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

Concept

Archetype Id

Structure
The observations made in the microbiology laboratory based on a single specimen. This archetype can be repeated in one full microbiology report Id: openEHR-EHR-OBSERVATION.microbiology.v1
Reference model: EHR
ADL

History


Protocol

Data

State
Data: TREE

Concept

Description

Type

Cardinality

Values
Result label The label applied to this result by the laboratoryText
optional
0..1		 Free or coded text
Specimen, Details about the specimen received.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Sample description Description of the sampleText
optional
0..1		 Free or coded text
Site The site of samplingText
optional
0..1		 Free or coded text
Sampling method The method used for samplingText
optional
0..1		 Free or coded text
Sterile field Was the sample taken from a sterile fieldBoolean
optional
0..1		 True
Macroscopic findings, Observations without microscopy.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Colony count The count of coloniesCount
optional
0..1		 >= 0
Description Description of macroscopic findingsText
optional
0..1		 Free or coded text
Microscopic findings, Findings under microscopy.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
Microscopy field Microscopy field countsCount
optional
0..1		 >= 0
Description Description of the microscopic findingsText
optional
0..1		 Free or coded text
Culture, Group of findings related to microbiological culture.       Cluster (0..*) optional, repeating
 
Micro-organisam identified, The name of the micro-organism identified.       Cluster (0..*) optional, repeating
 
Therapeutic susceptibilities, A cluster containing the therapeutic susceptibilities for the named organisem.       Cluster (0..1) optional
 
Antimicrobial agent, The antibiotic or other anti-microbiological agent tested.       Cluster (0..*) optional, repeating
 

Concept

Description

Type

Cardinality

Values
Sensitivity Sensitivity of the identified microorganism to the therapeutic agenntOrdinal
optional
0..1		 0, Not sensitive
5, Borderline sensitivity
10, Sensitive
Quantified sensitivity A measure of the sensitivity based on a quantifiable methodQuantity
optional
0..1		 Property = CONCENTRATION
Units:
   %, (0..100)
Method of sensitivity The method used to determine sensitivityCoded text
optional
0..1		 Free or coded text

Concept

Description

Type

Cardinality

Values
Culture method The method of culturingCoded text
optional
0..1		 Free or coded text
Findings Any information specific to the cultureText
optional
0..1		 Free or coded text

Concept

Description

Type

Cardinality

Values
Overall comment Any overall commentText
optional
0..1		 Free or coded text

Events: HISTORY

Events

Description

Constraints

Values
specimen collection time Event of reporting - only used for serial measurementsPointInTime
1..*		  
Protocol: LIST

Concept


Ordered

Description

Type

Cardinality

Values
Microscope type The type of microscope used for microscopyText
optional, repeating
0..*		 Free or coded text
Stain Type of stain used in the microscopyCoded text
optional
0..1		 Free or coded text
Laboratory identifier The identifier used in the laboratory for this testText
optional
0..1		 Free or coded text
Adjustments Any adjustments madeText
optional, repeating
0..*		 Free or coded text
Methods Any methods usedText
optional, repeating
0..*		 Free or coded text

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