TEMPLATE Maternal mortality surveillance - Post mortem summary report (Maternal mortality surveillance - Post mortem summary report)

TEMPLATE IDMaternal mortality surveillance - Post mortem summary report
ConceptMaternal mortality surveillance - Post mortem summary report
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-06-25
Other Details Languagename: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-06-25
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=F973AE387AC9F0A0B5B5C87FD2244FE8, original_language=ISO_639-1::en, MD5-CAM-1.0.1=951f048b0caf72c1f06836e28b5b8ea9, sem_ver=31.2.0}
Language useden
Citeable Identifier1013.26.495
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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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.v0]/context/other_context[at0001]/items[at0.5], code=at0.5, itemType=ELEMENT, level=2, text=Date report completed, description=The date when the post mortem 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-post_mortem.v0]/context/other_context[at0001]/items[at0.6], code=at0.6, itemType=ELEMENT, level=2, text=Date report submitted to national level, description=The date when the post mortem report was submitted to the public 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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-post_mortem.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-post_mortem.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=Place of death 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-post_mortem.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-post_mortem.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-post_mortem.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-post_mortem.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 and name/value='Parish'], 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-post_mortem.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 and name/value='County'], code=at0003, itemType=ELEMENT, level=5, text=County, 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=
  • Cornwall
  • Middlesex
  • Surrey
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-post_mortem.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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context'], code=at0000, itemType=SECTION, level=1, text=Clinical 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=2, text=Clinical synopsis, description=Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.clinical_synopsis.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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Clinical summary, description=The summary, assessment, conclusions or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=2, text=List of comorbidities, 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.problem_diagnosis.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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical context']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death'], code=at0000, itemType=SECTION, level=1, text=Cause of death, 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0], code=at0000, itemType=EVALUATION, level=2, text=Cause of death, description=Details about specific diseases, injuries or conditions that directly caused or contributed to the death of an individual., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Immediate cause, description=The disease, injury or condition that directly led to, or occurred closest to the time of death., comment=It is strongly recommended that 'Direct cause' be coded with an external terminology. This data element may also be considered as the Cause labelled as 'A' within a death certificate recording a chain of events leading to death. For example: Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause', B); - 'due to' Breast cancer (as the earliest 'Antecedent cause', C; or underlying cause)., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0003 and name/value='Intermediate cause(s)'], code=at0003, itemType=CLUSTER, level=4, text=Intermediate cause(s), description=Details about one or more diseases, injuries or conditions in the chain of events preceding death, recorded in order from most recent onset to the earliest onset., comment=In the following example, there would only need to be two instances of this 'Antecedent cause(s)' CLUSTER represented in a template: - Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause', B); - 'due to' Breast cancer (as the earliest 'Antecedent cause', C; or underlying cause). If there is more than one 'Antecedent cause', each is represented as a separate instance of this CLUSTER., uncommonOntologyItems=null, occurencesFormal=0..2, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0003 and name/value='Intermediate cause(s)']/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Intermediate cause, description=Identification of an antecedent disease, injury or condition that directly contributed to the 'Direct cause'., comment=It is strongly recommended that 'Cause' be coded with an external terminology., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0003 and name/value='Underlying cause'], code=at0003, itemType=CLUSTER, level=4, text=Underlying cause, description=Details about one or more diseases, injuries or conditions in the chain of events preceding death, recorded in order from most recent onset to the earliest onset., comment=In the following example, there would only need to be two instances of this 'Antecedent cause(s)' CLUSTER represented in a template: - Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause', B); - 'due to' Breast cancer (as the earliest 'Antecedent cause', C; or underlying cause). If there is more than one 'Antecedent cause', each is represented as a separate instance of this CLUSTER., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0003 and name/value='Underlying cause']/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Underlying cause, description=Identification of an antecedent disease, injury or condition that directly contributed to the 'Direct cause'., comment=It is strongly recommended that 'Cause' be coded with an external terminology., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0020], code=at0020, itemType=CLUSTER, level=4, text=Other significant conditions, description=Details about other significant conditions that may have contributed to, but not had a caused in the underlying cause of death., 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-post_mortem.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cause of death']/items[openEHR-EHR-EVALUATION.cause_of_death.v0]/data[at0001]/items[at0020]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Condition name, description=Other significant condition(s) contributing, but not resulting in the underlying cause of death., comment=It is strongly recommended that 'Other condition' be coded with an external terminology., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]