| TEMPLATE ID | Diphtheria case investigation form |
|---|---|
| Concept | Diphtheria case investigation form |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Authors | name: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2023-09-04 |
| Other Details Language | name: Heather Leslie; organisation: Atomica Informatics; email: heather.leslie@atomicainformatics.com; date: 2023-09-04 |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1013.26.980 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| 2024 12 29 Diphtheria case investigation form | 2024 12 29 Diphtheria case investigation form: Document to communicate information to others, commonly in response to a request from another party. |
| Infectious disease investigation metadata | Infectious disease investigation metadata: Infectious disease investigation metadata. |
| Data | Data: * |
| Notified disease | Notified disease: The name of the disease under investigation.
|
| Notification ID | Notification ID: The unique identifier for the notification that triggered this infectious disease investigation. The investigation ID and the notification ID may be identical if both the notification and investigation are carried out within the same system. |
| Investigation ID | Investigation ID: The unique identifier for this infectious disease investigation. The investigation ID and the notification ID may be identical if both the notification and investigation are carried out within the same system. |
| Date identified | Date identified: The date when the infection was first identified by a clinician or notifier. |
| Epidemiological week of onset | Epidemiological week of onset: Standardised way to identify the week of onset of symptoms. Also known as 'epi week'. |
| Epidemiological week of notification | Epidemiological week of notification: Standardised way to identify the week of notification to public health authorities. Also known as 'epi week'. |
| Date of notification | Date of notification: Details about the person who notified public health authorities about the infectious disease case. |
| Person - notifying individual | Person - notifying individual: An individual human being. |
| Structured name of a person - core | Structured name of a person - core: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Professional license number | Professional license number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Professional group | Professional group: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant.
|
| Position | Position: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Healthcare facility | Healthcare facility: An entity comprising one or more people and having a particular purpose. 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. |
| Name | Name: The unstructured name or label for the organisation. For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'. |
| Identifier | Identifier: Identifier associated with the organisation. 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. |
| Address - local | Address - local: Details about the location of a person, physical building or landmark. |
| Street address | Street address: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Landmark | Landmark: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Community | Community: The name of the lowest level locality that contains the address. 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'.
|
| Parish | Parish: The name of a local government district or geographical area that contains the address. 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..
|
| Country | Country: The name of the country containing the address. For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended.
|
| Detection method | Detection method: Method of detection of the index disease. |
| Person - investigating officer | Person - investigating officer: An individual human being. |
| Structured name of a person - core | Structured name of a person - core: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Professional license number | Professional license number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Professional group | Professional group: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Position | Position: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Organisation | Organisation: An entity comprising one or more people and having a particular purpose. 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. |
| Name | Name: The unstructured name or label for the organisation. For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'. |
| Date investigation initiated | Date investigation initiated: The date when the investigator commenced the investigation. |
| Person - clinician | Person - clinician: An individual human being. |
| Structured name of a person - core | Structured name of a person - core: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Professional license number | Professional license number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Professional group | Professional group: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Position | Position: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Organisation | Organisation: An entity comprising one or more people and having a particular purpose. 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. |
| Name | Name: The unstructured name or label for the organisation. For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'. |
| Healthcare facility | Healthcare facility: An entity comprising one or more people and having a particular purpose. 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. |
| Name | Name: The unstructured name or label for the organisation. For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'. |
| Identifier | Identifier: Identifier associated with the organisation. 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. |
| Address - local | Address - local: Details about the location of a person, physical building or landmark. |
| Street address | Street address: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Landmark | Landmark: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Community | Community: The name of the lowest level locality that contains the address. 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'.
|
| Parish | Parish: The name of a local government district or geographical area that contains the address. 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..
|
| Country | Country: The name of the country containing the address. For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended.
|
| Date investigation completed | Date investigation completed: The date when the investigator finished the investigation report. |
| Date submitted to MO(H) | Date submitted to MO(H): The date when the investigator submitted the investigation report for review. |
| MO(H) sign off | MO(H) sign off: Details about review, sign off or approval by local or regional clinical authorities. |
| Date received for review | Date received for review: The date when the reviewer received the investigation for review. |
| Person - public health official | Person - public health official: An individual human being. |
| Structured name of a person - core | Structured name of a person - core: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Professional license number | Professional license number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Professional group | Professional group: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Position | Position: The relationship or role of the individual to the subject of the health record. For example - the copyholder of an advance care record; contact person in an organisation; relative in a family history entry; specimen collector; or witness to a fall or accident. If the individual being described using this archetype is the subject of the health record, then this data element is redundant. |
| Organisation | Organisation: An entity comprising one or more people and having a particular purpose. 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. |
| Name | Name: The unstructured name or label for the organisation. For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'. |
| Parish | Parish: Name of the local health region. |
| Comment | Comment: Narrative description about the investigation report. |
| Date review completed | Date review completed: The date when the reviewer completed the review of the investigation. |
| Date submitted to NSU | Date submitted to NSU: The date on which the investigation was submitted to public health authorities. |
| Case demographic information | Case demographic information: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Adult demographics | Adult demographics: A container archetype used to hold demographic-related EHR CLUSTER archetypes. |
| Data | |
| Person - adult patient | Person - adult patient: An individual human being. |
| Structured name of a person - full | Structured name of a person - full: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Middle name | Middle name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Nickname | Nickname: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Medical Record Number (MRN) | Medical Record Number (MRN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Jamaica Digital Health ID | Jamaica Digital Health ID: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| National Identification Number (NIN) | National Identification Number (NIN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Taxpayer Registration Number (TRN) | Taxpayer Registration Number (TRN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Drivers licence | Drivers licence: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Passport number | Passport number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Electoral Office of Jamaica ID | Electoral Office of Jamaica ID: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| National Insurance Scheme Number | National Insurance Scheme Number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Address - Local + GIS | Address - Local + GIS: Details about the location of a person, physical building or landmark. |
| Street address | Street address: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Landmark | Landmark: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Community | Community: The name of the lowest level locality that contains the address. 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'.
|
| Parish | Parish: The name of a local government district or geographical area that contains the address. 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..
|
| Country | Country: The name of the country containing the address. For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended.
|
| Geolocation code | Geolocation code: Unique identifier that represents a precise geographical location. Also known as a geocode. For example: GPS coordinates concatenating longitude, latitude +/-altitude; Open Location Code or Plus Code; Universal Transverse Mercator (UTM); and geohash. |
| Latitude | Latitude: Horizontal (y) coordinate of a geolocation for the address. Latitude is represented by positive values north of the equator and negative values south of the equator. For example the latitude of the Eiffel Tower is 48.858093. -90..90 ° |
| Longitude | Longitude: Horizontal (x) coordinate of a geolocation for the address. Longitude is represented by negative values west of Prime Meridian and positive values east of Prime Meridian. For example the longitude of the Eiffel Tower is 2.294694. -180..180 ° |
| Map URL | Map URL: Link to a location on an online map. For example: a location on a Google or iOS map. |
| Phone - personal mobile | Phone - personal mobile: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Phone - home landline | Phone - home landline: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Phone - work number | Phone - work number: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Email: Details about a specified type of electronic communication. | |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template. |
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Comment | Comment: Additional narrative about the electronic communication not captured in other fields. |
| Child demographics | Child demographics: A container archetype used to hold demographic-related EHR CLUSTER archetypes. |
| Data | |
| Person - child patient | Person - child patient: An individual human being. |
| Structured name of a person - full | Structured name of a person - full: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Middle name | Middle name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Nickname | Nickname: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Suffix | Suffix: One or more term(s) placed after all other name components, usually to differentiate an individual from a family member with identical Given and Family name components. Occurrences for this data element are set to 0..* to allow for more than one Suffix to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Junior (Jr)'; 'Senior (Sr)'; 'Second (II)'.
|
| Medical Record Number (MRN) | Medical Record Number (MRN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Jamaica Digital Health ID | Jamaica Digital Health ID: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| National Identification Number (NIN) | National Identification Number (NIN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Birth certificate number | Birth certificate number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Student Registration Number | Student Registration Number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Taxpayer Registration Number (TRN) | Taxpayer Registration Number (TRN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Drivers licence | Drivers licence: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Passport number | Passport number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| National Insurance Scheme Number | National Insurance Scheme Number: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Address - Local + GIS | Address - Local + GIS: Details about the location of a person, physical building or landmark. |
| Street address | Street address: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Landmark | Landmark: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Community | Community: The name of the lowest level locality that contains the address. 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'.
|
| Parish | Parish: The name of a local government district or geographical area that contains the address. 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..
|
| Country | Country: The name of the country containing the address. For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended.
|
| Geolocation code | Geolocation code: Unique identifier that represents a precise geographical location. Also known as a geocode. For example: GPS coordinates concatenating longitude, latitude +/-altitude; Open Location Code or Plus Code; Universal Transverse Mercator (UTM); and geohash. |
| Latitude | Latitude: Horizontal (y) coordinate of a geolocation for the address. Latitude is represented by positive values north of the equator and negative values south of the equator. For example the latitude of the Eiffel Tower is 48.858093. -90..90 ° |
| Longitude | Longitude: Horizontal (x) coordinate of a geolocation for the address. Longitude is represented by negative values west of Prime Meridian and positive values east of Prime Meridian. For example the longitude of the Eiffel Tower is 2.294694. -180..180 ° |
| Map URL | Map URL: Link to a location on an online map. For example: a location on a Google or iOS map. |
| Phone - home landline | Phone - home landline: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Phone - personal mobile | Phone - personal mobile: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Email: Details about a specified type of electronic communication. | |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template. |
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Comment | Comment: Additional narrative about the electronic communication not captured in other fields. |
| Person - nameless infant patient | Person - nameless infant patient: An individual human being. |
| Label | Label: A label for the individual. For example: 'Neighbour in the house with the red door'.
|
| Structured name of woman - full + maiden | Structured name of woman - full + maiden: Discrete components of an individual's name. |
| Title | Title: One or more honorific form(s) of address commencing a name. Occurrences for this data element are set to 0..* to allow for more than one Title to be recorded. Coding with an external terminology is preferred, where possible. For example: 'Doctor'; 'Ms'; 'Mx'; or 'Professor Dr'.
|
| First name | First name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Middle name | Middle name: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Nickname | Nickname: One or more unique name(s) used to identify an individual within a family group. Occurrences for this data element are set to 0..* to allow for more than one Given name to be recorded. In addition, this data element may be cloned and renamed within a template to allow discrete recording of different types of Given name - for example 'First name', 'Middle name', 'Preferred name' or 'Nickname', as required for a specific use case. |
| Last name | Last name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Maiden name | Maiden name: One or more name(s) that an individual has in common with a family group. Also known as 'Last name' or 'Surname'. Occurrences for this data element are set to 0..* to allow for more than one Family name to be recorded. Complex names such as 'El Haddad' or 'van der Heyden' can be recorded using this naming pattern, as identified in ISO 22220 (Annex F), but for the intended use case for this archetype it is most likely that the full family name will be recorded as a string. |
| Medical Record Number (MRN) | Medical Record Number (MRN): Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Jamaica Digital Health ID | Jamaica Digital Health ID: Identifier associated with the individual. Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the DV_IDENTIFIER data type contains multiple subcomponents for recording the ID value, type, issuer and assigned. For example - social security number; driver's license; or passport number. |
| Address - Local + GIS | Address - Local + GIS: Details about the location of a person, physical building or landmark. |
| Street address | Street address: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Landmark | Landmark: An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location. 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'. |
| Community | Community: The name of the lowest level locality that contains the address. 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'.
|
| Parish | Parish: The name of a local government district or geographical area that contains the address. 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..
|
| Country | Country: The name of the country containing the address. For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended.
|
| Geolocation code | Geolocation code: Unique identifier that represents a precise geographical location. Also known as a geocode. For example: GPS coordinates concatenating longitude, latitude +/-altitude; Open Location Code or Plus Code; Universal Transverse Mercator (UTM); and geohash. |
| Latitude | Latitude: Horizontal (y) coordinate of a geolocation for the address. Latitude is represented by positive values north of the equator and negative values south of the equator. For example the latitude of the Eiffel Tower is 48.858093. -90..90 ° |
| Longitude | Longitude: Horizontal (x) coordinate of a geolocation for the address. Longitude is represented by negative values west of Prime Meridian and positive values east of Prime Meridian. For example the longitude of the Eiffel Tower is 2.294694. -180..180 ° |
| Map URL | Map URL: Link to a location on an online map. For example: a location on a Google or iOS map. |
| Phone - home landline | Phone - home landline: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Phone - personal mobile | Phone - personal mobile: Details about a specified type of electronic communication. |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template.
|
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Purpose | Purpose: The purpose or use for the identified type of electronic communication.
|
| Email: Details about a specified type of electronic communication. | |
| Type | Type: The type or form of electronic communication. The DV_CODED_TEXT value set supports recording of the most common electronic communications used in health. If other alternatives are required the DV_TEXT data type can be used to record other types of electronic communication such as social media or video conferencing URLs within a template. |
| Value | Value: The unique combination of alphanumeric characters, relevant for representation of 'Type'. For example: area code + landline phone/pager number; country code + mobile phone number; or email address. |
| Comment | Comment: Additional narrative about the electronic communication not captured in other fields. |
| Date of birth | Date of birth: Overview or summary record of the pregnancy and birth of an individual. |
| Data | |
| Date of birth | Date of birth: The date/time of birth of the individual. May also be used to record the assumed or agreed date/time of birth for operational purposes, if the actual date/time is not formally recorded. Possible alternatives for the date/time of birth of the individual can be recorded using the CLUSTER.DOB_alternative archetype 'Date of birth details' SLOT. Partial dates are allowed. |
| Age assertion | Age assertion: A statement about the age of an individual at a point in time. |
| Data | |
| Point in time event | Point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Data | |
| Chronological age | Chronological age: The age of an individual at the event time, calculated from date of birth. In most use cases the DV_DURATION data type is used to record the Chronological age. The DV_INTERVAL_DURATION is used for recording a structured age interval in cases where there's uncertainty about the individual's exact age. The DV_QUANTITY data type is used for recording a decimal age in years or mean Julian years (365.25 days). The DV_TEXT data type is used for recording a textual representation of the individual's age, or age category often found in questionnaires. For example: 'P3M2W', '0,2884615384615385 a_j', '3 months 2 weeks' or '31-40 years' or 'Teenager'. P1M..P200Y Units:
|
| Age assertion - infant | Age assertion - infant: A statement about the age of an individual at a point in time. |
| Data | |
| Point in time event | Point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Data | |
| Chronological age | Chronological age: The age of an individual at the event time, calculated from date of birth. In most use cases the DV_DURATION data type is used to record the Chronological age. The DV_INTERVAL_DURATION is used for recording a structured age interval in cases where there's uncertainty about the individual's exact age. The DV_QUANTITY data type is used for recording a decimal age in years or mean Julian years (365.25 days). The DV_TEXT data type is used for recording a textual representation of the individual's age, or age category often found in questionnaires. For example: 'P3M2W', '0,2884615384615385 a_j', '3 months 2 weeks' or '31-40 years' or 'Teenager'. PT1H..P51W |
| Sex & gender | Sex & gender: Details about the gender of an individual. |
| Data | |
| Sex assigned at birth | Sex assigned at birth: The sex of an individual determined by anatomical characteristics observed and registered at birth. For example: 'Male', 'Female', 'Intersex'. Coding with a terminology is recommended, where possible. Use the element 'Comment' or the SLOT 'Details' if needed to register more specific details of the individuals gender.
|
| Sex & gender - newborn | Sex & gender - newborn: Details about the gender of an individual. |
| Data | |
| Sex assigned at birth | Sex assigned at birth: The sex of an individual determined by anatomical characteristics observed and registered at birth. For example: 'Male', 'Female', 'Intersex'. Coding with a terminology is recommended, where possible. Use the element 'Comment' or the SLOT 'Details' if needed to register more specific details of the individuals gender.
|
| Clinical profile | Clinical profile: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Clinical screening | Clinical screening: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Symptom/sign screening | Symptom/sign screening: Series of questions and associated answers used to screen for symptoms or signs. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Onset of illness | Onset of illness: Timing of the inital recognition of any symptom or sign relevant for the screening purpose. The 'Onset' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture the onset of symptoms or signs. The specific and intended semantics can be further clarified in a template. For example: Date/time for the date the symptom started. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset. Interval of Duration for the approximate age of the individual at the time of onset. |
| Specific symptom/sign | Specific symptom/sign: Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose. |
| Symptom/sign name | Symptom/sign name: Identification of a specific symptom or sign or grouping of symptoms or signs, by name. Coding of the 'Symptom/sign name' with a terminology is preferred, where possible.
|
| Presence? | Presence?: Is there a history of the specific symptom or sign being present? 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.
|
| Date of onset | Date of onset: Indication of timing related to the specific symptom or sign. 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 specific symptom or sign occured. 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 when the specific symptom or sign; the interval of time during which the specific symptom or sign occured; the duration of the specific symptom or sign; the age of the individual at the time of the specific symptom or sign occured; 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. |
| Other symptom/sign | Other symptom/sign: Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose. |
| Symptom/sign name | Symptom/sign name: Identification of a specific symptom or sign or grouping of symptoms or signs, by name. Coding of the 'Symptom/sign name' with a terminology is preferred, where possible. |
| Presence? | Presence?: Is there a history of the specific symptom or sign being present? 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.
|
| Date of onset | Date of onset: Indication of timing related to the specific symptom or sign. 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 specific symptom or sign occured. 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 when the specific symptom or sign; the interval of time during which the specific symptom or sign occured; the duration of the specific symptom or sign; the age of the individual at the time of the specific symptom or sign occured; 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. |
| Clinical context | Clinical context: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Vaccinations | Vaccinations: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Vaccination screening | Vaccination screening: Series of questions and associated answers used to screen for the administration of vaccination. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Specific vaccination | Specific vaccination: Details about a specified vaccine or grouping of vaccines relevant for the screening purpose. Use separate instances of this CLUSTER to differentiate between specific medications or groupings of medication. |
| Disease name | Disease name: Name of the targeted infectious disease.
|
| Vaccinated? | Vaccinated?: Is there a history of use of a specific vaccine or group of vaccines. 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. For example an alternative valueset using the DV_TEXT datatype can be: Currently using [The individual currently uses the specific medication either on a regular basis or as required.] Never used [The individual has never used the specific medication.] Used in the past [The individual has used the specific medication in the past, but isn't currently using it.] Unknown [It is not known whether the individual uses or has used the specific medication.]
|
| Vaccination summary | Vaccination summary: Summary of vaccination administration for a single infectious disease or agent, or a group of infectious diseases or agents that are vaccinated simultaneously using a combination vaccine. |
| Data | |
| Vaccine name | Vaccine name: Name of the vaccine administered. The vaccine name may contain a generic or trade name for a vaccine, the name of a combination vaccine, or a category of vaccine. For example: Measles vaccine; Measles Mumps Rubella (MMR) or 'Measles-containing vaccine'. Coding with an external terminology is preferred, where possible.
|
| Total number of doses | Total number of doses: Total number of vaccine doses administered over the lifetime of the individual. May be manually calculated or extracted from EHR sources.
|
| Date of last dose | Date of last dose: The date when the most recent vaccine was administered. Can be a partial date, for example, only a year. |
| Clinical notes | Clinical notes: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations. |
| Data | |
| Clinical notes | Clinical notes: The summary, assessment, conclusions or evaluation of the clinical findings. |
| Exposure profile | Exposure profile: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Exposure screening | Exposure screening: Series of questions and associated answers used to screen for potential exposure to a chemical, physical or biological agent which has caused or may cause harm to an individual. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Specific exposure | Specific exposure: Details about each possible specific exposure circumstance. |
| Situation | Situation: The exposure event, or situation or activity where exposure may have occurred. For example: Bee sting; travel to an 'at risk' location; exposure to infected body fluids; or worked as a healthcare provider. Coding of 'Situation' with a terminology is preferred, where possible.
|
| Presence? | Presence?: Has the specified 'Situation' occurred? 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.
|
| Travel profile | Travel profile: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Travel screening | Travel screening: Series of questions and associated answers used to screen for travel activity. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Any travel? | Any travel?: Is there a history of any travel activity related to the screening purpose? 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 by choosing between the DV_TEXT or the DV_BOOLEAN datatypes to match each specific use case.
|
| Specific travel | Specific travel: Details about a specified travel activity relevant for the screening purpose. |
| Travel activity | Travel activity: Name of the type of travel. For example: 'Local', 'National', 'Overseas', 'Cruise ship'; or 'War zone'. Coding of the 'Investigation name' with a terminology is preferred, where possible.
|
| Occurred? | Occurred?: Is there a history of the the travel activity occurring? 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 choosing between the DV_TEXT or the DV_BOOLEAN datatypes to match each specific use case.
|
| Travel exposure | Travel exposure: Details about a specified travel activity relevant for the screening purpose. |
| Travel activity | Travel activity: Name of the type of travel. For example: 'Local', 'National', 'Overseas', 'Cruise ship'; or 'War zone'. Coding of the 'Investigation name' with a terminology is preferred, where possible.
|
| Occurred? | Occurred?: Is there a history of the the travel activity occurring? 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 choosing between the DV_TEXT or the DV_BOOLEAN datatypes to match each specific use case.
|
| Travel history | Travel history: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Travel event | Travel event: Details about a specific trip or travel event. |
| Data | |
| Origin | Origin: The name of the country, or the region of a country, that the individual regards as 'home' for the purpose of this episode of travel. |
| Date of departure | Date of departure: The date when the individual departed their location of origin. |
| Description | Description: Narrative description about the whole trip, especially about potential exposure to health risks. |
| Specific destination | Specific destination: Details about a single location visited during travel - in country or abroad. |
| Country | Country: The country visited. |
| State/region | State/region: The region visited. Different regions within the same country maybe identified if they potentially pose different health risks. |
| City | City: The city visited. Different cities within the same country or region maybe identified if they potentially pose different health risks. |
| Date of arrival | Date of arrival: Date of arrival to the identified destination. |
| Description | Description: Narrative description about the visit to the location. For example: a description of accommodation, clothing worn, mosquito nets used and any potential exposure to other health risks. |
| Specific place or person | Specific place or person: The name of a specific place, person or group of people that was visited. For example: people or organisation visited; accommodation or a cruise ship; a building, such as a museum or conference centre, hotel; an event, such as a festival; or other location, such as a beach or sports arena. This data element has multiple occurrences to allow for more than one specific place/person to be recorded. |
| Date of departure | Date of departure: Date of exit from the identified destination. |
| Comment | Comment: Additional narrative about the stay at the identified location, not captured in other fields. |
| Return transport | Return transport: Details about how the individual returned to their home base. This may be useful if it is necessary to use contact tracing. For example: the carrier and ID of a flight or ship. |
| Date of return | Date of return: The date when the individual returned back to their location of origin. |
| Comment | Comment: Additional narrative about the whole trip, not captured in other fields. |
| Clinical management | Clinical management: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Management screening | Management screening: Series of questions and associated answers used to screen for clinical management including, but not limited to treatments, therapies and hospitalisation. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Admission | Admission: Details about a specific management or treatment activity or grouping of management or treatment activities relevant for the screening purpose. |
| Management name | Management name: Name of a specific management or treatment activity or grouping of management or treatment activities. 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.
|
| Done? | Done?: Is there a history of the specific management or treatment activity? 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.
|
| Inpatient episode details | Inpatient episode details: Details about an admission episode to an inpatient facility. |
| Place of admission | Place of admission: The physical location where the patient has been admitted. This data element has multiple occurrences to support more than one level of location to be recorded. For example, both the hospital and the ward. |
| Date of admission | Date of admission: The date of admission to the inpatient facility. |
| Date of discharge | Date of discharge: The date of when the individual left to the inpatient facility. For example: discharged home or to an aged care facility. |
| Laboratory test screening | Laboratory test screening: Series of questions and associated answers used to screen whether diagnostic investigations have been carried out. The answers may be self-reported. |
| Data | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Data | |
| Specimen taken? | Specimen taken?: Is there a history of any diagnostic tests or investigations related to the screening purpose? 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.
|
| Throat swab specimen | Throat swab specimen: Details about a specified investigation or grouping of investigations relevant for the screening purpose. Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations. |
| Test name | Test name: Name of the diagnostic investigation or grouping of investigations. For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible. |
| Done? | Done?: Is there a history of the investigation being carried out? 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.
|
| Date/time sent to laboratory | Date/time sent to laboratory: Indication of timing related to the investigation. 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. |
| Date/time result reported | Date/time result reported: Indication of timing related to the investigation. 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. |
| Specimen collection details | Specimen collection details: A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis. For example: Tissue or body fluid. |
| Specimen type | Specimen type: The type of specimen. For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible. Optional[{fhir_mapping=Specimen.type}]
|
| Date/time received by laboratory | Date/time received by laboratory: The date and time that the sample was received at the laboratory. Optional[{fhir_mapping=Specimen.receivedTime}] |
| Date/time collected | Date/time collected: The date and time that collection has been ordered to take place or has taken place. 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. |
| Adequacy for testing | Adequacy for testing: Information about whether the specimen was adequate for testing. 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.
|
| Microbiology culture findings | Microbiology culture findings: Findings observed from culturing a specimen to detect and identify the growth of microorganisms. |
| Overall growth | Overall growth: Statement about the presence or absence of any microbial growth on culture.
|
| Per microorganism | Per microorganism: Details about specific culture findings for each identified organism. |
| Microorganism name | Microorganism name: Name of the microorganism cultured. For example: name of a bacteria, virus or fungus. |
| Growth | Growth: Observation about the presence or absence of growth of the identified organism on culture.
|
| Qualitative result | Qualitative result: Qualitative assessment of the amount of the identified microorganism grown on culture.
|
| Comment | Comment: Additional narrative about the culture findings for the identified microorganism, not captured in other fields. |
| Molecular microbial test findings | Molecular microbial test findings: 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. |
| Test name | Test name: Name of the molecular test carried out. Coding with an external terminology is recommended, if available. For example: PCR for Mycobacterium tuberculosis or SARS-CoV-2. |
| Microbial target | Microbial target: The name of the microorganism being detected. Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, Mycobacterium tuberculosis, or Candida albicans. |
| Presence | Presence: Statement about detection of the identified microorganism in the specimen.
|
| Quantitative result | Quantitative result: Quantitative assessment of the amount of the identified microorganism in the specimen. Units: copies/mL |
| Comment | Comment: Additional narrative about the test finding not captured in other fields. |
| Nasal swab specimen | Nasal swab specimen: Details about a specified investigation or grouping of investigations relevant for the screening purpose. Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations. |
| Test name | Test name: Name of the diagnostic investigation or grouping of investigations. For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible. |
| Done? | Done?: Is there a history of the investigation being carried out? 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.
|
| Date/time sent to laboratory | Date/time sent to laboratory: Indication of timing related to the investigation. 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. |
| Date/time result reported | Date/time result reported: Indication of timing related to the investigation. 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. |
| Specimen collection details | Specimen collection details: A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis. For example: Tissue or body fluid. |
| Specimen type | Specimen type: The type of specimen. For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible. Optional[{fhir_mapping=Specimen.type}]
|
| Date/time received by laboratory | Date/time received by laboratory: The date and time that the sample was received at the laboratory. Optional[{fhir_mapping=Specimen.receivedTime}] |
| Date/time collected | Date/time collected: The date and time that collection has been ordered to take place or has taken place. 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. |
| Adequacy for testing | Adequacy for testing: Information about whether the specimen was adequate for testing. 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.
|
| Microbiology culture findings | Microbiology culture findings: Findings observed from culturing a specimen to detect and identify the growth of microorganisms. |
| Overall growth | Overall growth: Statement about the presence or absence of any microbial growth on culture.
|
| Per microorganism | Per microorganism: Details about specific culture findings for each identified organism. |
| Microorganism name | Microorganism name: Name of the microorganism cultured. For example: name of a bacteria, virus or fungus. |
| Growth | Growth: Observation about the presence or absence of growth of the identified organism on culture.
|
| Qualitative result | Qualitative result: Qualitative assessment of the amount of the identified microorganism grown on culture.
|
| Comment | Comment: Additional narrative about the culture findings for the identified microorganism, not captured in other fields. |
| Molecular microbial test findings | Molecular microbial test findings: 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. |
| Test name | Test name: Name of the molecular test carried out. Coding with an external terminology is recommended, if available. For example: PCR for Mycobacterium tuberculosis or SARS-CoV-2. |
| Microbial target | Microbial target: The name of the microorganism being detected. Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, Mycobacterium tuberculosis, or Candida albicans. |
| Presence | Presence: Statement about detection of the identified microorganism in the specimen.
|
| Quantitative result | Quantitative result: Quantitative assessment of the amount of the identified microorganism in the specimen. Units: copies/mL |
| Comment | Comment: Additional narrative about the test finding not captured in other fields. |
| Nasopharyngeal washings specimen | Nasopharyngeal washings specimen: Details about a specified investigation or grouping of investigations relevant for the screening purpose. Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations. |
| Test name | Test name: Name of the diagnostic investigation or grouping of investigations. For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible. |
| Done? | Done?: Is there a history of the investigation being carried out? 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.
|
| Date/time sent to laboratory | Date/time sent to laboratory: Indication of timing related to the investigation. 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. |
| Date/time result reported | Date/time result reported: Indication of timing related to the investigation. 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. |
| Specimen collection details | Specimen collection details: A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis. For example: Tissue or body fluid. |
| Specimen type | Specimen type: The type of specimen. For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible. Optional[{fhir_mapping=Specimen.type}]
|
| Date/time received by laboratory | Date/time received by laboratory: The date and time that the sample was received at the laboratory. Optional[{fhir_mapping=Specimen.receivedTime}] |
| Date/time collected | Date/time collected: The date and time that collection has been ordered to take place or has taken place. 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. |
| Adequacy for testing | Adequacy for testing: Information about whether the specimen was adequate for testing. 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.
|
| Molecular microbial test findings | Molecular microbial test findings: 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. |
| Test name | Test name: Name of the molecular test carried out. Coding with an external terminology is recommended, if available. For example: PCR for Mycobacterium tuberculosis or SARS-CoV-2. |
| Microbial target | Microbial target: The name of the microorganism being detected. Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, Mycobacterium tuberculosis, or Candida albicans. |
| Presence | Presence: Statement about detection of the identified microorganism in the specimen.
|
| Quantitative result | Quantitative result: Quantitative assessment of the amount of the identified microorganism in the specimen. Units: copies/mL |
| Comment | Comment: Additional narrative about the test finding not captured in other fields. |
| Antigen test finding | Antigen test finding: 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. |
| Test name | Test name: Name of the antigen test. 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. |
| Antigen target | Antigen target: The specific antigenic or protein structure or component that the test is designed to detect. 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. |
| Microbial target | Microbial target: The name of the microorganism associated with the antigen, if relevant. Coding with an external terminology is recommended, if available. For example: SARS-CoV-2, HIV. |
| Test method | Test method: Method used for the antigen test. Coding with an external terminology is recommended, if available. For example: lateral flow immunoassay, ELISA, immunohistochemistry (IHC). |
| Presence | Presence: Statement about detection of the identified antigen in the specimen.
|
| Quantitative result | Quantitative result: Quantitative assessment of the amount of the identified antigen in the specimen. Units:
|
| Comment | Comment: Additional narrative about the test finding not captured in other fields. |
| Serum | Serum: Details about a specified investigation or grouping of investigations relevant for the screening purpose. Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations. |
| Test name | Test name: Name of the diagnostic investigation or grouping of investigations. For example: 'Blood gas', Chest Xray', 'ECG'; or 'Hearing test'. Coding of the 'Investigation name' with a terminology is preferred, where possible. |
| Done? | Done?: Is there a history of the investigation being carried out? 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.
|
| Date/time sent to laboratory | Date/time sent to laboratory: Indication of timing related to the investigation. 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. |
| Date/time result reported | Date/time result reported: Indication of timing related to the investigation. 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. |
| Specimen collection details | Specimen collection details: A physical sample collected from, or related to, an individual for the purpose of investigation, examination or analysis. For example: Tissue or body fluid. |
| Specimen type | Specimen type: The type of specimen. For example: Venous blood, bacterial culture, cytology, or tissue sample. Coding of the specimen type with a terminology is preferred, where possible. Optional[{fhir_mapping=Specimen.type}]
|
| Date/time received by laboratory | Date/time received by laboratory: The date and time that the sample was received at the laboratory. Optional[{fhir_mapping=Specimen.receivedTime}] |
| Date/time collected | Date/time collected: The date and time that collection has been ordered to take place or has taken place. 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. |
| Adequacy for testing | Adequacy for testing: Information about whether the specimen was adequate for testing. 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.
|
| Immunoglobulin test finding | Immunoglobulin test finding: 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. |
| Test name | Test name: Name of the antibody test. Coding with an external terminology is recommended, if available. For example: SARS-CoV-2 IgG antibody test.
|
| Antibody target | Antibody target: The specific antigenic structure or component that the test is designed to detect. Coding with an external terminology is recommended, if available. For example: infection-related IgG/IgM, IgG1 or IgG2, allergen-specific IgE; anti-dsDNA.
|
| Test method | Test method: Method used for the antibody test. Coding with an external terminology is recommended, if available. For example: lateral flow immunoassay, ELISA, chemiluminescent immunoassay. |
| Presence | Presence: Statement about detection of the identified antibody in the specimen.
|
| Quantitative result | Quantitative result: Quantitative assessment of the amount of the identified antibody in the specimen.
|
| Comment | Comment: Additional narrative about the test finding not captured in other fields. |
| Management notes | Management notes: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations. |
| Data | |
| Actions taken | Actions taken: The summary, assessment, conclusions or evaluation of the clinical findings. |
| Outcome | Outcome: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Vital status | Vital status: Status of an individual as alive or dead. |
| Data | |
| Any point in time event | Any point in time event: Default, unspecified point in time event which may be explicitly defined in a template or at run-time. |
| Data | |
| Vital status | Vital status: Whether an individual is alive or dead. Usually only relevant at a specified point in time. For example: record as alive or dead at the time of recording information within a disease registry.
|
| Death summary | Death summary: Summary information about the circumstances and context of the death of an individual, excluding the cause(s) of death. |
| Data | |
| Date of death | Date of death: The known, or assumed, date and time of death. Partial dates and an absence of time of death are allowed, if necessary. For example: based on findings pertaining to examination of the body and the pathologist's reconstruction of time of death based on post-mortem changes, temperature, etc. May also be known as DOD (date of death). If more than one 'Date of death alternatives' have been proposed, this data element could be renamed in a template as the 'Confirmed/Agreed date of death'. |
| Place of death | Place of death: The simple name, address or landmark of the place where the individual died. For example: 'City Hospital'; 'Mother's house'; or 'Mt Vesuvius crater'; or 'Corner of Smith & Brown Streets'. This data element has multiple occurrences to allow more than one level of detail about the place of death, such as recording both 'City Hospital' and 'Ward 6 North'. |
| Additional notes | Additional notes: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations. |
| Data | |
| Additional notes | Additional notes: The summary, assessment, conclusions or evaluation of the clinical findings. |
| Field investigator classification | Field investigator classification: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Field diagnosis | Field diagnosis: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual. Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'. |
| Data | |
| Diagnosis name | Diagnosis name: Identification of the problem or diagnosis, by name. Coding of the name of the problem or diagnosis with a terminology is preferred, where possible. |
| Cause of death | Cause of death: Details about specific diseases, conditions or injuries that caused or contributed to the death of an individual. |
| Data | |
| Immediate cause | Immediate cause: The disease, condition or injury that directly led to, or occurred closest to, the time of death. It is recommended that 'Direct cause' be coded with an external terminology. This data element may also be considered as the Cause labelled as 'A' within a death certificate recording a sequence of events leading to death. For example: Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause B'); - 'due to' Breast cancer (as the earliest 'Antecedent cause C'; or 'Underlying cause'). |
| Field classification | Field classification: Classification for an identified infectious disease as part of a disease surveillance investigation. |
| Data | |
| Index disease | Index disease: The name of the infectious disease under investigation. This data element may be redundant if the index disease has been identified elsewhere within a template.
|
| Final classification | Final classification: Classification of the likelihood of the 'Index disease' as causal after completion of a case investigation. Not to be used to record the 'Initial classification' at the initiation of a case investigation.
|
| Reason for classification | Reason for classification: The broad category of the reason for the classification. For example: lost to follow-up, child of an infected mother. |
| Aetiology category | Aetiology category: The category for the cause of infection. For example: imported, import-related, endemic, vaccine-associated, congenital or unknown.
|
| Source country | Source country: Country identified as the (likely or probable) source for an imported or import-related case. |
| Endemic source category | Endemic source category: The category for the source of an endemic case. For example: household contact, community, or unknown.
|
| Contribution to death | Contribution to death: Assessment of the relationship between the index disease and the death of the individual.
|
| Comment | Comment: Additional narrative about the classification, not captured in other fields. |
| Final classification | Final classification: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Diagnosis | Diagnosis: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual. Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'. |
| Data | |
| Diagnosis name | Diagnosis name: Identification of the problem or diagnosis, by name. Coding of the name of the problem or diagnosis with a terminology is preferred, where possible. |
| Classification | Classification: Classification for an identified infectious disease as part of a disease surveillance investigation. |
| Data | |
| Index disease | Index disease: The name of the infectious disease under investigation. This data element may be redundant if the index disease has been identified elsewhere within a template.
|
| Final classification | Final classification: Classification of the likelihood of the 'Index disease' as causal after completion of a case investigation. Not to be used to record the 'Initial classification' at the initiation of a case investigation.
|
| Reason for classification | Reason for classification: The broad category of the reason for the classification. For example: lost to follow-up, child of an infected mother. |
| Aetiology category | Aetiology category: The category for the cause of infection. For example: imported, import-related, endemic, vaccine-associated, congenital or unknown.
|
| Source country | Source country: Country identified as the (likely or probable) source for an imported or import-related case. |
| Endemic source category | Endemic source category: The category for the source of an endemic case. For example: household contact, community, or unknown.
|
| Contribution to death | Contribution to death: Assessment of the relationship between the index disease and the death of the individual.
|
| Comment | Comment: Additional narrative about the classification, not captured in other fields. |