TEMPLATE Wound Assert Report (130d168f-b10d-4608-865d-d419c0039050)

TEMPLATE ID130d168f-b10d-4608-865d-d419c0039050
ConceptWound Assert Report
DescriptionTo represent the CIMI HSCP Wound assert FHIR representation in openEHR. Found at http://models.opencimi.org/ig/skin-and-wound-fhir-profiles/StructureDefinition-WoundAssert-definitions.html
PurposeTo represent the CIMI HSCP Wound assert FHIR representation in openEHR. Found at http://models.opencimi.org/ig/skin-and-wound-fhir-profiles/StructureDefinition-WoundAssert-definitions.html
References
Authorsdate: 2019-03-25; author: Heather Leslie
Other Details Languagedate: 2019-03-25; author: Heather Leslie
OtherDetails Language Independent{licence=licence, custodian_organisation=custodian_organisation, original_namespace=original_namespace, original_publisher=original_publisher, custodian_namespace=custodian_namespace}
Language useden
Citeable Identifier1013.26.218
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  • Left  [Left side of the body.]
  • Right  [Right side of the body.]
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  •  Coded Text
    • Medial  [Towards the midline of the body site.]
    • Lateral  [Towards the side, or edge, of the body site.]
    • Superior  [Above the body site, often meaning towards the head.]
    • Inferior  [Below the body site, often meaning towards the feet.]
    • Anterior  [Towards the front, or ventral surface, of the body site.]
    • Posterior  [Towards the back, or dorsal surface, of the body site.]
    • Proximal  [More central or closer to the point of attachment, and usually describing part of a limb, digit or appendage.]
    • Distal  [More peripheral, or further from the point of attachment, and usually describing part of a limb, digit or appendage.]
    • Deep  [Away from the surface of the body site.]
    • Superficial  [Towards the surface of the body site.]
    • Palmar  [Towards the palm of the hand.]
    • Plantar  [Towards the sole of the foot.]
    • Dorsal  [Towards the back of the hand or top of the foot. To be used as opposites of palmar or plantar, not as a synonym of posterior.]
    • Mid  [In the middle of the body site.]
    • Oral  [Towards the mouth. Usually used to describe locations within the digestive system.]
    • Anal  [Towards the anus. Usually used to describe locations within the digestive system.]
  •  Text
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  •  Coded Text
    • Midline  [Line running vertically which divides the body into left and right portions, passing through the head, spinal cord, and umbilicus. Alternatively it can refer to a line dividing a body part into two equal portions, for example a digit.]
    • Midaxillary line  [Line running vertically down the surface of the body, passing through the apex of the axilla.]
    • Anterior axillary line  [Line running vertically down the surface of the body, passing through the anterior axillary skinfold.]
    • Posterior axillary line  [Line running vertically down the surface of the body, passing through the posterior axillary skinfold.]
    • Mid-clavicular line  [Line running vertically down the surface of the body, parallel to the midline and passing through the midpoint of the clavicle.]
    • Mid-pupillary line  [Line running vertically down the face through the midpoint of the pupil when looking directly forward.]
    • Mid-scapular line  [Line running vertically down the posterior surface of the body, parallel to the midline and passing through the inferior point of the scapula.]
  •  Text
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  •  Coded Text
    • One o'clock  [The body site is located at the one o'clock position relative to the identified reference point.]
    • Two o'clock  [The body site is located at the two o'clock position relative to the identified reference point.]
    • Three o'clock  [The body site is located at the three o'clock position relative to the identified reference point.]
    • Four o'clock  [The body site is located at the four o'clock position relative to the identified reference point.]
    • Five o'clock  [The body site is located at the five o'clock position relative to the identified reference point.]
    • Six o'clock  [The body site is located at the six o'clock position relative to the identified reference point.]
    • Seven o'clock  [The body site is located at the seven o'clock position relative to the identified reference point.]
    • Eight o'clock  [The body site is located at the eight o'clock position relative to the identified reference point.]
    • Nine o'clock  [The body site is located at the nine o'clock position relative to the identified reference point.]
    • Ten o'clock  [The body site is located at the ten o'clock position relative to the identified reference point.]
    • Eleven o'clock  [The body site is located at the eleven o'clock position relative to the identified reference point.]
    • Twelve o'clock  [The body site is located at the twelve o'clock position relative to the identified reference point.]
  •  DurationUnits:
    • Hour
    • Minute
  •  Quantity-360..360 deg
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  • Wound stage one
  • Wound stage two
  • Wound stage three
  • Wound stage four
  • First degree burn
  • Second degree burn
  • Third degree burn
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  • Pressure point of skin  [*]
  • Pressure point of skin related to device  [*]
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  • Within defined limits  [*]
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  • Deterioration of status
  • Deterioration of status
  • Resolved
  • Stabilization of status
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  • New  [A new occurrence of either a new or existing problem or diagnosis. A flag for 'First occurrence' can be recorded separately to distinguish the first from other occurrences.]
  • Ongoing  [The issue, problem or diagnosis continues, without new, acute episodes occurring.]
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  • Acute  [A problem or diagnosis with a rapid onset, a short course, or both.]
  • Chronic  [A problem or diagnosis with persistent or long-lasting effects, or that evolves over time.]
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itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Wound Length, description=Length of the wound (longest dimension)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 cm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0037], code=at0037, itemType=ELEMENT, level=3, text=Wound Width, description=Width of the wound (perpendicular to longest dimension)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 cm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0038], code=at0038, itemType=ELEMENT, level=3, text=Wound Depth, description=Depth of the wound., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 cm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0039], code=at0039, itemType=ELEMENT, level=3, text=Wound Area, description=Area of the wound., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 cm2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0048], code=at0048, itemType=ELEMENT, level=3, text=Wound Edge Description, description=Description about the edge of the wound., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0049], code=at0049, itemType=ELEMENT, level=3, text=Wound Edge Color, description=Colour of the wound edge., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0057], code=at0057, itemType=ELEMENT, level=3, text=Periwound Condition, description=Description of the skin surrounding the wound., comment=Multiple occurrences allow for the use of coded text to describe various aspects of the skin around the wound., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0054], code=at0054, itemType=CLUSTER, level=3, text=Wound bed colour, description=Details about the colour of the base of the wound., comment=Multiple occurrences of this Cluster allow for recordings of more than one colour., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0054]/items[at0055], code=at0055, itemType=ELEMENT, level=4, text=Wound Bed Color, description=Description of the colour of the wound base., comment=For example: red/healthy; red/hyperaemic; pink, yellow; black, brown; or grey., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0054]/items[at0056], code=at0056, itemType=ELEMENT, level=4, text=Proportion, description=The proportion of the wound that is the identified colour., comment=This is the the area of the base of the wound that is a specific colour, compared to the total area of the wound bed and represented as a percentage., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0051], code=at0051, itemType=CLUSTER, level=3, text=Wound bed appearance, description=Details about the appearance of the base of the wound., comment=Multiple occurrences of this Cluster allow for recordings of multiple discrete areas of different appearances.., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0051]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=Wound Bed Appearance, description=Description of the appearance of the wound base., comment=For example: necrotic; sloughing; fibrinous; eschar; or granulation tissue., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0051]/items[at0053], code=at0053, itemType=ELEMENT, level=4, text=Proportion, description=The proportion of the wound that has the identified appearance., comment=This is the the area of the base of the wound that has a specific appearance, compared to the total area of the wound bed and represented as a percentage., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0014], code=at0014, itemType=CLUSTER, level=3, text=HSPC Wound Internal Item Or Body Structure Visible, description=Details about the observation of any exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Wound Internal Item or Body Structure Visible, description=Idnetification of an exposed body structure, device, and/or foreign body visible by the naked eye within the wound., comment=Coding of the visible internal structure if preferred, if possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0014]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Present or absent?, description=Is the object/structure present?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The identified object or structure is observed in the wound.]
  • Absent  [The identified object or structure is not observed in the wound.]
  • Indeterminate  [It is not possible to tell if the identified object or structure is present or absent in the wound.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0045], code=at0045, itemType=CLUSTER, level=3, text=HSPC Wound Tunneling Assert, description=Details about tunnelling into other tissues., comment=Multiple occurrences of this cluster will allow recording about each tunnel that leads from the wound., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0045]/items[at0046], code=at0046, itemType=ELEMENT, level=4, text=WoundTunnelingLength, description=Length of an identified tunnel radiating out from the centre of the wound., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • cm
  • mm
  • [in_i]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0045]/items[at0047], code=at0047, itemType=ELEMENT, level=4, text=WoundTunnelingDirection, description=Direction of the tunnel radiating outward from the centre of the wound, as described by a clock-face., comment=For example: one o'clock., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0045]/items[at0058], code=at0058, itemType=ELEMENT, level=4, text=Description, description=Narrative description of a tunnel., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0041], code=at0041, itemType=CLUSTER, level=3, text=HSPC Wound Undermining Assert, description=Details about undermining of the wound., comment=Multiple occurrences of this cluster will allow recording of the undermining occurring in different parts of the wound., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0041]/items[at0042], code=at0042, itemType=ELEMENT, level=4, text=WoundUnderminingLength, description=Amount of tissue destruction that extends under the intact wound edge., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • cm
  • mm
  • [in_i]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[at0041]/items[at0044], code=at0044, itemType=ELEMENT, level=4, text=WoundUnderminingDirectio, description=Direction of the undermining outward from the centre of the wound, as described by a clock-face., comment=For example: one o'clock., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0], code=at0000, itemType=CLUSTER, level=3, text=WoundExudateAssert, description=Findings observed during the examination of body fluid at a body site or from an identified body source, usually as part of a physical examination by a clinician., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Wound Exudate Appearance, description=Narrative description about the fluid., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=WoundExudateAmountDescription, description=Description of the amount of fluid observed at the identified body site., comment=The intent of this data element is to record either a narrative description of the amount, or to code with a value set such as small/medium/profuse or normal/increased where appropriate in a template. This data element is not intended for quantitative assessment of body fluids - use OBSERVATION.fluid_output for this purpose., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=WoundExudateColor, description=Description of the colour of the body fluid., comment=The intent of this data element is to record either a narrative description of the colour, or to code with a value set where appropriate in a template., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Viscosity, description=Description of the viscosity or thickness of the body fluid., comment=The intent of this data element is to record either a narrative description of the viscosity, or to code with a value set where appropriate in a template., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.exam_body_fluid.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=WoundExudateOdor, description=Description of the smell of the body fluid., comment=The intent of this data element is to record either a narrative description of the odour, or to code with a value set where appropriate in a template., 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.v1]/content[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_wound.v0]/items[openEHR-EHR-CLUSTER.multimedia.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=HSPC Wound Image, 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]], templateType=normal]