TEMPLATE RESET - Assessment C.v1 (RESET - Assessment C.v1)

TEMPLATE IDRESET - Assessment C.v1
ConceptRESET - Assessment C.v1
DescriptionUse for circulatory system assessment in emergency care.
PurposeUse for circulatory system assessment in emergency care.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set}
Language useden
Citeable Identifier1051.57.83
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.encounter.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1], code=at0000, itemType=COMPOSITION, level=0, text=RESET Assessment C, 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=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure'], code=at0000, itemType=SECTION, level=1, text=Pulse and Pressure, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.pulse.v1], code=at0000, itemType=OBSERVATION, level=2, text=Pulse/Heart beat, description=Record details about the rate and associated attributes for a pulse or heart beat., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.pulse.v1]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Heart Rate, description=The heart rate, measured in beats per minute., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 /min, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.pulse.v1]/data[at0002]/events[at0003]/data[at0001]/items[at1055], code=at1055, itemType=ELEMENT, level=3, text=Irregular type, description=More specific pattern of an irregular pulse or heart beat., comment=Selection of a value from this value set is only valid if 'Irregular' is selected from the 'Regularity' data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Regularly Irregular 
  • Irregularly Irregular 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.pulse.v1]/data[at0002]/events[at0003]/data[at0001]/items[at1059], code=at1059, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the pulse or heart beat findings 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1], code=at0000, itemType=OBSERVATION, level=2, text=Blood Pressure, description=The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1]/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Systolic, description=Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1]/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Diastolic, description=Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1]/data[at0001]/events[at0006]/data[at0003]/items[at1006], code=at1006, itemType=ELEMENT, level=3, text=Mean arterial pressure, description=The average arterial pressure that occurs over the entire course of the heart contraction and relaxation cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1]/data[at0001]/events[at0006]/data[at0003]/items[at1007], code=at1007, itemType=ELEMENT, level=3, text=Pulse pressure, description=The difference between the systolic and diastolic pressure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pulse and Pressure']/items[openEHR-EHR-OBSERVATION.blood_pressure.v1]/data[at0001]/events[at0006]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the measurement, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion'], code=at0000, itemType=SECTION, level=1, text=Perfusion, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History'], code=at0000, itemType=OBSERVATION, level=2, text=Story/History, description=The subjective clinical history of the subject of care as recorded directly by the subject, or reported to a clinician by the subject or a carer., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.skin_colour_reset.v0], code=at0000, itemType=CLUSTER, level=6, text=Skin colour RESET, description=Skin colour in an unscheduled clinical assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.skin_colour_reset.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Skin colour, description=Coded description of the colour or complexion of the skin., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Flushed 
  • Normal 
  • Pale 
  • Mild mottling 
  • Moderate mottling 
  • Severe mottling 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.skin_temp_gradient_reset.v0], code=at0000, itemType=CLUSTER, level=6, text=Skin temperature gradient RESET, description=Skin temperature gradient in unscheduled care assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.skin_temp_gradient_reset.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Skin temperature gradient, description=Location of where warmth can be observed in lower leg., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Warm to toes 
  • Warm to ankle 
  • Warm to mid lower leg 
  • Warm to knee 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.capillary_refill_time.v0], code=at0000, itemType=CLUSTER, level=6, text=Capillary refill, description=Clinical findings related to capillary refill /return., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.capillary_refill_time.v0]/items[at0021], code=at0021, itemType=ELEMENT, level=7, text=Capillary return, description=Description of state of capillary return., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Normal 
  • Reduced 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.capillary_refill_time.v0]/items[at0026], code=at0026, itemType=ELEMENT, level=7, text=Capillary refill time, description=The time taken for colour to return to an external capillary bed after pressure is applied to cause blanching., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Less than 2 seconds 
    • 2-3 seconds 
    • 3 seconds 
    • 3-4 seconds 
    • 4 seconds 
    • 4-5 seconds 
    • 5 seconds 
    • Greater than 5 seconds 
  •  DurationPT0S..PT10S
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.body_weight.v1], code=at0000, itemType=OBSERVATION, level=2, text=Body weight, description=Measurement of the body weight of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.body_weight.v1]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Weight, description=The weight of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..2000
Units:
  • kg
  • lb
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.avpu.v0], code=at0000, itemType=OBSERVATION, level=2, text=AVPU, description=Simple scale used as part of an assessment to measure and record an individual's level of consciousness. AVPU is an acronym for 'Alert', 'Voice', 'Pain', 'Unresponsive'., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.avpu.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Observation, description=The observation of the patient's level of consciousness., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Alert 
  • Voice 
  • Pain 
  • Unresponsive 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.avpu.v0]/data[at0001]/events[at0002]/state[at0013]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Confounding factors, description=Narrative description of any issues or factors that may impact on the observation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.avpu.v0]/protocol[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Pain stimulus, description=Description of the type of pain stimulus used to elicit the observation., comment=This element should be coded with a terminology, where possible. For example: pressing the nail root or the sternum., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History #1']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.altered_mental_state_reset.v0], code=at0000, itemType=CLUSTER, level=2, text=Altered mental state RESET, description=Altered mental state as part of unscheduled clinical assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perfusion']/items[openEHR-EHR-OBSERVATION.story.v1 and name/value='Story/History #1']/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.altered_mental_state_reset.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Altered mental state, description=Single statement of altered mental state assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Anxious 
  • Agitated 
  • Somnolent 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance'], code=at0000, itemType=SECTION, level=1, text=Peripheral oedema / balance, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.oedema.v0], code=at0000, itemType=CLUSTER, level=2, text=Examination of oedema, description=Findings observed during examination of oedema., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.oedema.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Peripheral oedema, description=Description about the oedema finding observed during the physical examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.oedema.v0]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Severity, description=Estimation of the severity of oedema., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Mild (+) 
  • Moderate (++) 
  • Severe (+++) 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.oedema.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the oedema, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/state[at0009]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Position, description=The body position of the subject during the examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_input.v1], code=at0000, itemType=OBSERVATION, level=2, text=Fluid input, description=The amount of fluid ingested or administered to the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_input.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Fluid name, description=Identification of the fluid ingested or administered., comment=For example: 0.9% NaCl; tea; or parenteral nutrition. The fluid name can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_input.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=Route, description=The delivery route of the fluid., comment=For example: nasogastric tube; oral; intravenously or intraosseous. The route can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_input.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=3, text=Volume, description=The volume of fluid ingested or administered., comment=The volume can be entered manually or derived from the fluid order by the clinical system., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_input.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the fluid input 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_output.v1], code=at0000, itemType=OBSERVATION, level=2, text=Fluid output, description=The measurement of fluid lost or excreted from the body via any mechanism., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_output.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Fluid name, description=Identification of the fluid lost or excreted., comment=For example: urine or vomit. Coding of fluid name with a terminology is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_output.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0041], code=at0041, itemType=ELEMENT, level=3, text=Source, description=The source from which the fluid is lost or excreted., comment=For example: drain tube; urinary catheter or nasopharyngal tube. In a clinical application, if the same type of fluid is being observed from two or more sources such as multiple drains from the same wound, the source may be described as “Drain tube 1” and “Drain tube 2”. Coding of the source with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_output.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0035], code=at0035, itemType=ELEMENT, level=3, text=Volume, description=The volume of fluid., comment=If absorbant material, such as diapers and dressings, are weighed as part of managing fluid loss estimates, the weight will need to be converted to a volume for recording., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_output.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the fluid output 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1], code=at0000, itemType=OBSERVATION, level=2, text=Fluid balance, description=The difference between fluid input and output during a specified interval of time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Total input, description=The total amount of fluid administered or ingested during a specified interval of time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Total output, description=The total amount of fluid lost or excreted during a specified interval of time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Insensible loss, description=The amount of fluid loss by evaporation from the skin and respiratory tract., comment=The insensible loss is calculated using a range of parameters, including: body weight, body temperature, time in open surgery and use of a mechanical ventilator., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0; >=0
Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Peripheral oedema / balance']/items[openEHR-EHR-OBSERVATION.fluid_balance.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Fluid balance, description=The difference between fluid input and output during a specified interval of time., comment=Fluid Balance = Total Fluid Input - (Total Fluid Output + Insensible Loss)., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • ml
  • l
  • [foz_us]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag'], code=at0000, itemType=SECTION, level=1, text=Pathophysiological risk / red flag, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.respiration.v1], code=at0000, itemType=OBSERVATION, level=2, text=Respirations, description=The observed characteristics of spontaneous breathing as would commonly be recorded as part of a 'vital signs' examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.respiration.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Respiratory Rate, description=Rate of respiration., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..200 /min, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.respiration.v1]/data[at0001]/events[at0002]/state[at0022]/items[openEHR-EHR-CLUSTER.inspired_oxygen.v1], code=at0000, itemType=CLUSTER, level=3, text=Inspired oxygen, description=The amount of oxygen being delivered, or to be delivered, to the patient given as a fraction, percentage or indirectly as a flow rate., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.respiration.v1]/data[at0001]/events[at0002]/state[at0022]/items[openEHR-EHR-CLUSTER.inspired_oxygen.v1]/items[at0051], code=at0051, itemType=ELEMENT, level=4, text=Flow rate, description=Oxygen flow rate given to an individual., comment=For example '5 l/min'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..50000; 0..50
Units:
  • ml/min
  • l/min
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.respiration.v1]/data[at0001]/events[at0002]/state[at0022]/items[openEHR-EHR-CLUSTER.inspired_oxygen.v1]/items[at0052], code=at0052, itemType=ELEMENT, level=4, text=FiO₂, description=Fraction of oxygen in inspired air., comment=For example: '0.28'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Unitary
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.body_temperature.v1], code=at0000, itemType=OBSERVATION, level=2, text=Body temperature, description=A measurement of the body temperature, which is a surrogate for the whole body temperature of the person., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.body_temperature.v1]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Temperature, description=The measured body temperature (as a surrogate for the whole body)., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=Units:
  • °C
  • °F
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1], code=at0000, itemType=OBSERVATION, level=2, text=NEWS (UK RCP), description=NEWS (National Early Warning Score) is a simple score used to provide an objective indication of a patient's degree of clinical deterioration. This version follows guidance issued by the UK Royal College of Physicians., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Respiration rate, description=Range category for the respiratory rate (RR) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 12-20 
  • 1: 9-11 
  • 2: 21-24 
  • 3: <=8 or >=25 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Oxygen saturation, description=Range category for the oxygen saturation measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: >= 96 
  • 1: 94-95 
  • 2: 92-93 
  • 3: <=91 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=3, text=Supplemental oxygen, description=Range category depending on whether the patient is receiving supplemental oxygen., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: No 
  • 2: Yes 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=3, text=Body temperature, description=Range category for the body temperature (Temp) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 36.1-38.0 
  • 1: 35.1-36.0 or 38.1-39.0 
  • 2: >=39.1 
  • 3: <=35.0 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Systolic blood pressure, description=Range category for the systolic blood pressure (SBP) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 111-219 
  • 1: 101-110 
  • 2: 91-100 
  • 3: <=90 or >= 220 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Heart rate, description=Range category for the heart rate (HR) measurement of a patient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: 51-90 
  • 1: 41-50 or 91-110 
  • 2: 111-130 
  • 3: <=40 or >=131 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=3, text=Level of consciousness, description=Observed category for the AVPU scale rating of a patient's conscious state., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 0: A 
  • 3: V, P or U 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Total score, description=The total sum of all the NEWS parameter ordinals., comment=Total score may be generated at run-time., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=0..20, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the overall NEWS score 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.news_uk_rcp.v1]/data[at0001]/events[at0002]/state[at0041]/items[at0043], code=at0043, itemType=ELEMENT, level=3, text=Confounding factors, description=Description of any incidental factors that may have contributed to the score., comment=For example: If the patient has COPD., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.symptom_sign.v1], code=at0000, itemType=CLUSTER, level=2, text=Symptom/Sign, description=Reported observation of a physical or mental disturbance in an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.symptom_sign.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Pain, description=The name of the reported symptom or sign., comment=Symptom name should be coded with a terminology, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.symptom_sign.v1]/items[at0035], code=at0035, itemType=ELEMENT, level=3, text=Nil significant, description=The identified symptom or sign was reported as not being present to any significant degree., comment=Record as True if the subject of care has reported the symptom as not significant. For example: if the individual has never experienced the symptom it is appropriate to record 'nil significant'; or if the individual commonly experiences the symptom, in some circumstances it may be considered appropriate to record 'nil significant' if the individual has experienced no deviation from their 'normal' baseline., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Co-morbidity, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.ecg.v0], code=at0000, itemType=OBSERVATION, level=2, text=ECG test result, description=An electrocardiograph (ECG) is an interpretation of the electrical activity of the heart over time, recorded non-invasively using external skin electrodes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.ecg.v0]/data[at0001]/events[at0002]/data[at0005]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Automatic interpretation, description=Interpretative comment on this recording originating from the device., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Pathophysiological risk / red flag']/items[openEHR-EHR-OBSERVATION.ecg.v0]/data[at0001]/events[at0002]/data[at0005]/items[at0081], code=at0081, itemType=ELEMENT, level=3, text=Overall interpretation, description=An overall interpretative comment on this recording., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests'], code=at0000, itemType=SECTION, level=1, text=Point of care tests, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases'], code=at0000, itemType=SECTION, level=2, text=Arterial Blood Gases, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Hb'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - Hb, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Hb']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - Hb, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Hct'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - Hct, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Hct']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - Hct, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Glucose'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - Glucose, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Glucose']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - Glucose, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Lactate'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - Lactate, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - Lactate']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - Lactate, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - BE'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - BE, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - BE']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - BE, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - HCO3'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - HCO3, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - HCO3']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - HCO3, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - pH'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - pH, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - pH']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - ph, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - PO2'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - PO2, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - PO2']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - PO2, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - PCO2'], code=at0000, itemType=OBSERVATION, level=3, text=ABG - PCO2, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Arterial Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='ABG - PCO2']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=ABG - PCO2, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases'], code=at0000, itemType=SECTION, level=2, text=Venous Blood Gases, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Hb'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - Hb, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Hb']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - Hb, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Hct'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - Hct, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Hct']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - Hct, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Glucose'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - Glucose, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Glucose']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - Glucose, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Lactate'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - Lactate, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - Lactate']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - Lactate, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - BE'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - BE, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - BE']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - BE, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - HCO3'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - HCO3, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - HCO3']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - HCO3, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - pH'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - pH, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - pH']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - ph, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - PO2'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - PO2, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - PO2']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - PO2, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - PCO2'], code=at0000, itemType=OBSERVATION, level=3, text=VBG - PCO2, 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=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-SECTION.adhoc.v1 and name/value='Point of care tests']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Venous Blood Gases']/items[openEHR-EHR-OBSERVATION.laboratory_test.v0 and name/value='VBG - PCO2']/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=VBG - PCO2, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion Assessment C'], code=at0000, itemType=SECTION, level=1, text=Conclusion Assessment C, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion Assessment C']/items[openEHR-EHR-OBSERVATION.conclusion_assess_c_reset.v0], code=at0000, itemType=OBSERVATION, level=2, text=Conclusion Assessment C RESET, description=Conclusion of RESET Assessment C., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion Assessment C']/items[openEHR-EHR-OBSERVATION.conclusion_assess_c_reset.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Assessment C Conclusion, description=Describes the conclusion of the cardiovascular assessment (Part C of the RESET assessment)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Shocked 
  • Hyperdynamic 
  • Not compromised 
  • At risk 
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