: http://www.nehta.gov.au/data-group-library/data-specifications/dgl-pathology IHE. IHE, Laboratory Technical Framework, Volume 3 Content [Internet]. 2008;Available from: http://www.ihe.net/Technical_Framework/upload/ihe_lab_TF_rel2_1-Vol-3_FT_2008-08-08.pdf
  • MD5-CAM-1.0.1: C8026FB6456E4FEE169CF9911D774400
Keywordslab test, comment
LifecycleAuthorDraft
Language useden
Citeable Identifier1013.1.568
items
Result nameResult name: Name of the result to which this annotation refers. This will often be coded with a reference terminology such as LOINC.
Optional[{no_exception=false, dc_id=11022}]
Constraint:
Result Name Values
[The term given to a single result element of a pathology test. Can refer to a single pathology test result or to one component of a result group; e.g. Urine Sodium Measurement.]
Result commentResult comment: A comment on an individual lab result.
Optional[{dc_id=11026}]
Unexpected result indicatorUnexpected result indicator: Indicates the degree of diagnostic significance associated with a pathology test result based on all the available clinical information.
Optional[{no_exception=false, dc_id=11027}]
Constraint:
Abnormal Result Indicator Values
[Indicates the degree of diagnostically significant abnormality of the pathology test result based on all available clinical information (including but not limited to the reference range).]
Testing methodTesting method: Description of the method use for an individual result.
Optional[{no_exception=false, dc_id=11025}]
Constraint:
Testing Method Values
[A description of the specific method(s) used by the laboratory to perform the analyses and produce the results for the requested pathology test(s).The method used has a critical impact in the comparability of results. A decision on diagnosis can be affected by the method used based on likelihood of false or true positives and negatives related to sensitivities and specificities of tests.]
Result statusResult status: The status of an individual lab result.
Optional[{dc_id=11029}]
  • Interim [This is an initial or interim result - further updates are anticipated.]
  • Final [This is the final result. No further alterations are anticipated.]
  • Supplementary [This is a supplememtary result in addition to the Interim result.]
  • Corrected (amended) [This is a Correction which should replace any previous results.]
  • Aborted [The testing/ reporting process was aborted and never completed.]
  • Never performed [The test was never performed.]
Reference range guidanceReference range guidance: Further advice on the applicability of the reference range.
Optional[{dc_id=16158}]
Specimen detailSpecimen detail: Details of the specimen for a particular reb result.
Include:
openEHR-EHR-CLUSTER.specimen.v1 and specialisations
Laboratory result identifierLaboratory result identifier: The identifier given to the laboratory test result of a pathology investigation.
Optional[{dc_id=11018}]
Laboratory detailsLaboratory details: Demographic details of the laboratory with responsibility for the individual result. Details of secondary laboratories may also be included.
Include:
All not explicitly excluded archetypes
Link to original lab testLink to original lab test: If the result was originally reported in a separate lab test entry, link to that entry.
Other contributorsHeath Frankel, Ocean Informatics, Australia
Heather Leslie, Ocean Informatics, Australia
Translators