archetype (adl_version=1.4) openEHR-EHR-CLUSTER.lab_result_annotation.v1 concept [at0000] -- Laboratory result annotation 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"] = <"08/12/2009"> > details = < ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record comments and other per-node annotations within a lab_test archetype."> use = <"To be used within a lab_test archetype."> keywords = <"lab test", "comment"> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"AuthorDraft"> other_contributors = <"Heath Frankel, Ocean Informatics, Australia", "Heather Leslie, Ocean Informatics, Australia"> other_details = < ["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"> > definition CLUSTER[at0000] matches { -- Laboratory result annotation items cardinality matches {1..*; unordered} matches { ELEMENT[at0007] occurrences matches {0..1} matches { -- Result name value matches { DV_CODED_TEXT matches { defining_code matches {[ac0001]} -- Result Name Values } } } ELEMENT[at0002] occurrences matches {0..1} matches { -- Result comment value matches { DV_TEXT matches {*} } } ELEMENT[at0001] occurrences matches {0..1} matches { -- Unexpected result indicator value matches { DV_CODED_TEXT matches { defining_code matches {[ac0002]} -- Abnormal Result Indicator Values } } } ELEMENT[at0003] occurrences matches {0..1} matches { -- Testing method value matches { DV_CODED_TEXT matches { defining_code matches {[ac0003]} -- Testing Method Values } } } ELEMENT[at0004] occurrences matches {0..1} matches { -- Result status value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0008, -- Interim at0009, -- Final at0010, -- Supplementary at0011, -- Corrected (amended) at0012, -- Aborted at0013] -- Never performed } } } } ELEMENT[at0005] occurrences matches {0..1} matches { -- Reference range guidance value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0006] occurrences matches {0..*} matches { -- Specimen detail include archetype_id/value matches {/openEHR-EHR-CLUSTER\.specimen(-[a-zA-Z0-9_]+)*\.v1/} } ELEMENT[at0015] occurrences matches {0..1} matches { -- Laboratory result identifier value matches { DV_TEXT matches {*} } } allow_archetype CLUSTER[at0014] occurrences matches {0..*} matches { -- Laboratory details include archetype_id/value matches {/.*/} } ELEMENT[at0017] occurrences matches {0..1} matches { -- Link to original lab test value matches { DV_EHR_URI matches {*} } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Laboratory result annotation"> description = <"To record comments and other per-node annotations within a lab_test archetype."> > ["at0001"] = < text = <"Unexpected result indicator"> description = <"Indicates the degree of diagnostic significance associated with a pathology test result based on all the available clinical information."> no_exception = <"false"> dc_id = <"11027"> > ["at0002"] = < text = <"Result comment"> description = <"A comment on an individual lab result."> dc_id = <"11026"> > ["at0003"] = < text = <"Testing method"> description = <"Description of the method use for an individual result."> no_exception = <"false"> dc_id = <"11025"> > ["at0004"] = < text = <"Result status"> description = <"The status of an individual lab result."> dc_id = <"11029"> > ["at0005"] = < text = <"Reference range guidance"> description = <"Further advice on the applicability of the reference range."> dc_id = <"16158"> > ["at0006"] = < text = <"Specimen detail"> description = <"Details of the specimen for a particular reb result."> > ["at0007"] = < 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."> no_exception = <"false"> dc_id = <"11022"> > ["at0008"] = < text = <"Interim"> description = <"This is an initial or interim result - further updates are anticipated."> > ["at0009"] = < text = <"Final"> description = <"This is the final result. No further alterations are anticipated."> > ["at0010"] = < text = <"Supplementary"> description = <"This is a supplememtary result in addition to the Interim result."> > ["at0011"] = < text = <"Corrected (amended)"> description = <"This is a Correction which should replace any previous results."> > ["at0012"] = < text = <"Aborted"> description = <"The testing/ reporting process was aborted and never completed."> > ["at0013"] = < text = <"Never performed"> description = <"The test was never performed."> > ["at0014"] = < text = <"Laboratory details"> description = <"Demographic details of the laboratory with responsibility for the individual result. Details of secondary laboratories may also be included."> > ["at0015"] = < text = <"Laboratory result identifier"> description = <"The identifier given to the laboratory test result of a pathology investigation."> dc_id = <"11018"> > ["at0017"] = < text = <"Link to original lab test"> description = <"If the result was originally reported in a separate lab test entry, link to that entry."> > > > > constraint_definitions = < ["en"] = < items = < ["ac0001"] = < text = <"Result Name Values"> description = <"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."> > ["ac0002"] = < text = <"Abnormal Result Indicator Values"> description = <"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)."> > ["ac0003"] = < text = <"Testing Method Values"> description = <"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."> > > > >