TEMPLATE OpenCancer Urology MDT Referral Form.v1 (OpenCancer Urology MDT Referral Form.v1)

TEMPLATE IDOpenCancer Urology MDT Referral Form.v1
ConceptOpenCancer Urology MDT Referral Form.v1
DescriptionIntended to represent the dataset for the openCancer urology cancer MDT referral form.
PurposeIntended to represent the dataset for the openCancer urology cancer MDT referral form.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set}
Language useden
Citeable Identifier1051.57.73
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.request.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1], code=at0000, itemType=COMPOSITION, level=0, text=MDT referral, description=Document sent from one treating healthcare provider or organisation to another, for the purpose of requesting advice, a service or transfer of care., 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=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General'], code=at0000, itemType=SECTION, level=1, text=General, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0], code=at0000, itemType=INSTRUCTION, level=2, text=Cancer MDT - urology referral, description=Request for a health-related service to be supplied by a healthcare provider or agency., comment=For example equipment request., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=MDT meeting, description=Identification of the service requested, by name., comment=Coding of the 'Service name' with a coding system is desirable, if available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=Default value: Urology, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=3, text=Specific questions for MDT, description=Narrative description of the service requested., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0062], code=at0062, itemType=ELEMENT, level=3, text=Reason for referral, description=A short phrase describing the reason for the request., comment=Coding of the 'Reason for request' with a coding system is desirable, if available., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Diagnosis and staging
  • Management during or following treatment
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  • Standard
  • Urgent
  • Target 31/62
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Specific date for MDT review, description=The date/time, or acceptable interval of date/time, for provision of the service., comment=In practice, clinicians will often think in terms of ordering services as approximate timing, for example: review in 3 months, 6 months or 12 months. As clinical systems need more exact parameters to operate on, this '3 months' will usually be converted to an exact date 3 months from the date of recording and stored using this data element., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.urology_ref_details_oc.v0], code=at0000, itemType=CLUSTER, level=3, text=Cancer MDT referral details, description=Urology cancer MDT referral form specific details., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.urology_ref_details_oc.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=MDT schedule, description=Statement about schedule of MDT, whether next available or specific date., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Next available 
  • Specific date 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/activities[at0001]/description[at0009]/items[openEHR-EHR-CLUSTER.urology_ref_details_oc.v0]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Reviews required, description=Description of required reviews., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Histology 
  • Radiology 
  • Case discussion only 
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code=at0010, itemType=ELEMENT, level=4, text=Date symptoms first noticed, description=Date when patient first experienced symptoms., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional_uk.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=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional_uk.v1]/items[openEHR-EHR-CLUSTER.person_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Requested by, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/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=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.person_name.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Responsible consultant 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Responsible consultant contact details, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[openEHR-EHR-CLUSTER.telecom_uk.v1]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Contact Method, description=The communications mode e.g Fax. Mobile, Landline, Skype, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Phone
  • Email
  • Fax
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.individual_professional.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Responsible consultant speciality, description=The speciality of the carer., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organisation.v1], code=at0000, itemType=CLUSTER, level=3, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Referring Hospital, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-INSTRUCTION.request.v0]/protocol[at0008]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Identifier, description=Identifier of organisation, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=2, text=Problem/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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Primary tumour site, 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=
  • Kidney
  • Ureter
  • Bladder
  • Urethra
  • Prostate
  • Penis
  • Testicle/paratesticular
  • Non-urological primary
  • Carcinoma of unknown primary, presumed urological
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  • 0: Asymptomatic 
  • 1: Symptomatic but completely ambulatory 
  • 2: Symptomatic, <50% in bed during the day 
  • 3: Symptomatic, >50% in bed, but not bedbound 
  • 4: Bedbound 
  • 5: Dead 
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  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
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  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
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  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
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  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Hypertension, description=Statement about decompensation status of hypertension., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
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  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Peripheral arterial disease, description=Statement about decompensation status of peripheral arterial disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Respiratory system disease, description=Statement about decompensation status of respiratory system disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Hepatic disease, description=Statement about decompensation status of hepatic disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Stomach/intestine disease, description=Statement about decompensation statement of stomach or intestinal disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Pancreatic disease, description=Statement about decompensation status of pancreatic disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0048], code=at0048, itemType=ELEMENT, level=3, text=End-stage renal disease, description=Statement about decompensation status of end-stage renal disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Diabetes, description=Statement about decompensation status of diabetes., comment=Code the comorbid ailments with the (*) in both the Endocrine system and other organ systems if applicable., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0056], code=at0056, itemType=ELEMENT, level=3, text=Stroke, description=Statement about decompensation status of stroke., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0060], code=at0060, itemType=ELEMENT, level=3, text=Dementia, description=Statement about decompensation status of dementia., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Paralysis, description=Statement about decompensation status of paralysis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Neuromuscular disease, description=Statement about decompensation status of neuromuscular disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0072], code=at0072, itemType=ELEMENT, level=3, text=Psychiatric illness, description=Statement about decompensation status of psychiatric illness., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0076], code=at0076, itemType=ELEMENT, level=3, text=Rheumatologic disorder, description=Statement about decompensation status of rheumatologic disorders (incl. rheumatoid arthritis, systemic lupus, mixed connective tissue disorder, polymyositis, rheumatic polymyositis)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0080], code=at0080, itemType=ELEMENT, level=3, text=AIDS, description=Statement about decompensation status of AIDS (should not be considered a co-morbidity for Kaposi’s Sarcoma or Non-Hodgkin’s Lymphoma)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0084], code=at0084, itemType=ELEMENT, level=3, text=Solid tumour including melanoma, description=Statement about decompensation status of solid tumour including melanoma (excluding cutaneous basal cell Ca., cutaneous SCCA, carcinoma in-situ, and intraepithelial neoplasm)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0088], code=at0088, itemType=ELEMENT, level=3, text=Leukaemia and myeloma, description=Statement about decompensation status of leukaemia and myeloma., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0092], code=at0092, itemType=ELEMENT, level=3, text=Lymphoma, description=Statement about decompensation status of lymphoma., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0096], code=at0096, itemType=ELEMENT, level=3, text=Alcohol abuse, description=Statement about decompensation status of alcohol abuse (must be accompanied by social, behavioural or medical complications)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0100], code=at0100, itemType=ELEMENT, level=3, text=Illicit drug abuse, description=Statement about decompensation status of illicit drug abuse (must be accompanied by social, behavioural or medical complications)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: Grade 1 mild decompensation 
  • 2: Grade 2 moderate decompensation 
  • 3: Grade 3 severe decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0104], code=at0104, itemType=ELEMENT, level=3, text=Obesity, description=Statement about decompensation status of obesity., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 2: Grade 2 moderate decompensation 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Overall co-morbidity score, description=Statement about overall co-morbidity score, allowing for none and unknown as well as mild, moderate and severe., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: None 
  • 1: Grade 1 
  • 2: Grade 2 
  • 3: Grade 3 
  • 9: Unknown 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.ace_27_uk_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0114], code=at0114, itemType=ELEMENT, level=3, text=Comment, description=Optinal narrative comment about any other relevant information., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=2, text=Clinical Synopsis, description=Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Other relevant history, not captured in the ACE-27 scoring system, description=The summary, assessment, conclusions or evaluation of the clinical findings., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.family_history.v1], code=at0000, itemType=EVALUATION, level=2, text=Family History, description=Summary information about the problems and/or diagnoses found in genetic relatives., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-EVALUATION.family_history.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Relevant family history, description=Textual description about the problems, diagnoses, and genetic markers found in genetic relatives. This field may be used to capture unstructured family history information recorded in clinical records., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1], code=at0000, itemType=OBSERVATION, level=2, text=Imaging examination result, description=Record the findings and interpretation of an imaging examination, or series of examinations, performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Modality, description=The imaging method used to perform the examination e.g Ultrasound, CT, X-ray. Coding with a terminology is desirable, where possible. If the modality is specified by a code in the Examination result name, then this field is not required., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • CT
  • MRI
  • Nuclear medicine
  • PET
  • Ultrasound
  • Plain X-ray
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Examination comment, description=Additional narrative about the examination not captured in other fields. For example, recommendations for future examinations; a comment on appropriateness of the examination or on quality of images, if separate to findings; or a note that the film was given to the patient., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1]/protocol[at0025], code=at0025, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1]/protocol[at0025]/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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.imaging_exam.v1]/protocol[at0025]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Location for external scans, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0], code=at0000.1, itemType=OBSERVATION, level=2, text=Histopathology test, description=The findings and interpretation of a histopathology test performed on patient-related specimens., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0], code=at0000, itemType=CLUSTER, level=3, text=Specimen, description=To record details of a laboratory specimen., 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.specimen.v0]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=Specimen type, description=The type of specimen to be collected e.g venous blood, prostatic biopsy., comment=null, uncommonOntologyItems={fhir_mapping=Specimen.type}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Biopsy
  • Resection
  • Cytology
  • Marrow
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0101], code=at0101, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the test 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/protocol[at0004], code=at0004, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1], code=at0000, itemType=CLUSTER, level=4, text=Organisation, description=Details of an organisation, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='General']/items[openEHR-EHR-OBSERVATION.laboratory_test-histopathology.v0]/protocol[at0004]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Location, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions'], code=at0000, itemType=SECTION, level=1, text=Disease specific questions, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate'], code=at0000, itemType=SECTION, level=2, text=Prostate, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0], code=at0000, itemType=OBSERVATION, level=3, text=Laboratory test, description=The findings and interpretation of a pathology laboratory test performed on patient-related specimens., comment=This archetype may be used to record a single valued test, but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests, e.g. microbiology, histopathology., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=PSA, description=Identification of the pathology test performed, sometimes including specimen type and patient state., comment=A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy"., uncommonOntologyItems={fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=PSA result, description=Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded., comment=null, uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.dimensions.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Prostate volume, description=The volume of the part examined., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units: ml, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.i_pss_prostate_score.v0], code=at0000, itemType=OBSERVATION, level=3, text=I-PSS Prostate Score, description=The International Prostate Symptom Score (I-PSS)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.i_pss_prostate_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Total I-PSS score, description=Total of scores from questions 1-7., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..35, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.i_pss_prostate_score.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0064], code=at0064, itemType=ELEMENT, level=4, text=Quality of life Score, description=If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: Delighted 
  • 1: Pleased 
  • 2: Mostly Satisfied 
  • 3: Mixed 
  • 4: Mostly Unhappy 
  • 5: Unhappy 
  • 6: Terrible 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.body_mass_index.v1], code=at0000, itemType=OBSERVATION, level=3, text=Body mass index, description=Calculated measurement which compares a person's weight and height., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.body_mass_index.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Body Mass Index, description=Index describing ratio of weight to height., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..1000
Units:
  • kg/m2
  • lb/in2
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Previous active surveillance, description=Statement of whether previous active surveillance for prostate cancer has taken place., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Type of biopsy (current), description=Description of biopsy or biopsies that have been performed for the current presentation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Systematic TRUS 
  • Targeted TRUS 
  • Systematic transperineal 
  • Targeted transperineal 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Previous TURP, description=Statement of whether patient has had previous TURP., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0011], code=at0011, itemType=ELEMENT, level=3, text=Previous negative prostate biopsy, description=Statement of whether patient has had previous negative prostate biopsy., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Prostate']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Previous abdominal surgery or mesh hernia, description=Statement of whether patient has had previous abdominal surgery or mesh hernias., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Kidney'], code=at0000, itemType=SECTION, level=2, text=Kidney, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Kidney']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0], code=at0000, itemType=OBSERVATION, level=3, text=Laboratory test, description=The findings and interpretation of a pathology laboratory test performed on patient-related specimens., comment=This archetype may be used to record a single valued test, but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests, e.g. microbiology, histopathology., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Kidney']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=eGFR/GFR, description=Identification of the pathology test performed, sometimes including specimen type and patient state., comment=A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy"., uncommonOntologyItems={fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Kidney']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=eGFR/GFR result, description=Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded., comment=null, uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Kidney']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Previous abdominal surgery or mesh hernia, description=Statement of whether patient has had previous abdominal surgery or mesh hernias., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ureter'], code=at0000, itemType=SECTION, level=2, text=Ureter, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ureter']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0], code=at0000, itemType=OBSERVATION, level=3, text=Laboratory test, description=The findings and interpretation of a pathology laboratory test performed on patient-related specimens., comment=This archetype may be used to record a single valued test, but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests, e.g. microbiology, histopathology., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ureter']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=eGFR/GFR, description=Identification of the pathology test performed, sometimes including specimen type and patient state., comment=A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy"., uncommonOntologyItems={fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ureter']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=eGFR/GFR result, description=Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded., comment=null, uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ureter']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Previous abdominal surgery or mesh hernia, description=Statement of whether patient has had previous abdominal surgery or mesh hernias., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder'], code=at0000, itemType=SECTION, level=2, text=Bladder, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0], code=at0000, itemType=OBSERVATION, level=3, text=Laboratory test, description=The findings and interpretation of a pathology laboratory test performed on patient-related specimens., comment=This archetype may be used to record a single valued test, but will often be specialised or templated to represent multiple value or 'panel' tests. This archetype also acts as the parent for specialisations appropriate for more specific laboratory tests, e.g. microbiology, histopathology., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=eGFR/GFR, description=Identification of the pathology test performed, sometimes including specimen type and patient state., comment=A test result may be for a single analyte, or a group of items, including panel tests. Coding with a terminology, potientially a pre-coordinated term including specimen type, is preferred, where possible. May be coded with LOINC or Snomed-CT. Examples include "Glucose", "Urea and Electrolytes", "Swab", “Cortisol (am)” or "Liver Biopsy"., uncommonOntologyItems={fhirmapping=Diagnostic.Reportname, fhirvalueset=reportnames}, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_panel.v0]/items[at0002]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=eGFR/GFR result, description=Actual value of the result. The name of this element is normally replaced in a template or at run-time to relfect the actual analyte e.g. Serum sodium and will often be coded., comment=null, uncommonOntologyItems={fhir_mapping=Observation.result; Observation.name, hl7v2_mapping=OBX.2,OBX.5,OBX.6; OBX-3-observation identifier}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Previous abdominal surgery or mesh hernia, description=Statement of whether patient has had previous abdominal surgery or mesh hernias., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=History of schistosomiasis, description=Statement of whether the patient has a history of schistosomiasis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Bladder']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=History of multiple UTIs, description=Statement of whether the patient has a history of multiple UTIs., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Penile'], code=at0000, itemType=SECTION, level=2, text=Penile, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Penile']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=History of HPV, description=Statement of whether the patient has a history of HPV., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Testicle/paratesticular'], code=at0000, itemType=SECTION, level=2, text=Testicle/paratesticular, 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.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Testicle/paratesticular']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=History of maldescent or torsion, description=Statement of whether the patient has a history of testicular maldescent or torsion., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Testicle/paratesticular']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=History of hearing loss, description=Statement of whether the patient has a history of hearing loss., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.request.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Disease specific questions']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Testicle/paratesticular']/items[openEHR-EHR-OBSERVATION.dis_spec_qs_urology_mdt_ref_oc.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=History of lung disease, description=Statement of whether the patient has a history of lung disease., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null]], templateType=normal]