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- Irregularly Irregular
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- Shallow
- Deep
- Variable
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subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche 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occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Husten']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Husten']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Is there a history of the specific symptom or sign being present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Sputum'], code=at0022, itemType=CLUSTER, level=6, text=Sputum, description=Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Sputum']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct- Does cough up sputum (finding)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Sputum']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Is there a history of the specific symptom or sign being present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Atemnot'], code=at0022, itemType=CLUSTER, level=6, text=Atemnot, description=Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Atemnot']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Atemnot']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Is there a history of the specific symptom or sign being present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Thorakales Engegefühl'], code=at0022, itemType=CLUSTER, level=6, text=Thorakales Engegefühl, description=Details about a specific symptom or sign or grouping of symptoms or signs relatevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Thorakales Engegefühl']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom/sign name, description=Identification of a specific symptom or sign or grouping of symptoms or signs, by name., comment=Coding of the 'Symptom/sign name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Thorakales Engegefühl']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Is there a history of the specific symptom or sign being present?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Auskultationsbefunde der Lunge'], code=at0000, itemType=SECTION, level=2, text=Auskultationsbefunde der Lunge, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Perkussionsbefunde der Lunge'], code=at0000, itemType=SECTION, level=2, text=Perkussionsbefunde der Lunge, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1], code=at0000, itemType=OBSERVATION, level=2, text=Screening von Inspektionsbefunden, description=Series of questions and associated answers used to screen for issues, problems or diagnoses., comment=The answers may be self-reported., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, 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extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Zyanose']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and 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The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Periphere Ödeme'], code=at0022, itemType=CLUSTER, level=6, text=Periphere Ödeme, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Periphere Ödeme']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct- Peripheral edema (disorder)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Periphere Ödeme']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Is there a history of the specific issue, problem or diagnosis?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Lungenüberblähung'], code=at0022, itemType=CLUSTER, level=6, text=Lungenüberblähung, description=Details about a specific issue, problem or diagnosis or grouping of problems or diagnoses relevant for the screening purpose., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Körperliche Befunde']/items[openEHR-EHR-OBSERVATION.problem_screening.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Lungenüberblähung']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Problem/diagnosis name, description=Identification of an issue, problem or diagnosis, or grouping of issues, problems or diagnoses, by name., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct- Chest over-expanded (finding)
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- Moderate
- Severe
- Mild (qualifier value)
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- Severe (severity modifier) (qualifier value)
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Exazerbationen']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Exazerbation Asthma']/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Startzeitpunkt, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Exazerbationen']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Exazerbation Asthma']/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Severity, description=An assessment of the overall severity of the problem or diagnosis., comment=If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminology: http://snomed.info/sct- Mild
- Moderate
- Severe
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- Severe (severity modifier) (qualifier value)
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- Same state
- Worse
- Deceased
- Undetermined.
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