| TEMPLATE ID | test undersøkelse vaginalsekret |
|---|---|
| Concept | test undersøkelse vaginalsekret |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Other Details (Language Independent) |
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| Language used | nb |
| Citeable Identifier | 1078.60.615 |
| Root archetype id | openEHR-EHR-COMPOSITION.encounter.v1 |
| Klinisk kontakt | Klinisk kontakt: Interaksjon, kontakt eller omsorgshendelse mellom et individ og helsepersonell. |
| Laboratory Test | Laboratory Test: The findings and interpretation of a pathology laboratory test performed on patient-related specimens. This archetype 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, e.g. microbiology, histopathology. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Test name | Test name: Identification of the pathology test performed, sometimes including specimen type and patient state. A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy". Optional[{fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}] |
| Test status | Test status: The status of the laboratory test result as a whole. Optional[{fhir_mapping=DiagnosticReport.status}]
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| Test status timestamp | Test status timestamp: The date and/or time that the entire result was issued for the recorded ‘Test Report Status’. Optional[{fhir_mapping=DiagnosticReport.issued}] |
| Diagnostic service category | Diagnostic service category: The diagnostic service that performs the examination. For example, biochemistry, haematology. This helps clinicians filter for broad categories of results accoridng to local laboratory arrangements. Coding with a terminology is desirable, where possible. Optional[{fhir_mapping=DiagnosticReport.serviceCategory, fhir_valueset=diagnostic-service-sections}] |
| Clinical information provided | Clinical information provided: Description of clinical information available at the time of interpretation of results, which may include a link to the original clinical information provided in the test request. In HL7 fhir this information is held within the linked requestDetail.clinical Notes. Optional[{fhir_mapping=DiagnosticReport.requestDetail.clinicalNotes}] |
| Mikroskopi av vaginalsekret | Mikroskopi av vaginalsekret: Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing. |
| Pseudomyceler | Pseudomyceler: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Lactobasiller | Lactobasiller: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Forhold leukocytter/epitelceller | Forhold leukocytter/epitelceller: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Epitelcelleklassifikasjon | Epitelcelleklassifikasjon: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Mikroskopi av cervicalsekret | Mikroskopi av cervicalsekret: Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing. |
| Laboratory result | Laboratory result: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Snifftest av vaginalsekret | Snifftest av vaginalsekret: Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing. |
| Laboratory result | Laboratory result: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Tegn på bakteriell vaginose | Tegn på bakteriell vaginose: Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded. Optional[{fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}] |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| pH av vaginalsekret | pH av vaginalsekret: Laboratory test result as a single value or in a panel/battery format common to clinical pathology testing. |
| Laboratory result | Laboratory result: Specific detailed result, including both the value of the result item, and additional information that may be useful for clinical interpretation. |
| Comment | Comment: Comment about the Result. Optional[{fhir_mapping=Observation.comments, hl7v2_mapping=NTE.3}] |
| Reference range guidance | Reference range guidance: Additional advice on the applicability of the reference range. |
| Result status | Result status: The status of the result value. Optional[{fhir_mapping=status, hl7v2_mapping=OBX-11-observation result status}]
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| Result status timestamp | Result status timestamp: The date and/or time that the entire result was issued for the recorded ‘Result status’. Optional[{fhir_mapping=Observation.issued, hl7v2_mapping=OBX-22 and/or OBX-19}] |
| Conclusion | Conclusion: Concise and clinically contextualised narrative interpretation of the laboratory test results. Optional[{fhir_mapping=DiagnosticReport.conclusion}] |
| Pathological diagnosis | Pathological diagnosis: Single word, phrase or brief description representing the narrative in the 'Conclusion'. Coding with a terminology is preferred, where possible. Optional[{fhir_mapping=DiagnosticReport.codedDiagnosis}] |
| Comment | Comment: Additional narrative about the test not captured in other fields. |
| Test representation | Test representation: Rich text or other multimedia representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they must be semantically equivalent. Optional[{fhir_mapping=DiagnosticReport.presentedForm}] |
| State | |
| Confounding factors | Confounding factors: Aspects of the condition or circumstances of the patient that may alter interpretation of the laboratory test. |
| Protocol | |
| Laboratory test identifier | Laboratory test identifier: The local identifier given to the laboratory test result by the Laboratory Information System. Optional[{fhir_mapping=DiagnosticReport.identifier}] |
| Test request details | Test request details: Details concerning a single laboratory test requested. Usually there is one test request (or "order") for each result, however in some circumstances multiple test requests may be represented using a single Pathology test result archetype. Optional[{fhir_mapping=DiagnosticReport.requestDetail}] |
| Original test requested Name | Original test requested Name: Identification of the original laboratory test requested, where the test requested differs from the test actually performed. |
| Requester order identifier | Requester order identifier: The local ID assigned to the test order by the order requester. Equivalent to the HL7 Placer Order Identifier. |
| Receiver order identifier | Receiver order identifier: The local ID assigned to the test order by the order filler, usually by the Laboratory Information System (LIS). Assigning an identifier to a request by the Laboratory lnformation System (LIS) enables tracking progress of the request and enables linking results to requests. It also provides a reference to assist with enquiries and it is usually equivalent to the HL7 Filler Order Identifier. |
| Point of care device | Point of care device: True if a point of care device supplies the test result rather than a formal laboratory service. Antatt verdi: false |