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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.care_journey_metadata.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Patient journey identifier, description=A patient-journey specific identifier i.e unique to a patient's journey along a specific care pathway., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=- Text
- Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure'], code=at0000, itemType=SECTION, level=1, text=Operative procedure, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis'], code=at0000, itemType=OBSERVATION, level=2, text=Perioperative antibiotic prophylaxis, description=Series of questions and associated answers used to screen for the use of medications., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022], code=at0022, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022]/events[at0023], code=at0023, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022]/events[at0023]/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=6, text=Perioperative antibiotic prophylaxis, description=Is there a history of use of any medication related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[at0026], code=at0026, itemType=CLUSTER, level=6, text=Specific medication, description=Details about a specified medication or grouping of medications relevant for the screening purpose., comment=Use separate instances of this CLUSTER to differentiate between specific medications or groupings of medication., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Perioperative antibiotic prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[at0026]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Medication name, description=Name of medication or grouping of medication., comment=For example: 'alendronic acid', 'anti osteoporosis medications' or 'bisphosphonates'.
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Clone and rename the element in a template to 'Start' and 'Stopped' to record the Date/time when the individual started using a medication. Interval of date/time for a period of time eg. between 1940 and 1942. Text for descriptions like 'Immediately after the operation', or 'Up to one week ago', 'Up to two weeks ago', 'Three weeks ago'. Duration for the individual's age at the onset of duration OR the length of time during which the individual has been using the medication. Interval of Duration for the approximate age of the individual at the time of onset., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Anaesthetic used'], code=at0000, itemType=OBSERVATION, level=2, text=Anaesthetic used, description=Series of questions and associated answers used to screen for the use of medications., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Anaesthetic used']/data[at0022], code=at0022, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Anaesthetic used']/data[at0022]/events[at0023], code=at0023, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Anaesthetic used']/data[at0022]/events[at0023]/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='Anaesthetic used']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=6, text=Anaesthetic used, description=Is there a history of use of any medication related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=- General
- Regional - Epidural
- Regional - Nerve Block
- Regional - Spinal (Intrathecal)
- Local Anaesthetic
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- 2: ASA 2
- 3: ASA 3
- 4: ASA 4
- 5: ASA 5
- 6: ASA 6
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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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=5, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.shoulder_arthroscopic_findings.v0], code=at0000, itemType=CLUSTER, level=7, text=Shoulder arthroscopic findings, description=Shoulder arthroscopic findings, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.shoulder_arthroscopic_findings.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Rotator cuff tear, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- None
- Supraspinatus
- Infraspinatus
- Subscapularis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.shoulder_arthroscopic_findings.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=8, text=Rotator cuff tear size, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Partial
- Small (<1cm)
- Medium (1-3cm)
- Large (3-5cm)
- Massive (>5cm & supraspinatus, infraspinatus, & subscapularis involved)
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- Partial thickness
- Upper 25%
- Upper 50%
- Complete
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- Tendonitis/inflammation
- Frayed
- Subluxed/Dislocated
- Ruptured
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- Anterior (Bankart) Tear
- Posterior Tear (Kim's Lesion)
- Anterior & Posterior Tear
- Boney Bankart
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- Type I - Fraying with intact biceps anchor
- Type II - Fraying with detached labrum
- Type III - Bucket-handle tear with intact biceps anchor
- Type IV - Displaced bucket-handle tear with biceps tendon root tear
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- Non engaging
- Engaging
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Ofer Levy, G. Sforza, Ron M. Dodenhoff, Stephen A. Copeland, Arthroscopic Evaluation of the Impingement Lesion: Pathoanatomy & Classification. JBJS (B) Supp. III,n pg. 233, 2000., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.shoulder_arthroscopic_findings.v0]/items[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=9, text=Acromial Side, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- A0 - Normal - smooth surface
- A1 - Minor scuffing, haemorrhage or local injection and inflammation
- A2 - Marked scuffing / damage of the undersurface of the acromion &
- A3 - Bare bone areas
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- B1 - Minor scuffing, haemorrhage or local injection and inflammation
- B2 - Major scuffing of cuff, partial thickness tear
- B3 - Full thickness tear
- B4 - Massive cuff tear
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.shoulder_arthroscopic_findings.v0]/items[at0071], code=at0071, itemType=ELEMENT, level=8, text=Acromial shape, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Type I - Flat
- Type II - Curved
- Type III - Hooked
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- Mild Arthritis
- Moderate Arthritis
- Severe Arthritis
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- ALPSA
- Buford complex
- Loose body
- GLAD
- Perthes
- Sub-Coracoid impingement
- Drive through sign present
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findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=5, text=Point in time, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=6, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=CLUSTER, level=7, text=Outerbridge classification, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0012], code=at0012, itemType=ELEMENT, level=8, text=Location, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative findings']/items[openEHR-EHR-OBSERVATION.outerbridge_classification_for_joint_cartilage_damage.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013]/items[at0004], code=at0004, itemType=ELEMENT, level=8, text=Joint Cartilage Damage, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Grade 0
- Grade I
- Grade II
- Grade III
- Grade IV
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Primary procedure, description=A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative purposes., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Procedure 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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0], code=at0000, itemType=CLUSTER, level=4, text=Orthopaedic Procedure details, description=Procedure details, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Guidance, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Computer guided surgery used
- Computer guided surgery not used
- Fluoroscopic guidance used
- Navigation guidance used
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Patient specific instrumentation, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0013], code=at0013, itemType=ELEMENT, level=5, text=Primary/Revision, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Method (Approach), description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Arthroscopic
- Open
- Combined
- Misc
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Patient position, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[at0043], code=at0043, itemType=ELEMENT, level=5, text=Operation funding, description=*, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[openEHR-EHR-CLUSTER.surgical_approaches.v0], code=at0000, itemType=CLUSTER, level=5, text=Surgical approach, description=Surgical approaches, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[openEHR-EHR-CLUSTER.surgical_approaches.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Arthroscopic approach, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Posterior portal
- Anterior portal
- Lateral portal
- Anteroinferior portal
- Posteriorinferior portal
- Nevasier (supraspinatus) portal
- Port of Wilmington (Posterolateral) portal
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[openEHR-EHR-CLUSTER.surgical_approaches.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=Open approach, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Deltopectoral approach
- Anterolateral (Deltoid split) approach
- Superior strap approach
- Transacromial approach
- Posterior approach
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.orthopaedic_procedure_details.v0]/items[openEHR-EHR-CLUSTER.surgical_approaches.v0]/items[at0015], code=at0015, itemType=ELEMENT, level=6, text=Comment, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0], code=at0000, itemType=CLUSTER, level=4, text=Shoulder non arthroplasty procedure details, description=Shoulder non arthroplasty procedure details, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0105], code=at0105, itemType=CLUSTER, level=5, text=Subacromial procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0105]/items[at0112], code=at0112, itemType=ELEMENT, level=6, text=Subacromial procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Bursectomy
- Coracoacromial (CA) ligament release
- Acromioplasty
- Subacromial balloon spacer
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0105]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0105]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0105]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001], code=at0001, itemType=CLUSTER, level=5, text=Rotator cuff repair, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=6, text=Type of repair, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Single row repair
- Double row repair
- Side to side repair
- Not repairable
- Partial Repair
- Augmented biological repair
- Superior capsular reconstruction
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001]/items[at0017], code=at0017, itemType=ELEMENT, level=6, text=Number of anchors, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..10 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0001]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0141], code=at0141, itemType=CLUSTER, level=5, text=ACJ procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0141]/items[at0058], code=at0058, itemType=ELEMENT, level=6, text=ACJ procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- ACJ Excision
- ACJ Coplaning
- ACJ Stabilisation
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- Single suture
- Mattress suture
- Capsulo labral repair
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- 4 O'Clock
- 5 O'Clock
- 6 O'Clock
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- Tenotomy
- Tenodesis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0144]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0144]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0144]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0146], code=at0146, itemType=CLUSTER, level=5, text=Glenoid bone block procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0146]/items[at0131], code=at0131, itemType=ELEMENT, level=6, text=Glenoid bone block procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Latarjet
- Anterior bone block
- Posterior bone block
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0146]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0146]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0146]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0148], code=at0148, itemType=CLUSTER, level=5, text=Remplissage, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0148]/items[at0063], code=at0063, itemType=ELEMENT, level=6, text=Remplissage, description=*, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0148]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0148]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0148]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0150], code=at0150, itemType=CLUSTER, level=5, text=Chondroplasty, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0150]/items[at0086], code=at0086, itemType=ELEMENT, level=6, text=Chondroplasty, description=*, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0150]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0150]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0150]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0152], code=at0152, itemType=CLUSTER, level=5, text=Microfracture, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0152]/items[at0119], code=at0119, itemType=ELEMENT, level=6, text=Microfracture, description=*, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0152]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0152]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0152]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0154], code=at0154, itemType=CLUSTER, level=5, text=Other procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0154]/items[at0076], code=at0076, itemType=ELEMENT, level=6, text=Other procedure, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Removal of loose body
- Osteophyte excision
- Glenohumeral Joint debridement
- Axillary nerve neurolysis
- Rotator interval release
- Capsular release
- Capsulorrhaphy
- Capsular plication
- Capsular shrinkage
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0154]/items[openEHR-EHR-CLUSTER.device.v1], code=at0000, itemType=CLUSTER, level=6, text=Medical device, description=An instrument, apparatus, implant, material or similar, used in the provision of healthcare. In this context, a medical device includes a broad range of devices which act through a variety of physical, mechanical, thermal or similar means but specifically excludes devices which act through medicinal means such as pharmacological, metabolic or immunological methods. The scope is inclusive of disposable devices as well as durable or persisting devices that require tracking, maintenance activities or regular calibration, recognising that each type of device has specific data recording requirements., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0154]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Device name, description=Identification of the medical device, preferably by a common name, a formal fully descriptive name or, if required, by class or category of device., comment=This data element will capture the term, phrase or category used in clinical practice. For example: <brand name><machine> (XYZ Audiometer); <size> <brand name> <intravenous catheter> (14G Jelco IV catheter); or <brand name/type> <implant>. Coding with a terminology is desirable, where possible, although this may be local and depending on local supplies available., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0154]/items[openEHR-EHR-CLUSTER.device.v1]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Unique device identifier (UDI), description=A numeric or alphanumeric string that is associated with this device within a given system., comment=Often fixed to the device as a barcode., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0157], code=at0157, itemType=CLUSTER, level=5, text=Procedure narrative, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.shoulder_non_arthroplasty_procedure_details.v0]/items[at0157]/items[at0137], code=at0137, itemType=ELEMENT, level=6, text=Procedure narrative, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.exam.v1], code=at0000, itemType=OBSERVATION, level=2, text=EUA Findings, description=Findings observed during the physical examination of a subject of care., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.exam.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.exam.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.exam.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Interpretation, description=Single word, phrase or brief description which represents the clinical meaning and significance of the physical examination findings., comment=Coding with a terminology is preferred, if possible. For example, 'normal examination' or 'tympanic membrane perforation'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative diagnoses'], code=at0000, itemType=SECTION, level=2, text=Operative diagnoses, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative diagnoses']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=3, text=Operative 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative diagnoses']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative diagnoses']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative diagnoses']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Date/time clinically recognised, description=Estimated or actual date/time the diagnosis or problem was recognised by a healthcare professional., comment=Partial dates are acceptable. If the subject of care is under the age of one year, then the complete date or a minimum of the month and year is necessary to enable accurate age calculations - for example, if used to drive decision support. Data captured/imported as "Age at time of clinical recognition" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis'], code=at0000, itemType=OBSERVATION, level=2, text=DVT prophylaxis, description=Series of questions and associated answers used to screen for the use of medications., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022], code=at0022, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023], code=at0023, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023]/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[at0027], code=at0027, itemType=ELEMENT, level=6, text=DVT prophylaxis, description=Is there a history of use of any medication related to the screening purpose?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[openEHR-EHR-CLUSTER.thromboprophylaxis_summary_oo.v0], code=at0000, itemType=CLUSTER, level=6, text=Thromboprophylaxis summary, description=Thromboprophylaxis summary OO, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[openEHR-EHR-CLUSTER.thromboprophylaxis_summary_oo.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Chemical (In Hospital), description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values= Coded Text- Aspirin
- LMWH
- Pentasaccharide (e.g. Fondaparinux)
- Warfarin
- Direct Thrombin Inhibitor (e.g Dabigatran)
- Factor Xa Inhibitor (e.g Rivaroxaban/Apixaban)
- None
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.medication_screening.v1 and name/value='DVT prophylaxis']/data[at0022]/events[at0023]/data[at0001]/items[openEHR-EHR-CLUSTER.thromboprophylaxis_summary_oo.v0]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=Mechanical, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=- Coded Text
- Foot Pump
- Intermittent Calf Compression
- TED Stockings
- None
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.v0], code=at0000.1, itemType=OBSERVATION, level=2, text=Blood loss, description=The measurement of blood loss from the body via any mechanism., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0036.1], code=at0036.1, itemType=ELEMENT, level=6, text=Fluid name, description=Identification of the fluid lost or excreted., comment=For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=6, text=Volume, description=The volume of fluid., comment=If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.v0]/protocol[at0008], code=at0008, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-OBSERVATION.fluid_output-blood.v0]/protocol[at0008]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Method, description=The approach used to quantify the volume of fluid., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-EVALUATION.recommendation.v2], code=at0000, itemType=EVALUATION, level=2, text=Post operative care instruction, description=A suggestion, advice or proposal for clinical management., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-EVALUATION.recommendation.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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Operative procedure']/items[openEHR-EHR-EVALUATION.recommendation.v2]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Post operative care instruction, description=Narrative description of the recommendation., comment=May be coded, using a terminology, if required., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review'], code=at0000, itemType=SECTION, level=1, text=Scheduled review, 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0], code=at0000, itemType=ACTION, level=2, text=Review Management, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/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=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0014], code=at0014, itemType=ELEMENT, level=4, text=Service type, description=Type of service to be carried out or being carried out., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0], code=at0000, itemType=CLUSTER, level=4, text=Care invitation reminder, description=Care invitation reminder, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Next invitation / reminder date, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Number of invitations / reminders sent, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Date last invitation / reminder sent, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Invitation / reminder mode, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=- Coded Text
- Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.care_invitation_reminder.v0]/items[at0007], code=at0007, itemType=ELEMENT, level=5, text=Invitation / reminder progress, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Queued
- Sent
- Delivery confirmed
- Opened
- Link opened
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Scheduled date/time, description=The date and/or time on which the service is intended to be performed., comment=Only for use in association with the 'Service scheduled' 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Sequence, description=The sequence of the specified clinical service., comment=Only for use in association with the 'Service delivered' pathway step. For example: record that this is the 3rd physiotherapy appointment in a planned sequence., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/description[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Reason, description=Reason that the activity or care pathway step for the identified service was carried out., comment=For example: the reason for the cancellation or suspension of the service., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/protocol[at0015], code=at0015, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/protocol[at0015]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Requestor identifier, description=The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier., 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.report-procedure.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Scheduled review']/items[openEHR-EHR-ACTION.service.v0]/protocol[at0015]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Receiver identifier, description=The ID assigned to the order by the healthcare provider or organisation receiving the request for referral. This is also referred to as Filler Order Identifier., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null]], templateType=normal] |