TEMPLATE Virologische/ Mikrobiologische Befunde (Virologische/ Mikrobiologische Befunde)

TEMPLATE IDVirologische/ Mikrobiologische Befunde
ConceptVirologische/ Mikrobiologische Befunde
DescriptionZur Repräsentation der Mikrobiologischen sowie Virologischen Befunde aus dem LEOSS-Datensatz für das COVID-19 Projekt.
UseZur Repräsentation der Mikrobiologischen sowie Virologischen Befunde aus dem LEOSS-Datensatz für das COVID-19 Projekt. Es werden Spezifische Laborwerte abgefragt.
MisuseNicht zur Repräsentation andere Laborwerte verwenden.
PurposeZur Repräsentation der Mikrobiologischen sowie Virologischen Befunde aus dem LEOSS-Datensatz für das COVID-19 Projekt.
References
AuthorsName: Sarah Ballout; Organsiation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
Other Details LanguageName: Sarah Ballout; Organsiation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
KeywordsVirologie; Mikrobiologie; Blut
Language useden
Citeable Identifier1246.169.787
Root archetype idopenEHR-EHR-COMPOSITION.report-result.v1
Result ReportResult Report: Document to communicate information to others about the result of a test or assessment.
Other Context
Bericht_NameBericht_Name: Identification information about the report.
  • Virology/Microbiology
StatusStatus: The status of the entire report. Note: This is not the status of any of the report components.
Virology/MicrobiologyVirology/Microbiology: An individual- or self-reported questionnaire screening for management or treatment carried out.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
VirologyVirology: Grouping of data elements related to screening for a single management or treatment activity.
Type of Virological testingType of Virological testing: Name of the management or treatment activity being screened.
  • PCR
  • Rapid test
  • Serology
  • None
  • Unknown
RT-PCR: Testing siteRT-PCR: Testing site: An individual- or self-reported questionnaire screening for management or treatment carried out.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
BloodBlood: Grouping of data elements related to screening for a single management or treatment activity.
BloodBlood: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
Bronchoalveolar lavageBronchoalveolar lavage: Grouping of data elements related to screening for a single management or treatment activity.
Bronchoalveolar lavageBronchoalveolar lavage: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
Cerebro-spinal fluidCerebro-spinal fluid: Grouping of data elements related to screening for a single management or treatment activity.
Cerebro-spinal fluidCerebro-spinal fluid: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
EyesEyes: Grouping of data elements related to screening for a single management or treatment activity.
Activity nameActivity name: Name of the management or treatment activity being screened.
StatusStatus: The current status of a specific activity.
  • Planned 
  • Scheduled 
  • Started 
  • Completed 
  • Not done 
  • Unknown 
  • Declined 
CompletedCompleted: The date/time when the activity was (last) carried out.
Partial dates are allowed.
ScheduledScheduled: The date/time when the activity is (next) due to be carried out.
CommentComment: Additional narrative about the specific management or treatment activity, not captured in other fields.
NasopharynxNasopharynx: Grouping of data elements related to screening for a single management or treatment activity.
NasopharynxNasopharynx: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
Organ biopsyOrgan biopsy: Grouping of data elements related to screening for a single management or treatment activity.
Organ biopsyOrgan biopsy: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
OropharynxOropharynx: Grouping of data elements related to screening for a single management or treatment activity.
OropharynxOropharynx: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
Pharyngeal fluid specimenPharyngeal fluid specimen: Grouping of data elements related to screening for a single management or treatment activity.
Pharyngeal fluid specimenPharyngeal fluid specimen: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
SputumSputum: Grouping of data elements related to screening for a single management or treatment activity.
SputumSputum: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
StoolStool: Grouping of data elements related to screening for a single management or treatment activity.
StoolStool: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
Tracheal aspirateTracheal aspirate: Grouping of data elements related to screening for a single management or treatment activity.
Tracheal aspirateTracheal aspirate: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
UrineUrine: Grouping of data elements related to screening for a single management or treatment activity.
UrineUrine: Name of the management or treatment activity being screened.
  • Yes
  • No
  • Not done
  • Unknown
RT-PCR: VirusstrainRT-PCR: Virusstrain: Grouping of data elements related to screening for a single management or treatment activity.
RT-PCR: VirusstrainRT-PCR: Virusstrain: Name of the management or treatment activity being screened.
  • L-Type
  • S-type
  • Unknown
  • Not done
RT-PCR: Tested target at diagnosisRT-PCR: Tested target at diagnosis: The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual.
Data
Any eventAny event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.
Data
LaborergebnisLaborergebnis: Name of the laboratory investigation performed on the specimen(s).
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)'.
  • RT-PCR: Tested target at diagnosis
RT-PCRRT-PCR: The result of a laboratory test for a single analyte value.
Lowest detected number of cyclesLowest detected number of cycles: The name of the analyte result.
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.
Optional[{fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}]
  • Lowest detected number of cycles
ResultsResults: The value of the analyte result.
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.
Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}]
  • Swab porsitive
  • Swab negative
  • No pharyngeal Swab
  • Unkwown
TiterTiter: The value of the analyte result.
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.
Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}]
Anti-SARS-CoV2 antibody titer IgAAnti-SARS-CoV2 antibody titer IgA: The result of a laboratory test for a single analyte value.
ResultsResults: The name of the analyte result.
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.
Optional[{fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}]
  • IgA-titer negative
  • IgA-titer positive
  • IgA-titer strongly positive
  • Not done
  • Unknown
TiterTiter: The value of the analyte result.
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.
Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}]
Anti-SARS-CoV2 antibody titer IgGAnti-SARS-CoV2 antibody titer IgG: The result of a laboratory test for a single analyte value.
ResultsResults: The name of the analyte result.
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.
Optional[{fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}]
  • IgG-titer negative
  • IgG-titer positive
  • IgG-titer strongly positive
  • Not done
  • Unknown
TiterTiter: The value of the analyte result.
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.
Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}]
Viral coinfectionsViral coinfections: The result of a laboratory test for a single analyte value.
MultiselectMultiselect: The name of the analyte result.
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.
Optional[{fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}]
  • Influenza
  • Respiratory syncytial virus
  • Other respiratory virus
  • None
  • Not tested
  • Unknown
SuperinfectionsSuperinfections: The result of a laboratory test for a single analyte value.
MultiselectMultiselect: The name of the analyte result.
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.
Optional[{fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}]
  • Proven bacterial infection
  • Probable or suspected bacterial infection
  • Proven fungal infection
  • Probable or suspected fungal infection
Analyte resultAnalyte result: The value of the analyte result.
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.
Optional[{fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}]
  •  Text
  •  Coded Text
CommentComment: Additional narrative about the analyte result, not captured in other fields.
Optional[{fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}]