TEMPLATE GECCO_Laborbefund (GECCO_Laborbefund)

TEMPLATE IDGECCO_Laborbefund
ConceptGECCO_Laborbefund
DescriptionZur Repräsentation von Laborergebnisse eines Patienten im Rahmen des FoDaPl-Projektes / GECCO-Datensatzes.
UseFür die Abbildung von Laborergebnissen eines Patienten für die Speicherung im Rahmen des FoDaPI-Projektes / GECCO-Datensatzes.
MisuseNicht zur Repräsentation von spezifischen Laborergebnissen wie z. B. Mikrobiologische oder Virologische Befunde verwenden.
PurposeZur Repräsentation von Laborergebnisse eines Patienten im Rahmen des FoDaPl-Projektes / GECCO-Datensatzes.
References
AuthorsName: Sarah Ballout; Email: ballout.sarah@mh-hannover.de; Organisation : Peter L. Reichertz Institut für Medizinische Informatik
Other Details LanguageName: Sarah Ballout; Email: ballout.sarah@mh-hannover.de; Organisation : Peter L. Reichertz Institut für Medizinische Informatik
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set, PARENT:MD5-CAM-1.0.1=137DCA7D21FA274494054E1B81B67FC5, original_language=ISO_639-1::de, MD5-CAM-1.0.1=17839a90468069370c7547c69dfd370a}
KeywordsLaborbefund; Labor; Befund; Analyt; Laborwerte; Laborergebnis; GECCO; NUM; FoDaPl
Language useden
Citeable Identifier1246.169.1229
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.registereintrag.v1, otherContributors=Antje Wulff, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1], code=at0000, itemType=COMPOSITION, level=0, text=Laborbefund, description=Generische Zusammenstellung zur Darstellung eines Datensatzes für Forschungszwecke., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/context/other_context[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Status, description=Status der gelieferten Daten für den Registereintrag. Hinweis: Dies ist nicht der Status einzelner Komponenten., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • registriert 
  • vorläufig 
  • final 
  • geändert 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Kategorie, description=Die Klassifikation des Registereintrags (z.B. Typ der Observation des FHIR-Profils)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=1, text=Laboratory test result, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Labortest-Kategorie, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: LOINC
  • Laboratory studies (set) 
  • Blood gas studies (set) 
  • Chemistry studies (set) 
  • Hematology studies (set) 
  • Coagulation studies (set) 
  • Toxicology studies (set) 
  • Microbiology studies (set) 
  • Serology and blood bank studies (set) 
  • Urinalysis studies (set) 
  • Calculated and derived values (set) 
  • Cardiac biomarkers (set) 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1], code=at0000, itemType=CLUSTER, level=5, text=Specimen, description=A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis., comment=For example: Tissue or body fluid., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=6, text=Specimen type, description=The type of specimen., comment=For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible., uncommonOntologyItems={fhir_mapping=Specimen.type}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://terminology.hl7.org/CodeSystem/v2-0487
  • Abscess 
  • Tissue, Acne 
  • Fluid, Acne 
  • Air Sample 
  • Allograft 
  • Amniotic fluid 
  • Amputation 
  • Catheter Tip, Angio 
  • Catheter Tip, Arterial 
  • Serum, Acute 
  • Aspirate 
  • Environment, Attest 
  • Environmental, Autoclave Ampule 
  • Environmental, Autoclave Capsule 
  • Autopsy 
  • Blood bag 
  • Cyst, Baker's 
  • Whole body 
  • Bile Fluid 
  • Bite 
  • Whole blood 
  • Blood arterial 
  • Cord blood 
  • Blood venous 
  • Bleb 
  • Blister 
  • Boil 
  • Bone 
  • Bone 
  • Bowel contents 
  • Basophils 
  • Blood product unit 
  • Burn 
  • Brush 
  • Breath (use EXHLD) 
  • Brushing 
  • Bubo 
  • Bulla/Bullae 
  • Biopsy 
  • Calculus (=Stone) 
  • Carbuncle 
  • Catheter 
  • Bite, Cat 
  • Cardiac muscle 
  • Clippings 
  • Conjunctiva 
  • Cannula 
  • Colostrum 
  • Biospy, Cone 
  • Scratch, Cat 
  • Serum, Convalescent 
  • Cerebral spinal fluid 
  • Catheter Insertion Site 
  • Fluid, Cystostomy Tube 
  • Fluid, Cyst 
  • Blood, Cell Saver 
  • Catheter tip 
  • Curretage 
  • Cervical Mucus 
  • Site, CVP 
  • Catheter Tip, CVP 
  • Nodule, Cystic 
  • Cyst 
  • Bite, Dog 
  • Sputum, Deep Coug 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Laboratory specimen identifier, description=A unique identifier of the specimen, normally assigned by the laboratory., comment=Sometimes called the Accession Identifier. Specimen containers, for example vacuum vials or tissue cassettes, have their own identitiers which may be recorded in the 'Container identifier' element in the 'Specimen container' archetype., uncommonOntologyItems={fhir_mapping=Specimen.accessionIdentifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0088], code=at0088, itemType=ELEMENT, level=6, text=External identifier, description=A unique identifier of the specimen, assigned by a party external to the laboratory., comment=For example: 'Requester ID', 'Archive ID, 'Biobank ID'., uncommonOntologyItems={fhir_mapping=Specimen.identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0034], code=at0034, itemType=ELEMENT, level=6, text=Date/time received, description=The date and time that the sample was received at the laboratory., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.receivedTime}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Sampling context, description=The context in which the specimen is collected., comment=For example: 'fasting'; 'full bladder'; 'sterile field'; or special instructions on the handling or immediate processing of the sample, such as 'centrifuge on receipt'. This data element also be used to document any known deviations from collection or handling instructions, for example that the patient had not fasted, even when this had been originally requested. Coding of the 'Sampling context' with a terminology is preferred, where possible. If this archetype is used within an INSTRUCTION archetype, the context will reflect the intended or desired conditions at sample collection. If this archetype is used for representing an ACTION archetype pathway step which correlates with the collection being performed or completed, the context will be reflecting the conditions that existed at sample collection and this may also be copied to the 'Confounding factors' element of the OBSERVATION.laboratory_test_result archetype., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Collection method, description=The method of collection used., comment=For example: venepuncture, biopsy, resection. Coding of the collection method with a terminology is preferred, where possible. If the collection method is included in the 'Specimen type' via precoordinated codes, this data element becomes redundant., uncommonOntologyItems={fhir_mapping=Specimen.collection.method}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0087], code=at0087, itemType=ELEMENT, level=6, text=Körperstelle, description=Identification of the body site or other location from where the specimen is collected., comment=For example: 'wound on left calf', 'IV cannula right arm', 'right kidney'. Coding of the name of the source site with a terminology is preferred, where possible. Use this data element to record precoordinated source sites. If the requirements for recording the source site are determined at run-time by the application or require more complex modelling such as relative locations then use the 'Structured source site' SLOT in this archetype. If the source site is included in the 'Specimen type' via precoordinated codes, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=6, text=Collection date/time, description=The date and time that collection has been ordered to take place or has taken place., comment=This datetime will be captured primarily in the INSTRUCTION timing, ACTION time or OBSERVATION times. However, as this is a critical piece of information, it can be useful to also associate it directly with the specimen itself., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  Interval of Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0070], code=at0070, itemType=ELEMENT, level=6, text=Specimen collector identifier, description=Identifier of the person or organisation responsible for collecting the specimen., comment=This element is intended to be used where the specimen has already been collected and the actual collector is known., uncommonOntologyItems={fhir_mapping=Specimen.collection.collector}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Parent specimen identifier, description=Unique identifier of the parent specimen, where the specimen is split into sub-samples., comment=For example: A specific histology slide specimen can have a specific paraffin wax block as its parent specimen., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0041], code=at0041, itemType=ELEMENT, level=6, text=Adequacy for testing, description=Information about whether the specimen was adequate for testing., comment=This element is intended to be used to record a judgement about whether or not the specimen quality was good enough for testing, and whether or not testing has been carried out. Coding of the specimen quality issues with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Satisfactory 
    • Unsatisfactory - analysed 
    • Unsatisfactory - not analysed 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0045], code=at0045, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the specimen not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.note}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1], code=at0000, itemType=CLUSTER, level=5, text=Pro Laboranalyt, description=The result of a laboratory test for a single analyte value., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Analyte name, description=The name of the analyte result., comment=The value for this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte. For example: 'Serum sodium', 'Haemoglobin'. Coding with an external terminology is strongly recommended, such as LOINC, NPU, SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: LOINC
  • C reactive protein [Mass/volume] in Capillary blood 
  • C reactive protein [Mass/volume] in Blood by High sensitivity method 
  • C reactive protein [Moles/volume] in Serum or Plasma by High sensitivity method 
  • C reactive protein [Mass/volume] in Serum or Plasma by High sensitivity method 
  • C reactive protein [Mass/volume] in Serum or Plasma 
  • C reactive protein [Moles/volume] in Serum or Plasma 
  • Ferritin [Mass/volume] in Serum or Plasma by Immunoassay 
  • Ferritin goal [Mass/volume] Serum or Plasma 
  • Ferritin [Moles/volume] in Serum or Plasma 
  • Ferritin [Mass/volume] in Serum or Plasma 
  • Ferritin [Mass/volume] in Blood 
  • Bilirubin.indirect [Mass/volume] in Serum or Plasma 
  • Bilirubin.total [Mass/volume] in Serum or Plasma 
  • Bilirubin.total [Moles/volume] in Serum or Plasma 
  • Bilirubin.total [Mass/volume] in Venous blood 
  • Bilirubin.total [Mass/volume] in Arterial blood 
  • Bilirubin.total [Mass/volume] in Blood 
  • Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma 
  • Fibrin D-dimer FEU [Mass/volume] in Platelet poor plasma by Immunoassay 
  • Short Fibrin D-dimer FEU and DDU panel - Platelet poor plasma 
  • Fibrin D-dimer FEU [Mass/volume] in Blood by Immunoassay 
  • Fibrin D-dimer [Units/volume] in Platelet poor plasma 
  • Fibrin D-dimer DDU [Mass/volume] in Blood by Immunoassay 
  • Fibrin D-dimer [Titer] in Platelet poor plasma 
  • Fibrin D-dimer [Units/volume] in Platelet poor plasma by Immunoassay 
  • Fibrin D-dimer DDU [Mass/volume] in Platelet poor plasma by Immunoassay 
  • Gamma glutamyl transferase/Aspartate aminotransferase [Enzymatic activity ratio] in Serum or Plasma 
  • Gamma glutamyl transferase [Enzymatic activity/volume] in Serum or Plasma 
  • Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 
  • Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma by With P-5'-P 
  • Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma by No addition of P-5'-P 
  • Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma 
  • Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Pyruvate to lactate reaction 
  • Lactate dehydrogenase [Enzymatic activity/volume] in Serum or Plasma by Lactate to pyruvate reaction 
  • Lactate dehydrogenase [Enzymatic activity/volume] in Body fluid by Lactate to pyruvate reaction 
  • Lactate dehydrogenase [Enzymatic activity/volume] in Body fluid by Pyruvate to lactate reaction 
  • Troponin I.cardiac [Mass/volume] in Serum or Plasma by Detection limit <= 0.01 ng/mL 
  • Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method 
  • Troponin T.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method 
  • Troponin T.cardiac [Mass/volume] in Serum or Plasma 
  • Troponin T.cardiac [Mass/volume] in Venous blood 
  • Troponin T.cardiac [Mass/volume] in Blood 
  • Troponin I.cardiac [Mass/volume] in Blood 
  • Troponin I.cardiac [Mass/volume] in Serum or Plasma 
  • Hemoglobin [Mass/volume] in Venous blood by Oximetry 
  • Hemoglobin [Moles/volume] in Blood 
  • Hemoglobin [Mass/volume] in Blood 
  • Hemoglobin [Mass/volume] in Blood by calculation 
  • Hemoglobin [Mass/volume] in Blood by Oximetry 
  • Hemoglobin [Moles/volume] in Arterial blood 
  • Hemoglobin [Mass/volume] in Arterial blood by Oximetry 
  • Hemoglobin [Mass/volume] in Arterial blood 
  • Hemoglobin [Mass/volume] in Venous blood 
  • Hemoglobin [Mass/volume] in Mixed venous blood 
  • Hemoglobin [Mass/volume] in Capillary blood 
  • Hemoglobin [Mass/volume] in Mixed venous blood by Oximetry 
  • Creatinine [Mass/volume] in Arterial blood 
  • Creatinine [Mass/volume] in Blood 
  • Creatinine [Moles/volume] in Blood 
  • Creatinine [Mass/volume] in Body fluid 
  • Creatinine [Moles/volume] in Body fluid 
  • Creatinine [Mass/volume] in Serum or Plasma 
  • Creatinine [Moles/volume] in Serum or Plasma 
  • Lactate [Mass/volume] in Serum or Plasma 
  • Lactate [Mass/volume] in Blood 
  • Lactate [Moles/volume] in Blood 
  • Lactate [Moles/volume] in Cerebral spinal fluid 
  • Lactate [Moles/volume] in Capillary blood 
  • Lactate [Moles/volume] in Mixed venous blood 
  • Lactate [Moles/volume] in Arterial blood 
  • Lactate [Moles/volume] in Venous blood 
  • Lactate [Moles/volume] in Serum or Plasma 
  • Lactate [Mass/volume] in Arterial blood 
  • Lactate [Mass/volume] in Cerebral spinal fluid 
  • Leukocytes [#/volume] in Blood by Estimate 
  • Leukocytes [#/volume] in Blood by Automated count 
  • Leukocytes [#/volume] in Blood by Manual count 
  • Leukocytes [#/volume] in Blood 
  • Lymphocytes [#/volume] in Blood by Manual count 
  • Lymphocytes [#/volume] in Blood by Automated count 
  • Lymphocytes [#/volume] in Blood by Flow cytometry (FC) 
  • Lymphocytes [#/volume] in Blood 
  • Neutrophils [#/volume] in Blood by Manual count 
  • Neutrophils [#/volume] in Blood by Automated count 
  • Neutrophils [#/volume] in Blood 
  • aPTT in Blood by Coagulation 1:1 saline 
  • aPTT in Platelet poor plasma by Coagulation 1:1 saline 
  • aPTT in Platelet poor plasma by Coagulation assay 
  • aPTT in Blood by Coagulation assay 
  • Platelets [#/volume] in Platelet rich plasma by Automated count 
  • Platelets [#/volume] in Plasma by Automated count 
  • Platelets [#/volume] in Plasma 
  • Platelets [#/volume] in Capillary blood by Manual count 
  • Platelets [#/volume] in Blood by Manual count 
  • Platelets [#/volume] in Blood by Estimate 
  • Platelets [#/volume] in Blood by Automated count 
  • Platelets [#/volume] in Blood 
  • INR in Platelet poor plasma by Coagulation assay 
  • INR in Capillary blood by Coagulation assay 
  • INR in Blood by Coagulation assay 
  • Albumin [Mass/volume] in Blood by Bromocresol purple (BCP) dye binding method 
  • Albumin [Moles/volume] in Serum or Plasma by Bromocresol green (BCG) dye binding method 
  • Albumin [Moles/volume] in Serum or Plasma by Bromocresol purple (BCP) dye binding method 
  • Albumin [Mass/volume] in Serum or Plasma by Bromocresol purple (BCP) dye binding method 
  • Albumin [Mass/volume] in Serum or Plasma by Bromocresol green (BCG) dye binding method 
  • Albumin [Mass/volume] in Serum or Plasma by Electrophoresis 
  • Albumin [Mass/volume] in Serum or Plasma 
  • Albumin [Moles/volume] in Serum or Plasma 
  • Antithrombin [Moles/volume] in Platelet poor plasma by Chromogenic method 
  • Antithrombin in Platelet poor plasma by Chromo.no addition of heparin 
  • Antithrombin [Units/volume] in Platelet poor plasma by Chromogenic method 
  • Procalcitonin [Mass/volume] in Serum or Plasma by Immunoassay 
  • Procalcitonin [Mass/volume] in Serum or Plasma 
  • Interleukin 6 [Presence] in Serum or Plasma 
  • Interleukin 6 [Mass/volume] in Serum or Plasma 
  • Interleukin 6 [Mass/volume] in Cerebral spinal fluid 
  • Interleukin 6 [Mass/volume] in Body fluid 
  • Natriuretic peptide.B prohormone N-Terminal [Mass/volume] in Serum or Plasma 
  • Fibrinogen [Presence] in Platelet poor plasma 
  • Fibrinogen [Mass/volume] in Platelet poor plasma by Heat denaturation 
  • Fibrinogen [Mass/volume] in Platelet poor plasma by Coagulation.derived 
  • Fibrinogen [Mass/volume] in Platelet poor plasma by Coagulation assay 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Messwert, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Quantity
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Interpretation, description=Additional advice on the applicability of the reference range to this result or may carry text or coded textual guidance as to whether the result is within the normal range., comment=For example, 'within normal limits for age and sex'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
  • Carrier 
  • Better 
  • Significant change down 
  • Significant change up 
  • Worse 
  • Off scale low 
  • Off scale hig 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Validation time, description=The date and time that the analyte result was validated in the laboratory by a healthcare practitioner., comment=In many jurisdictions the 'Result status' is assumed to include medical validation i.e. a 'final' result will be assumed to be medically validated, but in others this will be recorded and reported separately using this data element., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Result status, description=The status of the analyte result value., comment=The values have been specifically chosen to match those in the HL7 FHIR Diagnostic report, historically derived from HL7v2 practice. Other local codes/terms can be used via the Text 'choice'., uncommonOntologyItems={fhir_mapping=Observation.status, hl7v2_mapping=OBX.11}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Registered 
    • Partial 
    • Preliminary 
    • Final 
    • Amended 
    • Corrected 
    • Appended 
    • Cancelled 
    • Entered in error 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Result status time, description=The date and time that the analyte result was issued for the recorded ‘Result status’., comment=null, uncommonOntologyItems={fhir_mapping=Observation.issued, hl7v2_mapping=OBX.19}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0026], code=at0026, itemType=ELEMENT, level=6, text=Probe ID, description=Identification of the specimen used for the analyte result., comment=In some situations, a single Laboratory test result archetype will contain multiple Specimen archetypes and multiple Analyte result archetypes. In these situations, this 'Specimen' data element is needed to be able to connect the results with the correct specimens., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0057], code=at0057, itemType=ELEMENT, level=5, text=Conclusion, description=Narrative description of the key findings., comment=For example: 'Pattern suggests significant renal impairment'. The content of the conclusion will vary, depending on the investigation performed. This conclusion should be aligned with the coded 'Test diagnosis'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[at0094], code=at0094, itemType=CLUSTER, level=3, text=Test request details, description=Details about the test request., comment=In most situations there is one test request and a single corresponding test result, however this repeating cluster allows for the situation where there may be multiple test requests reported using a single test result. As an example: 'a clinician asks for blood glucose in one request and Urea/electrolytes in a second request, but the lab analyser does both and the lab wishes to report these together'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.registereintrag.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[at0094]/items[at0062], code=at0062, itemType=ELEMENT, level=4, text=Identifikation der Laboranforderung, description=The local identifier assigned by the requesting clinical system., comment=Equivalent to the HL7 Placer Order Identifier., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null]], templateType=normal]