TEMPLATE Tuberculosis case investigation report - Section 8 (Tuberculosis case investigation report - Section 8)

TEMPLATE IDTuberculosis case investigation report - Section 8
ConceptTuberculosis case investigation report - Section 8
DescriptionNot Specified
PurposeNot Specified
References
Authorsname: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-10-31
Other Details Languagename: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2022-10-31
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=79C98917A26378147AC057229082E613, original_language=ISO_639-1::en, MD5-CAM-1.0.1=353a371c270bc70981bf705d5e0f17b8, sem_ver=22.1.0}
Language useden
Citeable Identifier1013.26.638
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  • Tuberculosis
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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-case_classification.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-case_classification.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-case_classification.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=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-case_classification.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=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-case_classification.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=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-case_classification.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Work mobile/landline'], code=at0000, itemType=CLUSTER, level=3, text=Work mobile/landline, description=Details about a specified type of electronic communication., 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-case_classification.v0]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.person.v1]/items[openEHR-EHR-CLUSTER.electronic_communication.v1 and name/value='Work mobile/landline']/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) 
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  • Business use 
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  • Email 
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This data element may be able to be derived from the precise recording of 'Investigation site'., 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-case_classification.v0]/context/other_context[at0001]/items[at0.7], code=at0.7, itemType=ELEMENT, level=2, text=Date of classification, 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-case_classification.v0]/context/other_context[at0001]/items[at0.12 and name/value='HIV/STI/TB Unit review'], code=at0.12, itemType=CLUSTER, level=2, text=HIV/STI/TB Unit review, description=Details about the review process and reviewers of the report., 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-case_classification.v0]/context/other_context[at0001]/items[at0.12 and name/value='HIV/STI/TB Unit review']/items[at0.27], code=at0.27, itemType=ELEMENT, level=3, text=Date received for review, 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-case_classification.v0]/context/other_context[at0001]/items[at0.12 and name/value='HIV/STI/TB Unit review']/items[at0.8], code=at0.8, itemType=ELEMENT, level=3, text=Review type, description=Identification of the category or level of review., comment=For example: review by the facility or institution where the investigation was carried out; the local regional authority; or the national authority., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • HIV/STI/TB Unit
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  • National TB Coordinator
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  • National surveillance unit
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  • NSU Officer
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  • Tuberculosis treatment
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  • Completed
  • Not completed
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-case_classification.v0]/content[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Date treatment completed, description=The date when the treatment or course of treatment 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-case_classification.v0]/content[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Treatment outcome, description=Category of the treatment outcome for the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Cured
  • Treatment failure
  • Lost to followup
  • Died
  • Not evaluated
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-case_classification.v0]/content[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Date last seen, description=The date when the individual last attended for treatment., comment=May be useful, for example, when the individual is lost to follow-up., 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-case_classification.v0]/content[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.clinical_evidence.v1], code=at0000, itemType=CLUSTER, level=3, text=Clinical evidence, description=Details about findings that support a clinical assertion., 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-case_classification.v0]/content[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.clinical_evidence.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Test result, description=Identification of the finding that supports the assertion., comment=It is recommended that 'Finding' should be coded with a terminology, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • First negative laboratory test result
  • Latest negative laboratory test result
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  • Multidrug resistance (MDR)
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