TEMPLATE Maternal mortality surveillance - Antenatal & postnatal care report (Maternal mortality surveillance - Antenatal & postnatal care report)

TEMPLATE IDMaternal mortality surveillance - Antenatal & postnatal care report
ConceptMaternal mortality surveillance - Antenatal & postnatal 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=2ce86c1418398630e837f08cbe5fab2a, sem_ver=102.1.0}
Language useden
Citeable Identifier1013.26.497
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  • Maternal death
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  • Antenatal & postnatal care
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  •  Identifier
  •  Text
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  • Email 
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  •  Text
  •  URI
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  • Mobile (cellular) telephone 
  • Telephone (excluding mobile telephone) 
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  •  Text
  •  URI
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  • Medical record
  • Shared maternal record
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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='Routine antenatal care'], code=at0000, itemType=SECTION, level=1, text=Routine antenatal care, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Antenatal care summary, description=Summary details about the antenatal care received during a single pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal 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values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0004 and name/value='Routine antenatal care'], code=at0004, itemType=CLUSTER, level=4, text=Routine antenatal care, description=*, comment=Clone to enable more specific recording of 'Routine' from 'Specialised' ambulatory antenatal care., 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='Routine antenatal 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  • Health centre
  • General practitioner
  • OB/GYN
  • Other
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  • High Risk Clinic
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0085], code=at0085, itemType=ELEMENT, level=5, text=Date of first visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0086], code=at0086, itemType=ELEMENT, level=5, text=Gestation at first visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0087], code=at0087, itemType=ELEMENT, level=5, text=Date of last visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0088], code=at0088, itemType=ELEMENT, level=5, text=Gestation at last visit, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=P0W..P50W Week, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0089], code=at0089, itemType=ELEMENT, level=5, text=Number of High Risk Clinic visits, description=The number of visits to the identified clinic., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0090], code=at0090, itemType=ELEMENT, level=5, text=Conditions managed, description=Significant issues, problems or diagnoses managed by the specified type of care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0080]/items[at0091], code=at0091, itemType=ELEMENT, level=5, text=Treatment summary, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-EVALUATION.pregnancy_care_summary.v0]/data[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=4, text=Total number of antenatal visits, description=Total number of antenatal clinic visits of all types and locations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results'], code=at0000, itemType=SECTION, level=2, text=Test results, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-EVALUATION.blood_group.v0], code=at0000, itemType=EVALUATION, level=3, text=Blood group, description=Identification of the blood group and rhesus status 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-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-EVALUATION.blood_group.v0]/data[at0002], code=at0002, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-EVALUATION.blood_group.v0]/data[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Blood group, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • AB 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-EVALUATION.blood_group.v0]/data[at0002]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Rhesus antigens, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Positive 
  • Negative 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin'], code=at0000, itemType=OBSERVATION, level=3, text=Haemoglobin, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Test name, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Haemoglobin
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1], code=at0000, itemType=CLUSTER, level=7, text=Haemoglobin, description=The result of a laboratory test for a single analyte value., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Haemoglobin']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • g/L
  • g/dL
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results'], code=at0000, itemType=OBSERVATION, level=3, text=Screening laboratory test results, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Test name, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Sickle cell screen
  • HIV test
  • Syphilis screen (VDRL/FTA)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1], code=at0000, itemType=CLUSTER, level=7, text=Laboratory analyte result, description=The result of a laboratory test for a single analyte value., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Test result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Positive
  • Negative
  • Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[openEHR-EHR-CLUSTER.exclusion_test.v0], code=at0000, itemType=CLUSTER, level=8, text=Exclusion of test, description=Positive statement to record that a diagnostic test was not performed., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[openEHR-EHR-CLUSTER.exclusion_test.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=9, text=Test not done, description=Statement to explicity record that the diagnostic was not performed., comment=Record as True if the examination was not performed., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)'], code=at0000, itemType=OBSERVATION, level=3, text=Screening laboratory test results (2), description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Test name, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Sickle electrophoresis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1], code=at0000, itemType=CLUSTER, level=7, text=Sickle electrophoresis, description=The result of a laboratory test for a single analyte value., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0001 and name/value='Test result'], code=at0001, itemType=ELEMENT, level=8, text=Test result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • AS
  • SS
  • SC
  • STHAL
  • Other
  • [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0001 and name/value='Other test result'], code=at0001, itemType=ELEMENT, level=8, text=Other test result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ANY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[openEHR-EHR-CLUSTER.exclusion_test.v0], code=at0000, itemType=CLUSTER, level=8, text=Exclusion of test, description=Positive statement to record that a diagnostic test was not performed., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1 and name/value='Screening laboratory test results (2)']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[openEHR-EHR-CLUSTER.exclusion_test.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=9, text=Test not done, description=Statement to explicity record that the diagnostic was not performed., comment=Record as True if the examination was not performed., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.urinalysis.v1], code=at0000, itemType=OBSERVATION, level=3, text=Highest albuminuria result, description=Qualitative and semi-quantitative test array using reagent test strips to indicate possible abnormalities in a sample of urine, often performed as part of Point of Care Testing (POCT)., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.urinalysis.v1]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.urinalysis.v1]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=5, text=Maximum, description=A specific date and/or time 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=POINT_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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.urinalysis.v1]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Test results']/items[openEHR-EHR-OBSERVATION.urinalysis.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0095], code=at0095, itemType=ELEMENT, level=7, text=Albuminuria, description=Detection of protein in urine sample., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Negative 
  • 2: Trace 
  • 3: 1+ 
  • 4: 2+ 
  • 5: 3+ 
  • 6: 4+ 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements'], code=at0000, itemType=SECTION, level=2, text=Measurements, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.body_weight.v2], code=at0000, itemType=OBSERVATION, level=3, text=Body weight, description=Measurement of the body weight of an individual., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002], code=at0002, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003], code=at0003, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001], code=at0001, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Weight, description=The weight of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..2000
Units:
  • kg
  • [lb_av]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.height.v2], code=at0000, itemType=OBSERVATION, level=3, text=Height/Length, description=Height, or body length, is measured from crown of head to sole of foot., comment=Height is measured with the individual in a standing position and body length in a recumbent position., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.height.v2]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.height.v2]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.height.v2]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.height.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Height, description=The length of the body from crown of head to sole of foot., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..250
Units:
  • cm
  • [in_i]
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Units:
  • kg/m2
  • [lb_av]/[in_i]2
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[path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=History Structural node., 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006], code=at0006, itemType=EVENT, level=5, text=Last on record, 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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/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='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Systolic, description=Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Measurements']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Diastolic, description=Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Oedema screening, 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='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.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='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, 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='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, 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='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, 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=
  • Oedema
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Routine antenatal care']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0005], code=at0005, itemType=ELEMENT, level=7, 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='High risk clinic'], code=at0000, itemType=SECTION, level=1, text=High risk clinic, 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='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral'], code=at0000, itemType=ADMIN_ENTRY, level=2, text=High Risk Clinic referral, description=Information about follow-up for proposed additional care or escalation of care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Referred to High Risk Clinic?, description=Was the patient referred for additional care?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Date of referral, description=The date when the patient was referred for additional care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Reason for referral, description=The reason for referral for additional care., 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='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Followed up?, description=Was the patient followed up re attendance?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Attended?, description=Did the patient attend as requested?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Reason for non-attendance, description=The reason why the patient did not attend for the proposed care., 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='High risk clinic']/items[openEHR-EHR-ADMIN_ENTRY.referral_review.v0 and name/value='High Risk Clinic referral']/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Reason for delay, description=The reason the patient was delayed in presenting for the proposed care., 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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Oedema screening (2), 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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, 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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, 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='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, 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=
  • Oedema
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-clinical_investigation_report.v0]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='High risk clinic']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0005], code=at0005, itemType=ELEMENT, level=7, 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
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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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='High risk clinic']/items[openEHR-EHR-OBSERVATION.urinalysis.v1]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=4, text=Maximum, description=A specific date and/or time 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=POINT_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='High risk 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subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Negative 
  • 2: Trace 
  • 3: 1+ 
  • 4: 2+ 
  • 5: 3+ 
  • 6: 4+ 
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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='High risk clinic']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003], code=at0003, 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='High risk 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occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Day 6 postnatal visit
  • Week 6 postnatal visit
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  • Day 6 postnatal visit
  • Week 6 postnatal visit
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  • No problems identified
  • Problems identified
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  • Postnatal admission??
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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  • Yes 
  • No 
  • Unknown 
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  •  Coded Text
    • Yes 
    • No 
    • Unknown 
  •  Text
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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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.v0], code=at0000, itemType=OBSERVATION, level=2, text=Child snapshot, description=Key summary information about an identified child, who is not the subject of care, at a specified point in time., 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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=*, 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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Name, description=Identification of a child by name., 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='Per surviving neonate']/items[openEHR-EHR-OBSERVATION.child_snapshot.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Vital status, description=The vital status of the child., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Alive 
  • Deceased 
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  •  Text
  •  Coded Text
    • Male 
    • Female 
    • Intersex 
    • Unknown 
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Units:
  • Year
  • Month
  • Week
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  • Father
  • Grandparent
  • Other
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