TEMPLATE Maternal mortality surveillance - Community care report (Maternal mortality surveillance - Community care report)

TEMPLATE IDMaternal mortality surveillance - Community care report
ConceptMaternal mortality surveillance - Community care 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=cac051b4b7c69942289d558d55efd7c0, sem_ver=57.1.0}
Language useden
Citeable Identifier1013.26.494
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 - Community care 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=
  • Community
, 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 subcategory'], code=at0021, itemType=ELEMENT, level=4, text=Hospital subcategory, 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=
  • Accident & emergency
  • Antenatal ward
  • Labour ward
  • Operating theatre
  • Postnatal ward
  • Non-obstetrics ward
, 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='Social context'], code=at0000, itemType=SECTION, level=1, text=Social 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='Social context']/items[openEHR-EHR-EVALUATION.social_network.v1], code=at0000, itemType=EVALUATION, level=2, text=Social network, description=Group of individuals connected by social interactions and personal relationships., 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='Social context']/items[openEHR-EHR-EVALUATION.social_network.v1]/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='Social context']/items[openEHR-EHR-EVALUATION.social_network.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Marital status, description=Single word or phrase that describes an individual's current relationship with a life partner., comment=Coding of the partnership status with a terminology is preferred, where possible. There is a huge variation in the value sets used across jurisdictions. Many have local, government-mandated value sets rather than using SNOMED CT or similar. For example: a 'marital status' value set including 'never married' or 'single'; 'married'; 'divorced'; or 'widowed'. Also known as 'civil status', 'union status', or 'relationship status'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Married
  • Visiting union
  • Common law
  • Single
  • Widowed
  • Separated
  • Divorced
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-EVALUATION.education_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Education summary, description=Summary or persistent information about an individual's current and past education or training., 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='Social context']/items[openEHR-EHR-EVALUATION.education_summary.v1]/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='Social context']/items[openEHR-EHR-EVALUATION.education_summary.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Highest level of education completed, description=Description of highest category of education or training completed., comment=Coding with a terminology is desirable, where possible. For example: the ISCED classification, such as upper secondary vocational education; post-secondary non-tertiary vocational education; Bachelor’s or equivalent level, professional; Doctoral or equivalent level, academic; post-secondary non-tertiary vocational education; or never attended an educational program., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • No formal schooling
  • Basic
  • Primary/All Age/Preparatory
  • Secondary/High School
  • Tertiary/Post-secondary
  • Vocational skills training
  • Other
  • [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-EVALUATION.occupation_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Occupation summary, description=Summary or persistent information about an individual's current and past jobs and/or roles., 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='Social context']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/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='Social context']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Employment status, description=Statement about the individual's current employment., comment=For example: employed; unemployed; or not in labour force. Coding with a terminology is desirable, where possible. Detail about each occupation can be recorded within the CLUSTER.occupation_record archetype., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Employed
  • Unemployed
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.occupation_record.v1], code=at0000, itemType=CLUSTER, level=4, text=Occupation record, description=A single job or role carried out by an individual during a specified period of time., 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='Social context']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.occupation_record.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Occupation, description=The main job title or the role of the individual., comment=For example: Chief Executive Officer; Carer; or Student. Each of these job titles or roles may be comprised of multiple duties., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • A
  • B
  • C
  • D
  • E
  • F
  • G
  • H
  • I
  • J
  • K
  • List to be supplied...
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1], code=at0000, itemType=SECTION, level=2, text=Next of kin, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0], code=at0000, itemType=ADMIN_ENTRY, level=3, text=Patient, description=A container archetype used to hold demographic-related EHR CLUSTER archetypes., 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1], code=at0000, itemType=CLUSTER, level=5, text=Person demographics, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1], code=at0000, itemType=CLUSTER, level=6, text=Structured name of a person, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=7, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.structured_name.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=7, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Relationship, 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=
  • Next of kin
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=6, text=Address, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Address line'], code=at0001, itemType=ELEMENT, level=7, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Landmark'], code=at0001, itemType=ELEMENT, level=7, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=7, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=7, 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=7, text=Country, description=The name of the country containing the address., comment=For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended., 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='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1], code=at0000, itemType=CLUSTER, level=6, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social context']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ADMIN_ENTRY.demographics.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=7, 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status'], code=at0000, itemType=SECTION, level=1, text=Health status, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history'], code=at0000, itemType=SECTION, level=2, text=Past history, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0], code=at0000, itemType=OBSERVATION, level=3, text=Past problem/diagnosis screening questionnaire, description=Series of questions and associated answers used to screen for issues, problems or diagnoses., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=5, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=7, text=Any significant past problems or diagnoses?, description=Is there a history of any issues, problems or diagnoses relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis'], code=at0022, itemType=CLUSTER, level=7, text=Specific problem or diagnosis, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., 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
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0040], code=at0040, itemType=ELEMENT, level=8, text=Onset, description=Timing of the initial recognition of the issue, problem or diagnosis., comment=The 'Onset' data element is deliberately loosely modelled to support the myriad of ways that it can be used in questionnaires to capture the onset of a problem or the timing of a diagnosis. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date of diagnosis. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset. Interval of Duration for the approximate age of the individual at the time of onset., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Interval of Duration
  •  Duration
  •  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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0025], code=at0025, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the specific issue, problem or diagnosis question, not captured in other fields., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Past malignancy'], code=at0022, itemType=CLUSTER, level=7, text=Past malignancy, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Past malignancy']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Past malignancy name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Past malignancy']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis'], code=at0022, itemType=CLUSTER, level=7, text=Other problem or diagnosis, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Other problem or diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0], code=at0000, itemType=OBSERVATION, level=3, text=Past surgery screening questionnaire, description=Series of questions and associated answers used to screen for procedures that has been carried out in the past., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=5, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=7, text=Any previous surgery?, description=Is there a history of any past procedures relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific procedure'], code=at0022, itemType=CLUSTER, level=7, text=Specific procedure, description=Details about a specific procedure or grouping of procedures relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific procedure']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Procedure name, description=Name of a procedure or grouping of procedures., comment=Coding of the 'Procedure name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific procedure']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Past procedure?, description=Is there a history of the identified procedure?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., 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
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific procedure']/items[at0037], code=at0037, itemType=ELEMENT, level=8, text=Timing, description=Timing of the procedure., comment="The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when a procedure was performed. The specific and intended semantics can be further clarified in a template. For example: Date/time for when the procedure was performed. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset. Interval of Duration for the approximate age of the individual at the time of onset., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  Text
  •  Duration
  •  Interval of Duration
  •  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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific procedure']/items[at0025], code=at0025, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the specific procedure question, not captured in other fields., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other surgery'], code=at0022, itemType=CLUSTER, level=7, text=Other surgery, description=Details about a specific procedure or grouping of procedures relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other surgery']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Surgery name, description=Name of a procedure or grouping of procedures., comment=Coding of the 'Procedure name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past history']/items[openEHR-EHR-OBSERVATION.procedure_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other surgery']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Past surgery?, description=Is there a history of the identified procedure?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies'], code=at0000, itemType=SECTION, level=2, text=Past pregnancies, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0], code=at0000, itemType=OBSERVATION, level=3, text=Previous pregnancy complication screening questionnaire, description=Series of questions and associated answers used to screen for issues, problems or diagnoses., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=5, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=7, text=Any previous pregnancy problems or diagnoses?, description=Is there a history of any issues, problems or diagnoses relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis'], code=at0022, itemType=CLUSTER, level=7, text=Specific problem or diagnosis, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., 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
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0040], code=at0040, itemType=ELEMENT, level=8, text=Onset, description=Timing of the initial recognition of the issue, problem or diagnosis., comment=The 'Onset' data element is deliberately loosely modelled to support the myriad of ways that it can be used in questionnaires to capture the onset of a problem or the timing of a diagnosis. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date of diagnosis. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset. Interval of Duration for the approximate age of the individual at the time of onset., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Interval of Duration
  •  Duration
  •  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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0025], code=at0025, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the specific issue, problem or diagnosis question, not captured in other fields., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis'], code=at0022, itemType=CLUSTER, level=7, text=Other problem or diagnosis, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Other problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Gestational diabetes
  • Gestational hypertension
  • Pre-eclampsia
  • Eclampsia
  • Cervical incompetence
  • Spontaneous abortion
  • Intrauterine death/stillbirth
  • Neonatal death
  • Caesarean Section
  • Difficult/prolonged labour
  • Forceps delivery
  • Postpartum haemorrhage
  • Retained placenta
  • Multiple gestation
  • Preterm labour
  • Antenatal bleeding
  • High weight gain
  • Large for gestational age (LGA)
  • Intrauterine growth retardation (IUGR)
  • Breech presentation
  • Transverse lie
  • Fetal compromise, reduced fetal movement
  • Inaudible heart beat
  • Persistent puerperal hypertension
  • Puerperal pyrexia/sepsis
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Past pregnancies']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other problem or diagnosis']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy'], code=at0000, itemType=SECTION, level=2, text=Latest pregnancy, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0], code=at0000, itemType=OBSERVATION, level=3, text=Social context screening questionnaire, description=An individual- or self-reported questionnaire screening for social issues., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=5, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific social issue'], code=at0022, itemType=CLUSTER, level=7, text=Specific social issue, description=Screening details about a specifed social issue., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific social issue']/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Social issue name, description=Name of the social issue., comment=For example: food insecurity; or experience of domestic violence., 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]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-OBSERVATION.social_context_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific social issue']/items[at0005], code=at0005, itemType=ELEMENT, level=8, text=Presence?, description=Is the social issue present?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Present 
    • Absent 
    • Indeterminate 
  •  Text
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  • Young teenager (16 years and under)
  • Primigravida (30 years or older)
  • Multigravida (35 years or older)
  • Grand multipara (5 or more previous pregnancies)
  • Other
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  • Yes
  • No
  • Unknown
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Details of specific structured findings can be included using CLUSTER archetypes in the 'Details' slot., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period'], code=at0000, itemType=SECTION, level=3, text=Antenatal period, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.problem_screening.v0], code=at0000, itemType=OBSERVATION, level=4, text=Problem/Diagnosis screening questionnaire, description=Series of questions and associated answers used to screen for issues, problems or diagnoses., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=6, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=7, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=8, text=Any problems or diagnoses during the antenatal period?, description=Is there a history of any issues, problems or diagnoses relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
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  •  Text
  •  Interval of Duration
  •  Duration
  •  Date/Time
  •  Interval of Date/Time
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  • Yes 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=4, text=Symptom/sign screening questionnaire, description=Series of questions and associated answers used to screen for symptoms or signs., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=6, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=7, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=8, text=Any significant symptoms or signs during the antenatal period?, description=Is there a history of any symptoms or signs relevant for the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific symptom/sign'], code=at0022, itemType=CLUSTER, level=8, text=Specific symptom/sign, description=Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific symptom/sign']/items[at0004], code=at0004, itemType=ELEMENT, level=9, text=Symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific symptom/sign']/items[at0005], code=at0005, itemType=ELEMENT, level=9, text=Presence?, description=Is there a history of the specific symptom or sign having been present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., 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
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific symptom/sign']/items[at0037], code=at0037, itemType=ELEMENT, level=9, text=Onset, description=Timing of the initial recognition of the specific symptom or sign., comment=The 'Onset' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture the onset of symptoms or signs. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date the symptom started. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset. Interval of Duration for the approximate age of the individual at the time of onset., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Duration
  •  Interval of Duration
  •  Date/Time
  •  Interval of Date/Time
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific symptom/sign']/items[at0035], code=at0035, itemType=ELEMENT, level=9, text=Comment, description=Additional narrative about the specific symptom/sign question, not captured in other fields., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other symptom/sign'], code=at0022, itemType=CLUSTER, level=8, text=Other symptom/sign, description=Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other symptom/sign']/items[at0004], code=at0004, itemType=ELEMENT, level=9, text=Other symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Pain in calves, legs or thigh
  • Shortness of breath
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Other symptom/sign']/items[at0005], code=at0005, itemType=ELEMENT, level=9, text=Presence?, description=Is there a history of the specific symptom or sign having been present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='First trimester problems'], code=at0000, itemType=EVALUATION, level=4, text=First trimester problems, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='First trimester problems']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='First trimester problems']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Second trimester problems'], code=at0000, itemType=EVALUATION, level=4, text=Second trimester problems, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Second trimester problems']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Second trimester problems']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Third trimester problems'], code=at0000, itemType=EVALUATION, level=4, text=Third trimester problems, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Third trimester problems']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Antenatal period']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Third trimester problems']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery'], code=at0000, itemType=SECTION, level=3, text=During labour and delivery, 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery']/items[openEHR-EHR-OBSERVATION.problem_screening.v0], code=at0000, itemType=OBSERVATION, level=4, text=Problem/Diagnosis screening questionnaire, description=Series of questions and associated answers used to screen for issues, problems or diagnoses., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health 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itemType=EVENT, level=6, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=7, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, 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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis'], code=at0022, itemType=CLUSTER, level=8, text=Specific problem or diagnosis, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., 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='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0004], code=at0004, itemType=ELEMENT, level=9, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health status']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Latest pregnancy']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='During labour and delivery']/items[openEHR-EHR-OBSERVATION.problem_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Specific problem or diagnosis']/items[at0005], code=at0005, itemType=ELEMENT, level=9, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., 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
  •  Boolean
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  •  Text
  •  Interval of Duration
  •  Duration
  •  Date/Time
  •  Interval of Date/Time
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
  •  Boolean
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  •  Text
  •  Interval of Duration
  •  Duration
  •  Date/Time
  •  Interval of Date/Time
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  • Yes 
  • Unknown 
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  • Yes, as instructed
  • Yes, but delayed
  • No
  • Unknown
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  • Yes, as instructed
  • Yes, but delayed
  • No
  • Unknown
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  • Health centre
  • Hospital
  • Private pharmacy
  • Unknown
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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