TEMPLATE Demo with hide-on-form (Demo with hide-on-form)

TEMPLATE IDDemo with hide-on-form
ConceptDemo with hide-on-form
DescriptionTo show how hide on form works within templates to not display unwanted structural items.
PurposeTo show how hide on form works within templates to not display unwanted structural items.
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.1
Root archetype idopenEHR-EHR-COMPOSITION.encounter.v1
EncounterEncounter: Generic encounter or progress note composition
SOAPSOAP: Problem-oriented heading in the record of the problem presented by the patient or client
SS: The subjective findings or story told by the person.
HistoryHistory: A structure to collect information provided by the person or information provider in relation to the symptoms and difficulties they are presenting to the clinician
StoryStory: Information provided about the person
DetailsDetails: *
Issue presented by a personIssue presented by a person: An issue, symptom, or complaint presented to the health provider seeking explanation, education, understanding, investigation or treatment
IssueIssue: The issue as presented by the person
DetailDetail: Detailed information about the issue or health problem
SymptomSymptom: A symptom experienced by the patient
SymptomSymptom: The symptom experienced
  • short of breath
FeaturesFeatures: The features of the symptom
Clinical descriptionClinical description: Description of the symptom
SeveritySeverity: The severity of the symptom
  • 1: trivial 
  • 2: mild 
  • 5: moderate 
  • 8: severe 
  • 9: very severe 
Current intensity degreeCurrent intensity degree: The degree the symptom is bothering the patient
  • 0: not present 
  • 1: trivial 
  • 2: mild 
  • 5: moderate 
  • 8: severe 
  • 9: very severe 
DurationDuration: The duration of the symptom since onset
CharacterCharacter: The character of the symptom
VariationVariation: The variation of the symptom
  • Constant 
  • Intermittent 
  • Fluctuating 
Precipitating factorsPrecipitating factors: Factors that trigger or bring on the symptom
Precipitating factorPrecipitating factor: An event or activity that brings on or triggers the symptom
ModificationModification: Factors that change the level of intensity of the symptom
Modifying factorModifying factor: Information about a specific factor that changes the symptom
FactorFactor: An event or activity that modifies the symptom
ChangeChange: An event or activity that makes the symptom worse
  • -3: Relieved completely 
  • -2: Made better 
  • -1: Somewhat improved 
  • 0: No change 
  • 1: Somewhat worse 
  • 2: Made worse 
  • 3: Much worse 
DetailsDetails: Details of the effect
OO: The objective findings or observations made by the clinician.
Blood PressureBlood Pressure: The local measurement of arterial blood pressure which is a surrogate for arterial. pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm.
SystolicSystolic: Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle.
0..1000 mmHg
DiastolicDiastolic: Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle.
0..1000 mmHg
CommentComment: Comment on blood pressure measurement.
PositionPosition: The position of the subject at the time of measurement.
  • Standing 
  • Sitting 
  • Lying 
Assumed value: Sitting
Cuff sizeCuff size: The size of the cuff used for blood pressure measurement.
Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993;88;2460-2470.
  • Adult Thigh 
  • Large Adult 
  • Adult 
  • Small Adult 
PulsePulse: The mechanical heart rate - usually measured by palpation
FindingsFindings: *
RateRate: The rate of the heart as beats per minute
>=0 /min
RhythmRhythm: The rhythm of the heart beat
  • Regular 
  • Irregular 
  • Irregularly irregular 
  • Bigeminy 
  • Trigeminy 
  • Occasional missed beats 
  • Frequent missed beats 
  • Sinus rhythm 
Body temperatureBody temperature: A measurement of the body temperature, which is a surrogate for the whole body temperature of the person.
TemperatureTemperature: The measured body temperature (as a surrogate for the whole body)
Units:
  • °C
  • °F
RespirationsRespirations: The observed characteristics of spontaneous breathing as would commonly be recorded as part of a 'vital signs' examination.
RateRate: Rate of respiration.
0..200 /min
RhythmRhythm: Rhythm of respiration.
  • Regular 
  • Irregular 
DepthDepth: Depth of respiration.
  • Normal 
  • Shallow 
  • Deep 
  • Variable 
DescriptionDescription: A text description of respirations.
AA: The assessment made by the clinician.
DiagnosisDiagnosis: A diagnosis defined by a clinician which is coded in an accepted terminology and may include the stage of the condition and the diagnostic criteria
DiagnosisDiagnosis: The index diagnosis
Value set: ac0.1
StatusStatus: The status of the diagnosis
  • provisional 
  • working 
PP: Plans made or procedures carried out.
Imaging requestImaging request: Request for imaging services
Imaging activityImaging activity: Information about the imaging action(s) to be carried out
null@ internal @
Clinical exam findingsClinical exam findings: Clinical findings relevant to the imaging investigation
ImagingImaging: Information about the imaging
Imaging procedureImaging procedure: The type of imaging
Anatomical siteAnatomical site: The anatomical site (or object) for imaging
ViewsViews: The imaging views