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
OtherDetails 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
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=To record comments and other per-node annotations within a lab_test archetype., archetypeConceptComment=null, otherContributors=Heath Frankel, Ocean Informatics, Australia
Heather Leslie, Ocean Informatics, Australia, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], activities=[], credentials=[], state=[], capabilities=[], items=[ResourceSimplifiedHierarchyItem [path=/items[at0007], code=at0007, itemType=ELEMENT, level=1, text=Result name, description=Name of the result to which this annotation refers. This will often be coded with a reference terminology such as LOINC., comment=null, uncommonOntologyItems={dc_id=11022, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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.
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Result comment, description=A comment on an individual lab result., comment=null, uncommonOntologyItems={dc_id=11026}, 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=Unexpected result indicator, description=Indicates the degree of diagnostic significance associated with a pathology test result based on all the available clinical information., comment=null, uncommonOntologyItems={dc_id=11027, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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).
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Testing method, description=Description of the method use for an individual result., comment=null, uncommonOntologyItems={dc_id=11025, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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.
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Result status, description=The status of an individual lab result., comment=null, uncommonOntologyItems={dc_id=11029}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Reference range guidance, description=Further advice on the applicability of the reference range., comment=null, uncommonOntologyItems={dc_id=16158}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=SLOT, level=1, text=Specimen detail, description=Details of the specimen for a particular reb result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.specimen.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015], code=at0015, itemType=ELEMENT, level=1, text=Laboratory result identifier, description=The identifier given to the laboratory test result of a pathology investigation., comment=null, uncommonOntologyItems={dc_id=11018}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014], code=at0014, itemType=SLOT, level=1, text=Laboratory details, description=Demographic details of the laboratory with responsibility for the individual result. Details of secondary laboratories may also be included., 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[at0017], code=at0017, itemType=ELEMENT, level=1, text=Link to original lab test, description=If the result was originally reported in a separate lab test entry, link to that entry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null]], events=[], provider=[], content=[], target=[], contacts=[], protocol=[], other_participations=[], relationships=[], ism_transition=[], description=[], source=[], data=[], context=[], details=[]}, 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[at0007], code=at0007, itemType=ELEMENT, level=1, text=Result name, description=Name of the result to which this annotation refers. This will often be coded with a reference terminology such as LOINC., comment=null, uncommonOntologyItems={dc_id=11022, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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.
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Result comment, description=A comment on an individual lab result., comment=null, uncommonOntologyItems={dc_id=11026}, 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=Unexpected result indicator, description=Indicates the degree of diagnostic significance associated with a pathology test result based on all the available clinical information., comment=null, uncommonOntologyItems={dc_id=11027, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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).
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0003], code=at0003, itemType=ELEMENT, level=1, text=Testing method, description=Description of the method use for an individual result., comment=null, uncommonOntologyItems={dc_id=11025, no_exception=false}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=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.
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0004], code=at0004, itemType=ELEMENT, level=1, text=Result status, description=The status of an individual lab result., comment=null, uncommonOntologyItems={dc_id=11029}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • 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.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0005], code=at0005, itemType=ELEMENT, level=1, text=Reference range guidance, description=Further advice on the applicability of the reference range., comment=null, uncommonOntologyItems={dc_id=16158}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0006], code=at0006, itemType=SLOT, level=1, text=Specimen detail, description=Details of the specimen for a particular reb result., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.specimen.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0015], code=at0015, itemType=ELEMENT, level=1, text=Laboratory result identifier, description=The identifier given to the laboratory test result of a pathology investigation., comment=null, uncommonOntologyItems={dc_id=11018}, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/items[at0014], code=at0014, itemType=SLOT, level=1, text=Laboratory details, description=Demographic details of the laboratory with responsibility for the individual result. Details of secondary laboratories may also be included., 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[at0017], code=at0017, itemType=ELEMENT, level=1, text=Link to original lab test, description=If the result was originally reported in a separate lab test entry, link to that entry., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_EHR_URI, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]