archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.lab_test-microbiology-urine.v1 specialise openEHR-EHR-OBSERVATION.lab_test-microbiology.v1 concept [at0000.1.1] -- Microbiolology of urine language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Dr Ian McNicoll"> ["organisation"] = <"openEHR Archetype Editorial Group / Ocean Informatics"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"27/01/2009"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record urine microbiology lab tests."> use = <" Will generally be used in combination with archetypes representing other parts of the laboratory test ordering and processing process to form a full lab test report. Specific tests will gnerally require further specialisation or templating constraint."> keywords = <"lab", "pathology", "microbiology", "laboratory", "urine"> misuse = <"Do not use for standard value-driven lab tests such as haematology and biochemistry tests. Do not use for other bodily fluids."> copyright = <"copyright (c) 2010 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Heather Leslie AEG / Ocean Infomatics", "Sam Heard Ocean Informatics"> other_details = < ["MD5-CAM-1.0.1"] = <"81D70405A65BC0356E296C68E25BAF6F"> ["references"] = <""> > definition OBSERVATION[at0000.1.1] matches { -- Microbiolology of urine data matches { HISTORY[at0001] matches { -- Event Series events cardinality matches {1..*; unordered} matches { EVENT[at0002] occurrences matches {0..*} matches { -- Any event data matches { ITEM_TREE[at0003] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0005] occurrences matches {0..1} matches { -- Test name value matches { DV_TEXT matches {*} } } ELEMENT[at0073] occurrences matches {0..1} matches { -- Test status value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0037, -- Interim at0038, -- Final at0039, -- Supplementary at0040, -- Corrected (amended) at0074, -- Aborted at0079] -- Never performed } } } } ELEMENT[at0077] occurrences matches {0..1} matches { -- Diagnostic service value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0065] occurrences matches {0..*} matches { -- Specimen detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.specimen(-[a-zA-Z0-9_]+)*\.v1/} } CLUSTER[at0.25] occurrences matches {0..*} matches { -- Macroscopic findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0.14] occurrences matches {0..1} matches { -- Colony count value matches { DV_COUNT matches { magnitude matches {|>=0|} } } } ELEMENT[at0078.3] occurrences matches {0..*} matches { -- Macroscopic result value matches { DV_TEXT matches {*} } } ELEMENT[at0.15] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } } } CLUSTER[at0.26] occurrences matches {0..*} matches { -- Microscopic findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0.18] occurrences matches {0..1} matches { -- Field count value matches { DV_COUNT matches { magnitude matches {|>=0|} } } } ELEMENT[at0078.6] occurrences matches {0..*} matches { -- Gram smear result value matches { DV_TEXT matches {*} } } ELEMENT[at0078.4] occurrences matches {0..*} matches { -- Microscopic result value matches { DV_TEXT matches {*} } } ELEMENT[at0.17] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } } } CLUSTER[at0.34] occurrences matches {0..1} matches { -- Bodily fluid findings items cardinality matches {1..*; unordered} matches { allow_archetype CLUSTER[at0.35] occurrences matches {0..1} matches { -- Fluid details include archetype_id/value matches {/openEHR-EHR-CLUSTER\.fluid(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0.36] occurrences matches {0..1} matches { -- Red cell count value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*6/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0.37] occurrences matches {0..1} matches { -- White cell count value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*6/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0.0.39] occurrences matches {0..1} matches { -- Epithelial cell count value matches { C_DV_QUANTITY < > } } ELEMENT[at0.38] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } } } CLUSTER[at0.27] occurrences matches {0..*} matches { -- Culture findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0.24] occurrences matches {0..*} matches { -- Culture method value matches { DV_TEXT matches {*} } } ELEMENT[at0.32] occurrences matches {0..1} matches { -- Growth duration value matches { DV_TEXT matches {*} } } ELEMENT[at0078.7] occurrences matches {0..*} matches { -- Beta lactamase value matches { DV_TEXT matches {*} } } ELEMENT[at0078.8] occurrences matches {0..*} matches { -- Culture result value matches { DV_TEXT matches {*} } } ELEMENT[at0.33] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } CLUSTER[at0.20] occurrences matches {0..*} matches { -- Microbial findings items cardinality matches {1..*; unordered} matches { ELEMENT[at0078.1] occurrences matches {0..1} matches { -- Organism value matches { DV_TEXT matches {*} } } ELEMENT[at0078.9] occurrences matches {0..1} matches { -- Biotype value matches { DV_TEXT matches {*} } } ELEMENT[at0078.10] occurrences matches {0..*} matches {*} ELEMENT[at0.21] occurrences matches {0..1} matches { -- Description value matches { DV_TEXT matches {*} } } CLUSTER[at0.7] occurrences matches {0..*} matches { -- Therapeutic sensitivities items cardinality matches {1..*; unordered} matches { ELEMENT[at0.30] occurrences matches {0..1} matches { -- Agent value matches { DV_TEXT matches {*} } } ELEMENT[at0.8] occurrences matches {0..1} matches { -- Sensitivity value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0.11, -- Sensitive at0.12, -- Resistant at0.13] -- Borderline resistant } } } } ELEMENT[at0.10] occurrences matches {0..1} matches { -- Quantified sensitivity value matches { C_DV_QUANTITY < property = <[openehr::119]> > } } ELEMENT[at0.9] occurrences matches {0..1} matches { -- Method of sensitivity value matches { DV_TEXT matches {*} } } } } ELEMENT[at0.29] occurrences matches {0..1} matches { -- Antimicrobial advice value matches { DV_TEXT matches {*} } } } } } } allow_archetype CLUSTER[at0.28] occurrences matches {0..*} matches { -- Notifications include archetype_id/value matches {/openEHR-EHR-CLUSTER\.notifiable_condition(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.outbreak_identification(-[a-zA-Z0-9_]+)*\.v1|openEHR-EHR-CLUSTER\.case_identification(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0078] occurrences matches {0..*} matches {*} allow_archetype CLUSTER[at0089] occurrences matches {0..*} matches { -- Per-result annotation include archetype_id/value matches {/openEHR-EHR-CLUSTER\.lab_result_annotation(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0057] occurrences matches {0..1} matches { -- Overall interpretation value matches { DV_TEXT matches {*} } } ELEMENT[at0010] occurrences matches {0..*} matches { -- Multimedia representation value matches { DV_MULTIMEDIA matches { media_type matches {[openEHR::]} } } } } } } } } } } protocol matches { ITEM_TREE[at0004] matches { -- Tree items cardinality matches {0..*; unordered} matches { ELEMENT[at0062] occurrences matches {0..1} matches { -- Requestor order identifier value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0090] occurrences matches {0..*} matches { -- Requestor include archetype_id/value matches {/.*/} } ELEMENT[at0063] occurrences matches {0..1} matches { -- Receiver order Identifier value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0017] occurrences matches {0..*} matches { -- Receiving laboratory include archetype_id/value matches {/openEHR-EHR-CLUSTER\.organisation\.v1/} exclude archetype_id/value matches {/.*/} } ELEMENT[at0068] occurrences matches {0..1} matches { -- Laboratory test result identifier value matches { DV_TEXT matches {*} } } ELEMENT[at0075] occurrences matches {0..1} matches { -- Datetime result issued value matches { DV_DATE_TIME matches {*} } } } } } } ontology term_definitions = < ["en"] = < items = < ["at0.0.39"] = < text = <"Epithelial cell count"> description = <"Count of epithelial/squamous cells in the urine specimen."> > ["at0.10"] = < text = <"Quantified sensitivity"> description = <"A measure of the sensitivity based on a quantifiable method such as the Minimum Inhhibitory Concentration (MIC)."> > ["at0.11"] = < text = <"Sensitive"> description = <"The microbe is sensitive to the therapeutic agent"> > ["at0.12"] = < text = <"Resistant"> description = <"The microbe is resistant to the theraputic agent."> > ["at0.13"] = < text = <"Borderline resistant"> description = <"The microbe is borderline resistant to the therapeutic agent"> > ["at0.14"] = < text = <"Colony count"> description = <"The count of colonies"> > ["at0.15"] = < text = <"Description"> description = <"Description of macroscopic findings"> > ["at0.17"] = < text = <"Description"> description = <"Description of the microscopic findings"> > ["at0.18"] = < text = <"Field count"> description = <"Microscopy field count"> > ["at0.20"] = < text = <"Microbial findings"> description = <"Multiple results obtained from the culture, normally per-microbe."> > ["at0.21"] = < text = <"Description"> description = <"Information specific to a specific microbial finding."> > ["at0.24"] = < text = <"Culture method"> description = <"The method of culturing, may be multiple e.g. aerobic and anaerobic cultures. Unbounded as all culture methods may be reported as a combined result or reported singly."> > ["at0.25"] = < text = <"Macroscopic findings"> description = <"Findings on macroscopic examination."> > ["at0.26"] = < text = <"Microscopic findings"> description = <"Findings on microscopic examination."> > ["at0.27"] = < text = <"Culture findings"> description = <"Findings on specimen culture."> > ["at0.28"] = < text = <"Notifications"> description = <"Details of public health notifications."> > ["at0.29"] = < text = <"Antimicrobial advice"> description = <"A text description of antimicrobial advice such as dosing, pharmacokinetic issues, and drug costings."> > ["at0.30"] = < text = <"Agent"> description = <"Name of the anti-microbial agent."> > ["at0.32"] = < text = <"Growth duration"> description = <"Duration of growth."> > ["at0.33"] = < text = <"Description"> description = <"A description of the overall culture finding."> > ["at0.34"] = < text = <"Bodily fluid findings"> description = <"Findings related to a bodily fluid specimen."> > ["at0.35"] = < text = <"Fluid details"> description = <"Details of the bodily fluid being examined."> > ["at0.36"] = < text = <"Red cell count"> description = <"Red blood cell count in the bodily fluid.."> > ["at0.37"] = < text = <"White cell count"> description = <"White blood cell count in the bodily fluid. "> > ["at0.38"] = < text = <"Description"> description = <"Text description of bodily fluid findings."> > ["at0.7"] = < text = <"Therapeutic sensitivities"> description = <"The name of the anti-microbial agent against which the organism was tested for susceptabiliity."> > ["at0.8"] = < text = <"Sensitivity"> description = <"Coded sensitivity"> > ["at0.9"] = < text = <"Method of sensitivity"> description = <"Method used to determine sensitivity."> > ["at0000"] = < text = <"Laboratory test"> description = <"To record the result of a laboratory test which 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 microbiology, histopathology."> > ["at0000.1"] = < text = <"Microbiolology"> description = <"Generic laboratory test archetype for microbiology testing."> > ["at0000.1.1"] = < text = <"Microbiolology of urine"> description = <"Urine microbiology laboratory test."> > ["at0001"] = < text = <"Event Series"> description = <"@ internal @"> > ["at0002"] = < text = <"Any event"> description = <"*"> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Tree"> description = <"@ internal @"> > ["at0005"] = < text = <"Test name"> description = <"Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT."> > ["at0010"] = < text = <"Multimedia representation"> description = <"Representations of the whole test in mutlimedia e.g image, audio, video."> > ["at0017"] = < text = <"Receiving laboratory "> description = <"Demographic details of the laboratory with responsibility for the test. Details of secondary laboratories may also be included."> > ["at0037"] = < text = <"Interim"> description = <"This is an initial or interim result - further updates are anticipated"> > ["at0038"] = < text = <"Final"> description = <"This is the final result. No further alterations are anticipated"> > ["at0039"] = < text = <"Supplementary"> description = <"This is a supplememtary result in addition to the Interim result"> > ["at0040"] = < text = <"Corrected (amended)"> description = <"This is a correction which should replace any previous results"> > ["at0057"] = < text = <"Overall interpretation"> description = <"An overall interpretative comment on this test."> > ["at0062"] = < text = <"Requestor order identifier"> description = <"The local ID assigned to the order by the order requester. Equivalent to the Placer Order Identifier."> > ["at0063"] = < text = <"Receiver order Identifier"> description = <"The local ID assigned to the test order by the order filler, usually by the (LIS) Laboratory Information System. Equivalent to the DICOM Accession Number and the Filler Order Identifier."> > ["at0065"] = < text = <"Specimen detail"> description = <"Details of the specimen being reported where all individual results are derived from the same specimen"> > ["at0068"] = < text = <"Laboratory test result identifier"> description = <"The identifier given to the laboratory test result of a pathology investigation."> > ["at0073"] = < text = <"Test status"> description = <"The status of the lab test as a whole."> > ["at0074"] = < text = <"Aborted"> description = <"The laboratory test was commenced but subsequently aborted."> > ["at0075"] = < text = <"Datetime result issued"> description = <"The date and/or time that the result was issued for the recorded ‘test status’. "> comment = <"The date and time related to the results status is useful for version control and cumulative results for the report."> > ["at0077"] = < text = <"Diagnostic service"> description = <"The type of high-level diagnostic service e.g. biochemistry, haematology. "> > ["at0078"] = < text = <"Result"> description = <"The result of the test."> > ["at0078.1"] = < text = <"Organism"> description = <"The name of the organism identified."> > ["at0078.10"] = < text = <"Microbial result"> description = <"Records other findings related to organisms e.g protein-typing."> > ["at0078.3"] = < text = <"Macroscopic result"> description = <"The result of the macroscopic aspect of the test."> > ["at0078.4"] = < text = <"Microscopic result"> description = <"The result of the microscopic aspect of the test."> > ["at0078.6"] = < text = <"Gram smear result"> description = <"Findings on gram smear testing."> > ["at0078.7"] = < text = <"Beta lactamase"> description = <"Beta-lactamase result(s)."> > ["at0078.8"] = < text = <"Culture result"> description = <"Results relating to microbial culture."> > ["at0078.9"] = < text = <"Biotype"> description = <"The organism biotype."> > ["at0079"] = < text = <"Never performed"> description = <"The test was never performed."> > ["at0089"] = < text = <"Per-result annotation"> description = <"Slot to allow an annotation to be added to a particular test result at run-time."> > ["at0090"] = < text = <"Requestor "> description = <"Details of the clinician or organisation requesting the laboratory test."> > > > >