TEMPLATE Clinical management - JM (Clinical management - JM)

TEMPLATE IDClinical management - JM
ConceptClinical management - JM
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2023-05-09
Other Details Languagedate: 2023-05-09
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, PARENT:MD5-CAM-1.0.1=8FE80F3E80C594AAF99D3BA540A53D73, original_language=ISO_639-1::en, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=0dfcc28c635494f6e935c69619734903, sem_ver=5.0.0}
Language useden
Citeable Identifier1013.26.974
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-SECTION.adhoc.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1], code=at0000, itemType=SECTION, level=0, text=Clinical management, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1], code=at0000, itemType=OBSERVATION, level=1, text=Management screening, description=Series of questions and associated answers used to screen for clinical management including, but not limited to treatments, therapies and hospitalisation., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=5, text=Management activity, description=Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Management name, description=Name of a specific management or treatment activity or grouping of management or treatment activities., comment=For example: Admitted to hospital; Admitted to ICU; Use of compression stockings; Daily dressings; ECMO. Coding of the 'Management name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Done?, description=Is there a history of the specific management or treatment activity?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.management_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0037], code=at0037, itemType=ELEMENT, level=6, text=Start date, description=Indication of timing related to the management activity., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when the management activity may have occurred. The specific and intended semantics can be further clarified in a template. For example: the actual point in time when, or interval during which, an activity took place; the start and stop time of an activity; the duration of the activity; the age of the individual at the time of the activity; or the duration of time since the activity occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening'], code=at0000.1, itemType=OBSERVATION, level=1, text=Laboratory test screening, description=Series of questions and associated answers used to screen whether diagnostic investigations have been carried out., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022], code=at0022, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023], code=at0023, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Specimen taken?, description=Is there a history of any diagnostic tests or investigations related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026], code=at0026, itemType=CLUSTER, level=5, text=Specific test, description=Details about a specified investigation or grouping of investigations relevant for the screening purpose., comment=Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0021], code=at0021, itemType=ELEMENT, level=6, text=Test name, description=Name of the diagnostic investigation or grouping of investigations., comment=For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Done?, description=Is there a history of the investigation being carried out?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0003 and name/value='Date/time sent to laboratory'], code=at0003, itemType=ELEMENT, level=6, text=Date/time sent to laboratory, description=Indication of timing related to the investigation., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when an investigation was carried out. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for the investigation; the interval of time during which the investigation was carried out; the duration of the investigation; the age of the individual at the time of the investigation; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0003 and name/value='Date/time result reported'], code=at0003, itemType=ELEMENT, level=6, text=Date/time result reported, description=Indication of timing related to the investigation., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when an investigation was carried out. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for the investigation; the interval of time during which the investigation was carried out; the duration of the investigation; the age of the individual at the time of the investigation; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Conclusion, description=Brief description, summary or interpretation of the investigation outcome., comment=For example: 'All results within normal range', 'Normal', 'Further investigations needed'. This data element is not to contain a representation of the actual results or findings. In that situation, nest an appropriate CLUSTER archetype within the following 'Additional details' SLOT., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1], code=at0000, itemType=CLUSTER, level=6, text=Specimen collection details, description=A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis., comment=For example: Tissue or body fluid., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=7, text=Specimen type, description=The type of specimen., comment=For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible., uncommonOntologyItems={fhir_mapping=Specimen.type}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0034], code=at0034, itemType=ELEMENT, level=7, text=Date/time received by laboratory, description=The date and time that the sample was received at the laboratory., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.receivedTime}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=7, text=Date/time collected, description=The date and time that collection has been ordered to take place or has taken place., comment=This datetime will be captured primarily in the INSTRUCTION timing, ACTION time or OBSERVATION times. However, as this is a critical piece of information, it can be useful to also associate it directly with the specimen itself., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0041], code=at0041, itemType=ELEMENT, level=7, text=Adequacy for testing, description=Information about whether the specimen was adequate for testing., comment=This element is intended to be used to record a judgement about whether or not the specimen quality was good enough for testing, and whether or not testing has been carried out. Coding of the specimen quality issues with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Satisfactory 
  • Unsatisfactory - analysed 
  • Unsatisfactory - not analysed 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0045], code=at0045, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the specimen not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.note}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the diagnostic investigation test not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative'], code=at0000, itemType=CLUSTER, level=6, text=Laboratory analyte result - interpretative, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative']/items[at0001], code=at0001, itemType=ELEMENT, level=7, 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
  • Indeterminate
  • Negative
  • Unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative']/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative'], code=at0000, itemType=CLUSTER, level=6, text=Laboratory analyte result - quantitative, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative']/items[at0001], code=at0001, itemType=ELEMENT, level=7, 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=CHOICE, bindings=null, values=
  •  Quantity
  •  Count
  •  Duration
  •  Proportion
  •  Text
  •  Coded Text Value set: external
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative']/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0], code=at0000, itemType=CLUSTER, level=6, text=Antibody test finding, description=The result of a laboratory test designed to detect and quantify the presence of specific antibodies produced by the immune system in response to a microorganism, tissue, allergen, or physiological process, within a clinical specimen., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0049], code=at0049, itemType=ELEMENT, level=7, text=Test name, description=Name of the antibody test., comment=Coding with an external terminology is recommended, if available. For example: SARS-CoV-2 IgG antibody test., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0057], code=at0057, itemType=ELEMENT, level=7, text=Antibody target, description=The specific antigenic structure or component that the test is designed to detect., comment=Coding with an external terminology is recommended, if available. For example: infection-related IgG/IgM, IgG1 or IgG2, allergen-specific IgE; anti-dsDNA., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0059], code=at0059, itemType=ELEMENT, level=7, text=Microbial target, description=The name of the microorganism associated with the antibody target, if relevant., comment=Coding with an external terminology is recommended, if available. For example: SARS-CoV-2., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0055], code=at0055, itemType=ELEMENT, level=7, text=Test method, description=Method used for the antibody test., comment=Coding with an external terminology is recommended, if available. For example: lateral flow immunoassay, ELISA, chemiluminescent immunoassay., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=7, text=Presence, description=Statement about detection of the identified antibody in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Detected 
    • Not detected 
    • Indeterminate 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0054], code=at0054, itemType=ELEMENT, level=7, text=Quantitative result, description=Quantitative assessment of the amount of the identified antibody in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  QuantityUnits:
    • k[iU]/L
    • [iU]/mL
  •  Proportion
    • Ratio
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antibody.v0]/items[at0022], code=at0022, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the test finding not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0], code=at0000, itemType=CLUSTER, level=6, text=Antigen test finding, description=The result of a laboratory test designed to directly identify and measure the presence of a specific antigen, typically associated with a microorganism, tissue, or physiological process, within a clinical specimen., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0049], code=at0049, itemType=ELEMENT, level=7, text=Test name, description=Name of the antigen test., comment=Coding with an external terminology is recommended, if available. For example: SARS-CoV-2 rapid antigen test, HIV p24 Antigen ELISA, PSA chemiluminescent immunoassay, AFP ELISA, HER2/neu immunohistochemistry (IHC) test., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0057], code=at0057, itemType=ELEMENT, level=7, text=Antigen target, description=The specific antigenic or protein structure or component that the test is designed to detect., comment=Coding with an external terminology is recommended, if available. For example: spike protein (SARS-CoV-2), nucleocapsid protein (SARS-CoV-2), capsid protein (HIV), lipopolysaccharides (LPS) in gram-negative bacteria, prostate-specific antigen (PSA), alpha-fetoprotein (AFP), carcinoembryonic antigen (CEA), HER2/neu, CA-125., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0059], code=at0059, itemType=ELEMENT, level=7, text=Microbial target, description=The name of the microorganism associated with the antigen, if relevant., comment=Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, HIV., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0055], code=at0055, itemType=ELEMENT, level=7, text=Test method, description=Method used for the antigen test., comment=Coding with an external terminology is recommended, if available. For example: lateral flow immunoassay, ELISA, immunohistochemistry (IHC)., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=7, text=Presence, description=Statement about detection of the identified antigen in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Detected 
  • Not detected 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0054], code=at0054, itemType=ELEMENT, level=7, text=Quantitative result, description=Quantitative assessment of the amount of the identified antigen in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • ng/mL
  • k[iU]/L
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_antigen.v0]/items[at0022], code=at0022, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the test finding not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0], code=at0000, itemType=CLUSTER, level=6, text=Blood cell count and differential finding, description=Relative and absolute amounts of blood cells identified within an identified specimen., comment=For example: whole blood; urine; or CSF., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Red cell count (RCC), description=Total number of erythrocytes per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10*6/uL
  • 10*12/L
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=White cell count (WCC), description=Total number of leucocytes per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=7, text=Neutrophil count, description=Number of neutrophils per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Lymphocyte count, description=Number of lymphocytes per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=Monocyte count, description=Number of monocytes per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=7, text=Eosinophil count, description=Number of eosinophils per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Basophil count, description=Number of basophils per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=7, text=Blast count, description=Number of blast cells per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0010], code=at0010, itemType=ELEMENT, level=7, text=Platelet count, description=Number of platelets per volume unit of the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • 10⁹/L
  • 10*3/uL
  • 1/[HPF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0016], code=at0016, itemType=ELEMENT, level=7, text=Neutrophil %, description=The proportion of neutrophils compared to the total white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=7, text=Lymphocyte %, description=The proportion of lymphocytes compared to the total white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0018], code=at0018, itemType=ELEMENT, level=7, text=Monocyte %, description=The proportion of monocytes compared to the total white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0019], code=at0019, itemType=ELEMENT, level=7, text=Eosinophil %, description=The proportion of eosinophils compared to the white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0020], code=at0020, itemType=ELEMENT, level=7, text=Basophil %, description=The proportion of basophils observed compared to the total white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_blood_cell_count.v0]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Blast %, description=The proportion of blast cells compared to the total white blood cell count., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
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  • Growth 
  • No growth 
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  • Detected 
  • Not detected 
  • Indeterminate 
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  • No growth 
  • Light growth 
  • Moderate growth 
  • Heavy growth 
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  • Detected 
  • Not detected 
  • Indeteminate 
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  •  Coded Text
    • Absent 
    • Scant 
    • Low 
    • Moderate 
    • High 
  •  Text
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  • Gram stain 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Gram stain findings']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Clinical findings, description=Narrative description about the findings observed using the identified stain., comment=For example: an overall description; the presence of non-targeted findings such as epithelial cells or debris., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Gram stain findings']/items[at0016], code=at0016, itemType=CLUSTER, level=7, text=Per target finding, description=Details about a specific microorganism, tissue structure, or cell structure observed during the microscopic examination of a stained specimen., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Gram stain findings']/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=8, text=Staining target, description=Identification of the target organism, cell or structure., comment=For example: gram-positive cocci, fungi, acid-fast bacilli, cell nuclei or pathological inclusions. Coding with an external terminology is preferred, if available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Gram-positive cocci
  • Gram-negative cocci
  • Gram-positive rods
  • Gram-negative rods
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  • Detected 
  • Not detected 
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  • Scant 
  • Low 
  • Moderate 
  • High 
  • Absent 
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  • Encapsulated microorganism
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  • Detected 
  • Not detected 
  • Indeterminate 
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  • Scant 
  • Low 
  • Moderate 
  • High 
  • Absent 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='India ink stain findings']/items[at0016]/items[at0023], code=at0023, itemType=ELEMENT, level=8, text=Morphology, description=Narrative description about the physical characteristics of the staining target., comment=For example: gram-positive cocci in clusters; gram-negative bacilli, short rods; elongated fibroblasts; multinucleated giant cells; branching hyphae; oval yeast forms with budding., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='India ink stain findings']/items[at0016]/items[at0027], code=at0027, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the target findings using the identified stain, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings'], code=at0000, itemType=CLUSTER, level=6, text=Ziehl-Neelson stain findings, description=Findings observed during microscopic examination of tissue treated with specialised stains, intended to enhance the visualisation of specimen, including microorganisms, tissue structures and cellular details., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Staining method, description=Name of the technique used to stain the specimen., comment=For example: Ziehl–Neelsen; Gram stain, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Ziehl-Neelsen stain 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Clinical findings, description=Narrative description about the findings observed using the identified stain., comment=For example: an overall description; the presence of non-targeted findings such as epithelial cells or debris., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0016], code=at0016, itemType=CLUSTER, level=7, text=Per target finding, description=Details about a specific microorganism, tissue structure, or cell structure observed during the microscopic examination of a stained specimen., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=8, text=Staining target, description=Identification of the target organism, cell or structure., comment=For example: gram-positive cocci, fungi, acid-fast bacilli, cell nuclei or pathological inclusions. Coding with an external terminology is preferred, if available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Acid-fast bacilli
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0016]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Presence, description=Statement about detection of the staining target in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Detected 
  • Not detected 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0016]/items[at0018], code=at0018, itemType=ELEMENT, level=8, text=Qualitative result, description=Qualitative assessment of the amount of the target organism, cell, or structure observed using the stain., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Scant 
  • Low 
  • Moderate 
  • High 
  • Absent 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_microscopy_stain.v0 and name/value='Ziehl-Neelson stain findings']/items[at0016]/items[at0027], code=at0027, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the target findings using the identified stain, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0], code=at0000, itemType=CLUSTER, level=6, text=Molecular microbial test findings, description=The result of a laboratory test for the detection and identification of specific micro-organism DNA or RNA in a specimen, using nucleic acid probes., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0049], code=at0049, itemType=ELEMENT, level=7, text=Test name, description=Name of the molecular test carried out., comment=Coding with an external terminology is recommended, if available. For example: PCR for Mycobacterium tuberculosis or SARS-CoV-2., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0059], code=at0059, itemType=ELEMENT, level=7, text=Microbial target, description=The name of the microorganism being detected., comment=Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, Mycobacterium tuberculosis, or Candida albicans., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0057], code=at0057, itemType=ELEMENT, level=7, text=Molecular target, description=The specific genetic material within the microorganism that is being detected., comment=Coding with an external terminology is recommended, if available. For example: 16S rRNA gene (for bacteria), RdRp gene (for SARS-CoV-2), or ITS region (for fungi)., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0055], code=at0055, itemType=ELEMENT, level=7, text=Test method, description=Method used for the molecular test., comment=For example: PCR, RT-PCR, NGS, isothermal amplification., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0050], code=at0050, itemType=ELEMENT, level=7, text=Presence, description=Statement about detection of the identified microorganism in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Detected 
  • Not detected 
  • Indeterminate 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0054], code=at0054, itemType=ELEMENT, level=7, text=Quantitative result, description=Quantitative assessment of the amount of the identified microorganism in the specimen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: copies/mL, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Laboratory test screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[openEHR-EHR-CLUSTER.lab_molecular_microbial.v0]/items[at0022], code=at0022, itemType=ELEMENT, level=7, text=Comment, description=Additional narrative about the test finding not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM'], code=at0000.1, itemType=OBSERVATION, level=1, text=Imaging examination screening - JM, description=Series of questions and associated answers used to screen whether diagnostic investigations have been carried out., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022], code=at0022, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023], code=at0023, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Any imaging?, description=Is there a history of any diagnostic tests or investigations related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026], code=at0026, itemType=CLUSTER, level=5, text=Specific imaging, description=Details about a specified investigation or grouping of investigations relevant for the screening purpose., comment=Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0021], code=at0021, itemType=ELEMENT, level=6, text=Study name, description=Name of the diagnostic investigation or grouping of investigations., comment=For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Done?, description=Is there a history of the investigation being carried out?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Date of study, description=Indication of timing related to the investigation., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when an investigation was carried out. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for the investigation; the interval of time during which the investigation was carried out; the duration of the investigation; the age of the individual at the time of the investigation; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Findings, description=Brief description, summary or interpretation of the investigation outcome., comment=For example: 'All results within normal range', 'Normal', 'Further investigations needed'. This data element is not to contain a representation of the actual results or findings. In that situation, nest an appropriate CLUSTER archetype within the following 'Additional details' SLOT., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Imaging examination screening - JM']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the diagnostic investigation test not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening'], code=at0000.1, itemType=OBSERVATION, level=1, text=Other investigation screening, description=Series of questions and associated answers used to screen whether diagnostic investigations have been carried out., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022], code=at0022, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023], code=at0023, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=5, text=Any other investigations?, description=Is there a history of any diagnostic tests or investigations related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Yes 
  • No 
  • Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026], code=at0026, itemType=CLUSTER, level=5, text=Specific investigation, description=Details about a specified investigation or grouping of investigations relevant for the screening purpose., comment=Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0021], code=at0021, itemType=ELEMENT, level=6, text=Investigation name, description=Name of the diagnostic investigation or grouping of investigations., comment=For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Done?, description=Is there a history of the investigation being carried out?, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Timing, description=Indication of timing related to the investigation., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when an investigation was carried out. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for the investigation; the interval of time during which the investigation was carried out; the duration of the investigation; the age of the individual at the time of the investigation; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Date/Time
  •  Text
  •  Interval of Date/Time
  •  Interval of Duration
  •  Duration
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Conclusion, description=Brief description, summary or interpretation of the investigation outcome., comment=For example: 'All results within normal range', 'Normal', 'Further investigations needed'. This data element is not to contain a representation of the actual results or findings. In that situation, nest an appropriate CLUSTER archetype within the following 'Additional details' SLOT., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.investigation_screening-JM.v0 and name/value='Other investigation screening']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the diagnostic investigation test not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=1, text=Laboratory test result, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=5, 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1], code=at0000, itemType=CLUSTER, level=5, text=Specimen collection details, description=A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis., comment=For example: Tissue or body fluid., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0029], code=at0029, itemType=ELEMENT, level=6, text=Specimen type, description=The type of specimen., comment=For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible., uncommonOntologyItems={fhir_mapping=Specimen.type}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0034], code=at0034, itemType=ELEMENT, level=6, text=Date/time received by laboratory, description=The date and time that the sample was received at the laboratory., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.receivedTime}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=6, text=Date/time collected, description=The date and time that collection has been ordered to take place or has taken place., comment=This datetime will be captured primarily in the INSTRUCTION timing, ACTION time or OBSERVATION times. However, as this is a critical piece of information, it can be useful to also associate it directly with the specimen itself., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0041], code=at0041, itemType=ELEMENT, level=6, text=Adequacy for testing, description=Information about whether the specimen was adequate for testing., comment=This element is intended to be used to record a judgement about whether or not the specimen quality was good enough for testing, and whether or not testing has been carried out. Coding of the specimen quality issues with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Satisfactory 
  • Unsatisfactory - analysed 
  • Unsatisfactory - not analysed 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v1]/items[at0045], code=at0045, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the specimen not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.note}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0075], code=at0075, itemType=ELEMENT, level=5, text=Date/time of result, description=The date and/or time that ‘Overall test status’ was issued., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative'], code=at0000, itemType=CLUSTER, level=5, text=Laboratory analyte result - interpretative, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative']/items[at0001], code=at0001, itemType=ELEMENT, level=6, 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
  • Indeterminate
  • Negative
  • Unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - interpretative']/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative'], code=at0000, itemType=CLUSTER, level=5, text=Laboratory analyte result - quantitative, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative']/items[at0001], code=at0001, itemType=ELEMENT, level=6, 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=CHOICE, bindings=null, values=
  •  Quantity
  •  Count
  •  Duration
  •  Proportion
  •  Text
  •  Coded Text Value set: external
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Laboratory analyte result - quantitative']/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the analyte result, not captured in other fields., comment=null, uncommonOntologyItems={fhir_mapping=Observation.note, hl7v2_mapping=NTE.3}, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - public'], code=at0000, itemType=CLUSTER, level=3, text=Receiving laboratory - public, description=An entity comprising one or more people and having a particular purpose., comment=For example: a company, institution, association, network, department, community group, healthcare practice group, payer/insurer, care team, or a group of neighbours who provide care or support., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - public']/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Name, description=The unstructured name or label for the organisation., comment=For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • National Public Health Laboratory (NPHL)
  • CARPHA
  • National Influenza Centre (NIC)
  • UHWI/UWI
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - public']/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Identifier, description=Identifier associated with the organisation., comment=Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the ID data type contains multiple subcomponents for recording the ID value, type, issuer and assigner., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private'], code=at0000, itemType=CLUSTER, level=3, text=Receiving laboratory - private, description=An entity comprising one or more people and having a particular purpose., comment=For example: a company, institution, association, network, department, community group, healthcare practice group, payer/insurer, care team, or a group of neighbours who provide care or support., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Name, description=The unstructured name or label for the organisation., comment=For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Identifier, description=Identifier associated with the organisation., comment=Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the ID data type contains multiple subcomponents for recording the ID value, type, issuer and assigner., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=4, text=Address - local, description=Details about the location of a person, physical building or landmark., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Street address'], code=at0001, itemType=ELEMENT, level=5, text=Street address, description=An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location., comment=Occurrences for this data element is set to 0..* to allow one or more free text 'Address line' data elements to represent the huge variety of ways that ‘street-level' details may need to be recorded within the context of a specified 'Town'. Multiple address lines can be represented in a template, renamed as 'Address line 1', 'Address line 2,' etc. For example: '7A/52 Davis Street' or 'Apartment 7A' as Address line 1 with '52 Davis Street' as Address line 2; a roadside mail box location, such as 'RMB 725, Princes Highway'; or using a descriptive landmark, such as or 'Corner of Smith & Brown Streets' or 'Second house north of the general store with the red door'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001 and name/value='Landmark'], code=at0001, itemType=ELEMENT, level=5, text=Landmark, description=An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location., comment=Occurrences for this data element is set to 0..* to allow one or more free text 'Address line' data elements to represent the huge variety of ways that ‘street-level' details may need to be recorded within the context of a specified 'Town'. Multiple address lines can be represented in a template, renamed as 'Address line 1', 'Address line 2,' etc. For example: '7A/52 Davis Street' or 'Apartment 7A' as Address line 1 with '52 Davis Street' as Address line 2; a roadside mail box location, such as 'RMB 725, Princes Highway'; or using a descriptive landmark, such as or 'Corner of Smith & Brown Streets' or 'Second house north of the general store with the red door'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Community, description=The name of the lowest level locality that contains the address., comment=For example: suburb, town, city, settlement, village, or community. Coding with an external terminology is preferred, where possible. For example: 'Fitzroy'; 'Manchester'; 'Kingston' or 'Bergen'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Aenon Town
  • Alley
  • Alston
  • Ashley
  • Banks
  • Beckford Kraal
  • Brandon Hill
  • Brixton Hill
  • Bucknor
  • Bucks Common
  • Bushy Park
  • Chapelton
  • Chateau
  • Cockpit
  • Coffee Piece
  • Colonels Ridge
  • Coxswain
  • Crofts Hill
  • Crooked River
  • Cumberland
  • Curatoe Hill
  • Dawkins
  • Effortville
  • Four Paths
  • Frankfield
  • Freetown
  • Gimme-me-bit
  • Glenmuir
  • Grantham
  • Gravel Hill
  • Hayes
  • and MORE
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Parish, description=The name of a local government district or geographical area that contains the address., comment=Coding with an external terminology is preferred, where possible. For example: 'Surf Coast' and 'Yarra' local government councils in Victoria, Australia;and the Parishes of 'Saint Andrew' and 'Kingston' in Jamaica.., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Clarendon
  • Hanover
  • Kingston
  • Manchester
  • Portland
  • Saint Andrew
  • Saint Ann
  • Saint Catherine
  • Saint Elizabeth
  • Saint James
  • Saint Mary
  • Saint Thomas
  • Trelawny
  • Westmoreland
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1 and name/value='Receiving laboratory - private']/items[openEHR-EHR-CLUSTER.address.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Country, description=The name of the country containing the address., comment=For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Jamaica
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1], code=at0000, itemType=OBSERVATION, level=1, text=Imaging examination result, description=The result of an imaging examination performed on an individual, using radiological techniques., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=3, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Study name, description=The name of the imaging examination performed., comment=For example: 'CT abdomen'; 'Doppler ultrasound of renal artery' or 'Plain chest xray'. Coding with a terminology is strongly recommended, preferably a term specifying both modality and anatomical location, where possible. Examples of candidate terminologies are the LOINC Imaging Document Codes, RadLex Playbook or SNOMED-CT. Equivalent to DiagnosticReport.code in FHIR., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0070], code=at0070, itemType=ELEMENT, level=5, text=Study date, description=Date/time when the imaging started., comment=Equivalent to ImagingStudy.started in FHIR., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=5, text=Imaging findings, description=Narrative description or overview of all clinical findings., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Overall impression, description=Narrative concise, clinically relevant interpretation of all imaging findings, and include a comparison with previous studies where appropriate., comment=Also referred to as 'Opinion' or 'Conclusion'. Equivalent to DiagnosticReport.conclusion in FHIR., 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-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the examination not captured in other fields., comment=For example: a note that the film was given to the patient. Equivalent to DiagnosticReport.note in FHIR., 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-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0], code=at0000, itemType=EVALUATION, level=1, text=Treatment summary, description=Summary or persistent details about a treatment course or protocol for an identified condition., 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-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Treatment name, description=The name of the (main) treatment or course of treatment., 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-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Treatment status, description=Description about the status of the treatment or treatment course., comment=For example: completed or not completed., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Completed
  • Not completed
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Date treatment stopped, description=The date when the treatment or course of treatment was completed or stopped., 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-SECTION.adhoc.v1]/items[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-SECTION.adhoc.v1]/items[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-SECTION.adhoc.v1]/items[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-SECTION.adhoc.v1]/items[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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.treatment_summary.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.clinical_evidence.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Date, description=The date on which the finding was clinically identified., comment=For example: The date when the finding was made by or made available to the clinician., 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-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=1, text=Management notes, description=Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Actions taken, description=The summary, assessment, conclusions or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]