| All | OperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.encounter.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1], code=at0000, itemType=COMPOSITION, level=0, text=DiADeM Assessment, description=Interaction, contact or care event between a subject of care and healthcare provider(s)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[at0012], code=at0012, itemType=ELEMENT, level=2, text=Assessor team, description=Team to which the individual belongs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1], code=at0000, itemType=ADMIN_ENTRY, level=1, text=Key contacts, description=Key contacts for the patient or client, including formal and informal carers, next of kin and key workers., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018], code=at0018, itemType=CLUSTER, level=2, text=Informal carer, description=An individual identified by the person as offering care and support , excluding paid carers or carers from voluntary agencies., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.person_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Carer name, description=Name in free text unstructured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0018]/items[openEHR-EHR-CLUSTER.individual_personal_uk.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Carer telephone, description=An unstructured description of telecoms., comment=null, 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[path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014], code=at0014, itemType=CLUSTER, level=2, text=GP, description=A health and social care professional or staff member, including a carer from voluntary sector., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1], code=at0000, itemType=CLUSTER, level=3, text=Individual professional demographics (UK), description=Professional demographics details including name(s) , addresse(s) and telecommunication contact 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.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.person_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=GP name, description=Name in free text unstructured format., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=GP email, description=An unstructured description of telecoms., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.organisation.v1], code=at0000, itemType=CLUSTER, level=4, text=Organisation, description=Details of an organisation, comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=GP Practice name, description=Name of the organisation, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1], code=at0000, itemType=CLUSTER, level=5, text=Organisation telecom, description=Personal or organisational telecommunication details, including telephone, fax, and email or other telecommunications details e.g skype address., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=6, text=GP telephone, description=An unstructured description of telecoms., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-ADMIN_ENTRY.key_contacts.v1]/data[at0001]/items[at0014]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Professional relationship to subject, description=The professional role or responsibility of the carer with respect to the person which should help identify them as being an appropriate contact for an aspect of care, usually a professional role or care pathway name., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: GP, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0], code=at0000, itemType=OBSERVATION, level=1, text=YHSCN - DiADeM assessment, description=Additional clinical information used to complete DiADeM assessment., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Functional impairment, description=The patient is no longer fully independent in relation to basic activities of daily living, washing, dressing, feeding and
attending to own continence needs., comment=The requirement of prompting or supervision of staff constitutes a loss of full independence., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Corroborating history, description=History of gradual cognitive decline (typically for the last few years) is confirmed by care staff, relatives and medical records., comment=Staff/relatives confirm that in their opinion the patient consistently demonstrates both functional and cognitive
impairment., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Investigations, description=Dementia screening bloods are normal (where clinically appropriate and patient consents to bloods)., comment=If patient lacks capacity to consent to bloods, a best interest decision must be made and documented accordingly.
NB. If intracranial pathology (e.g. subdural haematoma, cerebral tumour) is suspected, referral for a brain scan may be appropriate. Otherwise where dementia is advanced, differential diagnosis is unlikely to affect patient management & a brain scan is unnecessary., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Reason why bloods not done, description=Narrative statement why screening blood tests have not been done, e.g. patient declined or clinically inappropriate., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Exclusion criteria, description=An acute underlying cause to explain confusion i.e. delirium (acute confusional state) has been excluded. Also confirmation whether mood disorder or psychosis is also confirmed or excluded., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.yhscn_diadem_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Interpretation, description=The overall interpretation of the assessment, i.e. a coded statement of whether the assessment indicates a likely diagnosis of dementia or not., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Diagnosis of dementia likely
- Diagnosis of dementia uncertain
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0], code=at0000, itemType=OBSERVATION, level=1, text=6 CIT Assessment, description=The 6CIT Test used to test for Dementia., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=What year?, description=Did the patient recall the year correctly?, comment=Original form: '1. What year is it?', uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=What month?, description=Did the patient recall the month correctly?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=About what time?, description=Did the patient recall the time correctly (within 1 hour)?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Count backwards, description=Was the patient able to count backwards from 20 to 1 correctly?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No errors
- 2: 1 error
- 4: More than 1 error
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=2, text=Months in reverse, description=Was the patient able to say the months of the year in reverse correctly?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No error
- 2: 1 error
- 4: More than 1 error
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Repeat address phrase, description=Was the patient able to correctly recall the 5-part address phrase given to them earlier?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=- 0: No errors
- 2: 1 error
- 4: 2 errors
- 6: 3 errors
- 8: 4 errors
- 10: 5 errors
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.six_cit_assessment.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Total score, description=Total score from 6 questions., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..28, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0], code=at0000, itemType=OBSERVATION, level=1, text=GPCOG screening test, description=The General Practitioner Assessment of Cognition (GPCOG) screening test., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038], code=at0038, itemType=CLUSTER, level=2, text=Step 1: patient examination, description=Step 1 of the GPCOG screening test, relating to the patient examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Time orientation, description=Statement whether the patient gives a correct or incorrect answer when asked to give the exact date today., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Clock drawing - specific time, description=Statement whether the patient correctly marks in hands a specified time (i.e. 10 minutes past 11 o'clock) on a clock face., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Clock drawing - all numbers, description=Statement whether or not the patient marks all the correct numbers to indicate the hours of the clock with the correct spacing., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Information, description=Statement whether the patient gives a correct and specific answer when asked to say something that happened in the news recently. Recently = in the last week. If a general answer is given, e.g. "lot of rain", "war", further details should be asked for., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Recall first name, description=Statement whether patient correctly recalls first name of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Recall surname, description=Statement whether patient correctly recalls surname of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0027], code=at0027, itemType=ELEMENT, level=3, text=Recall house number, description=Statement whether patient correctly recalls house number of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Recall street name, description=Statement whether patient correctly recalls street name of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Recall locality or town, description=Statement whether patient correctly recalls locality or town of name and address phrase given at the start of the test., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0038]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Total score, description=The total score from all nine individual scores. If patient scores 9, no significant cognitive impairment and further testing not necessary. If patient scores 5-8, more information required. Proceed with Step 2, informant section. If patient scores 5-8, more information required. Proceed with Step 2, informant section., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..9, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039], code=at0039, itemType=CLUSTER, level=2, text=Step 2: informant interview, description=Step 2 of the GPCOG screening test, relating to the informant interview. This section is required if the total score from Step 1 is between 5 and 8., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0037], code=at0037, itemType=ELEMENT, level=3, text=Trouble remembering, description=Statement whether, compared to a few years ago, the patient has more trouble remembering things that have happened recently than he/she used to., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Trouble recalling conversations, description=Statement whether, compared to a few years ago, the patient has more trouble recalling conversations a few days later., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0047], code=at0047, itemType=ELEMENT, level=3, text=Difficulty finding right words or using wrong words, description=Statement whether, compared to a few years ago, the patient, when speaking, has more difficulty in finding the right words or tends to use the wrong words more often., 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.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Less able to manage money, description=Statement whether, compared to a few years ago, the patient is less able to manage money and financial affairs (e.g. paying bills, budgeting)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Yes
- No
- Don't know
- Not applicable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0056], code=at0056, itemType=ELEMENT, level=3, text=Less able to manage medication, description=Statement whether, compared to a few years ago, the patient is less able to manage his/her medication independently., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Yes
- No
- Don't know
- Not applicable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0061], code=at0061, itemType=ELEMENT, level=3, text=Needs more assistance with transport, description=Statement whether, compared to a few years ago, the patient needs more assistance with transport (either private or public). If patient has difficulties only due to physical problems, e.g. bad leg, 'No' should be selected., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- Yes
- No
- Don't know
- Not applicable
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-OBSERVATION.gpcog_screening_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0039]/items[at0066], code=at0066, itemType=ELEMENT, level=3, text=Total score, description=To get the total score, add the number of items answered 'No', 'Don't know' or 'Not applicable'. A total score of 0-3 indicates cognitive impairment, and standard investigations should be conducted., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..6, extendedValues=null]], templateType=normal] |