| TEMPLATE ID | test histopathology |
|---|---|
| Concept | test histopathology |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Other Details (Language Independent) |
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| Language used | nb |
| Citeable Identifier | 1078.60.663 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| Rapport | Rapport: Dokument som brukes for å kommunisere informasjon til andre, ofte som svar på en forespørsel. |
| Other Context | |
| Rapport ID | Rapport ID: Rapportidentifikator. |
| Status | Status: Status for hele rapporten. NB: Dette er ikke status for enkeltkomponentene i rapporten. |
| Laboratory result | Laboratory result: Funn og tolkning av laboratorieanalyse utført på prøvemateriale fra pasient. Denne arketypen kan brukes for å registrere en enkeltverdi av en analyse, men vil ofte bli spesialisert eller lagt inn i en templat for å representere flere verdier eller pakker av analyser. Denne arketypen fungerer også som forelder for spesialiserte laboratoresvar-arketyper, for eksempel mikrobiologi eller patologi. |
| Test name | Test name: Identifikasjon av den utførte analysen, av og til inkludert prøvetype og pasientens tilstand Et prøveresultat kan gjelde for en enkelt analyse eller en gruppe av analyser, inkludert analysepakker. Koding med en terminologi, eventuelt med en prekoordinert term inkludert prøvetype er å foretrekke, hvis mulig. Kan bli kodet med LOINC eller SNOMED CT eller nasjonale laboratoriekodeverk. Eksempler kan være "Glukose", "Urea og elektrolytter", "Dyrkning", "Kortisol (morgen)" eller "Leverbiopsi". Standard verdi: Kidney biopsy |
| Histopathology findings | Histopathology findings: Findings and interpretation of histopathology (anatomic pathology) tests performed on tissues and body fluids. |
| Microscopic findings | Microscopic findings: A group of findings within the histopathology examination. The Runtime name constraint allows identification of the type of histopathology examination performed. |
| Microscopic finding 1 | Microscopic finding 1: Details of an individual histopathology finding, often related to a specific anatomical location or specimen. |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Specimen type | Specimen type: The type of specimen to be collected e.g venous blood, prostatic biopsy. Optional[{fhir_mapping=Specimen.type}] Standard verdi: Kidney needle biopsy microscopy slide 1 |
| Specimen container | Specimen container: Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens. |
| Container type | Container type: The type of container.
|
| Related specimen | Related specimen: Details of a related specimen. |
| Parent specimen identifier | Parent specimen identifier: Unique identifier of the parent specimen, where the specimen is split into sub-samples. Standard verdi: Pathlab:Assigner:B1612345:Specimen |
| Description | Description: A narrative description of the histopathology finding. Standard verdi: Description, description, description |
| Microscopic finding 2 | Microscopic finding 2: Details of an individual histopathology finding, often related to a specific anatomical location or specimen. |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Specimen type | Specimen type: The type of specimen to be collected e.g venous blood, prostatic biopsy. Optional[{fhir_mapping=Specimen.type}] Standard verdi: Kidney needle biopsy microscopy slide 2 |
| Specimen container | Specimen container: Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens. |
| Container type | Container type: The type of container.
|
| Related specimen | Related specimen: Details of a related specimen. |
| Parent specimen identifier | Parent specimen identifier: Unique identifier of the parent specimen, where the specimen is split into sub-samples. Standard verdi: Pathlab:Assigner:B1612345:Specimen |
| Description | Description: A narrative description of the histopathology finding. |
| Electron microscopic finding | Electron microscopic finding: Details of an individual histopathology finding, often related to a specific anatomical location or specimen. |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Specimen type | Specimen type: The type of specimen to be collected e.g venous blood, prostatic biopsy. Optional[{fhir_mapping=Specimen.type}] Standard verdi: Kidney needle biopsy electron microscopy grid |
| Specimen container | Specimen container: Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens. |
| Container type | Container type: The type of container.
|
| Related specimen | Related specimen: Details of a related specimen. |
| Parent specimen identifier | Parent specimen identifier: Unique identifier of the parent specimen, where the specimen is split into sub-samples. Standard verdi: Pathlab:Assigner:B1612345:Specimen |
| Description | Description: A narrative description of the histopathology finding. |
| Test representation | Test representation: Rich text or other multimedia representation of this particular result as issued by the diagnostic service. Multiple formats are allowed but they must be semantically equivalent. |
| Description | Description: A narrative description of the group of histopathology findings. Standard verdi: Overall description of microscopic findings, if relevant |
| Macroscopic findings | Macroscopic findings: A group of findings within the histopathology examination. The Runtime name constraint allows identification of the type of histopathology examination performed. |
| Macroscopic findings container 1 | Macroscopic findings container 1: Details of an individual histopathology finding, often related to a specific anatomical location or specimen. |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Specimen type | Specimen type: The type of specimen to be collected e.g venous blood, prostatic biopsy. Optional[{fhir_mapping=Specimen.type}] Standard verdi: Kidney needle biopsy in formalin |
| Specimen container | Specimen container: Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens. |
| Container type | Container type: The type of container.
|
| Container additive | Container additive: Any special fixative or transport medium requirements. Standard verdi: Formalin |
| Related specimen | Related specimen: Details of a related specimen. |
| Parent specimen identifier | Parent specimen identifier: Unique identifier of the parent specimen, where the specimen is split into sub-samples. Standard verdi: Pathlab:Assigner:B1612345:Specimen |
| Description | Description: A narrative description of the histopathology finding. Standard verdi: 2 cores, 20 and 15 mm long |
| Macroscopic findings container 2 | Macroscopic findings container 2: Details of an individual histopathology finding, often related to a specific anatomical location or specimen. |
| Specimen | Specimen: To record details of a laboratory specimen. |
| Specimen type | Specimen type: The type of specimen to be collected e.g venous blood, prostatic biopsy. Optional[{fhir_mapping=Specimen.type}] Standard verdi: Kidney needle biopsy in McDowell solution |
| Specimen container | Specimen container: Details of a specimen container. This is often integral to workflow and reporting of pathology specimens, particularly anatomical and histological pathology specimens. |
| Container type | Container type: The type of container.
|
| Container additive | Container additive: Any special fixative or transport medium requirements. Standard verdi: McDowell solution |
| Related specimen | Related specimen: Details of a related specimen. |
| Parent specimen identifier | Parent specimen identifier: Unique identifier of the parent specimen, where the specimen is split into sub-samples. Standard verdi: Pathlab:Assigner:B1612345:Specimen |
| Description | Description: A narrative description of the histopathology finding. Standard verdi: 1 core, 19 mm long |
| Description | Description: A narrative description of the group of histopathology findings. Standard verdi: Overall description of macroscopic findings, if relevant |
| Conclusion | Conclusion: Konsis, tekstlig tolkning av laboratoriesvaret, satt i en klinisk sammenheng. Standard verdi: Conclusion based on all findings. Blablabla. |
| Diagnosis 1 | Diagnosis 1: Enkeltord, frase eller kort beskrivelse som beskriver teksten i "Konklusjon". Koding med en terminologi foretrekkes, der det er mulig. |
| Diagnosis 2 | Diagnosis 2: Enkeltord, frase eller kort beskrivelse som beskriver teksten i "Konklusjon". Koding med en terminologi foretrekkes, der det er mulig. |