TEMPLATE TREAT Registry report (TREAT Registry report)

TEMPLATE ID	TREAT Registry report
Concept	TREAT Registry report
Description	T o record details of a TREAT registry report for Atopic Dermatitis.
Purpose	T o record details of a TREAT registry report for Atopic Dermatitis.
References
Other Details (Language Independent)	MetaDataSet:Sample Set : Template metadata sample set
Language used	en
Citeable Identifier	1013.26.40
Root archetype id	openEHR-EHR-COMPOSITION.report.v1
TREAT Registry report	TREAT Registry report: Document to communicate information to others, commonly in response to a request from another party.
Other Context
Patient	Patient: Identifiable details of a person compliant with European ISA standard.
Person Identifier	Person Identifier: A unique personal identifier.
Person name (ISA)	Person name (ISA): Personal name compliant with European ISA standard.
Family Name	Family Name: A family name is usually shared by members of a family. This attribute also carries prefixes or suffixes which are part of the Family Name, e.g. “de Boer”, “van de Putte”, “von und zu Orlow”. Multiple family names, such as are commonly found in Hispanic countries, are recorded in the single Family Name field so that, for example, Miguel de Cervantes Saavedra's Family Name would be recorded as "de Cervantes Saavedra.
Given Name	Given Name: A given name, or multiple given names, are the denominator(s) that identify an individual within a family. These are given to a person by his or her parents at birth or may be legally recognised as 'given names' through a formal process. All given names are ordered in one field so that, for example, the Given Name for Johan Sebastian Bach is 'Johan Sebastian.'
Anonymised person (PARENT)	Anonymised person (PARENT): Anonymised details of a person.
Administrative Gender	Administrative Gender: Ther current administrative gender of the person. Male Female Undetermined
Death details (PARENT)	Death details (PARENT): Details of person's death aligned with PARENT Common Data Elements for registry use.
Date of death	Date of death: The date of the subject's death.
Date of Birth	Date of Birth: The person's date of birth.
Reporting professional	Reporting professional: Details of a healthcare professional.
Person name (ISA)	Person name (ISA): Personal name compliant with European ISA standard.
Full Name	Full Name: The full name (fullName) property contains the complete name of a person as one string. In addition to the content of given name, family name and, in some systems, patronymic name, this can carry additional parts of a person’s name such as titles, middle names or suffixes like “the third” or names which are neither a given nor a family name.
Professional Identifier	Professional Identifier: The healthcare worker's profesional identifier.
Healthcare provider (PARENT)	Healthcare provider (PARENT): Details of a healthcare provider organisation.
Department name	Department name: The name of the organisation.
Hospital identifier	Hospital identifier: The unique identifier of the organisation.
Address (ISA)	Address (ISA): Address details compliant with European ISA Standard.
Post Name (city)	Post Name (city): The key postal division of the address, usually the city.
Admin Unit 2 (county/region/state)	Admin Unit 2 (county/region/state): The region of the address, usually a county, state or other such area that typically encompasses several localities.
Admin Unit 1 (country)	Admin Unit 1 (country): The uppermost administrative unit for the address, almost always a country.
Contact details	Contact details: Contact details for the organisation.
Contact details	Contact details: Contact details for the heathcare worker.
Relevant medical history	Relevant medical history: A generic section header which should be renamed in a template to suit a specific clinical context.
Problem/Diagnosis	Problem/Diagnosis: An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree.
Problem/Diagnosis	Problem/Diagnosis: Identification of the index problem, issue or diagnosis.
Date of Onset	Date of Onset: The date / time when the problem was first identified by the individual.
Problem context qualifiers	Problem context qualifiers: Additional status and contextual qualifiers factors related to a problem/diagnosis.
Active status	Active status: The degree to which the problem is active and relevant within the current clinical context. Active Inactive Resolved In remission
Current medication	Current medication: A generic section header which should be renamed in a template to suit a specific clinical context.
Medication order	Medication order: Details of a medicine, vaccine or other therapeutic good with instructions for use.
Order	Order: The instructions for a particular medicine, vaccine or other therapeutic good including dose and timing.
Description
Medicine	Medicine: The medicine, vaccine or other therapeutic good being ordered, administered to or used by the subject of care. This item should be coded if possible. Text Coded Text Value set: ac0001
Dose description	Dose description: The amount and units of the medicine, vaccine or other therapeutic good to be used or administered at one time.
Timing description	Timing description: The timing of the doses, which may include frequency and details such as relationship to food.
Indication for authorised use	Indication for authorised use: The specific indication for use that is required by an authorising agency to achieve subsidy for or access to the medicine, vaccine or other therapeutic good. This could be a national medication scheme, insurance company or other funding agency.
Medication Instruction Id	Medication Instruction Id: An identifier used in an external system and associated with this medication instruction.
Concession benefit	Concession benefit: Indicates the category of subsidy appropriate to the item being prescribed.
Physical examination	Physical examination: A generic section header which should be renamed in a template to suit a specific clinical context.
Blood Pressure	Blood 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.
Systolic	Systolic: Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle. 0..1000 mmHg (UCUM: mm[Hg])
Diastolic	Diastolic: Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle. 0..1000 mmHg (UCUM: mm[Hg])
Height/Length	Height/Length: Height, or body length, is measured from crown of head to sole of foot. Height is measured with the individual in a standing position and body length in a recumbent position.
Height/Length	Height/Length: The length of the body from crown of head to sole of foot. 0..1000; 0..250 Units: cm in
Comment	Comment: Comment about the measurement of body height/length.
Body weight	Body weight: Measurement of the body weight of an individual.
Weight	Weight: The weight of the individual. 0..1000; 0..2000 Units: kg lb
Skin examination	Skin examination: Findings observed during the physical examination of a subject of care.
Description	Description: Narrative description of the overall findings observed during a physical examination of a patient. May be used to record a narrative summary of the complete clinical examination or key aspects of clinical examination findings, which will be supported by structured data. Details of specific structured findings can be included using CLUSTER archetypes in the 'Examination Detail' slot. This data element may be used to capture legacy data that is not available in a structured format.
Fitzpatrick skin type	Fitzpatrick skin type: Numerical schema for classifying skin colour type based on reaction to ultraviolet radiation exposure.
Data
Skin type	Skin type: The Fitzpatrick Skin type. 1: I 2: II 3: III 4: IV 5: V 6: VI
Lymph nodes	Lymph nodes: Findings observed during the physical examination of a subject of care.
Description	Description: Narrative description of the overall findings observed during a physical examination of a patient. May be used to record a narrative summary of the complete clinical examination or key aspects of clinical examination findings, which will be supported by structured data. Details of specific structured findings can be included using CLUSTER archetypes in the 'Examination Detail' slot. This data element may be used to capture legacy data that is not available in a structured format.
Other examination findings	Other examination findings: Findings observed during the physical examination of a subject of care.
Description	Description: Narrative description of the overall findings observed during a physical examination of a patient. May be used to record a narrative summary of the complete clinical examination or key aspects of clinical examination findings, which will be supported by structured data. Details of specific structured findings can be included using CLUSTER archetypes in the 'Examination Detail' slot. This data element may be used to capture legacy data that is not available in a structured format.
Atopic dermatitis history	Atopic dermatitis history: A generic section header which should be renamed in a template to suit a specific clinical context.
Primary diagnosis	Primary diagnosis: An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree.
Problem/Diagnosis	Problem/Diagnosis: Identification of the index problem, issue or diagnosis.
Date of Onset	Date of Onset: The date / time when the problem was first identified by the individual.
Problem context qualifiers	Problem context qualifiers: Additional status and contextual qualifiers factors related to a problem/diagnosis.
Active status	Active status: The degree to which the problem is active and relevant within the current clinical context. Active Inactive Resolved In remission
Previous treatments	Previous treatments: A generic section header which should be renamed in a template to suit a specific clinical context.
Phototherapy	Phototherapy: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Phototherapy Default value: Phototherapy
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: false
Specific therapy	Specific therapy: Details of specific therapies within a category.
Phototherapy type	Phototherapy type: The type of phototherapy. UVA-1 NB-UVB
Maximum dose	Maximum dose: The maximum dose of phototherapy.
Cumulative dose	Cumulative dose: The cumulative dose of phototherapy.
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr {QUALIFIED REAL/TIME}
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Systemic therapy	Systemic therapy: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Systemic therapy Default value: Systemic therapy
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: false
Specific therapy	Specific therapy: Details of specific therapies within a category.
Sytemic therapy type	Sytemic therapy type: The type of systemic therapy. Coded Text Glucocorticosteroids CsA MTX AZA MMF MPS IVIG Text
Route	Route: The systemic therapy route. Oral Intramuscular Intravenous
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr {QUALIFIED REAL/TIME}
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Daycare treatment	Daycare treatment: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Daycare treatment Default value: Daycare treatment
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: false
Specific therapy	Specific therapy: Details of specific therapies within a category.
Number of treatments	Number of treatments: The total number of treatments. >=0
Hospitalisation	Hospitalisation: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Hospitalisation Default value: Hospitalisation
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: false
Specific therapy	Specific therapy: Details of specific therapies within a category.
Reason for hospitalisation	Reason for hospitalisation: The reason for hospitalisation.
Number of admissions	Number of admissions: The total number of treatments. >=0
Current Atopic dermatitis therapy	Current Atopic dermatitis therapy: A generic section header which should be renamed in a template to suit a specific clinical context.
Systemic therapy	Systemic therapy: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Systemic therapy Default value: Systemic therapy
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Specific therapy	Specific therapy: Details of specific therapies within a category.
Sytemic therapy type	Sytemic therapy type: The type of systemic therapy. Coded Text Glucocorticosteroids CsA MTX AZA MMF MPS IVIG Text
Route	Route: The systemic therapy route. Oral Intramuscular Intravenous
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr {QUALIFIED REAL/TIME}
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Phototherapy	Phototherapy: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Phototherapy Default value: Phototherapy
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Specific therapy	Specific therapy: Details of specific therapies within a category.
Phototherapy	Phototherapy: Details of phototherapy.
Phototherapy type	Phototherapy type: The type of phototherapy. UVA-1 NB-UVB
Maximum dose	Maximum dose: The maximum dose of phototherapy.
Cumulative dose	Cumulative dose: The cumulative dose of phototherapy.
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr {QUALIFIED REAL/TIME}
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Topical therapy	Topical therapy: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Topical therapy Default value: Topical therapy
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Specific therapy	Specific therapy: Details of specific therapies within a category.
Topical therapy	Topical therapy: Details of topical therapy.
Topical therapy type	Topical therapy type: The type of topical therapy. Corticosteroïd Protopic Elidel Coal tar
Potency	Potency: Potency of topical therapy. I II III IV Not applicable
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Antihistamines	Antihistamines: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Antihistamines Default value: Antihistamines
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Specific therapy	Specific therapy: Details of specific therapies within a category.
Antihistamine type	Antihistamine type: Type of antihistamine. Coded Text Aerius Atarax Xyzal Zyrtec Fenistil Nedeltran Text
Dose	Dose: The dose of antihistamines.
Adverse effects	Adverse effects: Adverse effects of antihistamines.
Start date	Start date: The start date of the therapy.
Duration of therapy	Duration of therapy: The duration of the therapy. >=P0D Units: Year Month Week Day Hour Minute
Frequency of therapy	Frequency of therapy: The frequency of the therapy. >=0; >=0 Units: /d /wk /mo /yr
Effectiveness	Effectiveness: An estimate of the effectivemess of the therapy. Coded Text Good Moderate None (primary) None (secondary) Text
Reason for stopping	Reason for stopping: The reason for stopping the therapy. Coded Text Sanata Adverse event Ineffective Text
Emollients	Emollients: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Emollients Default value: Emollients
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Antibiotics	Antibiotics: Summarised dermatology therapy for registry use.
Therapy category	Therapy category: The general category of therapy. Antibiotics Default value: Antibiotics
Therapy category used?	Therapy category used?: Has the therapy category been used?
Current therapy?	Current therapy?: Is this a currently used treatment? Default value: true
Allergic disorders	Allergic disorders: A generic section header which should be renamed in a template to suit a specific clinical context.
Adverse Reaction Risk(FHIR/openEHR)	Adverse Reaction Risk(FHIR/openEHR): Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance. Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings. Optional[{source=openEHR,FHIR}]
Data
Food allergen	Food allergen: Identification of a substance, or a class of substances, that is considered to be responsible for the adverse reaction. The Substance field allows for the use of a either specific substance (for example 'Amoxycillin') or a group or class of substances (for example 'Penicillins'). Duplication in the 'Substance' and 'Specific substance' fields is acceptable if clinically appropriate. It is strongly recommended that both 'Substance' and 'Specific substance' be coded with a terminology capable of triggering decision support, where possible. For example: including but not limited to RxNorm, Snomed CT, DM+D, NDFRT, ICD-9, IDC-10, UNI, ATC and CPT. Plain text should be used only if there is no appropriate terminology available. Optional[{source=openEHR,FHIR,DAM}]
Reaction event	Reaction event: Details about each adverse reaction event linked to exposure to the identified 'Substance'. Optional[{source=openEHR,FHIR,DAM}]
Manifestation	Manifestation: Clinical symptoms and/or signs that are observed or associated with the adverse reaction. Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that 'Manifestation' should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines. Terminologies commonly used include, but are not limited to, SNOMED-CT or ICD10. Optional[{source=FHIR, openEHR,DAM}] Rash around mouth Erythema skin Itch Urticaria Nausea Vomiting Diarrhea Abdominal pain Shock / collaps Exacerbation eczema
Duration of reaction	Duration of reaction: The total amount of time that the manifestation of the adverse reaction persisted. Optional[{source=openEHR}]
Initial exposure	Initial exposure: Record of the date and/or time of the first exposure to the Substance for this Reaction Event. Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided by use of additional archetypes in the 'Exposure details' SLOT or as text in the 'Exposure description'. Optional[{source=FHIR, openEHR,DAM}]
Protocol
Date recorded	Date recorded: Date when the propensity/reaction event was recorded or revised. [Note: FHIR - maps to recordedDate in FHIR.] Optional[{source=openEHR,FHIR.DAM}]
Supporting clinical record information	Supporting clinical record information: Link to further information about the presentation and findings that exist elsewhere in the health record, including allergy test reports. For example, presenting symptoms, examination findings, diagnosis etc. [Note: FHIR,DAM: Maps to Sensitivity Test.] Optional[{source=FHIR, openEHR, DAM}]
Reporting details	Reporting details: Additional structured details required for reporting to regulatory bodies can be provided by inclusion of specific archetypes in this SLOT.
Reaction reported?	Reaction reported?: Was the adverse reaction reported to a regulatory body? Optional[{source=openEHR}]
Report comment	Report comment: Additional narrative about the adverse reaction report or reporting process. For example, the reason for non-reporting. Optional[{source=openEHR}]
Adverse reaction report	Adverse reaction report: Link to an adverse reaction Report sent to a regulatory body. Optional[{source=openEHR}]
FHIR record provenance	FHIR record provenance: FHIR elements that are carried implicitly in the openEHR reference model.
Subject	Subject: The patient who has the allergy or intolerance. openEHR: implicit in the reference model ENTRY/subject. Optional[{source=FHIR}]
Identifier	Identifier: External Ids for this item. openEHR: implicit in the reference model ENTRY/id. Optional[{source=FHIR}]
Recorder	Recorder: Indicates who has responsibility for the record. openEHR: implicit in the reference model ENTRY/provider. Optional[{source=FHIR}]
Problem/Diagnosis	Problem/Diagnosis: An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree.
Data
Problem/Diagnosis	Problem/Diagnosis: Identification of the index problem, issue or diagnosis. Allergic rhinoconjuntivitis Asthma
Protocol
Supporting clinical evidence	Supporting clinical evidence: Useful information on the internet about this condition.
Exclusion of a Problem/Diagnosis	Exclusion of a Problem/Diagnosis: Positive statement/s about problems or diagnoses that need to be recorded as clinically excluded from the health record at a specific point in time.
Data
Exclusion Statement	Exclusion Statement: A statement about exclusion of use of known problems or diagnoses in the health record. For example: "No known significant problems or diagnoses"; or "No evidence of" or "Never diagnosed with" (diabetes). No history of asthma No history of allergic rhinoconjunctivitis
Protocol
Date Last Updated	Date Last Updated: The date at which the exclusion was last clinically asserted, affirmed or confirmed.
Exclusion of an Adverse Reaction	Exclusion of an Adverse Reaction: Positive statement/s about adverse reactions that need to be recorded as clinically excluded from the health record at a specific point in time.
Exclusion Statement	Exclusion Statement: A statement about exclusion of known adverse reactions in the health record. For example: "No known adverse reactions"; "No known adverse reaction to" (penicillin). No history of food allergies
Date Last Updated	Date Last Updated: The date at which the exclusion was last clinically asserted, affirmed or confirmed.
Allergy testing	Allergy testing: A generic section header which should be renamed in a template to suit a specific clinical context.
Phadiatop	Phadiatop: To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. Default value: Phadiatop
Phadiatop	Phadiatop: The result of the test.
RAST Test (inhalation)	RAST Test (inhalation): To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. Default value: RAST Test (inhalation)
Test status	Test status: The status of the lab test as a whole. Final Never performed
Trees	Trees: The result of the test.
Herbs/ spices	Herbs/ spices: The result of the test.
Fungus	Fungus: The result of the test.
House dust mite	House dust mite: The result of the test.
Grass pollen	Grass pollen: The result of the test.
Cat dander	Cat dander: The result of the test.
Dog dander	Dog dander: The result of the test.
Aspergillus	Aspergillus: The result of the test.
Result	Result: The result of the test.
Prick test	Prick test: To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. Default value: Prick test
Prick test	Prick test: The result of the test.
IgE test (food)	IgE test (food): To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. Default value: IgE Test (food)
Chicken protein	Chicken protein: The result of the test.
Milk protein	Milk protein: The result of the test.
Peanut	Peanut: The result of the test.
Cod	Cod: The result of the test.
Wheat	Wheat: The result of the test.
Soja	Soja: The result of the test.
Result	Result: The result of the test.
Epicutaneous skin test	Epicutaneous skin test: To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. Default value: Epicutaneous skin test
lanolin alcohol	lanolin alcohol: The result of the test.
cetyl alcohol	cetyl alcohol: The result of the test.
stearylalcohol	stearylalcohol: The result of the test.
lanette wax/sera lanette	lanette wax/sera lanette: The result of the test.
cetomacrogol was/ sera cetomacrogolis	cetomacrogol was/ sera cetomacrogolis: The result of the test.
amerchol L101	amerchol L101: The result of the test.
Result	Result: The result of the test.
woolalcohols 30% mix	woolalcohols 30% mix: The result of the test.
perfume mix I	perfume mix I: The result of the test.
perfume mix II	perfume mix II: The result of the test.
cocamidopropylbetaine	cocamidopropylbetaine: The result of the test.
Lab values	Lab values: A generic section header which should be renamed in a template to suit a specific clinical context.
Laboratory test	Laboratory test: To record the result of a laboratory test which may be used to record a single valued test but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests microbiology, histopathology.
Any event	Any event: Any event.
Test name	Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT.
Result	Result: The result of the test.
Outcome measurements	Outcome measurements: A generic section header which should be renamed in a template to suit a specific clinical context.
Investigators Global Assessment	Investigators Global Assessment: The Investigators Global Assessment (IGA) is a 6 point scale. It is a severity measure intended to provide a clinically meaningful snapshot of atopic dermatitis severity that can be understood by both patients and physicians.
Any event	Any event: Any event.
Data
Investigator Global Assessment score	Investigator Global Assessment score: The total IGA score. A representative area should be utilised as a means to generate this score. 0: Clear 1: Almost clear 2: Mild disease 3: Moderate disease 4: Severe disease 5: Very severe disease
Patients global assessment	Patients global assessment: The patient's global assessment (PGA) is a 6 point scale utilised to enable a patient to describe the severity of their eczema.
Any event	Any event: Any event.
Data
Patient Global Assessment score	Patient Global Assessment score: The total score. 0: Clear 1: Almost clear 2: Mild disease 3: Moderate disease 4: Severe disease 5: Very severe disease
Poem score	Poem score: POEM (Patient-Oriented Eczema Measure).
Any event	Any event: Any event.
Data
Symptom score	Symptom score: The symptom score.
Symptom name	Symptom name: Symptom experienced by the patient in the past week. Itch Sleep loss Weeping Cracking Flaking Dry or rough skin
Frequency	Frequency: Frequency of the symptom. 0: 0 days 1: 1-2 days 2: 3-4 days 3: 5-6 days 4: Every day
Total Poem score	Total Poem score: The total Poem score. The score is the sum of the frequencies with which all of the symptoms are experienced in the past week. <=28
EASI score	EASI score: Atopic dermatitis EASI score.
Head and neck	Head and neck: The part of the body being assessed.
(Severity index)	(Severity index): The level of severity of the symptom for a representative part of the body area. 0: Absent 1: Mild 2: Moderate 3: Severe
Affected area	Affected area: The extent of the area affected. 0: 1% to 9% 1: 10% to 29% 2: 30% to 49% 3: 50% to 69% 4: 70% to 89% 5: 90% to 100%
Upper limbs	Upper limbs: The part of the body being assessed.
(Severity index)	(Severity index): The level of severity of the symptom for a representative part of the body area. 0: Absent 1: Mild 2: Moderate 3: Severe
Affected area	Affected area: The extent of the area affected. 0: 1% to 9% 1: 10% to 29% 2: 30% to 49% 3: 50% to 69% 4: 70% to 89% 5: 90% to 100%
Trunk	Trunk: The part of the body being assessed.
(Severity index)	(Severity index): The level of severity of the symptom for a representative part of the body area. 0: Absent 1: Mild 2: Moderate 3: Severe
Affected area	Affected area: The extent of the area affected. 0: 1% to 9% 1: 10% to 29% 2: 30% to 49% 3: 50% to 69% 4: 70% to 89% 5: 90% to 100%
Lower limbs	Lower limbs: The part of the body being assessed.
(Severity index)	(Severity index): The level of severity of the symptom for a representative part of the body area. 0: Absent 1: Mild 2: Moderate 3: Severe
Affected area	Affected area: The extent of the area affected. 0: 1% to 9% 1: 10% to 29% 2: 30% to 49% 3: 50% to 69% 4: 70% to 89% 5: 90% to 100%
Total EASI score	Total EASI score: The total EASI score. 0..72
SCORAD score	SCORAD score: SCORAD - atopic dematitis severity score.
Data
Affected area	Affected area: Extent of affected area. Percent
Intensity of specific lesions	Intensity of specific lesions: The intensity of typical specific lesions.
(Specific lesion)	(Specific lesion): The level of intensity of a symptom. 0: Absent 1: Mild 2: Moderate 3: Severe
Sleep disturbance	Sleep disturbance: A subjective observation by an individual about departure from normal function and which may indicate the presence of disease or abnormality. Either self-recorded or recorded on the behalf of a patient by a clinician.
Symptom name	Symptom name: The symptom experienced. Coding with an external terminology is preferred, where possible. Default value: Sleep disturbance
Visual Analogue Score	Visual Analogue Score: A score from 0 (not present) to 10 (as bad as it could be). 0..10
Itching	Itching: A subjective observation by an individual about departure from normal function and which may indicate the presence of disease or abnormality. Either self-recorded or recorded on the behalf of a patient by a clinician.
Symptom name	Symptom name: The symptom experienced. Coding with an external terminology is preferred, where possible. Default value: Itching
Visual Analogue Score	Visual Analogue Score: A score from 0 (not present) to 10 (as bad as it could be). 0..10
Total SCORAD score	Total SCORAD score: The total SCORAD score.
Total intensity grade	Total intensity grade: The total score expressed as a set of grades. Mild Moderate Severe
Adverse events	Adverse events: A generic section header which should be renamed in a template to suit a specific clinical context.
Medication safety event	Medication safety event: Summary of a patient safety event associated with medication for reporting purposes.
Safety event type	Safety event type: The type of event reported. Value set: terminology:SafetyEventType
MEDRA classification	MEDRA classification: The category of event reported using MedDRA classification. Value set: ac0001
DateTime of event onset	DateTime of event onset: The date and/or time that the adverse event took place.
Description of event	Description of event: A narrative description of the medication safety event.
Medications involved	Medications involved: The medicine, vaccine or other therapetic good being ordered, administered to or used by the subject
Medications administered	Medications administered: Medications administered is used to enter wrongly administered drug for Safety event type at0254 Pacient dobil drugo zdravilo od predpisanega Wrong drug administered to a patient
Conclusion and management	Conclusion and management: A generic section header which should be renamed in a template to suit a specific clinical context.
Conclusion	Conclusion: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations.
Synopsis	Synopsis: The summary, assessment, conclusions or evaluation of the clinical findings.