TEMPLATE Maternal mortality surveillance - Clinical summary report (Maternal mortality surveillance - Clinical summary report)

TEMPLATE IDMaternal mortality surveillance - Clinical summary report
ConceptMaternal mortality surveillance - Clinical summary report
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-07-07
Other Details Languagename: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-07-07
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=30B23279A2E7C7C14F0857C5439EC312, original_language=ISO_639-1::en, MD5-CAM-1.0.1=ea5cde960ff95ec1f089d98f1773c669, sem_ver=80.2.1}
Language useden
Citeable Identifier1013.26.493
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0], code=at0000.1, itemType=COMPOSITION, level=0, text=2022 08 FINAL Maternal mortality surveillance - Clinical summary report, description=Document to communicate information to others, commonly in response to a request from another party., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.1], code=at0.1, itemType=ELEMENT, level=2, text=Index health event, description=Type of health event under investigation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Maternal death
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.2], code=at0.2, itemType=ELEMENT, level=2, text=Report type, description=The type of report., comment=For example: hospital investigation; or community investigation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Clinical summary
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1], code=at0000, itemType=CLUSTER, level=2, text=Case investigator, description=An individual human being., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1], code=at0000, itemType=CLUSTER, level=3, text=Structured name of investigator, description=Discrete components of an individual's name., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Title, description=One or more honorific form(s) of address commencing a name., comment=Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=First name, description=One or more unique name(s) used to identify an individual within a family group., comment=Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Last name, description=One or more name(s) that an individual has in common with a family group., comment=Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Professional license number, description=Identifier associated with the individual., comment=Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[at0004 and name/value='Professional group'], code=at0004, itemType=ELEMENT, level=3, text=Professional group, description=The relationship or role of the individual to the subject of the health record., comment=For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[at0004 and name/value='Position'], code=at0004, itemType=ELEMENT, level=3, text=Position, description=The relationship or role of the individual to the subject of the health record., comment=For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Email'], code=at0000, itemType=CLUSTER, level=3, text=Email, description=Details about a specified type of electronic communication., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Email']/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Type, description=The type or form of electronic communication., comment=The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Email 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Email']/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Value, description=The unique combination of alphanumeric characters, relevant for representation of 'Type'., comment=For example: area code + landline phone/pager number; country code + mobile phone number; or email address., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Phone number'], code=at0000, itemType=CLUSTER, level=3, text=Phone number, description=Details about a specified type of electronic communication., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Phone number']/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Type, description=The type or form of electronic communication., comment=The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Mobile (cellular) telephone 
  • Telephone (excluding mobile telephone) 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Phone number']/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Value, description=The unique combination of alphanumeric characters, relevant for representation of 'Type'., comment=For example: area code + landline phone/pager number; country code + mobile phone number; or email address., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  URI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.21], code=at0.21, itemType=ELEMENT, level=2, text=Information source, description=Description about one or more source types for the information contained in the report., comment=For example: 'hospital record'; or 'interview with family'., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.18], code=at0.18, itemType=ELEMENT, level=2, text=Health region, description=Identification of the local health region where the index case was identified or the index event happened., comment=This data element supports reporting by a jurisdictional grouping rather than a specific facility or institution, place or physical address. This data element may be able to be derived from the precise recording of 'Investigation site'., 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-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.7], code=at0.7, itemType=ELEMENT, level=2, text=Date report completed, description=The date when the investigation report was completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/context/other_context[at0001]/items[at0.9], code=at0.9, itemType=ELEMENT, level=2, text=Date report submitted, description=Date when the final report was submitted to the final health authority., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context'], code=at0000, itemType=SECTION, level=1, text=Case context, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Death summary, description=Summary information about the death of an individual, excluding details about the cause(s) of death., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0092], code=at0092, itemType=ELEMENT, level=4, text=Date & time of death, description=Date and or time of death., comment=For example: based on findings pertaining to examination of the corpse and the pathologist's reconstruction of time of death based on post-mortem changes, temperature, etc., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  Interval of Date/Time
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0021 and name/value='Place category'], code=at0021, itemType=ELEMENT, level=4, text=Place category, description=The category of the place where the individual died., comment=This data element has multiple occurrences to allow more than one level of category, including subcategories about the place of death. It is recommended that 'Place category' be coded with an external terminology. For example: hospital or home; or, within the context of a hospital: ICU; ward; or operating theatre., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Home
  • Hospital
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0021 and name/value='Hospital ward'], code=at0021, itemType=ELEMENT, level=4, text=Hospital ward, description=The category of the place where the individual died., comment=This data element has multiple occurrences to allow more than one level of category, including subcategories about the place of death. It is recommended that 'Place category' be coded with an external terminology. For example: hospital or home; or, within the context of a hospital: ICU; ward; or operating theatre., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Medicine
  • Surgery
  • Obstetrics and Gynaecology
  • Psychiatry
  • Accident and Emergency
  • ICU/HDU
  • Isolation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0109], code=at0109, itemType=ELEMENT, level=4, text=Place of death, description=The simple name of, or description about, the place where the individual died., comment=For example: 'City Hospital'; 'Mother's house'; or 'Eiffel tower'. This data element has multiple occurrences to allow more than one level of detail about the place of death, such as recording both 'City Hospital' and 'Ward 6 North'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=4, text=Address of place, description=Details about the location of a person, physical building or landmark., 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Address line'], code=at0001, itemType=ELEMENT, level=5, text=Address line, description=An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location., comment=Occurrences for this data element is set to 0..* to allow one or more free text 'Address line' data elements to represent the huge variety of ways that ‘street-level' details may need to be recorded within the context of a specified 'Town'. Multiple address lines can be represented in a template, renamed as 'Address line 1', 'Address line 2,' etc. For example: '7A/52 Davis Street' or 'Apartment 7A' as Address line 1 with '52 Davis Street' as Address line 2; a roadside mail box location, such as 'RMB 725, Princes Highway'; or using a descriptive landmark, such as or 'Corner of Smith & Brown Streets' or 'Second house north of the general store with the red door'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Landmark'], code=at0001, itemType=ELEMENT, level=5, text=Landmark, description=An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location., comment=Occurrences for this data element is set to 0..* to allow one or more free text 'Address line' data elements to represent the huge variety of ways that ‘street-level' details may need to be recorded within the context of a specified 'Town'. Multiple address lines can be represented in a template, renamed as 'Address line 1', 'Address line 2,' etc. For example: '7A/52 Davis Street' or 'Apartment 7A' as Address line 1 with '52 Davis Street' as Address line 2; a roadside mail box location, such as 'RMB 725, Princes Highway'; or using a descriptive landmark, such as or 'Corner of Smith & Brown Streets' or 'Second house north of the general store with the red door'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Community, description=The name of the suburb, town, city, village, community or lowest level locality that contains the address., comment=Coding with an external terminology is preferred, where possible. For example: 'Fitzroy'; 'Manchester'; 'Kingston' or 'Bergen'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Aenon Town
  • Alexandria
  • ALLEY
  • Alston
  • Amity Hall
  • Arthurs Seat
  • Ashley
  • Ashley Hall
  • Baillieston
  • Balcarres
  • Banks
  • Bauxite Works
  • BECKFORD KRAAL
  • Belle Plain
  • Belmont
  • Berrydale
  • Birds Hill
  • Blackwoods
  • Bog
  • Bowens
  • Brandon Hill
  • Bratts Hill
  • Breadnut Bottom
  • Breezy Hill
  • British
  • Brixton Hill
  • Brokenbank
  • Bucknor
  • Bucks Common
  • Bushy Park
  • etc
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Parish, description=The name of a local government district or geographical area that contains the address., comment=Coding with an external terminology is preferred, where possible. For example: 'Surf Coast' and 'Yarra' local government councils in Victoria, Australia; and the Counties of 'Cornwall', 'Middlesex' & 'Surrey' in Jamaica., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Kingston & St Andrew
  • St Thomas
  • Portland
  • St Mary
  • St Ann
  • Trelawny
  • St James
  • Hanover
  • Westmoreland
  • St Elizabeth
  • Manchester
  • Clarendon
  • St Catherine
  • Parish Unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0054], code=at0054, itemType=ELEMENT, level=4, text=Age at death, description=The age of the individual at the time of death., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=P0Y, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0110], code=at0110, itemType=ELEMENT, level=4, text=Pregnancy context, description=Timing of the death of a woman related to a pregnancy and up to one year postpartum., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Antenatal 
    • In labour 
    • Postnatal 
    • Late postnatal 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Case context']/items[openEHR-EHR-EVALUATION.death_summary.v0]/data[at0001]/items[at0106], code=at0106, itemType=ELEMENT, level=4, text=Days post partum, description=The number of days from the end of a pregnancy to death., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=P0D Day, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care'], code=at0000, itemType=SECTION, level=1, text=Pregnancy care, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Pregnancy care summary, description=Summary details about the antenatal care received during a single pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080], code=at0080, itemType=CLUSTER, level=4, text=High Risk Clinic summary, description=*, comment=Clone to enable more specific recording of 'Routine' from 'Specialised' ambulatory antenatal care., 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0085], code=at0085, itemType=ELEMENT, level=5, text=Date of first visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0086], code=at0086, itemType=ELEMENT, level=5, text=Gestation at first visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0087], code=at0087, itemType=ELEMENT, level=5, text=Date of last visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0088], code=at0088, itemType=ELEMENT, level=5, text=Gestation at last visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0089], code=at0089, itemType=ELEMENT, level=5, text=Number of High Risk Clinic visits, description=The number of visits to the identified clinic., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0090], code=at0090, itemType=ELEMENT, level=5, text=Conditions managed, description=Significant issues, problems or diagnoses managed by the specified type of care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0091], code=at0091, itemType=ELEMENT, level=5, text=Treatment summary, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Total number of antenatal visits, description=Total number of antenatal clinic visits of all types and locations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018], code=at0018, itemType=CLUSTER, level=4, text=Antenatal admission, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=Gestation at admission, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy 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cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Reason for admission, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Date of admission, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Date of discharge, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Discharge status, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Alive and well
  • Alive and ill
  • Died
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[at0022], code=at0022, itemType=ELEMENT, level=5, text=Conditions managed, description=Significant issues, problems or diagnoses managed by the specified type of care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[at0024], code=at0024, itemType=ELEMENT, level=5, text=Treatment summary, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Gestation at discharge, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0018]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Scheduled follow up, description=The scheduled date for antenatal admission followup., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058], code=at0058, itemType=CLUSTER, level=4, text=Delivery admission, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[at0033], code=at0033, itemType=ELEMENT, level=5, text=Gestation at admission, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=P0W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0], code=at0000, itemType=CLUSTER, level=5, text=Inpatient episode details, description=Inpatient episode_details, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Hospital name, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Date of admission, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Date of discharge, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0058]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Discharge status, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Alive and well
  • Alive and ill
  • Died
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042], code=at0042, itemType=CLUSTER, level=4, text=Postnatal admission, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0], code=at0000, itemType=CLUSTER, level=5, text=Inpatient episode details, description=Inpatient episode_details, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Hospital name, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Reason for admission, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Date of admission, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Date of separation, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[openEHR-EHR-CLUSTER.inpatient_episode_details.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Discharge status, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Alive and well
  • Alive and ill
  • Died
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[at0045], code=at0045, itemType=ELEMENT, level=5, text=Conditions managed, description=Significant issues, problems or diagnoses managed by the specified type of care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[at0046], code=at0046, itemType=ELEMENT, level=5, text=Treatment summary, description=*, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0042]/items[at0048], code=at0048, itemType=ELEMENT, level=5, text=Scheduled follow up, description=The scheduled date for postnatal admission followup., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Transfer review, description=Evidence of follow up about the escalation of care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Transferred?, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003]/items[openEHR-EHR-CLUSTER.organisation.v1], code=at0000, itemType=CLUSTER, level=4, text=Organisation, description=An entity comprising one or more people and having a particular purpose., comment=For example: a company, institution, association, network, department, community group, healthcare practice group, payer/insurer, care team, or a group of neighbours who provide care or support., 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Hospital name, description=The unstructured name or label for the organisation., comment=For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'., 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Date of transfer, description=The date when the patient was referred for additional care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pregnancy care']/items[openEHR-EHR-ADMIN_ENTRY.transfer_review.v0]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Reason for transfer, description=The reason for escalation., 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-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0], code=at0000, itemType=EVALUATION, level=1, text=Pregnancy summary, description=Overview or summary record of a pregnancy and outcome, including the antenatal period, labour, birth and the immediate postnatal period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001], code=at0001, 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-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0094], code=at0094, itemType=ELEMENT, level=3, text=Early pregnancy outcome, description=Outcome of the pregnancy as a whole., comment=This data element is only used to record the outcome of a pregnancy, before it is useful to record an outcome on a per foetus basis. For example: a 'miscarriage' or a 'missed abortion'. Coding of the 'Early pregnancy outcome' with an external terminology is recommended. If it is necessary to record outcome information per infant or foetus use the 'Infant outcome' data element instead. This data element is redundant if 'Infant outcome' has been recorded., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Miscarriage
  • Induced abortion
  • Ectopic gestation
  • Trophoblastic disease
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0159], code=at0159, itemType=ELEMENT, level=3, text=Gestation pregnancy ended, description=The gestation when the pregnancy has ended., comment=Also known as 'Gestation at birth' for pregnancies resulting in viable outcomes., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P52W
Units:
  • Week
  • Day
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Number of fetuses, description=Number of foetuses identified in utero., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Onset of labour, description=Manner in which labour started., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No labour 
  • Spontaneous 
  • Induced 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028], code=at0028, itemType=CLUSTER, level=3, text=Per infant, description=Information about a single foetus or newborn infant., comment=These data elements may be used to record details about live births or stillborn infants., 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-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0163], code=at0163, itemType=ELEMENT, level=4, text=Infant outcome, description=Outcome of the pregnancy for the identified infant or foetus., comment=This data element is only used to record the outcome of a pregnancy for a single infant or foetus. For example: 'Live birth'; or 'Stillbirth'. Coding of the 'Infant outcome' with an external terminology is recommended. If it is necessary to record outcome information for the pregnancy as a whole use the 'Early pregnancy outcome' data element instead. This data element is redundant if 'Early pregnancy outcome' has been recorded., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Livebirth
  • Stillbirth (>22 weeks)
  • Fetal death/abortion (<22 weeks)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0037], code=at0037, itemType=ELEMENT, level=4, text=Assigned sex, description=Sex of the infant by direct observation of external genitalia., comment=Coding with a terminology is preferred, where possible. For example: Male; female; intersex; indeterminate. Indeterminate is to be used in the situation where the infant has ambiguous external genitalia. This data element may be used to populate the newborn health record using the 'Sex assigned at birth' data element within the EVALUATION.gender archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Male 
  • Female 
  • Indeterminate 
  • Intersex 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_detail.v0], code=at0000, itemType=CLUSTER, level=4, text=Birth detail, description=A subset of persistent or summary information about the pregnancy and birth of an infant, selected for utility of use within both the maternal and infant health records., 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-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_detail.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Method of delivery, description=Method by which the newborn was delivered., comment=For example: vaginal; forceps rotation; or Caesarean Section., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Unassisted
  • Assisted breech delivery
  • Total breech extraction
  • Vacuum extraction
  • Vacuum extraction with rotation
  • Lift-out forceps
  • Low forceps
  • High forceps
  • High forceps with rotation
  • Caesarean - lower uterine segment
  • Caesarean - upper uterine segment
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[openEHR-EHR-CLUSTER.birth_detail.v0]/items[at0019], code=at0019, itemType=ELEMENT, level=5, text=Delivery timing, description=The level of urgency identified at or around the time of delivery., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Routine/Elective 
    • Urgent 
    • Emergency 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0045], code=at0045, itemType=ELEMENT, level=4, text=Presentation, description=Presenting part of the infant at delivery., comment=The clinical context for recording this data element is only presentation at delivery, not at any other phase of labour., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Vertex
  • Breech
  • Face
  • Brow
  • Foot
  • Arm
  • Shoulder
  • Unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0038], code=at0038, itemType=ELEMENT, level=4, text=Birthweight, description=Weight of the infant at delivery., comment=This data element may be used to populate the newborn health record using both the 'Weight' data element and 'Birth' EVENT within the OBSERVATION.body_weight archetype., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..10000; 0..10
Units:
  • g
  • kg
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0165], code=at0165, itemType=ELEMENT, level=4, text=Neonatal outcome, description=Description of the outcome at the end of the neonatal period per newborn infant., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Coded Text
    • Live 
    • Deceased 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0167], code=at0167, itemType=ELEMENT, level=4, text=Date/time of neonatal death, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.pregnancy_summary.v0]/data[at0001]/items[at0028]/items[at0166], code=at0166, itemType=ELEMENT, level=4, text=Age at neonatal death, description=The age of the infant if they died during the neonatal period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=1, text=Summary, description=Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001], code=at0001, 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-clinical_investigation_report.v0]/content[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Summary of care, description=The summary, assessment, conclusions or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]