Histology: Observation
Generated by the Ocean HTML generator: 25/05/2006 Comments to Ocean Informatics Copyright openEHR Foundation © 2006

Concept

Archetype Id

Structure
Histological findings as part of a histology report Id: openEHR-EHR-OBSERVATION.histology.v1
Reference model: EHR
ADL

History


Protocol

Data

State
Data: TREE

Concept

Description

Type

Cardinality

Values
Clinical Clinical notes sent with requestText
optional
0..1		 Free or coded text
Specimen, Details of specimen.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Description Details of the specimenText
optional
0..1		 Free or coded text
Body site The body site from which the specimen was taken Text
optional
0..1		 Free or coded text
Macroscopic, Macroscopic findings.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Appearance The macroscopic appearances of the tissueText
optional
0..1		 Free or coded text
Image Images of macroscopic appearanceMultiMedia
optional, repeating
0..*		 image/cgm
image/gif
image/png
image/tiff
image/jpeg
Microscopic, Microscopic findings.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Findings Microscopic findingsText
optional
0..1		 Free or coded text
Image Images associated with microscopyMultiMedia
optional, repeating
0..*		 image/cgm
image/gif
image/png
image/tiff
image/jpeg
Specific findings, Findings or image related to a specific slide, stain or magnification.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Magnification The magnification of microscopyCount
optional
0..1		 >= 1
Stain The stain usedText
optional, repeating
0..*		 Free or coded text
Slide identifier The label of the slide from which the image was takenText
optional
0..1		 Free or coded text
Findings Microscopic findingsText
optional
0..1		 Free or coded text
Image Images associated with microscopyMultiMedia
optional, repeating
0..*		 image/cgm
image/gif
image/png
image/tiff
image/jpeg
Quality, Quality issues.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Labelling Problem with labellingCoded text
optional
0..1		 Slide unlabelled (container labelled)
Container unlabelled (slide labelled)
Specimen unlabelled
Preservative Problem with preserving of the specimenCoded text
optional
0..1		 Incorrect preservative
Insufficient preservative
Specimen Problem with the specimenCoded text
optional
0..1		 Insifficient specimen
Damaged specimen
Contaminated specimen
Comment Comment on qualityText
optional
0..1		 Free or coded text

Concept

Description

Type

Cardinality

Values
Multimedia representation The multimedia representation of the resultMultiMedia
optional
0..1		 text/html
text/plain
text/rtf
text/xml
text/xml-external-parsed-entity

Events: HISTORY

Events

Description

Constraints

Values
Specimen collected The specimen collectionPointInTime
1..1		  
Protocol: TREE
Identification, Information identifying this histological findings entry.       Cluster (0..1, ordered) optional
 

Concept

Description

Type

Cardinality

Values
Sample identification Information identifying the specimenText
optional
0..1		 Free or coded text
Laboratory Laboratory entity identifierText
optional
0..1		 Free or coded text
Process, Information about handling of the specimen.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Date received by laboratory The date (and time) received in the laboratoryDate & Time
mandatory
1..1		 Allow all
yyyy-??-??T??:??:??

Supported by the General Practice Computing Group of Australia through funding from the Commonwealth Department of Health and Ageing