Lab
Class PathologyResult

This class documents the results of a Pathology observation event. Note that the VA makes a distinction between AnatomicalPathology, Cytopathology, ElectronMicroscopy, and SurgicalPathology, all of which are handled by this one class. Also, a large portion of Autopy observations take the form of pathology reports.

Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text. The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain. The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary. The report may also contain images and diagnoses. It is noted that this entire structure could easily be replaced by a Clinical Document; in the future we may point to Clinical Document rather than maintain a separate Pathology Result structure.

Attributes
PractitionerParticipation anatomicPathologist anatomicPathologist

A clinician who is board certifified in the field of Anatomic Pathology. This person may or may not also be board certified in the field of Clinical Pathology. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study.

PractitionerParticipation clinicalPathologist clinicalPathologist

A clinician who is board certifified in the field of Clinical Pathology. This person may or may not also be board certified in the field of Anatomic Pathology. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, but limited to the clinical, non-anatomic pathology testing (e.g., hematology, chemistry)

Diagnosis diagnosis diagnosis

Diagnoses associated with the Pathology Report. Such diagnoses are typically determined by the pathologist based on the observations made and documented in the report.

Image image image

An image associated with the Pathology Report.

LabReportSection pathologyReportSection pathologyReportSection

A section of a Pathology Report. Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text. The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain. The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.

ReferenceRange referenceRange referenceRange

Anitbiotic Sensitivity observations generally do not have a reference range, so the inherited reference range is being constrained out. FHIR and CIMI both are designed so any Observation can have a reference range, but generally only numeric observations use reference ranges.

PractitionerParticipation residentAnatomicPathologist residentAnatomicPathologist

A clinician who is currently undergoing a Anatomic Pathology residency program. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, subject to the delegated authority and confirmation from the anatomic pathologist.

Attributes inherited from FHIM::Lab::LaboratoryObservation FHIM::Lab::LaboratoryObservation
dateDeemedReportable dateDeemedReportable, dateTimeOfAnalysis dateTimeOfAnalysis, laboratoryDirector laboratoryDirector, probability probability, reReleaseReason reReleaseReason, reportDate reportDate, transcription transcription, userDefinedAccessCheck userDefinedAccessCheck, topicCode topicCode, subId subId

Attributes inherited from FHIM::ClinicalObservation::ObservationStatement FHIM::ClinicalObservation::ObservationStatement
basedOn basedOn, bodySite bodySite, category category, componentObservation componentObservation, dataAbsentReason dataAbsentReason, dateTime dateTime, dateTimeIssued dateTimeIssued, deltaFlag deltaFlag, description description, deviceInstance deviceInstance, evaluationProcedure evaluationProcedure, exceptionValue exceptionValue, interpretationEvent interpretationEvent, method method, multimedia multimedia, observed observed, observedCharacteristic observedCharacteristic, referenceRange referenceRange, reliability reliability, resultStatus resultStatus, specimen specimen, value value, derivedFrom derivedFrom, hasMember hasMember, partOf partOf

Attributes inherited from FHIM::Common::ClinicalStatement FHIM::Common::ClinicalStatement
clinicalDataSource clinicalDataSource, contentVersion contentVersion, contextCode contextCode, encounter encounter, note note, recordStatus recordStatus, relatedClinicalInformation relatedClinicalInformation, sourceRecordType sourceRecordType, sourceSystem sourceSystem, subjectGroup subjectGroup, subjectOfInformation subjectOfInformation, subjectOfRecord subjectOfRecord, temporalContext temporalContext, topicCode topicCode, cosigned cosigned, recorded recorded, signed signed, verified verified

Attributes inherited from FHIM::Common::InformationEntry FHIM::Common::InformationEntry
identifier identifier

Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NamePathologyResult
Name Expression
NamespaceLab
Owned Template Signature
OwnerLab
Owning Template Parameter
PackageLab
Qualified NameFHIM::Lab::PathologyResult
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 anatomicPathologist
Public PractitionerParticipation anatomicPathologist

A clinician who is board certifified in the field of Anatomic Pathology. This person may or may not also be board certified in the field of Clinical Pathology. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NameanatomicPathologist
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::anatomicPathologist
Stereotype
Template Parameter
TypePractitionerParticipation
Upper1
Upper Value(1)
VisibilityPublic


 clinicalPathologist
Public PractitionerParticipation clinicalPathologist

A clinician who is board certifified in the field of Clinical Pathology. This person may or may not also be board certified in the field of Anatomic Pathology. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, but limited to the clinical, non-anatomic pathology testing (e.g., hematology, chemistry)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameclinicalPathologist
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::clinicalPathologist
Stereotype
Template Parameter
TypePractitionerParticipation
Upper1
Upper Value(1)
VisibilityPublic


 diagnosis
Public Diagnosis diagnosis

Diagnoses associated with the Pathology Report. Such diagnoses are typically determined by the pathologist based on the observations made and documented in the report.

Constraints:
Properties:

AggregationNone
Alias
AssociationpathologyResult_diagnosis
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquefalse
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namediagnosis
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::diagnosis
Stereotype
Template Parameter
TypeDiagnosis
Upper*
Upper Value(*)
VisibilityPublic


 image
Public Image image

An image associated with the Pathology Report.

Constraints:
Properties:

AggregationNone
Alias
AssociationpathologyResult_image
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquefalse
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameimage
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::image
Stereotype
Template Parameter
TypeImage
Upper*
Upper Value(*)
VisibilityPublic


 pathologyReportSection
Public LabReportSection pathologyReportSection

A section of a Pathology Report. Pathology results generally take the form of documents, which in turn are composed of sections containing free-form text. The College of American Pathologists lists a number of sections that a well-formed pathology report should or may contain. The Pathology Result class therefore is comprised of Lab Report Sections, the Section Title of which should come from some pre-defined vocabulary.

Constraints:
Properties:

AggregationNone
Alias
AssociationpathologyResult_labReportSection
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamepathologyReportSection
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::pathologyReportSection
Stereotype
Template Parameter
TypeLabReportSection
Upper*
Upper Value(*)
VisibilityPublic


 referenceRange
Public ReferenceRange referenceRange

Anitbiotic Sensitivity observations generally do not have a reference range, so the inherited reference range is being constrained out. FHIR and CIMI both are designed so any Observation can have a reference range, but generally only numeric observations use reference ranges.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0
NamereferenceRange
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::referenceRange
Stereotype
Template Parameter
TypeReferenceRange
Upper0
Upper Value(0)
VisibilityPublic


 residentAnatomicPathologist
Public PractitionerParticipation residentAnatomicPathologist

A clinician who is currently undergoing a Anatomic Pathology residency program. This person is responsible for applying clinical judgement to arrive at an interpretation of the subject of the study, subject to the delegated authority and confirmation from the anatomic pathologist.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassPathologyResult
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NameresidentAnatomicPathologist
Name Expression
NamespacePathologyResult
Opposite
OwnerPathologyResult
Owning Association
Owning Template Parameter
Qualified NameFHIM::Lab::PathologyResult::residentAnatomicPathologist
Stereotype
Template Parameter
TypePractitionerParticipation
Upper1
Upper Value(1)
VisibilityPublic