archetype (adl_version=1.4) openEHR-EHR-OBSERVATION.lab_test-full_blood_count.v1 specialise openEHR-EHR-OBSERVATION.lab_test.v1 concept [at0000.1] -- Full blood count language original_language = <[ISO_639-1::en]> description original_author = < ["name"] = <"Dr Ian McNicoll"> ["organisation"] = <"Ocean Informatics, United Kingdom"> ["email"] = <"ian.mcnicoll@oceaninformatics.com"> ["date"] = <"07/11/2009"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record observations on a blood film including microscopic findings and cell counts. "> use = <"Will normally be reported back to the requesting clinician within the context of an overall Composition-based laboratory report. "> keywords = <"lab", "pathology", "haematology", "laboratory", "FBC"> misuse = <"This archetype is not a full laboratory report and requires diagnosis and other assessments to be recorded using other archetypes."> copyright = <"copyright (c) 2009 openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Sam Heard, Ocean Informatics, Australia", "Heather Leslie, Ocean Informatics, Australia", "Heath Frankel, Ocean Informatics, Australia", "Koray Atalag, University of Auckland, New Zealand"> other_details = < ["MD5-CAM-1.0.1"] = <"2AF78472619ACBFAD183DC8BC7628242"> ["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 "> > definition OBSERVATION[at0000.1] matches { -- Full blood count data matches { HISTORY[at0001] matches { -- Event Series events cardinality matches {1..*; unordered} matches { EVENT[at0002] occurrences matches {0..1} 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[at0077] occurrences matches {0..1} matches { -- Diagnostic service 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 } } } } allow_archetype CLUSTER[at0065] occurrences matches {0..*} matches { -- Specimen detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.specimen\.v1/} exclude archetype_id/value matches {/.*/} } ELEMENT[at0078.4] occurrences matches {0..1} matches { -- Haemoglobin value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"gm/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.5] occurrences matches {0..1} matches { -- Red cell count (RCC) value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*12/l"> magnitude = <|>=0.0|> > ["2"] = < units = <"10*6/mm3"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.6] occurrences matches {0..1} matches { -- Packed cell volume (PCV) value matches { DV_PROPORTION matches { numerator matches {|0.0..100.0|} denominator matches {|100.0|} is_integral matches {True} type matches {2} } } } ELEMENT[at0078.7] occurrences matches {0..1} matches { -- Mean cell haemaglobin concentration (MCHC) value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"gm/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.8] occurrences matches {0..1} matches { -- Mean cell volume (MCV) value matches { C_DV_QUANTITY < property = <[openehr::129]> list = < ["1"] = < units = <"fl"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.9] occurrences matches {0..1} matches { -- Mean cell haemaglobin (MCH) value matches { C_DV_QUANTITY < property = <[openehr::124]> list = < ["1"] = < units = <"pg"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.10] occurrences matches {0..1} matches { -- Red cell distribution width (RDW) value matches { DV_PROPORTION matches { numerator matches {|0.0..100.0|} denominator matches {|1.0|} type matches {1} } } } ELEMENT[at0078.11] occurrences matches {0..1} matches { -- Erythrocyte sedimentation rate (ESR) value matches { C_DV_QUANTITY < property = <[openehr::338]> list = < ["1"] = < units = <"mm/h"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.20] occurrences matches {0..1} matches { -- Mean platelet volume (MPV) value matches { C_DV_QUANTITY < property = <[openehr::129]> list = < ["1"] = < units = <"fl"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.21] occurrences matches {0..1} matches { -- Platelet distribution width value matches { DV_PROPORTION matches { numerator matches {|0.0..100.0|} denominator matches {|1.0|} type matches {1} } } } ELEMENT[at0078.12] occurrences matches {0..1} matches { -- Platelet count value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.22] occurrences matches {0..1} matches { -- Plateletcrit value matches { DV_PROPORTION matches { numerator matches {|0.0..100.0|} denominator matches {|100.0|} is_integral matches {True} type matches {2} } } } ELEMENT[at0078.13] occurrences matches {0..1} matches { -- White cell count value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } CLUSTER[at0078.14] occurrences matches {0..1} matches { -- White cell differential items cardinality matches {1..5; ordered} matches { ELEMENT[at0078.15] occurrences matches {0..1} matches { -- Neutrophils value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.16] occurrences matches {0..1} matches { -- Lymphocytes value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.17] occurrences matches {0..1} matches { -- Basophils value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.18] occurrences matches {0..1} matches { -- Monocytes value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.19] occurrences matches {0..1} matches { -- Eosinophils value matches { C_DV_QUANTITY < property = <[openehr::119]> list = < ["1"] = < units = <"10*9/l"> magnitude = <|>=0.0|> > > > } } ELEMENT[at0078.23] occurrences matches {0..1} matches { -- Microscopic features value matches { DV_TEXT matches {*} } } } } 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/} exclude archetype_id/value matches {/.*/} } 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 { CLUSTER[at0013] occurrences matches {0..1} matches { -- Test identification items cardinality matches {0..*; unordered} matches { ELEMENT[at0062] occurrences matches {0..1} matches { -- Placer order identifier value matches { DV_TEXT matches {*} } } ELEMENT[at0063] occurrences matches {0..1} matches { -- Filler order Identifier value matches { DV_TEXT matches {*} } } ELEMENT[at0068] occurrences matches {0..1} matches { -- Laboratory test result identifier value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0017] occurrences matches {0..*} matches { -- Laboratory details include archetype_id/value matches {/openEHR-EHR-CLUSTER\.organisation\.v1/} exclude archetype_id/value matches {/.*/} } } } ELEMENT[at0075] occurrences matches {0..1} matches { -- Datetime result issued value matches { DV_DATE_TIME matches {*} } } } } } } ontology term_definitions = < ["en"] = < items = < ["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 = <"Full blood count"> description = <"The full blood count or examination normally reported by a haematology laboratory."> > ["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."> > ["at0013"] = < text = <"Test identification"> description = <"Unique identifiers used in delivery of the care process."> > ["at0017"] = < text = <"Laboratory details "> 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 = <"Placer order identifier"> description = <"The ID assigned to the order by the order requester. Equivalent to the NEHTA Requester Order Identifier."> > ["at0063"] = < text = <"Filler order Identifier"> description = <"The ID assigned to the test order by the order filler, usually by the (LIS) Laboratory Information System. Equivalent to the DICOM Accession Number and NEHTA Laboratory Request 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 = <"*"> > ["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."> > ["at0078.10"] = < text = <"Red cell distribution width (RDW)"> description = <"The variation in red cell volume"> > ["at0078.11"] = < text = <"Erythrocyte sedimentation rate (ESR)"> description = <"The velocity of sedimentation of red cells in the first hour"> > ["at0078.12"] = < text = <"Platelet count"> description = <"The number of platelets per litre"> > ["at0078.13"] = < text = <"White cell count"> description = <"The number of white cells per litre"> > ["at0078.14"] = < text = <"White cell differential"> description = <"The differential count of white cells or leukocytes"> > ["at0078.15"] = < text = <"Neutrophils"> description = <"The number of neutrophils per litre"> > ["at0078.16"] = < text = <"Lymphocytes"> description = <"The number of lymphocytes per litre"> > ["at0078.17"] = < text = <"Basophils"> description = <"The number of basophils per litre"> > ["at0078.18"] = < text = <"Monocytes"> description = <"The number of monocytes per litre"> > ["at0078.19"] = < text = <"Eosinophils"> description = <"The number of eosinophils per litre"> > ["at0078.20"] = < text = <"Mean platelet volume (MPV)"> description = <"The average platelet volume"> > ["at0078.21"] = < text = <"Platelet distribution width"> description = <"The variation in platelet volume"> > ["at0078.22"] = < text = <"Plateletcrit"> description = <"The proportion of the volume of blood taken up by platelets"> > ["at0078.23"] = < text = <"Microscopic features"> description = <"The features of the blood film on microscopy"> > ["at0078.4"] = < text = <"Haemoglobin"> description = <"The mass concentration of haemoglobin"> > ["at0078.5"] = < text = <"Red cell count (RCC)"> description = <"The number of red blood cells per litre"> > ["at0078.6"] = < text = <"Packed cell volume (PCV)"> description = <"(Haematocrit) The proportion of the volume of blood taken up by red blood cells"> > ["at0078.7"] = < text = <"Mean cell haemaglobin concentration (MCHC)"> description = <"The average haemaglobin concentration in the red blood cells"> > ["at0078.8"] = < text = <"Mean cell volume (MCV)"> description = <"The average volume of the red blood cells (PCV/RCC)"> > ["at0078.9"] = < text = <"Mean cell haemaglobin (MCH)"> description = <"The average haemaglobin content of red blood cells"> > ["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."> > > > >