| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.encounter.v1, otherContributors=John Meredith, NHS Wales Informatics Service, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1], code=at0000, itemType=COMPOSITION, level=0, text=NWIS Hepatitis C Assessment, description=Interaction, contact or care event between a subject of care and healthcare provider(s)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0], code=at0000, itemType=CLUSTER, level=2, text=XDS Metadata, description=Additional composition metadata aligned with IHE-XDS which is not already available from the Reference Model COMPOSITION class., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Author specialty, description=The speciality of the author/composer of the document., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Class code, description=A high-level document class code, normally selected from a valueset provided by the IHE-XDS Affinity Domain., comment=For example: Report, Summary, Images, Plan, Patient Preferences, Workflow.
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These codes are specific to an XDS Affinity Domain., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Confidentiality code, description=A term specifying the level of confidentiality of the XDS Document., comment=Coded text is preferred, normally specific to an XDS Affinity Domain., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem 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out., comment=Coding of the specific service name with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ACTION.service.v0]/protocol[at0015], code=at0015, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem 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- Fulfilled
- Cancelled
- No show
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Reason, description=The reason this appointment is scheduled., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: nwis, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Start time, description=When appointment is to take place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, 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[path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0], code=at0000, itemType=CLUSTER, level=5, text=Organisation, description=Details of an organisation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Hospital name, description=Name of the organisation., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=6, text=Address, description=To record details of one or more personal addresses., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001], code=at0001, itemType=CLUSTER, level=7, text=Address, description=One or more adresses for an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Address Type, description=The type of address., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Location, description=A postal address expressed in an unstructured format. ENV 13606 - 4:2000 7.11.15., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[at0005], code=at0005, itemType=CLUSTER, level=6, text=Contact details, description=Details about a contact person within organisation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[at0005]/items[openEHR-EHR-CLUSTER.person_name.v0], code=at0000, itemType=CLUSTER, level=7, text=Person name, description=Details of personal name of an individual, provider or third party., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.referral_details_rcp.v1]/items[openEHR-EHR-ADMIN_ENTRY.appointment.v0]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.organisation.v0]/items[at0005]/items[openEHR-EHR-CLUSTER.person_name.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Unstructured name, description=Name in free text unstructured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1], code=at0000, itemType=SECTION, level=1, text=Problems and issues, description=unknown, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001], code=at0001, itemType=SECTION, level=2, text=Primary diagnoses, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=3, text=Primary diagnosis, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: SNOMED-CT- Acute Hepatitis C
- Chronic Hepatitis C
- Hepatitis C resolved
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Date/time clinically recognised, description=Estimated or actual date/time the diagnosis or problem was recognised by a healthcare professional., comment=Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1], code=at0000, itemType=CLUSTER, level=5, text=Problem/Diagnosis qualifier, description=Contextual or temporal qualifier for a specified problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0001]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1]/items[at0063], code=at0063, itemType=ELEMENT, level=6, text=Diagnostic category, description=Category of the problem or diagnosis within a specified episode of care and/or local care context., comment=This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
In addition, the free text choice permits use of other local value sets, as required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Coded Text- Principal diagnosis
- Secondary diagnosis
- Complication
 Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002], code=at0002, itemType=SECTION, level=2, text=Co-morbidities, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity'], code=at0000, itemType=EVALUATION, level=3, text=Co-morbidity, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: SNOMED-CT- Human immunodeficiency virus infection
- Viral hepatitis type B
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0], code=at0000, itemType=CLUSTER, level=5, text=Hepatitis C Diagnosis detail, description=Diagnostic supportive information for hepatitis C, local to NWIS Hepatitis C app requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Reinfection, description=Is there evidence of reinfection?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Route of transmission, description=The route of transmission of infection., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1], code=at0000, itemType=CLUSTER, level=5, text=Problem/Diagnosis qualifier, description=Contextual or temporal qualifier for a specified problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity']/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1]/items[at0063], code=at0063, itemType=ELEMENT, level=6, text=Diagnostic category, description=Category of the problem or diagnosis within a specified episode of care and/or local care context., comment=This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
In addition, the free text choice permits use of other local value sets, as required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=- Coded Text
- Principal diagnosis
- Secondary diagnosis
- Complication
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other'], code=at0000, itemType=EVALUATION, level=3, text=Co-morbidity other, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Date/time clinically recognised, description=Estimated or actual date/time the diagnosis or problem was recognised by a healthcare professional., comment=Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0], code=at0000, itemType=CLUSTER, level=5, text=Hepatitis C Diagnosis detail, description=Diagnostic supportive information for hepatitis C, local to NWIS Hepatitis C app requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=6, text=Reinfection, description=Is there evidence of reinfection?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[openEHR-EHR-CLUSTER.hep_c_diagnosis_detail_nwis.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Route of transmission, description=The route of transmission of infection., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1], code=at0000, itemType=CLUSTER, level=5, text=Problem/Diagnosis qualifier, description=Contextual or temporal qualifier for a specified problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.problems_and_diagnoses.v1]/items[at0002]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Co-morbidity other']/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1]/items[at0063], code=at0063, itemType=ELEMENT, level=6, text=Diagnostic category, description=Category of the problem or diagnosis within a specified episode of care and/or local care context., comment=This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
In addition, the free text choice permits use of other local value sets, as required., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=- Coded Text
- Principal diagnosis
- Secondary diagnosis
- Complication
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment'], code=at0000, itemType=SECTION, level=1, text=Treatment, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0], code=at0000, itemType=OBSERVATION, level=2, text=HVC genotype test, description=The result, including findings and interpretation of a laboratory investigation performed on patient-related specimens., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Test name, description=Identification of the laboratory investigation performed by name., comment=A test result may be for a single analyte, or a group of items, including panel tests. May be coded terminologies for example, LOINC or SNOMED CT. Examples include 'Glucose', 'Urea and Electrolytes', 'Swab', “Cortisol (am)” or "Liver Biopsy". The name may sometimes include specimen type and patient state, for example "Fasting blood glucose", uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: SNOMED-CT::397662006::Hepatitis C virus genotype determination, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC First type'], code=at0000, itemType=CLUSTER, level=6, text=HVC First type, description=The result of a laboratory test for a single analyte value., comment=For example: 'Sodium', 'White cell count', 'T3'. Commonly coded with an external terminology,, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC First type']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=Actual value of the analyte result. The value of this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte., comment=e.g. 'Serum sodium', 'Haemoglobin'. Normally coded terminologies will be used for example, LOINC, NPU or SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=observation.code, hl7v2_mapping=OBX-3.1;3.2}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: HVC First type, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC First type']/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmols/l', 'Raised'., uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: SNOMED-CT- Hepatitis C genotype 1
- Hepatitis C genotype 1
- Hepatitis C genotype 3
- Hepatitis C genotype 4
- Hepatitis C genotype 5
- Hepatitis C genotype 6
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second type'], code=at0000, itemType=CLUSTER, level=6, text=HVC Second type, description=The result of a laboratory test for a single analyte value., comment=For example: 'Sodium', 'White cell count', 'T3'. Commonly coded with an external terminology,, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second type']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=Actual value of the analyte result. The value of this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte., comment=e.g. 'Serum sodium', 'Haemoglobin'. Normally coded terminologies will be used for example, LOINC, NPU or SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=observation.code, hl7v2_mapping=OBX-3.1;3.2}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: HVC Second type, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second type']/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmols/l', 'Raised'., uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: SNOMED-CT- Hepatitis C genotype 1
- Hepatitis C genotype 1
- Hepatitis C genotype 3
- Hepatitis C genotype 4
- Hepatitis C genotype 5
- Hepatitis C genotype 6
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second sub-type'], code=at0000, itemType=CLUSTER, level=6, text=HVC Second sub-type, description=The result of a laboratory test for a single analyte value., comment=For example: 'Sodium', 'White cell count', 'T3'. Commonly coded with an external terminology,, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second sub-type']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=Actual value of the analyte result. The value of this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte., comment=e.g. 'Serum sodium', 'Haemoglobin'. Normally coded terminologies will be used for example, LOINC, NPU or SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=observation.code, hl7v2_mapping=OBX-3.1;3.2}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: HVC Second sub-type, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0 and name/value='HVC Second sub-type']/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmols/l', 'Raised'., uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=Terminology: SNOMED-CT- Hepatitis C genotype 1
- Hepatitis C genotype 1
- Hepatitis C genotype 3
- Hepatitis C genotype 4
- Hepatitis C genotype 5
- Hepatitis C genotype 6
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0], code=at0000.1, itemType=EVALUATION, level=2, text=Treatment summary, description=Summary information about the administration or consumption history for a specified medication or class of medication over the individual's lifetime., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Treatment name, description=Name of medication or class of medication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Hepatitis C treatment, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008], code=at0008, itemType=CLUSTER, level=4, text=Episode, description=Details about each episode of use., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Specific name, description=Specific name of medication., comment=Use to identify the specific medication used if a class is identified in 'Medication name'. Redundant if the name is identified using the 'Medication name' data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Episode onset, description=The date of onset for this episode of use., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Clinical indication, description=The clinical indication for the administration or consumption of the medication., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0020], code=at0020, itemType=ELEMENT, level=5, text=Intent, description=Intent for use., comment=For example: palliative; short term; or a specified duration, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0014], code=at0014, itemType=ELEMENT, level=5, text=Description, description=Description of use during the identified episode of use., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Episode cessation, description=The date of cessation for this episode of use., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Episode dose, description=Total dose for the identified episode., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=Reason for cessation, description=The reason why the medication was ceased., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment']/items[openEHR-EHR-EVALUATION.medication_summary-nwis.v0]/data[at0001]/items[at0008]/items[at0.2], code=at0.2, itemType=ELEMENT, level=5, text=Treatment outcome, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1], code=at0000, itemType=SECTION, level=1, text=Pathology, description=Investigations and results heading (AoMRC)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0], code=at0000, itemType=OBSERVATION, level=2, text=General pathology, description=The result, including findings and interpretation of a laboratory investigation performed on patient-related specimens., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Test name, description=Identification of the laboratory investigation performed by name., comment=A test result may be for a single analyte, or a group of items, including panel tests. May be coded terminologies for example, LOINC or SNOMED CT. Examples include 'Glucose', 'Urea and Electrolytes', 'Swab', “Cortisol (am)” or "Liver Biopsy". The name may sometimes include specimen type and patient state, for example "Fasting blood glucose", uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0], code=at0000, itemType=CLUSTER, level=6, text=Laboratory test analyte, description=The result of a laboratory test for a single analyte value., comment=For example: 'Sodium', 'White cell count', 'T3'. Commonly coded with an external terminology,, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.investigations_results_rcp.v1]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=Actual value of the analyte result. The value of this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte., comment=e.g. 'Serum sodium', 'Haemoglobin'. Normally coded terminologies will be used for example, LOINC, NPU or SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=observation.code, hl7v2_mapping=OBX-3.1;3.2}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging'], code=at0000, itemType=SECTION, level=1, text=Staging, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0], code=at0000, itemType=OBSERVATION, level=2, text=Fibroscan, description=Record the findings and interpretation of an imaging examination, or series of examinations, performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Examination result name, description=Identification of the imaging examination or procedure performed, typically including modality and anatomical location (including laterality)., comment=Coding with a terminology, potientially a pre-coordinated term specifying both modality and anatomical location, is desirable where possible. Possible candidate terminologies: LOINC, SNOMED CT or RadLex., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Hepatic Fibroscan, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.fibroscan_imaging_result.v0], code=at0000, itemType=CLUSTER, level=6, text=Fibroscan imaging result, description=Fibroscan imaging result details., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.fibroscan_imaging_result.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Fibroscan result, description=The basic Fibroscan measure of hepatic elasticity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=2.5..75 kPa, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.fibroscan_imaging_result.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Fibroscan score, description=A score derived from the basic Fibroscan result., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Fibrosis score F0: No liver scarring
- 1: Fibrosis score F1: mild liver scarring
- 2: Fibrosis score F2: Moderate liver scarring
- 3: Fibrosis score F3: Severe liver scarring
- 4: Fibrosis score F4: Advanced liver scarring (cirrhosis)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.imaging_exam.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=6, text=Imaging diagnosis, description=Single word, phrase or brief description representing the 'Conclusion'., comment=Coding with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0], code=at0000, itemType=OBSERVATION, level=2, text=Liver biopsy, description=An assessment of liver fibrosis/cirrhosis in chronic active hepatitis according to the Ishak modified HAI ((Histologic Activity Index) score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=4, text=Any event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=CLUSTER, level=6, text=Modified HAI grading, description=Modified HAI Grading: Necroinflammatory Scores., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0012], code=at0012, itemType=ELEMENT, level=7, text=Piecemeal necrosis (A), description=Periportal or Periseptal Interface Hepatitis (piecemeal necrosis) (A)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Absent
- 1: Mild
- 2: Mild/moderate
- 3: Moderate
- 4: Severe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0020], code=at0020, itemType=ELEMENT, level=7, text=Confluent necrosis (B), description=Confluent necrosis (B)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Absent
- 1: Focal confluent necrosis
- 2: Zone 3 necrosis in some areas
- 3: Zone 3 necrosis in most areas
- 4: Zone 3 necrosis + occasional portal-central (P-C) bridging
- 5: Zone 3 necrosis + multiple P-C bridging
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0027], code=at0027, itemType=ELEMENT, level=7, text=Focal (spotty) Lytic Necrosis, Apoptosis, and Focal Inflammation (C), description=Focal (spotty) Lytic Necrosis, Apoptosis, and Focal Inflammation (C)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Absent
- 1: One focus or less per 10x objective
- 2: Two to four foci per 10x objective
- 3: Five to ten foci per 10x objective
- 4: More than ten foci per 10x objective
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0033], code=at0033, itemType=ELEMENT, level=7, text=Portal Inflammation (D), description=Portal Inflammation (D)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: None
- 1: Mild, some or all portal areas
- 2: Moderate, some or all portal areas
- 3: Moderate/marked, all portal areas
- 4: Marked, all portal areas
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0042], code=at0042, itemType=ELEMENT, level=7, text=Modified HAI Score, description=The total score of the individual HAI components A-D., comment=For example: 16., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..18, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Fibrosis staging, description=Fibrosis staging., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No fibrosis
- 1: Fibrous expansion of some portal areas, with or without short fibrous septa
- 2: Fibrous expansion of most portal areas, with or without short fibrous septa
- 3: Fibrous expansion of most portal areas with occasional portal to portal (P-P) bridging
- 4: Fibrous expansion of portal areas with marked bridging [portal to portal (P-P) as well as portal to central (P-C)]
- 5: Marked bridging (P-P and/or P-C) with occasional nodules (incomplete cirrhosis)
- 6: Cirrhosis, probable or definite
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0043], code=at0043, itemType=ELEMENT, level=6, text=Comment, description=Other narrative comment related to the assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/state[at0039], code=at0039, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ishak_modified_hai_score.v0]/data[at0001]/events[at0002]/state[at0039]/items[at0040], code=at0040, itemType=ELEMENT, level=6, text=Confounding factors, description=Record any issues or factors that may impact on the assessment and the score., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-EVALUATION.alcohol_consumption_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Alcohol consumption summary, description=Summary or persistent information about the typical alcohol consumption of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-EVALUATION.alcohol_consumption_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-EVALUATION.alcohol_consumption_summary.v0]/data[at0001]/items[at0064], code=at0064, itemType=CLUSTER, level=4, text=Current, description=Details about a discrete period of time with a consistent pattern of typical consumption., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-EVALUATION.alcohol_consumption_summary.v0]/data[at0001]/items[at0064]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Typical consumption (alcohol units), description=Estimate of number of alcohol units consumed in the specified time period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 1/wk, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0], code=at0000, itemType=OBSERVATION, level=2, text=AST to Platelet Ratio Index (APRI), description=AST to Platelet Ratio Index (APRI) used as an indication for liver biopsy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any Event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=AST, description=Aspartate transaminase (AST), comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: u/L, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=AST upper limit, description=Aspartate transaminase (Upper Limit of Normal) (IU/L). Most experts recommend using 40 IU/L as the value for the AST upper limit of normal when calculating an APRI value., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: u/L
Assumed value: 40 u/L, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Platelet count, description=Platelet Count (109/L)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: 10+9/L, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Staging']/items[openEHR-EHR-OBSERVATION.ast_to_platelet_ratio_index.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=APRI score, description=AST to platelet ratio index, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score'], code=at0000, itemType=SECTION, level=1, text=Child-pugh score, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0], code=at0000, itemType=OBSERVATION, level=2, text=Child-Pugh Score, description=Child-Pugh score used for chronic liver disease/cirrhosis prognosis., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any Event, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Total bilirubin, description=Score for total bilirubin in micromole/litre., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Less than 34
- 2: 34 to 50
- 3: Greater than 50
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Serum albumin, description=Score for serum albumin in grams per litre., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Greater than 35
- 2: 28 to 35
- 3: Less than 28
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=6, text=INR, description=Score for INR., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Less than 1.7
- 2: 1.7 to 2.3
- 3: Greater than 2.3
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=6, text=Ascites, description=Score for presence of ascites., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: None
- 2: Mild
- 3: Moderate to severe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=6, text=Hepatic encephalopathy, description=Score for presence of hepatic encephalopathy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: None
- 2: Grade I to II or suppressed with medication
- 3: Grade III to IV or refractory
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Adjusted bilirubin, description=Score for total bilirubin if the patient has primary biliary cirrhosis or sclerosing cholangitis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Less than 68
- 2: 68 to 170
- 3: Greater than 170
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=6, text=Total Child-Pugh score, description=Total Child-Pugh score., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=5..15, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child-pugh score']/items[openEHR-EHR-OBSERVATION.child_pugh_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=6, text=Grade, description=Grading according to total score., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Class A 5 to 6 points
- Class B 7 to 9 points
- Class C 10 to 15 points
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1], code=at0000, itemType=SECTION, level=1, text=Current status, description=Plan and requested actions heading (AoMRC), comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1]/items[openEHR-EHR-EVALUATION.hepatitis_c_status_nwis.v0], code=at0000, itemType=EVALUATION, level=2, text=Hepatitis C Status, description=Hepatitis C status local to NWIS app., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1]/items[openEHR-EHR-EVALUATION.hepatitis_c_status_nwis.v0]/data[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1]/items[openEHR-EHR-EVALUATION.hepatitis_c_status_nwis.v0]/data[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Active status, description=The current active status of the condition., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Active
- On Treatment
- Immediate Post-treatment Follow up
- Spontaneous Clearance
- SVR following treatment
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1]/items[openEHR-EHR-EVALUATION.hepatitis_c_status_nwis.v0]/data[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Treatment offered?, description=If active, was treatment offered?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.plan_requested_actions_rcp.v1]/items[openEHR-EHR-EVALUATION.hepatitis_c_status_nwis.v0]/data[at0002]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Reason treatment not offered, description=If treatment was not offered, why not?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Further workup required
- Patient declined
- No suitable treatment
- No suitable treatment available on NHS (cost)
- Clinician feels patient not ready
- Concerns re compliance
- Concerns re reinfection
- Contraindication to treatment
- Treatment planned in next 3 months
- Treatment deemed unnecessary
- Treatment deferred for other reason
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