| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.health_summary.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1], code=at0000, itemType=COMPOSITION, level=0, text=NDS Cancer Care Treatment Summary, description=Generic document containing a summary of health information about an individual., 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.health_summary.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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.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.health_summary.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.
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.health_summary.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Document type, description=The code specifying the precise type of document from the user perspective. Normally selected from a valueset provided by the local IHE-XDS Affinity Domain or national standard., comment=for example: Pulmonary History and Physical, Discharge Summary, Ultrasound Report.
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.health_summary.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 [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Health care facility type, description=A term defining the healthcare facility type., comment=Coded text is preferred. The 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.health_summary.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Practice setting code, description=The code specifying the clinical specialty where the act that resulted in the document was performed., comment=For example: Family Practice, Laboratory, Radiology.
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 [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Event code, description=This list of codes represents the main clinical acts., comment=For example: Colonoscopy or appendicectomy., 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.health_summary.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.xds_metadata.v0]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Document_media, description=Additional metadata about the document itself, including size, url., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging'], code=at0000, itemType=SECTION, level=1, text=Diagnosis and Staging, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=2, text=Cancer 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Clinical description, description=Narrative description about the problem or diagnosis., comment=Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1], code=at0000, itemType=CLUSTER, level=4, text=Anatomical location, description=A physical site on or within the human body., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail.
This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available.
If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Laterality, description=The side of the body on which the identified body site is located., comment=If the identified body site has no laterality, this data element should not have a value.
If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0023], code=at0023, itemType=ELEMENT, level=5, text=Description, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Date of onset, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Date 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1], code=at0000, itemType=CLUSTER, level=4, text=TNM clinical classification, description=A framework for the clinical classification and stage grouping of malignancies using the TNM system., comment=Designated as TNM or cTNM., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Primary tumour (T), description=Assessment of the the extent of the primary tumour., comment=Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'T1'; or 'cT3'. Represented as 'T' or 'cT' in the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Regional lymph nodes (N), description=Assessment of the the absence or presence and extent of regional lymph node metastasis., comment=Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'NX'; or 'cN2'. Represented as 'N' or 'cN' within the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Distant metastasis (M), description=Assessment of the absence or presence of distant metastasis., comment=Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'M1'; 'cM1a'; 'M1 PUL'; or 'cM0'. Represented as 'M' or 'cM' within the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Histopathological grade (G), description=Histopathological grading of the tumour., comment=Pretreatment histopathological assessment may be determined from a limited biopsy prior to formal resection. Coding with a G code appropriate for the identified tumour type and anatomical site is expected. For example: 'G2'; 'GX'; or 'low grade' for bone and soft tissue sarcoma classification. Represented as 'G' within the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'. Represented as 'R' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'. Represented as 'L' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'. Represented as 'V' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'. Represented as 'Pn' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0030], code=at0030, itemType=ELEMENT, level=5, text=TNM assessment, description=Concatenation of 'T', 'N' and 'M' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0031], code=at0031, itemType=ELEMENT, level=5, text=Stage grouping, description=The categorisation of the anatomical stage of the tumour, usually based on TNM assessment., comment=For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=TNM Edition, description=The edition of the TNM classification system used for 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1], code=at0000.1, itemType=CLUSTER, level=4, text=TNM pathological classification, description=A framework for the pathological classification and stage grouping of malignancies using the TNM system., comment=Designated as pTNM., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0003.1], code=at0003.1, itemType=ELEMENT, level=5, text=Primary tumour (pT), description=Assessment of the extent of the primary tumour., comment=Coding with a T code appropriate for the tumour type and anatomical site is expected. For example: 'pT1'; or 'pT3'. Represented as 'pT' in the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0004.1], code=at0004.1, itemType=ELEMENT, level=5, text=Regional lymph nodes (pN), description=Assessment of the absence or presence and extent of regional lymph node metastasis., comment=Coding with an N code appropriate for the tumour type and anatomical site is expected. For example: 'pNX'; or 'pN2'. Represented as 'pN' in the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0005.1], code=at0005.1, itemType=ELEMENT, level=5, text=Distant metastasis (pM), description=Assessment of the absence or presence of distant metastasis., comment=Coding with an M code appropriate for the tumour type and anatomical site is expected. For example: 'pM1'. Represented as 'pM' in the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Histopathological grade (G), description=Histopathological grading of the tumour., comment=Pretreatment histopathological assessment may be determined from a limited biopsy prior to formal resection. Coding with a G code appropriate for the identified tumour type and anatomical site is expected. For example: 'G2'; 'GX'; or 'low grade' for bone and soft tissue sarcoma classification. Represented as 'G' within the 'TNM assessment'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Residual tumour (R), description=Assessment of the presence of residual tumour after treatment., comment=For example: 'R2 (Macroscopic residual tumour)'. Represented as 'R' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Lymphatic invasion (L), description=Assessment of invasion into the lymphatic system., comment=For example: 'L0 (No lymphatic invasion)'. Represented as 'L' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Venous invasion (V), description=Assessment of invasion into the venous system., comment=For example: 'V1 (Microscopic venous invasion)'. Represented as 'V' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=5, text=Perineural invasion (Pn), description=Assessment of invasion into the space surrounding nerves., comment=For example: 'Pn0 (No perineural invasion)'. Represented as 'Pn' within the 'TNM assessment'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0030.1], code=at0030.1, itemType=ELEMENT, level=5, text=pTNM assessment, description=Concatenation of 'pT', 'pN' and 'pM' assessments plus any optional assessments of 'G', 'R', 'L', 'V', prefixes and/or suffixes, as applicable., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0031.1], code=at0031.1, itemType=ELEMENT, level=5, text=Stage grouping, description=The categorisation of the anatomical stage of the tumour, usually based on pTNM assessment., comment=For example: carcinoma in situ is categorised as stage 0; or tumours with distant metastasis are categorised as stage IV., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=5, text=TNM Edition, description=The edition of the TNM classification system used for 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.3], code=at0.3, itemType=ELEMENT, level=5, text=Regional lymph node ITC, description=Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry in regional lymph nodes., comment=For example 'pN0(i-) No regional lymph node metastasis histologically, negative morphological findings for ITC'; 'pN0(mol+) No regional lymph node metastasis histologically, positive non morphological findings for ITC'; or 'pN0(i+)(sn) No sentinel lymph node metastasis histologically, positive morphological findings for ITC'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.tnm-pathological.v1]/items[at0.8], code=at0.8, itemType=ELEMENT, level=5, text=Distant metastasis ITC, description=Presence of isolated tumour cells (ITC) detected by H&E stains or immunohistochemistry as distant metastases, such as bone marrow., comment=For example: 'pM0(i+)' or 'pM0(mol+)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0], code=at0000, itemType=CLUSTER, level=4, text=Gleason Score, description=Gleason Score (ISUP2005 version) - a prostate cancer grading score ratified by the International Society of Urological Pathologists (ISUP), including Gleason Grade Groups., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0]/items[at0166], code=at0166, itemType=ELEMENT, level=5, text=Primary Gleason grade, description=The primary Gleason grade., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Grade 1
- 2: Grade 2
- 3: Grade 3
- 4: Grade 4
- 5: Grade 5
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0]/items[at0182], code=at0182, itemType=ELEMENT, level=5, text=Secondary Gleason grade, description=The secondary Gleason grade., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Grade 1
- 2: Grade 2
- 3: Grade 3
- 4: Grade 4
- 5: Grade 5
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0]/items[at0183], code=at0183, itemType=ELEMENT, level=5, text=Tertiary Gleason grade, description=The tertiary Gleason grade., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Grade 1
- 2: Grade 2
- 3: Grade 3
- 4: Grade 4
- 5: Grade 5
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0]/items[at0197], code=at0197, itemType=ELEMENT, level=5, text=Total Gleason score, description=The sum of the primary and secondary Gleason grades., comment=The total Gleason score does not take account of the tertiary Gleason grade., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=2..10, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.gleason_score.v0]/items[at0265], code=at0265, itemType=ELEMENT, level=5, text=Gleason Grade Group, description=The Gleason Grade Group., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 1: Grade Group 1
- 2: Grade Group 2
- 3: Grade Group 3
- 4: Grade Group 4
- 5: Grade Group 5
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1], code=at0000, itemType=CLUSTER, level=4, text=Diagnosis Status, description=Contextual or temporal qualifier for a specified problem or diagnosis., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.problem_qualifier.v1]/items[at0089], code=at0089, itemType=ELEMENT, level=5, text=Remission status, description=Status of the remission of an incurable diagnosis., comment=For example: the status of a cancer or haematological diagnosis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- In remission
- Not in remission
- Indeterminate
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0073], code=at0073, itemType=ELEMENT, level=4, text=Diagnostic certainty, description=The level of confidence in the identification of the diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Coded Text- Suspected
- Probable
- Confirmed
 Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the problem or diagnosis not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0032], code=at0032, 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 [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Diagnosis and Staging']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=4, text=Last updated, description=The date this problem or diagnosis was last updated., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record'], code=at0000, itemType=SECTION, level=1, text=Treatment Record, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1], code=at0000, itemType=EVALUATION, level=2, text=Treatment Intent, description=A desired health, or well-being, outcome for the subject of care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Treatment intent name, description=The name of the desired health outcome., comment=For example: reduced blood pressure; 10 kilogram weight loss; or diabetes control., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- Curative
- Palliative
- Surveillance
- Uncertain
- [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1]/data[at0001]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Treatment intent comment, description=Additional narrative about the goal not captured in other fields., comment=For example: the reason why the goal was not achieved, or a description about how the goal was partially achieved., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1]/protocol[at0026], code=at0026, 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 [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-EVALUATION.goal.v1]/protocol[at0026]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Last updated, description=The date on which the goal was last updated., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Completed Treatments, description=A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Treatment Name, description=Identification of the procedure by name., comment=Coding of the specific procedure 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=- Chemotherapy
- Radiotherapy external beam
- Radiotherapy internal
- Brachytherapy
- Surgery
- Immunotherapy
- Hormone therapy
- Targeted therapy
- [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the procedure, as appropriate for the pathway step., comment=For example: description about the performance and findings from the the procedure, the aborted attempt or the cancellation of the procedure., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Method or Dose, description=Identification of specific method or technique for the procedure., comment=Use this data element to record simple terms or a narrative description. If the requirements for recording the method require more complex modelling then this can be represented by additional archetypes within the 'Procedure detail' SLOT in this archetype. If the method is included in the 'Procedure name' via precoordinated codes, this data element becomes redundant., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Body site, description=Identification of the body site for the procedure., comment=Occurrences for this data element are unbounded to allow for clinical scenarios such as removing multiple skin lesions in different places, but where all of the other attributes are identical. Use this data element to record simple terms or precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Procedure detail' SLOT in this archetype. If the anatomical location is included in the 'Procedure name' via precoordinated codes, this data element becomes redundant., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Complication, description=Details about any complication arising from the procedure., comment=Use this data element to record simple terms or precoordinated complications. If the requirements for recording complication are more complex then use of a specific CLUSTER archetype within the 'Procedure detail' SLOT in this archetype is advised and this data element becomes redundant. Examples: Hematuria after a kidney biopsy, tissue irritation after insertion of intravenous catheter., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0060], code=at0060, itemType=ELEMENT, level=4, text=Date Completed, description=The date and/or time when the entire procedure, or the last component of a multicomponent procedure, was finished., comment=Only for use in association with the 'Procedure performed' pathway step, and in situations where the procedure is repeated on multiple occasions before being completed or there are multiple components to the whole procedure. This may be the same as the RM time attribute for the 'Procedure completed' pathway step., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Treatment intent, description=Reason that the activity or care pathway step for the identified procedure was carried out., comment=For example: the reason for the cancellation or suspension of the procedure., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- Curative
- Palliative
- Adjuvant
- Neoadjuvant
- Uncertain
- [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Treatment Record']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the activity or care pathway step not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations'], code=at0000, itemType=SECTION, level=1, text=Observations, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2], code=at0000, itemType=OBSERVATION, level=2, text=Height/Length, description=Height, or body length, is measured from crown of head to sole of foot., comment=Height is measured with the individual in a standing position and body length in a recumbent position., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Height, description=The length of the body from crown of head to sole of foot., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..250
Units:, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.height.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the measurement, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2], code=at0000, itemType=OBSERVATION, level=2, text=Body weight, description=Measurement of the body weight of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003], code=at0003, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001], code=at0001, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Weight, description=The weight of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..2000; 0..1000000
Units:, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the measurement of Body weight, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2], code=at0000, itemType=OBSERVATION, level=2, text=Body mass index, description=Calculated measurement which compares a person's weight and height., comment=Body Mass Index is a calculated ratio describing how an individual's body weight relates to the weight that is regarded as normal, or desirable, for the individual's height., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Body mass index, description=Index describing ratio of weight to height., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..1000
Units:, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.body_mass_index.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the calculation, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2], code=at0000, itemType=OBSERVATION, level=2, text=Blood pressure, description=The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation., comment=Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=History Structural node., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006], code=at0006, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Systolic, description=Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Diastolic, description=Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Observations']/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the measurement, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations'], code=at0000, itemType=SECTION, level=1, text=End of Treatment Investigations, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v0], code=at0000, itemType=OBSERVATION, level=2, text=Imaging examination result, description=Record the findings and interpretation of an imaging examination 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Test name, description=The name of the imaging examination or procedure performed., comment=Coding with a terminology, potentially 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=DateTime result issued, description=The date and/or time that the result was issued for the recorded 'Examination result status'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Findings, description=Narrative description of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.imaging_exam_result.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the examination not captured in other fields., comment=For example: a note that the film was given to the patient., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=2, text=Laboratory test result, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Test name, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- Prostate Specific Antigen (PSA)
- Haemoglobin
- Platelets
- White Cell Count
- eGFR
- [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1], code=at0000, itemType=CLUSTER, level=6, text=Laboratory analyte result, description=The result of a laboratory test for a single analyte value., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='End of Treatment Investigations']/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Reference range guidance, description=Additional advice on the applicability of the reference range to this result or may carry text or coded textual guidance as to whether the result is within the normal range., comment=For example, 'within normal limits for age and sex'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications'], code=at0000, itemType=SECTION, level=1, text=Medications, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0], code=at0000, itemType=OBSERVATION, level=2, text=Medication statement, description=A snapshot view about the use of a specified medication., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Medication item name, description=Name of the medication, vaccine or other therapeutic/prescribable item., comment=It is strongly recommended that the 'Medication item' be coded with a terminology capable of triggering decision support, where possible. The extent of coding may vary from the simple generic or product name of the medication item through to structured details about the actual medication pack to be used. Free text entry should only be used if there is no appropriate terminology available., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Status, description=The status of use of the medication., comment=For example: the medication is still actively being taken; or a course of antibiotics has been completed., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Planned
- Active
- Completed
- Discontinued
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Clinical indication, description=The clinical reason for use of the medication item., comment=For example: 'Angina'. Coding of the clinical indication with a terminology is preferred, where possible. This data element allows multiple occurrences., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=First prescribed, description=The date/time when a prescription for the medication was first issued., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0025], code=at0025, itemType=ELEMENT, level=6, text=Last prescribed, description=The date/time when a prescription for the medication was last issued., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=6, text=Discontinued, description=The date/time when use of the medication was ceased., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medications']/items[openEHR-EHR-OBSERVATION.medication_statement.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the medication statement not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team'], code=at0000, itemType=SECTION, level=1, text=Care Team, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0], code=at0000, itemType=ADMIN_ENTRY, level=2, text=Care team, description=Care team details aligned with FHIR resource. This is an ADMIN ENTRY wrapper archetype to contain the Care team CLUSTER archetype where it has no natural ENTRY level parent., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0], code=at0000, itemType=CLUSTER, level=4, text=CancerCare Care Team, description=Care team details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Category, description=Identifies what kind of team. This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Name, description=A label for human use intended to distinguish like teams., comment=E.g. the "red" vs. "green" trauma teams., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: CancerCare Care Team, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021], code=at0021, itemType=CLUSTER, level=5, text=Participant, description=Identifies all people and organizations who are expected to be involved in the care team., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[at0022], code=at0022, itemType=ELEMENT, level=6, text=Role, description=Indicates specific responsibility of an individual within the care team, such as "Primary care physician", "Trained social worker counselor", "Caregiver", etc., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0], code=at0000, itemType=CLUSTER, level=6, text=Health and Care Professionals, description=Practitioner details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.identifier_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Identifier, description=Identifier details aligned with FHIR resources or data types., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.identifier_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Value, description=The identifier value., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.identifier_cc.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Use, description=The purpose of the identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Usual
- Official
- Temp
- Secondary
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Name, description=Name details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Use, description=Identification of the purpose for the name., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Full Name, description=A text representation of the full name., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Telecom, description=FHIR telecom 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=System, description=Telecommunications form for contact point - what communications system is required to make use of the contact., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Value, description=The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.practitioner_role_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Practitioner role, description=Practitioner role details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.practitioner_role_cc.v0]/items[openEHR-EHR-CLUSTER.organisation_cc.v0], code=at0000, itemType=CLUSTER, level=8, text=Organisation, description=Organisation details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.practitioner_role_cc.v0]/items[openEHR-EHR-CLUSTER.organisation_cc.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=9, text=Name, description=Name associated with the organisation., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.practitioner_role_cc.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=8, text=Specialty, description=Specific specialty or specialties of the practitioner., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.practitioner_cc.v0]/items[openEHR-EHR-CLUSTER.practitioner_role_cc.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Location, description=The location(s) at which this practitioner provides care., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0], code=at0000, itemType=CLUSTER, level=6, text=Other Care Team Members, description=Contacts for patients and organisations (excluding practitioners)., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Relationship, description=The relationship between the subject and the contact. This field is only appropriate when the archetype is used for patient contacts, not for organisation contacts., comment=Coding with a terminology is desirable 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[at0013], code=at0013, itemType=ELEMENT, level=7, text=Purpose, description=Indicates a purpose for which the contact can be reached. This field is only appropriate when the archetype is used inside an organisation cluster., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Name, description=Name details aligned with FHIR resource., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Use, description=Identification of the purpose for the name., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.name_cc.v0]/items[at0009], code=at0009, itemType=ELEMENT, level=8, text=Full Name, description=A text representation of the full name., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0], code=at0000, itemType=CLUSTER, level=7, text=Telecom, description=FHIR telecom 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=System, description=Telecommunications form for contact point - what communications system is required to make use of the contact., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=8, text=Value, description=The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address)., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0021]/items[openEHR-EHR-CLUSTER.contact_cc.v0]/items[openEHR-EHR-CLUSTER.telecom_cc.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=8, text=Use, description=The purpose of the contact point., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Care Team']/items[openEHR-EHR-ADMIN_ENTRY.care_team.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.care_team.v0]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=About the CancerCare Team, description=Comments made about the CareTeam., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment'], code=at0000, itemType=SECTION, level=1, text=Holistic Needs Assessment, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.holistic_needs_assessment_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Holistic Needs Assessment Summary, description=Holistic Needs Assessment Summary, comment=Use for managing a summary of the McMillan Holistic Needs Assessment process., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.holistic_needs_assessment_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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.holistic_needs_assessment_summary.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Holistic Needs Assessment Completed, description=*, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.holistic_needs_assessment_summary.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Location of Holistic Needs Assessment, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.holistic_needs_assessment_summary.v0]/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Summary of HNA, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.about_me.v0], code=at0000, itemType=EVALUATION, level=2, text=About me, description=About me, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.about_me.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Holistic Needs Assessment']/items[openEHR-EHR-EVALUATION.about_me.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Patient preferences and understanding, description=*, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social'], code=at0000, itemType=SECTION, level=1, text=Social, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.housing_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Housing summary, description=Summary or persistent information about an individual's current and past housing or accommodation situation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.housing_summary.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.housing_summary.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Housing description, description=Narrative description about the overall housing situation for the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.housing_summary.v1]/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the overall housing situation, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.living_arrangement.v0], code=at0000, itemType=EVALUATION, level=2, text=Living arrangement, description=The circumstances about an individual living alone or with others., comment=This information will provide a sense of the level of support, both physically and emotionally, to which an individual may have access., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.living_arrangement.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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.living_arrangement.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the living arrangements., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.living_arrangement.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Living arrangement, description=Single word or phrase that describes if an individual usually resides alone or with others., comment=Coding of the living arrangement with a terminology is preferred, where possible. The value sets for this data element are likely to vary between jurisdictions - it is anticipated that they will usually be set within a use-case specific template. For example: 'lives alone'; 'lives with family'; or 'lives with others'., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.occupation_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Occupation summary, description=Summary or persistent information about an individual's current and past jobs and/or roles., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.occupation_summary.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the entire occupation history of the individual., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.social_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Social summary, description=Summary information about social circumstances or experiences that may have a potential impact on an individual's health., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.social_summary.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Other social issues, description=Narrative description about social circumstances or experiences that may have a potential impact on an individual's health., comment=May be used to record a narrative summary of the complete social circumstances or experiences or key aspects of the social summary, which will be supported by additional structured data, or to import textual data from existing/legacy clinical systems. Details of specific structured findings can be included using CLUSTER archetypes in the 'Details' slot., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status'], code=at0000, itemType=SECTION, level=1, text=Performance Status, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1], code=at0000, itemType=OBSERVATION, level=2, text=ECOG performance status, description=A scale used by clinicians to assess the functional performance status of a patient with a diagnosis of cancer. Also known as the WHO performance status or Zubrod performance status., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=ECOG performance status, description=The functional performance status of a patient with a diagnosis of cancer., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: Asymptomatic
- 1: Symptomatic, fully ambulatory
- 2: Symptomatic, in bed <50% of the day
- 3: Symptomatic, in bed >50% of the day (but not bedridden)
- 4: Bedridden
- 5: Dead
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Performance Status']/items[openEHR-EHR-OBSERVATION.ecog.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=6, text=Comment, description=Additional narrative about the overall ECOG performance status not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals'], code=at0000, itemType=SECTION, level=1, text=Services and Referrals, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals']/items[openEHR-EHR-ACTION.service.v0], code=at0000, itemType=ACTION, level=2, text=Referrals, description=A general clinical activity carried out for the patient to receive a specified service, advice or care from an expert healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals']/items[openEHR-EHR-ACTION.service.v0]/description[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Service name, description=Identification of the clinical service to be/being carried 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=- District Nursiing
- Physiotherapy
- Speech and Language
- Occupational Therapy
- Clinical Nurse Specialist
- MacMillan 1 to 1 team
- Pyschology
- Social Work
- Palliative Care
- Podiatry
- DS1500
- [...]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the service, as appropriate for the pathway step., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Services and Referrals']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the activity or care pathway step not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans'], code=at0000, itemType=SECTION, level=1, text=Aftercare Plans, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='General Practice Care Plan'], code=at0000, itemType=ACTION, level=2, text=General Practice Care Plan, description=Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='General Practice Care Plan']/description[at0019], code=at0019, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='General Practice Care Plan']/description[at0019]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=GP Alerts and Recommendations, description=Name of care plan., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='General Practice Care Plan']/description[at0019]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Description, description=Description of activity performed/enacted against the plan., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='Secondary Care Care Plan'], code=at0000, itemType=ACTION, level=2, text=Secondary Care Care Plan, description=Plan or sequence of discrete activities developed to achieve a specified management goal or treatment outcome, carried out by health professionals and/or the patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='Secondary Care Care Plan']/description[at0019], code=at0019, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='Secondary Care Care Plan']/description[at0019]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Secondary Care Ongoing Management Plan, description=Name of care plan., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-ACTION.care_plan.v0 and name/value='Secondary Care Care Plan']/description[at0019]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Description, description=Description of activity performed/enacted against the plan., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1], code=at0000, itemType=EVALUATION, level=2, text=Patient and carer understanding, description=Judgement about the likely outcome of a health condition or situation. Note that in relation to end of
life care, awareness of prognosis is taken to mean awareness that life-span is limited., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Prognosis, description=An estimate of the prognosis of the illness or condition., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Comment, description=Any other comment about the prognosis., 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.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Main carer insight, description=Is the main informal carer aware of the patient's prognosis?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Carer has insight of patients illness
- Relative aware of prognosis
- Relative unaware of prognosis
- Carer aware of prognosis
- Carer unaware of prognosis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/data[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Patient insight, description=Does the patient have insight into their illness and/or prognosis?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Patient has insight of their illness
- Patiient aware of prognosis
- Patient not aware of prognosis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/protocol[at0002], code=at0002, 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 [path=[openEHR-EHR-COMPOSITION.health_summary.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Aftercare Plans']/items[openEHR-EHR-EVALUATION.prognosis.v1]/protocol[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Date last updated, description=The date that the prognosis was made or last updated., 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]], templateType=normal] |