TEMPLATE KDS_Fall_einfach (KDS_Fall_einfach)

TEMPLATE IDKDS_Fall_einfach
ConceptKDS_Fall_einfach
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2024-07-02
Other Details Languagedate: 2024-07-02
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=AFFFB351A3113D61F0822FEBDF5F42E3, original_language=ISO_639-1::de, MD5-CAM-1.0.1=5e7e5dd6081a0ab993a883e2c54a159d, sem_ver=8.0.0}
Language useden
Citeable Identifier1246.169.3613
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.fall.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1], code=at0000, itemType=COMPOSITION, level=0, text=KDS_Fall_einfach, description=Strukturierte Sammlung von Informationen zu einem Sachverhalt oder Problem, der bzw. das bearbeitet werden muss. Die Bearbeitungsschritte eines Falles werden durch Aktivitäten und Bearbeiter definiert, die dem Fall zugeordnet werden., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=2, text=Falltyp, description=Charaktierisierung des Falls, bspw. als Einrichtungskontakt, Abteilungskontakt, Versorgungsstellenkontakt., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=2, text=Fallklasse, description=Nähere Beschreibung des Falls als Fallklasse, z.B. ambulanter Besuch, stationärer, prä- oder nachstationärer Aufenthalt., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Fallart, description=Status des Falls, comment=Status des Falls, uncommonOntologyItems={fhir=Encounter.status}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Fall-ID, description=Eindeutige Identifikation des Falls, z.B. Fallnummer., 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.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0], code=at0000, itemType=CLUSTER, level=2, text=Organization, description=Location includes both casual locations (a place used for health care without prior designation or authorisation) and dedicated, formally designated locations. The sites can be private, public, mobile or fixed., 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.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0051], code=at0051, itemType=ELEMENT, level=3, text=Type, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Identifier, description=A group of buildings or other locations such as a site or campus. For example: Campus that is outside the facility, but belongs to the hospital, university., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Name, description=*, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.organization.v0]/items[at0046], code=at0046, itemType=ELEMENT, level=3, text=Location description, description=The field contains the optional free text description of the location, e.g. thoracic, heart and vascular surgery., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0], code=at0000, itemType=ADMIN_ENTRY, level=1, text=episode_institution_local, description=Administrative details about a period of admitted patient care between a formal or statistical admission and a formal or statistical separation, characterised by only one care type of care from a healthcare institution., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ADMIN_ENTRY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Admission date, description=The date and/or time of the formal or statistical admission to the institution., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0008 and name/value='Aufnahmegrund - ErsteUndZweiteStelle'], code=at0008, itemType=ELEMENT, level=3, text=Aufnahmegrund - ErsteUndZweiteStelle, description=The reason why the individual was admitted for an episode of care., comment=For example: respite; rehabilitation; or infection isolation. Diagnosies should be recorded using the EVAL.problem_diagnosis archetype plus the nested CLUSTER.problem_qualifier, if necessary., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0008 and name/value='Aufnahmegrund - Dritte Stelle'], code=at0008, itemType=ELEMENT, level=3, text=Aufnahmegrund - Dritte Stelle, description=The reason why the individual was admitted for an episode of care., comment=For example: respite; rehabilitation; or infection isolation. Diagnosies should be recorded using the EVAL.problem_diagnosis archetype plus the nested CLUSTER.problem_qualifier, if necessary., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0008 and name/value='Aufnahmegrund - Vierte Stelle'], code=at0008, itemType=ELEMENT, level=3, text=Aufnahmegrund - Vierte Stelle, description=The reason why the individual was admitted for an episode of care., comment=For example: respite; rehabilitation; or infection isolation. Diagnosies should be recorded using the EVAL.problem_diagnosis archetype plus the nested CLUSTER.problem_qualifier, if necessary., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Admission category, description=The type of admission., comment=For example: day surgery; elective surgery or em., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1], code=at0000, itemType=CLUSTER, level=3, text=Überweiser, description=An entity comprising one or more people and having a particular purpose., comment=For example: a company, institution, association, network, department, community group, healthcare practice group, payer/insurer, care team, or a group of neighbours who provide care or support., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Name, description=The unstructured name or label for the organisation., comment=For example: 'Royal Children's Hospital'; 'ABC District Nursing Service'; 'YNWA Oslo' or 'JB Smith Lawyers'., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Identifier, description=Identifier associated with the organisation., comment=Occurrences for this data element is set to 0..* to allow for more than one Identifier to be recorded. Note that the ID data type contains multiple subcomponents for recording the ID value, type, issuer and assigner., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Role, description=The relationship or role of the organisation to the individual or subject of care., comment=For example: oncologist; palliative care home nursing service; or informal support network., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1], code=at0000, itemType=CLUSTER, level=4, text=Address, description=Details about the location of a person, physical building or landmark., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Address line, description=An unstructured address line representing all relevant street-level or post-box details that would support the identification of a location., comment=Occurrences for this data element is set to 0..* to allow one or more free text 'Address line' data elements to represent the huge variety of ways that ‘street-level' details may need to be recorded within the context of a specified 'Town'. Multiple address lines can be represented in a template, renamed as 'Address line 1', 'Address line 2,' etc. For example: '7A/52 Davis Street' or 'Apartment 7A' as Address line 1 with '52 Davis Street' as Address line 2; a roadside mail box location, such as 'RMB 725, Princes Highway'; or using a descriptive landmark, such as or 'Corner of Smith & Brown Streets' or 'Second house north of the general store with the red door'., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=City/Town, description=The name of the lowest level locality that contains the address., comment=For example: suburb, town, city, settlement, village, or community. Coding with an external terminology is preferred, where possible. For example: 'Fitzroy'; 'Manchester'; 'Kingston' or 'Bergen'., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=District/County, description=The name of a local government district or geographical area that contains the address., comment=Coding with an external terminology is preferred, where possible. For example: 'Surf Coast' and 'Yarra' local government councils in Victoria, Australia;and the Parishes of 'Saint Andrew' and 'Kingston' in Jamaica.., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=State/Territory/Province, description=The name of a major government district or geographical area that contains the address., comment=Coding with an external terminology is preferred, where possible. For example: 'New South Wales' and 'Queensland' in Australia; 'British Columbia' and 'Nova Scotia' in Canada; and the Counties of 'Cornwall', 'Middlesex' & 'Surrey' in Jamaica., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Postal code, description=The code for a postal delivery area containing the address, as defined by the relevant postal delivery service., comment=Also known as a postcode or ZIP code., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Country, description=The name of the country containing the address., comment=For example: Australia; Canada; Jamaica; or Norway. Coding with an external terminology, such as EN ISO 3166–1 Alpha 2 country code, is recommended., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[openEHR-EHR-CLUSTER.address.v1]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the address 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[openEHR-EHR-CLUSTER.organisation.v1]/items[at0019], code=at0019, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the organisation 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0018], code=at0018, itemType=CLUSTER, level=3, text=Physical location, description=The physical location of the individual within the institution during the episode of care., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0018]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Location category, description=The type of location., comment=For example: Intensive care unit; high dependency unit., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0018]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Ward, description=The name of the Ward within the institution where the individual was located., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0018]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Room, description=The name of the Room within the institution where the individual was located., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0018]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Bed, description=The name of the Bed within the institution where the individual was located., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Separation date, description=The date and/or time of the formal or statistical end of the admission to the institution., comment=For example: transfer of care to home or another institution; or date of death. Formal recording of the date of death should use CLUSTER.death_details., 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.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Outcome, description=Outcome for the individual at the end of the episode of care., comment=For example: recovered/not recovered/death., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-ADMIN_ENTRY.episode_institution_local.v0]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the episode, 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.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1], code=at0000, itemType=EVALUATION, level=1, 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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, 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.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0079], code=at0079, itemType=ELEMENT, level=3, text=Diagnosesubtyp, description=Specific variant or subtype of the Diagnosis, if relevant., comment=For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant 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= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0079]/links, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=4, text=links, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=LINK, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=3, text=Diagnosetyp, description=Narrative description about the problem or diagnosis., comment=Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Value set: external, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=2, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.fall.v1]/content[openEHR-EHR-EVALUATION.problem_diagnosis.v1]/protocol[at0032]/items[at0070], code=at0070, itemType=ELEMENT, level=3, text=Last updated, description=The date this problem or diagnosis was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null]], templateType=normal]