TEMPLATE patologi svarrapportmal colorectal cancer (112fe406-74b8-4380-a8d7-933f8a14fe16)

TEMPLATE ID112fe406-74b8-4380-a8d7-933f8a14fe16
Conceptpatologi svarrapportmal colorectal cancer
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Nils Petter Tveranger; organisation: Helse Vest; email: nils.petter.tveranger@helse-vest-ikt.no; date: 2019-11-11
Other Details Languagename: Nils Petter Tveranger; organisation: Helse Vest; email: nils.petter.tveranger@helse-vest-ikt.no; date: 2019-11-11
OtherDetails Language Independent{licence=licence, custodian_organisation=custodian_organisation, PARENT:MD5-CAM-1.0.1=PARENT:MD5-CAM-1.0.1, original_namespace=original_namespace, original_publisher=original_publisher, custodian_namespace=custodian_namespace, build_uid=build_uid}
Keywordspathology report, synoptic report
Language usednb
Citeable Identifier1078.60.801
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report-result.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1], code=at0000.1, itemType=COMPOSITION, level=0, text=Svarrapport, description=Dokument for å formidle informasjon til andre om svaret på en prøve eller undersøkelse., 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.report-result.v1]/context/other_context[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Rapport ID, description=Informasjon som identifiserer rapporten., 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.report-result.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Status, description=Status for hele rapporten. Merk: Dette er ikke statusen for noen av enkeltkomponentene i rapporten., 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.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1], code=at0000, itemType=INSTRUCTION, level=1, text=Helsetjenesteforespørsel, description=Forespørsel om utførelse av en helsetjeneste, til annet helsepersonell eller andre organisasjoner., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001], code=at0001, itemType=ACTIVITY, level=2, text=Forespørsel, description=Beskrivelse av tjenesten som forespørres., comment=null, uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Obligatorisk, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, 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.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=4, text=Patologiundersøkelse, description=Navn på forespurt tjeneste., comment=Koding av tjenestenavnet med et kodeverk er ønskelig, dersom tilgjengelig. For eksempel: "henvisning" til en endokrinolog for diabetesoppfølging., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Patologiundersøkelse
Standard verdi: Patologiundersøkelse, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0148], code=at0148, itemType=ELEMENT, level=4, text=Prøvekategori, description=Kategorisering av den forespurte tjenesten., comment=Koding av tjenestetypen med et kodeverk er ønskelig, dersom tilgjengelig. Dersom "Tjenestenavn" er kodet kan dette elementet i noen tilfeller utledes fra koden. For eksempel klinisk biokjemi eller mikrobiologisk laboratorium, ultralyd eller CT., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Histologi
  • Cytologi
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0152], code=at0152, itemType=ELEMENT, level=4, text=Klinisk problemstilling, description=Den kliniske årsaken for den forespurte tjenesten., comment=For eksempel "angina" eller "diabetes mellitus type 1". Koding av indikasjonen med et kodeverk er ønskelig, dersom tilgjengelig. Dette dataelementet tillater flere forekomster., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=4, text=Hastegrad, description=Hastegrad for utførelse av tjenesten., comment=Spesifikke definisjoner av "akutt" og "haster" vil variere mellom kliniske settinger, kliniske systemer, og forespørselens natur, og de er derfor ikke definert i arketypen. Dersom det er nødvendig å bruke eksplisitt timing, bør "Tjenesteintervall" oppgis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • CITO
  • Rutine
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Specimen (2)'], code=at0000, itemType=CLUSTER, level=4, text=Specimen (2), description=Et fysisk prøvemateriale for undersøkelse eller analyse, tatt fra eller relatert til et individ., comment=For eksempel kroppsvev, kroppsvæske eller matvare., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Obligatorisk, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Specimen (2)']/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Prøvetakingstidspunkt, description=Dato og tid for når prøvetakingen skal skje, eller har skjedd., comment=Denne dato/tidsregistreringen vil primært registreres i forbindelse med INSTRUCTION-timing, ACTION-tid, eller OBSERVATION-tider. Imidlertid er dette en kritisk informasjonsbit, og det kan være nyttig å ha mulighet til å også knytte den direkte til prøvematerialet., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Dato/Klokkeslett
  •  Intervall av dato/klokkeslett
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Specimen (2)']/items[at0080], code=at0080, itemType=ELEMENT, level=5, text=Antall beholdere, description=Det totale antallet fysiske enheter som prøvematerialet er fordelt på., comment=For eksempel antall bøtter, glass, rør, mikrorør, blokker, prøveglass eller grid., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale'], code=at0000, itemType=CLUSTER, level=4, text=Prøvemateriale, description=Et fysisk prøvemateriale for undersøkelse eller analyse, tatt fra eller relatert til et individ., comment=For eksempel kroppsvev, kroppsvæske eller matvare., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Uttaksmetode, description=Prøvetakingsmetoden som skal brukes eller ble brukt., comment=For eksempel venepunksjon, biopsi eller reseksjon. Koding av prøvetakingsmetoden med en terminologi er foretrukket, når det er mulig. Dersom prøvetakingsmetoden er inkludert i "Type prøvemateriale" gjennom bruk av prekoordinerte koder blir dette elementet overflødig., 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.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[at0087], code=at0087, itemType=ELEMENT, level=5, text=Anatomisk lokalisering, description=En enkel anatomisk lokalisering der prøvematerialet ble tatt fra., comment=Koding av den anatomiske lokaliseringen med en terminologi er foretrukket der det er mulig. Bruk dette dataelementet til å registrere prekoordinerte anatomiske lokaliseringer. Dersom behovene for registrering av den anatomiske lokaliseringen bestemmes i applikasjonen eller krever kompleks modellering slik som relative lokaliseringer, bruk SLOTet "Strukturert anatomisk lokalisering" i denne arketypen. Dersom den anatomiske lokaliseringen er med i "Type prøvemateriale" via prekoordinerte koder, blir dette dataelementet overflødig., 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.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[openEHR-EHR-CLUSTER.specimen_container.v0], code=at0000, itemType=CLUSTER, level=5, text=Prøvebeholder, description=Detaljer om en prøvebeholder., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Type beholder, description=Beskrivelse av typen beholder., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Prøveglass
  • Bøtte
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=6, text=Fiksering, description=Spesielle tilsetninger for fiksering eller til preservering., 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.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.specimen.v0 and name/value='Prøvemateriale']/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Beholder ID, description=Identifikator av beholderen. Dataelementet kan gjentas., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-INSTRUCTION.service_request.v1]/protocol[at0008], code=at0008, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=1, text=Laboratorieresultat, description=Resultat, inkludert funn og laboratoriets tolkning, av en laboratorieundersøkelse utført på prøvemateriale fra et individ eller relatert til individet., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=*@ internal @(en), 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, text=Uspesifisert hendelse, description=Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i en templat eller i en applikasjon., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=*@ internal @(en), 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Undersøkelsesnavn, description=Navn på laboratorieundersøkelsen som er utført på prøvematerialet., comment=Undersøkelsesnavnet kan dekke ett enkelt resultat eller en gruppe av resultater. Undersøkelsesnavnet kan kodes med medisinsk kodeverk som for eksempel NLK (Norsk laboratoriekodeverk), LOINC, SNOMED CT eller lokale laboratoriekodeverk. Eksempler kan være "Glukose", "Elektrolytter", "Blodgass", "Differensialtelling", "Dyrkning", "Kortisol (morgen)" eller "histologi melanom". Navnet kan noen ganger inneholde typen prøvemateriale og/eller pasientstatus, for eksempel "fastende blodglukose" "Kalium i svette", eller inneholde annen informasjon, som "Kalium (PNA blodgass)"., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatorisk, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Histologi
  • Cytologi
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0], code=at0000, itemType=CLUSTER, level=5, text=Prøvemateriale, description=Et fysisk prøvemateriale for undersøkelse eller analyse, tatt fra eller relatert til et individ., comment=For eksempel kroppsvev, kroppsvæske eller matvare., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Laboratoriets identifikator, description=En unik identifikator av prøvematerialet, som regel tilordnet av laboratoriet., comment=I noen sammenhenger som HL7 og IHE kalt "Accession Identifier", mens et norsk synonym er "Prøvenummer"., uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0034], code=at0034, itemType=ELEMENT, level=6, text=Dato/tid for mottak, description=Datoen og klokkeslettet da prøven ble mottatt på laboratoriet., comment=null, uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0080], code=at0080, itemType=ELEMENT, level=6, text=Antall beholdere, description=Det totale antallet fysiske enheter som prøvematerialet er fordelt på., comment=For eksempel antall bøtter, glass, rør, mikrorør, blokker, prøveglass eller grid., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0], code=at0000, itemType=CLUSTER, level=6, text=Prøvebeholder, description=Detaljer om en prøvebeholder., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Type beholder, description=Beskrivelse av typen beholder., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet tekst
    • Vevskassett  [Beholderen er en plastbeholder for parafinstøping av prøve.]
    • TMA-blokk  [Beholderen er en posisjonsbeholder for parafinstøping av prøve.]
    • Prøveglass  [Beholderen er et prøveglass.]
    • Objektglass  [Beholderen er et objektglass.]
    • Prøvebeholder  [Beholderen er en generisk prøvebeholder.]
    • Grid  [Beholderen er et rutenett for elektronmikroskopi.]
    • Prøvebrønn  [Beholderen er en prøvebrønn til prøve.]
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=7, text=Tilsetningsstoff, description=Spesielle tilsetninger for fiksering eller til preservering., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0013], code=at0013, itemType=ELEMENT, level=7, text=Beskrivelse, description=Fritekstbeskrivelse av beholderen., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[openEHR-EHR-CLUSTER.specimen_container.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Beholder ID, description=Identifikator av beholderen. Dataelementet kan gjentas., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0073], code=at0073, itemType=ELEMENT, level=5, text=Overordnet resultatstatus, description=Den overordnede statusen for hele laboratorieresultatet/prøven., comment=Verdiene er valgt spesifikt for å samsvare med verdiene i HL7 FHIR-ressursen "Diagnostic report", som historisk sett kommer fra HL7 v2. Andre lokale koder eller termer kan brukes ved å bruke datatypen "Fri eller kodet tekst. Dette elementet kan repeteres for å understøtte bruksområdene der statuser for forskjellige aspekter av resultatet er delt opp i flere elementer. Et eksempel på dette er de norske standard labsvarmeldingene i HIS 1.4-standarden, der status for svaret og status for laboratorieprosessen håndteres separat., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet tekst
    • Registrert  [Analysen er registrert i laboratoriesystemet, men svaret er ikke tilgjengelig per nå.]
    • Ufullstendig  [Dette er et delvis (dvs initalt, foreløpig eller preliminært) svar: Data i svaret kan være ukomplett eller ubekreftet.]
    • Foreløpig  [Verifiserte tidlige svar er tilgjengelige, men ikke alle svar er endelige. Dette er en underkategori av "Ufullstendig".]
    • Endelig  [Svaret er komplett og er bekreftet av ansvarlig person.]
    • Revidert  [Svaret har blitt modifisert etter å ha vært i status "Endelig", og er komplett og verifisert av ansvarlig person, og svardata er endret.]
    • Korrigert  [Svaret har blitt modifisert etter å ha vært i status "Endelig" og er komplett og verifisert. Dette er en underkategori til "Revidert".]
    • Tillegg  [Etter å ha vært satt som status "Endelig", har det blitt lagt nytt innhold til rapporten. Det eksisterende innholdet er uendret. Dette er en underkategori av "Revidert".]
    • Kansellert  [Svaret er utilgjengelig fordi analysen ikke ble påbegynt eller ferdigstilt (også kalt "avbrutt").]
    • Feilregistrert  [Analysesvaret har blitt trukket tilbake etter å ha vært i status "Endelig".]
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse'], code=at0000, itemType=CLUSTER, level=5, text=Makroskopisk undersøkelse, description=Funn og tolkninger av patologiundersøkelser utført på vev, celler og kroppsvæsker., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0019], code=at0019, itemType=ELEMENT, level=6, text=Undersøkelsestype, description=Spesifisering av hvilken type patologiundersøkelse som er utført., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet teksttermsett: external
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005], code=at0005, itemType=CLUSTER, level=6, text=Patologifunn, description=Detaljer om et individuelt patologifunn, ofte relatert til en spesifikk anatomisk lokalisering eller prøvemateriale., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[at0023], code=at0023, itemType=ELEMENT, level=7, text=Funnavn, description=Tekstlig navn på det spesifikke funnet., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Funnbeskrivelse, description=Fritekstbeskrivelse av patologifunnet., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[at0010], code=at0010, itemType=ELEMENT, level=7, text=Tolkning, description=Enkeltord, frase eller kort beskrivelse som representerer tolkningen av patologifunnet. Koding med en terminologi foretrekkes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0], code=at0000, itemType=CLUSTER, level=7, text=Multimedia Resource, description=Details about an multimedia representation of the clinical data., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Name, description=Title or identification of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Description, description=Narrative description of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Multimedia, description=Multimedia representation of the clinical observation or finding., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=8, text=URL, description=Internet link to the multimedia resource., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=8, text=Source, description=The source of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Author, description=Name of the creator of the resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Date created, description=Date/time that the multimedia resource was created., comment=null, uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Date published, description=Date/time that the multimedia resource was published., comment=null, uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=8, text=Version, description=The version of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0005]/items[at0017], code=at0017, itemType=ELEMENT, level=7, text=Prøvebeholder-ID, description=Referanse ID, URI eller tekst til en prøvebeholder relatert til dette funnet., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  URI
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Undersøkelsesbeskrivelse, description=Fritekstbeskrivelse av patologiundersøkelsen., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Makroskopisk undersøkelse']/items[at0018], code=at0018, itemType=ELEMENT, level=6, text=Prøvebeholder-ID, description=Referanse ID, URI eller tekst til en prøvebeholder relatert til denne undersøkelsen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  URI
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse'], code=at0000, itemType=CLUSTER, level=5, text=Mikroskopisk undersøkelse, description=Funn og tolkninger av patologiundersøkelser utført på vev, celler og kroppsvæsker., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0019], code=at0019, itemType=ELEMENT, level=6, text=Undersøkelsestype, description=Spesifisering av hvilken type patologiundersøkelse som er utført., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet teksttermsett: external
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005], code=at0005, itemType=CLUSTER, level=6, text=Patologifunn, description=Detaljer om et individuelt patologifunn, ofte relatert til en spesifikk anatomisk lokalisering eller prøvemateriale., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[at0023], code=at0023, itemType=ELEMENT, level=7, text=Funnavn, description=Tekstlig navn på det spesifikke funnet., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Funnbeskrivelse, description=Fritekstbeskrivelse av patologifunnet., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[at0010], code=at0010, itemType=ELEMENT, level=7, text=Tolkning, description=Enkeltord, frase eller kort beskrivelse som representerer tolkningen av patologifunnet. Koding med en terminologi foretrekkes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0], code=at0000, itemType=CLUSTER, level=7, text=Multimedia Resource, description=Details about an multimedia representation of the clinical data., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Name, description=Title or identification of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Description, description=Narrative description of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Multimedia, description=Multimedia representation of the clinical observation or finding., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=8, text=URL, description=Internet link to the multimedia resource., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=8, text=Source, description=The source of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Author, description=Name of the creator of the resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Date created, description=Date/time that the multimedia resource was created., comment=null, uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Date published, description=Date/time that the multimedia resource was published., comment=null, uncommonOntologyItems=null, 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=8, text=Version, description=The version of the multimedia resource., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0005]/items[at0017], code=at0017, itemType=ELEMENT, level=7, text=Prøvebeholder-ID, description=Referanse ID, URI eller tekst til en prøvebeholder relatert til dette funnet., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  URI
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Undersøkelsesbeskrivelse, description=Fritekstbeskrivelse av patologiundersøkelsen., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.anatomical_pathology_exam.v0 and name/value='Mikroskopisk undersøkelse']/items[at0018], code=at0018, itemType=ELEMENT, level=6, text=Prøvebeholder-ID, description=Referanse ID, URI eller tekst til en prøvebeholder relatert til denne undersøkelsen., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  URI
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0], code=at0000, itemType=CLUSTER, level=5, text=Synoptisk rapport - Colorectal cancer, description=Synoptic findings about colorectal cancer found on histopathological examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0330], code=at0330, itemType=ELEMENT, level=6, text=Neoadjuvant therapy given, description=Has neoadjuvant therapy been given?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes  [Neoadjuvant therapy has been given.]
  • No  [Neoadjuvant therapy has not been given.]
  • Not known  [It is not known if neoadjuvant therapy has been given.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004], code=at0004, itemType=CLUSTER, level=6, text=Macroscopic findings, description=Macroscopic anatomical pathology findings related to colorectal cancer., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0007], code=at0007, itemType=ELEMENT, level=7, text=Maximum extramuscular extension, description=The maximum extramuscular extension of the tumour., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 mm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Anastomotic doughnuts submitted, description=Have anastomotic doughnuts been submitted for analysis?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0009], code=at0009, itemType=CLUSTER, level=7, text=Tumour perforation, description=Findings related to tumour perforation., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=8, text=Tumour perforation, description=Finding of tumour perforation. Tumor perforation is a macroscopically visible defect through the tumor, so that the bowel lumen is in communication with the external surface of the resection specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Tumour perforation is present.]
  • Absent  [Tumour perforation is absent.]
  • Equivocal  [It is uncertain whether a tumour perforation is present.]
  • Indeterminate  [Presence of tumour perforation has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0009]/items[at0011], code=at0011, itemType=ELEMENT, level=8, text=Perforation location, description=The location of a perforation, if present., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Retro/infra peritoneal  [The perforation is retro/infra peritoneal.]
  • Serosal  [The perforation is serosal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0009]/items[at0012], code=at0012, itemType=ELEMENT, level=8, text=Comment, description=Narrative comment on the perforation., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0013], code=at0013, itemType=CLUSTER, level=7, text=For rectal tumours, description=Findings related solely to rectal tumours., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=8, text=Relationship to anterior peritoneal reflection, description=The relationship of rectal tumour to the lowest level of the anterior peritoneal reflection., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Entirely above  [The tumour is entirely above the level of the peritoneal reflection anteriorly.]
  • Astride  [The tumour is astride (or at) the level of the peritoneal reflection anteriorly.]
  • Entirely below  [The tumour is entirely below the level of the peritoneal reflection anteriorly.]
  • Indeterminate  [Relationship to anterior peritoneal reflection has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0013]/items[at0015], code=at0015, itemType=ELEMENT, level=8, text=Intactness of the mesorectum, description=An assessment of the intactness of the mesorectum. The specimen is scored according to the worst area., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Complete  [A good bulk of mesorectum with a smooth surface. No coning near the tumor. No defects more than 5 mm deep.]
  • Nearly complete  [Moderate bulk of mesorectum. Irregular surface with defects greater than 5 mm, but not extending to the muscularis propria. Moderate degree of coning may be seen.]
  • Incomplete  [Little bulk of mesorectum, very irregular with defects down to the muscularis propria.]
  • Indeterminate  [Intactness of the mesorectum has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0004]/items[at0373], code=at0373, itemType=ELEMENT, level=7, text=Comment, description=A text comment on the macroscopic findings., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001], code=at0001, itemType=CLUSTER, level=6, text=Microscopic findings, description=Microscopic anatomical pathology findings related to colorectal cancer., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0033], code=at0033, itemType=ELEMENT, level=7, text=Histological tumour type, description=Histologic classification of the tumour., comment=Use of a terminology is preferred. Commonly the WHO classification is used., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet tekst
    • Adenocarcinoma  [Usual type of colorectal carcinoma.]
    • Adenocarcinoma, cribriform comedo-type  [Carcinoma with extensive large cribriform glands with central necrosis.]
    • Medullary carcinoma  [Variant with a solid architecture and prominent tumor infiltrating lymphocytes.]
    • Adenocarcinoma, micropapillary type  [Variant with small clusters of tumor cells within stromal spaces.]
    • Mucinous adenocarcinoma  [Variant of adenocarcinoma with more than 50% extracellular mucin.]
    • Adenocarcinoma, serrated type  [Variant with glandular serration similar to a sessile serrated polyp.]
    • Signet ring cell carcinoma  [Variant of adenocarcinoma with more than 50% signet ring cells.]
    • Adenosquamous carcinoma  [A neoplasm comprising both adenocarcinoma and squamous cell carcinoma.]
    • Spindle cell carcinoma  [A biphasic carcinoma with a spindle- cell sarcomatoid component in which the tumour cells are at least focally immunoreactive for keratins.]
    • Squamous cell carcinoma  [Primary squamous carcinoma excluding upwardly spreading anal tumours.]
    • Undifferentiated carcinoma  [Carcinoma without gland formation, mucin, squamous or neuroendocrine differentiation.]
    • Neuroendocrine tumour G1  [A tumour with neuroendocrine features and a mitotic sount <2 per 10 HPF and/or < 3% Ki67 index.]
    • Neuroendocrine tumour G2  [A tumour with neuroendocrine features and a mitotic sount 2-20 per 10 HPF and/or 3-20% Ki67 index.]
    • Neuroendocrine carcinoma  [A carcinoma with neurendocrine features and a mitotic count >20 per 10 HPF and/or >20% Ki67 index.]
    • Neuroendocrine carcinoma, large cell  [A carcinoma with neurendocrine features composed of intermediate to large cells with a mitotic count >20 per 10 HPF and/or >20% Ki67 index.]
    • Neuroendocrine carcinoma, small cell  [A carcinoma with neurendocrine features composed of small cells with a mitotic count >20 per 10 HPF and/or >20% Ki67 index.]
    • Mixed adenoneuroendocrine carcinoma  [A carcinoma with morphologicalle recognizable phenotype composed of both epithelial and neuroendocrine elements where at least 30% of either component is identified.]
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0323], code=at0323, itemType=ELEMENT, level=7, text=Distance of invasion, description=Maximal distance of tumour invasion beyond the muscularis propria., comment=Only applicable for tumors invading beyond the muscularis propria (T3) and not yet having invaded the peritoneum or adjacent structures., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 mm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0389], code=at0389, itemType=CLUSTER, level=7, text=Response to neoadjuvant therapy, description=Assessment of response to neoadjuvant therapy., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0389]/items[at0390], code=at0390, itemType=ELEMENT, level=8, text=Description, description=Text description of regression changes after neoadjuvant therapy., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0269], code=at0269, itemType=CLUSTER, level=7, text=Histological grading, description=Histological tumour grade., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0269]/items[at0271], code=at0271, itemType=ELEMENT, level=8, text=Comment, description=A text comment on histological grading., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0030], code=at0030, itemType=CLUSTER, level=7, text=Lymph node findings, description=Findings related to the involvement of tumour in lymph nodes., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0030]/items[at0365], code=at0365, itemType=ELEMENT, level=8, text=Status of apical lymph node, description=Status of the highest lymph node closest to the main vascular tie(s)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Metastasis present  [A metastasis in the highest lymph node is detected.]
  • Metastasis absent  [A metastasis in the highest lymph node is not detected.]
  • Equivocal  [It is uncertain whether a metastasis is present or not.]
  • Indeterminate  [The status of the highest lymph node could not be assessed, e.g. because the resection did not contain an apical lymph node.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0030]/items[at0348], code=at0348, itemType=ELEMENT, level=8, text=Comment, description=An additional text comment on lymph node findings., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0403], code=at0403, itemType=CLUSTER, level=7, text=Tumour deposits, description=Details about tumour deposits., comment=Tumour deposits (satellites) are discrete macroscopic or microscopic nodules of cancer in the pericolorectal adipose tissue’s lymph drainage area of a primary carcinoma that are discontinuous from the primary and without histological evidence of residual lymph node or identifiable vascular or neural structures., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0403]/items[at0404], code=at0404, itemType=ELEMENT, level=8, text=Assessment of tumour deposits, description=Simple assessment of tumour deposits., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Tumour deposits are detected.]
  • Absent  [Tumour deposits are not detected.]
  • Equivocal  [Det er uncertain whether tumour deposits are present or absent.]
  • Indeterminate  [Presence or absence of tumour deposits has not been assessed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0403]/items[at0281], code=at0281, itemType=ELEMENT, level=8, text=Number of tumour deposits, description=Number of tumour deposits. Only relevant if lymph node metastasis is absent., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Not applicable  [If positive lymph nodes are present, the status of tumour deposits is irrelevant and thus not applicable.]
  • [Tumor deposits are absent.]
  • [One tumor deposit is present.]
  • [Two tumor deposits are present.]
  • [Three tumor deposits are present.]
  • [Four tumor deposits are present.]
  • [Five tumor deposits are present.]
  • >5  [More than five tumor deposits are present.]
  • Equivocal  [It is uncertain whether tumor deposits are present.]
  • Indeterminate  [Presence of tumour deposits has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0403]/items[at0409], code=at0409, itemType=ELEMENT, level=8, text=Comment, description=Comment on tumour deposits., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0278], code=at0278, itemType=CLUSTER, level=7, text=Local tissue invasion, description=Findings related to local tissue invasion by tumour., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0263], code=at0263, itemType=CLUSTER, level=7, text=Distant metastasis, description=Findings related to distant metastasis., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0263]/items[at0264], code=at0264, itemType=ELEMENT, level=8, text=Distant metastasis, description=Findings of histologically confirmed distant metastasis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Evidence of distant metastasis.]
  • Absent  [No evidence of distant metastasis.]
  • Indeterminate  [Evidence of metastasis has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0263]/items[at0265], code=at0265, itemType=ELEMENT, level=8, text=Description, description=A text description of distant metastases., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0366], code=at0366, itemType=CLUSTER, level=7, text=Polyps, description=Findings of polyps., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0366]/items[at0359], code=at0359, itemType=ELEMENT, level=8, text=Type of polyp, description=Type of polyp. Coding of the specific polyp with a terminology is preferred, where possible., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0366]/items[at0338], code=at0338, itemType=ELEMENT, level=8, text=Number of polyps, description=Number of polyps specified above., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0366]/items[at0367], code=at0367, itemType=ELEMENT, level=8, text=Polyposis syndrome, description=Evidence of polyposis syndrome., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [There is evidence of polyposis syndrome.]
  • Absent  [There is no evidence of polyposis syndrome.]
  • Equivocal  [It is uncertain whether a polyposis syndrome is present.]
  • Indeterminate  [Evidence of polyposis syndrome has not been determined.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0366]/items[at0371], code=at0371, itemType=ELEMENT, level=8, text=Comment, description=Comment concerning polyps., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0179], code=at0179, itemType=CLUSTER, level=7, text=Additional findings, description=Additional histopathological findings., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0179]/items[at0250], code=at0250, itemType=ELEMENT, level=8, text=Additional finding, description=A single additional histopathological finding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet tekst
    • Synchronous carcinoma  [Synchronous carcinoma is present.]
    • Ulcerative colitis  [Ulcerative colitis is present.]
    • Ulcerative colitis with dysplasia  [Ulcerative colitis with dysplasia is present.]
    • Crohn's disease  [Crohn's disease is present.]
    • Crohn's disease with dysplasia  [Crohn's disease with dysplasia is present.]
    • Diverticulosis  [Diverticulosis is present.]
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0179]/items[at0220], code=at0220, itemType=ELEMENT, level=8, text=Description, description=A text description of additional findings., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.synoptic_details_colorectal_carcinoma.v0]/items[at0001]/items[at0309], code=at0309, itemType=ELEMENT, level=7, text=Comment, description=A text comment on the microscopic findings., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0], code=at0000, itemType=CLUSTER, level=5, text=Kompleks patologi diagnose, description=Tilpasset patologien sitt behov for en strukturert diagnose., comment=Skal inneholde minst en av enten Morfologi eller sykdom., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=BeholderID, description=Referanse til en eller flere beholdere som inneholder prøvemateriale diagnosen omhandler., comment=Eksempel på innhold: 7, 2-4, #1, #3, #6, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Anatomisk opprinnelse, description=Anatomisk lokasjon prøvematerialet er hentet fra., comment=Skal primært referere til en NORPAT T-kode., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Morfologi, description=Morfologi., comment=Skal primært referere til en NORPAT M-kode., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Sykdom, description=Sykdom., comment=Skal primært referere til en NORPAT S-kode., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Etiologi, description=Etiologi, comment=Skal primært referere til en NORPAT E-kode., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Funksjon, description=Funksjon., comment=Skal primært referere til en NORPAT F-kode., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Diagnose fritekst, description=Ytterligere detaljering av diagnosen., comment=Brukes primært når det er behov for ytterligere detaljering av diagnosen., 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.complex_pathology_diagnosis.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=6, text=Kommentar, description=Kommenterer til diagnosen., 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.report-result.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=Analyseresultat, description=Resultatet av en individuell laboratorieanalyse., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0027], code=at0027, itemType=ELEMENT, level=6, text=Resultatrekkefølge, description=Plasseringen av dette analyseresultatet i den overordnede rekkefølgen av resultater., comment=For eksempel "1", "2", "3". Dersom det er flere analyseresultater i en rapport gjør "Resultatrekkefølge" rekkefølgen i svarrapporten eksplisitt., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.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=Analysenavn, description=Navnet på analyseresultatet., comment=Verdien for dette elementet blir vanligvis lagt inn i en spesialisering av denne arketypen, i en templat, eller i applikasjonen. For eksempel "serum natrium" eller "hemoglobin". Det er sterkt anbefalt å kode dette elementet med en terminologi, for eksempel Norsk laboratoriekodeverk, NPU, LOINC, SNOMED CT eller lokale kodesett., uncommonOntologyItems={hl7v2_mapping=OBX.3, fhir_mapping=Observation.code}, 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.report-result.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=Analyseresultat, description=Verdien av analyseresultatet., comment=For eksempel "7,3 mmol/L" eller "Forhøyet". Datatypen "Udefinert datatype" må begrenses til en passende datatype i en spesialisering, et templat eller i applikasjonen. Datatypen Quantity har attributter fra referansemodellen som dekker flagg for normalt/unormalt, referanseområder og approksimeringer. Se https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for mer detaljer., uncommonOntologyItems={hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8, fhir_mapping=Observation.value[x]}, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ANY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.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=Veileder for referanseområde, description=Veileder for å finne ut om referanseverdien er relevant for dette resultatet. Kan inneholde tekst eller kodet tekstlig råd for om resultatet ligger innenfor normalområdet., comment=For eksempel "innenfor normale grenseverdier i forhold til alder og kjønn"., 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.report-result.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=Tidsangivelse for validering, description=Datoen og tidspunktet da analyseresultatet ble medisinsk validert i laboratoriet.", comment=I mange myndighetsområder omfatter "Resultatstatus" implisitt medisinsk validering, det vil si at et resultat med status "Endelig" vil antas å være medisinsk validert. I andre myndighetsområder kan dette registreres og rapporteres separat ved hjelp av dette dataelementet., uncommonOntologyItems=null, 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.report-result.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=Resultatstatus, description=Status for analyseresultatet., comment=Verdiene er valgt spesifikt for å samsvare med verdiene i HL7 FHIR-ressursen "Diagnostic report", som historisk sett kommer fra praksis i HL7 v2. Andre lokale koder eller termer kan brukes ved å bruke datatypen "Fri eller kodet tekst., uncommonOntologyItems={hl7v2_mapping=OBX.11, fhir_mapping=Observation.status}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Kodet tekst
    • Registrert  [Analysen er registrert i laboratoriesystemet, men resultatet er ikke tilgjengelig per nå.]
    • Ufullstendig  [Dette er et delvis (dvs initalt, foreløpig eller preliminært) svar: Data i resultatet kan være ukomplett eller ubekreftet.]
    • Foreløpig  [Verifiserte tidlige resultater er tilgjengelige, men ikke alle resultater er endelige. Dette er en underkategori av "Delvis".]
    • Endelig  [Resultatet er komplett og er bekreftet av ansvarlig person.]
    • Revidert  [Resultatet har blitt modifisert etter å ha vært i status "Endelig", og er komplett og verifisert av ansvarlig laboratorielege, og resultatdata er endret.]
    • Korrigert  [Resultatet har blitt modifisert etter å ha vært i status "Endelig", og er komplett og verifisert av ansvarlig laboratorielege. Dette er en underkategori av "Revidert".]
    • Tillegg  [Etter å ha vært satt som status "Endelig", har det blitt lagt nytt innhold til rapporten. Det eksisterende innholdet er uendret. Dette er en underkategori av "Revidert".]
    • Kansellert  [Resultatet er utilgjengelig fordi analysen ikke ble påbegynt eller ferdigstilt (også kalt "avbrutt").]
    • Feilregistrert  [Analyseresultatet har blitt trukket tilbake etter å ha vært i status Endelig.]
  •  Fri eller kodet tekst
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.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=Tidsangivelse for resultatstatus, description=Datoen og tidspunktet da analyseresultatet ble utstedt for den aktuelle "Analyseresultatstatus"., comment=null, uncommonOntologyItems={hl7v2_mapping=OBX.19, fhir_mapping=Observation.issued}, 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.report-result.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=Prøvemateriale, description=Identifikator eller link til prøvematerialet som ble brukt i analysen., comment=I noen situasjoner vil én Laboratorieresultat-arketype inneholde flere Prøvemateriale-arketyper og flere Analyseresultat-arketyper. I disse situasjonene må man bruke dette elementet for å kunne koble resultatene til de korrekte prøvematerialene., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifikator
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.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=Kommentar, description=Ytterligere fritekst om analyseresultatet som ikke fanges opp av andre elementer., comment=null, uncommonOntologyItems={hl7v2_mapping=NTE.3, fhir_mapping=Observation.note}, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=5, text=Kommentar, description=Tekstlig tilleggsinformasjon om analyseresultatet, som ikke er registrert i andre felt., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Valgfritt, gjentagende, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/state[at0112], code=at0112, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=State, description=*@ internal @(en), 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.report-result.v1]/content[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=*@ internal @(en), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null]], templateType=normal]