TEMPLATE Symptome LEOSS (Symptome LEOSS)

TEMPLATE IDSymptome LEOSS
ConceptSymptome LEOSS
DescriptionZur Repräsentation der Symptome der Erkrankung aus dem LEOSS-Datensatz für COVID-19 Patienten.
UseZur Repräsentation der Symptome für das COVID-19 Projekt.
MisuseNicht zur Repräsentation alle Symptome verwenden.
PurposeZur Repräsentation der Symptome der Erkrankung aus dem LEOSS-Datensatz für COVID-19 Patienten.
References
AuthorsName: Sarah Ballout; Organisation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
Other Details LanguageName: Sarah Ballout; Organisation: MHH-Hannover; Email: ballout.sarah@mh-hannover.de
OtherDetails Language Independent{MetaDataSet:Sample Set =Template metadata sample set}
KeywordsSymptome; Erkrankung; Krankheitsanzeichen
Language useden
Citeable Identifier1246.169.785
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  • Symptome LEOSS
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  • Runny Nose
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Sore throat
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Dry cough
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Productive cough
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  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Wheezing
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  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Dyspnoe
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Feeling of breathlessness
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  • None
  • Mild
  • Moderate
  • Severe
  • Unknown
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  • Palpitations
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Nausea / emesis'], code=at0022, itemType=CLUSTER, level=6, text=Nausea / emesis, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Nausea / emesis']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nausea / emesis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Nausea / emesis']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Diarrhea'], code=at0022, itemType=CLUSTER, level=6, text=Diarrhea, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Diarrhea']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Diarrhea
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Diarrhea']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle aches'], code=at0022, itemType=CLUSTER, level=6, text=Muscle aches, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle aches']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Muscle aches
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle aches']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle weakness'], code=at0022, itemType=CLUSTER, level=6, text=Muscle weakness, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle weakness']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Muscle weakness
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Muscle weakness']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Fever'], code=at0022, itemType=CLUSTER, level=6, text=Fever, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Fever']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Fever
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Fever']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Delirium'], code=at0022, itemType=CLUSTER, level=6, text=Delirium, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Delirium']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Delirium
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Delirium']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Excessive tiredness'], code=at0022, itemType=CLUSTER, level=6, text=Excessive tiredness, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Excessive tiredness']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Excessive tiredness
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Excessive tiredness']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Headache'], code=at0022, itemType=CLUSTER, level=6, text=Headache, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Headache']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Headache
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Headache']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Meningism'], code=at0022, itemType=CLUSTER, level=6, text=Meningism, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Meningism']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Meningism
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Meningism']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Smell disorders'], code=at0022, itemType=CLUSTER, level=6, text=Smell disorders, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Smell disorders']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Smell disorders
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Smell disorders']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Taste disorder'], code=at0022, itemType=CLUSTER, level=6, text=Taste disorder, description=Grouping of data elements related to screening for a single symptom or sign., 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='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Taste disorder']/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Taste disorder
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Symptoms']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022 and name/value='Taste disorder']/items[at0005], code=at0005, itemType=ELEMENT, level=7, text=Presence?, description=Presence of the symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Other neurological symptoms
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Red eye
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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  • Asymptomatic
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  • Present  [The specific symptom or sign is present.]
  • Absent  [The specific symptom or sign is not present.]
  • Unknown  [It is not known whether the symptom or sign is present or absent.]
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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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Symptom/sign screening questionnaire, description=An individual- or self-reported questionnaire screening for symptoms and signs., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, text=Specific symptom/sign, description=Grouping of data elements related to screening for a single symptom or sign., 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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Cardiac arrhytmia
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  • Cardiac arrhytmia
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Cardiac arrhytmia']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Life threatening arrhytmia'], code=at0000, itemType=CLUSTER, level=7, text=Life threatening arrhytmia, description=Reported observation of a physical or mental disturbance in an individual., 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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Life threatening arrhytmia']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Life threatening arrhytmia
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Life threatening arrhytmia']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myocardial ischemia, acute coronary syndrome'], code=at0000, itemType=CLUSTER, level=7, text=Myocardial ischemia, acute coronary syndrome, description=Reported observation of a physical or mental disturbance in an individual., 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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myocardial ischemia, acute coronary syndrome']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Myocardial ischemia, acute coronary syndrome
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  • Myocarditis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myocarditis']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='(Congestive) heart failure'], code=at0000, itemType=CLUSTER, level=7, text=(Congestive) heart failure, description=Reported observation of a physical or mental disturbance in an individual., 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='Cardiovascular Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='(Congestive) heart failure']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • (Congestive) heart failure
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  • Pericardial effusion
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  • Any bleeding
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[path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications'], code=at0000, itemType=SECTION, level=1, text=Respiratory Complications, 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='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Symptom/sign screening questionnaire, description=An individual- or self-reported questionnaire screening for symptoms and signs., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Respiratory 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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='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, text=Specific symptom/sign, description=Grouping of data elements related to screening for a single symptom or sign., 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='Respiratory 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  • Respiratory Complications
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  • Need for oxygen supplementation
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  • Clinical indication for intubation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Clinical indication for intubation']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Re-intubation'], code=at0000, itemType=CLUSTER, level=7, text=Re-intubation, description=Reported observation of a physical or mental disturbance in an individual., 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='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Re-intubation']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Re-intubation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Re-intubation']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Re-intubation']/items[at0163], code=at0163, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the symptom or sign 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='ECMO'], code=at0000, itemType=CLUSTER, level=7, text=ECMO, description=Reported observation of a physical or mental disturbance in an individual., 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='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='ECMO']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • ECMO
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='ECMO']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='ECMO']/items[at0163], code=at0163, itemType=ELEMENT, level=8, text=Comment, description=Additional narrative about the symptom or sign 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Respiratory Complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications'], code=at0000, itemType=SECTION, level=1, text=Renal complications, 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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Symptom/sign screening questionnaire, description=An individual- or self-reported questionnaire screening for symptoms and signs., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, text=Specific symptom/sign, description=Grouping of data elements related to screening for a single symptom or sign., 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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Renal complications
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Acute kidney injury (KDIGO)'], code=at0000, itemType=CLUSTER, level=7, text=Acute kidney injury (KDIGO), description=Reported observation of a physical or mental disturbance in an individual., 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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Acute kidney injury (KDIGO)']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Acute kidney injury (KDIGO)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Acute kidney injury (KDIGO)']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Acute kidney injury (KDIGO)']/items[at0151], code=at0151, itemType=ELEMENT, level=8, text=Stadium, description=Simple body site where the symptom or sign was reported., comment=Occurrences of this data element are set to 0..* to allow multiple body sites to be separated out in a template if desired. This allows for representation of clinical scenarios where a symptom or sign needs to be recorded in multiple locations or identifying both the originating and distal site in pain radiation, but where all of the other attributes such as impact and duration are identical. If the requirements for recording the body site are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the Detailed anatomical location' SLOT in this archetype. If the anatomical location is included in the Symptom name via precoordinated codes, this data element becomes redundant. If the anatomical location is recorded using the 'Structured body site' SLOT, then use of this data element is not allowed - record only the simple 'Body site' OR 'Structured body site', but not both., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Stage I
  • Stage II
  • Stage III
  • None
  • Unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='New renal failure with need for dialysis'], code=at0000, itemType=CLUSTER, level=7, text=New renal failure with need for dialysis, description=Reported observation of a physical or mental disturbance in an individual., 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='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='New renal failure with need for dialysis']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • New renal failure with need for dialysis
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  • Not recovered kidney failure
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Not recovered kidney failure']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Renal complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Thrombotic and thrombembolic complications'], code=at0000, itemType=SECTION, level=1, text=Thrombotic and thrombembolic complications, 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='Thrombotic and thrombembolic 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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='Thrombotic and thrombembolic complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Thrombotic and thrombembolic complications
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  • Abdominal thrombosis
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  • Arterial thrombosis
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  • Microangiopathy, -thrombosis
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  • Venous thrombosis, pulmonary thrombembolism
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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='Neurological complications'], code=at0000, itemType=SECTION, level=1, text=Neurological complications, 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Symptom/sign screening questionnaire, description=An individual- or self-reported questionnaire screening for symptoms and signs., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, text=Specific symptom/sign, description=Grouping of data elements related to screening for a single symptom or sign., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, 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  • Neurological complications
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  • Intracerebral bleeding
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  • Ischemic stroke
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Ischemic stroke']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Cause of stroke'], code=at0000, itemType=CLUSTER, level=7, text=Cause of stroke, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Cause of stroke']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Cause of stroke
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Cause of stroke']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Cause of stroke']/items[at0151], code=at0151, itemType=ELEMENT, level=8, text=TOAST-Classification, description=Simple body site where the symptom or sign was reported., comment=Occurrences of this data element are set to 0..* to allow multiple body sites to be separated out in a template if desired. This allows for representation of clinical scenarios where a symptom or sign needs to be recorded in multiple locations or identifying both the originating and distal site in pain radiation, but where all of the other attributes such as impact and duration are identical. If the requirements for recording the body site are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the Detailed anatomical location' SLOT in this archetype. If the anatomical location is included in the Symptom name via precoordinated codes, this data element becomes redundant. If the anatomical location is recorded using the 'Structured body site' SLOT, then use of this data element is not allowed - record only the simple 'Body site' OR 'Structured body site', but not both., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Cardioembolic
  • Large-ateryatherosclerosis
  • Small artery occlusion
  • Other causes
  • Undefined
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Stroke score NIHSS'], code=at0000, itemType=CLUSTER, level=7, text=Stroke score NIHSS, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Stroke score NIHSS']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Stroke score NIHSS
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Stroke score NIHSS']/items[at0031], code=at0031, itemType=ELEMENT, level=8, text=Number of Stroke score NIHSS, description=The number of times this symptom or sign has previously occurred., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Meningitis/Encephalitis'], code=at0000, itemType=CLUSTER, level=7, text=Meningitis/Encephalitis, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Meningitis/Encephalitis']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Meningitis/Encephalitis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Meningitis/Encephalitis']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myositis'], code=at0000, itemType=CLUSTER, level=7, text=Myositis, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myositis']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Myositis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Myositis']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Seizure'], code=at0000, itemType=CLUSTER, level=7, text=Seizure, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Seizure']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Seizure
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Seizure']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Neurological sequelae'], code=at0000, itemType=CLUSTER, level=7, text=Neurological sequelae, description=Reported observation of a physical or mental disturbance in an individual., 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='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Neurological sequelae']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Neurological sequelae
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  • Severe cognitive impairment
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Severe cognitive impairment']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Neurological complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications'], code=at0000, itemType=SECTION, level=1, text=Further complications, 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0], code=at0000, itemType=OBSERVATION, level=2, text=Symptom/sign screening questionnaire, description=An individual- or self-reported questionnaire screening for symptoms and signs., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=6, text=Specific symptom/sign, description=Grouping of data elements related to screening for a single symptom or sign., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=7, text=Symptom or sign name, description=Name of the symptom or sign being screened., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Further complications
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Vasculitis'], code=at0000, itemType=CLUSTER, level=7, text=Vasculitis, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Vasculitis']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Vasculitis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Vasculitis']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Septic shock'], code=at0000, itemType=CLUSTER, level=7, text=Septic shock, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Septic shock']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Septic shock
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Septic shock']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='qSOFA >= 2'], code=at0000, itemType=CLUSTER, level=7, text=qSOFA >= 2, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='qSOFA >= 2']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • qSOFA >= 2
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='qSOFA >= 2']/items[at0035], code=at0035, itemType=ELEMENT, level=8, text=Vorhanden?, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='qSOFA >= 2']/items[at0151], code=at0151, itemType=ELEMENT, level=8, text=TOAST-Classification, description=Simple body site where the symptom or sign was reported., comment=Occurrences of this data element are set to 0..* to allow multiple body sites to be separated out in a template if desired. This allows for representation of clinical scenarios where a symptom or sign needs to be recorded in multiple locations or identifying both the originating and distal site in pain radiation, but where all of the other attributes such as impact and duration are identical. If the requirements for recording the body site are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the Detailed anatomical location' SLOT in this archetype. If the anatomical location is included in the Symptom name via precoordinated codes, this data element becomes redundant. If the anatomical location is recorded using the 'Structured body site' SLOT, then use of this data element is not allowed - record only the simple 'Body site' OR 'Structured body site', but not both., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Cardioembolic
  • Large-ateryatherosclerosis
  • Small artery occlusion
  • Other causes
  • Undefined
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other complications, specify'], code=at0000, itemType=CLUSTER, level=7, text=Other complications, specify, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other complications, specify']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Other complications, specify
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other complications, specify']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other complications, specify']/items[at0151], code=at0151, itemType=ELEMENT, level=8, text=Kommentar, description=Simple body site where the symptom or sign was reported., comment=Occurrences of this data element are set to 0..* to allow multiple body sites to be separated out in a template if desired. This allows for representation of clinical scenarios where a symptom or sign needs to be recorded in multiple locations or identifying both the originating and distal site in pain radiation, but where all of the other attributes such as impact and duration are identical. If the requirements for recording the body site are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the Detailed anatomical location' SLOT in this archetype. If the anatomical location is included in the Symptom name via precoordinated codes, this data element becomes redundant. If the anatomical location is recorded using the 'Structured body site' SLOT, then use of this data element is not allowed - record only the simple 'Body site' OR 'Structured body site', but not both., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other complications, specify']/items[at0031], code=at0031, itemType=ELEMENT, level=8, text=Number of Stroke score NIHSS, description=The number of times this symptom or sign has previously occurred., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Severe fatigue'], code=at0000, itemType=CLUSTER, level=7, text=Severe fatigue, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Severe fatigue']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Severe fatigue
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Severe fatigue']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other sequelae'], code=at0000, itemType=CLUSTER, level=7, text=Other sequelae, description=Reported observation of a physical or mental disturbance in an individual., 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='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other sequelae']/items[at0001], code=at0001, itemType=ELEMENT, level=8, text=Symptom/Sign name, 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=
  • Other sequelae
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[openEHR-EHR-CLUSTER.symptom_sign.v1 and name/value='Other sequelae']/items[at0035], code=at0035, itemType=ELEMENT, level=8, 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further complications']/items[openEHR-EHR-OBSERVATION.symptom_sign_screening.v0]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0], code=at0000, itemType=SECTION, level=1, text=Vital signs, description=A group of observations that are recorded at the same time and record the blood pressure, pulse, temperature and other readings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2], 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., comment=Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm., 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=History Structural node., 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006], code=at0006, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/data[at0001]/events[at0006]/state[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/protocol[at0011], code=at0011, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=List structure., 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/protocol[at0011]/items[at1054], code=at1054, itemType=ELEMENT, level=4, text=Systolic pressure formula, description=Formula used to calculate the systolic pressure from from mean arterial pressure (if recorded in data)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • < 80mmHg
  • 80-119 mmHg
  • 120-139 mmHg
  • 140-179 mmHg
  • >= 180 mmHg
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.blood_pressure.v2]/protocol[at0011]/items[at1055], code=at1055, itemType=ELEMENT, level=4, text=Diastolic pressure formula, description=Formula used to calculate the diastolic pressure from mean arterial pressure (if recorded in data)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • < 40 mmHg
  • 41-60 mmHg
  • 61-89 mmHg
  • 90-110 mmHg
  • > 110 mmHg
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2], code=at0000, itemType=OBSERVATION, level=2, text=Pulse/Heart beat, description=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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002], code=at0002, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002]/events[at0003], code=at0003, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002]/events[at0003]/data[at0001], code=at0001, 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Rate, description=The rate of the pulse or heart beat, 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..1000 /min, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002]/events[at0003]/data[at0001]/items[at1023], code=at1023, itemType=ELEMENT, level=6, text=Rhythm, description=Specific conclusion about the rhythm of the pulse or heartbeat, drawn from a combination of the heart rate, pattern and other characteristics observed on examination., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • < 45 bpm
  • 46-59 bpm
  • 60-89 bpm
  • 90-119 bpm
  • >= 120 bpm
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/data[at0002]/events[at0003]/state[at0012], code=at0012, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse.v2]/protocol[at0010], code=at0010, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1], code=at0000, itemType=OBSERVATION, level=2, text=Pulse oximetry, description=Blood oxygen and related measurements, measured by pulse oximetry or pulse CO-oximetry., 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=6, text=Oxygen saturation, description=The saturation of oxygen in the peripheral blood, measured via pulse oximetry., comment=SpO₂ is defined as the percentage of oxyhaemoglobin (HbO₂) to the total concentration of haemoglobin (HbO₂ + deoxyhaemoglobin) in peripheral blood., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=ELEMENT, level=6, text=SpOC, description=The oxygen content of the peripheral blood, calculated based on pulse oximetry and pulse CO-oximetry., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 ml/dl, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0058], code=at0058, itemType=ELEMENT, level=6, text=Interpretation, description=Single word, phrase or brief description which represents the clinical meaning and significance of the measurements., comment=Coding with a terminology is preferred, if possible. For example, normal oxygen saturation or hypoxaemia., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • <60 %
  • 60-69 %
  • 70-79%
  • 80-89%
  • 90-95%
  • 96-100%
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/data[at0001]/events[at0002]/state[at0014], code=at0014, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.pulse_oximetry.v1]/protocol[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2], code=at0000, itemType=OBSERVATION, level=2, text=Body temperature, description=A measurement of the body temperature, which is a surrogate for the core body temperature of 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002], code=at0002, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002]/events[at0003], code=at0003, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002]/events[at0003]/data[at0001], code=at0001, 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Temperature, description=The measured temperature., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..100; 30..200
Units:
  • Cel
  • [degF]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=6, text=Klinische Beschreibung, description=Additional comment about the body temperature 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=
  • < 35.0°C
  • 35.1 - 37.2°C
  • 37.3 - 37.9°C
  • 38.0 - 38.9°C
  • 39.0 - 39.9°C
  • >= 40°C
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/data[at0002]/events[at0003]/state[at0029], code=at0029, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, description=State information about the patient., 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/protocol[at0020], code=at0020, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.body_temperature.v2]/protocol[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=4, text=Location of measurement, description=Simple description about the site of measurement., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Rectum  [Temperature measured within the rectum.]
    • Axilla  [Temperature is measured from the skin of the axilla with the arm positioned down by the side.]
    • Ear canal  [Temperature is measured from within the external auditory canal.]
    • Forehead  [Temperature is measured on the forehead.]
    • Mouth  [Temperature is measured within the mouth.]
    • Nasopharynx  [Temperature is measured within the nasopharynx.]
    • Urinary bladder  [Temperature is measured in the urinary bladder.]
    • Intravascular  [Temperature is measured within the vascular system.]
    • Skin  [Temperature is measured from exposed skin.]
    • Vagina  [Temperature is measured within the vagina.]
    • Oesophagus  [Temperatue is measured within the oesophagus.]
    • Inguinal skin crease  [Temperature is measured in the inguinal skin crease between the leg and abdominal wall.]
    • Temple  [Temperature is measured at the temple, over the superficial temporal artery.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2], code=at0000, itemType=OBSERVATION, level=2, text=Respiration, description=The characteristics of spontaneous breathing by 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Rate, description=The frequency of spontaneous breathing., 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=6, text=Clinical description, description=A narrative description about the spontaneous breathing of the individual., comment=For example: noting respiratory distress, use of accessory muscles or intermittent apnoea; noting characteristics such as stridor, sighing, grunting, groaning, gasping. Conducting a full respiratory examination, then some of these findings might be more appropriately recorded as part of examination findings., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • <= 16
  • 16-21
  • 22-29
  • >=30
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/data[at0001]/events[at0002]/state[at0022], code=at0022, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.respiration.v2]/protocol[at0057], code=at0057, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1], code=at0000, itemType=OBSERVATION, level=2, text=Blutgasanalyse, description=The result, including findings and the laboratory's interpretation, of an investigation performed on specimens collected from an individual or related to that individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Blutgasanalyse, description=Name of the laboratory investigation performed on the specimen(s)., comment=A test result may be for a single analyte, or a group of items, including panel tests. It is strongly recommended that 'Test name' be coded with a terminology, for example LOINC or SNOMED CT. For example: 'Glucose', 'Urea and Electrolytes', 'Swab', 'Cortisol (am)', 'Potassium in perspiration' or 'Melanoma histopathology'. The name may sometimes include specimen type and patient state, for example 'Fasting blood glucose' or include other information, as 'Potassium (PNA blood gas)'., 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.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Sauerstoffpartialdruck'], code=at0000, itemType=CLUSTER, level=6, text=Sauerstoffpartialdruck, description=The result of a laboratory test for a single analyte value., 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Sauerstoffpartialdruck']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=The name of the analyte result., comment=The value for this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte. For example: 'Serum sodium', 'Haemoglobin'. Coding with an external terminology is strongly recommended, such as LOINC, NPU, SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • PaO2
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Sauerstoffpartialdruck']/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • < 50 mmHg (<6.66)
  • 50 - 59 mmHg (6.66 - 7.86)
  • 60 - 69 mmHg (7.87 - 9.2)
  • 70 - 79 mmHg (9.21 - 10.53)
  • >= 80 mmHg (>10.53)
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Arterieller Kohlendioxidpartialdruck'], code=at0000, itemType=CLUSTER, level=6, text=Arterieller Kohlendioxidpartialdruck, description=The result of a laboratory test for a single analyte value., 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Arterieller Kohlendioxidpartialdruck']/items[at0024], code=at0024, itemType=ELEMENT, level=7, text=Analyte name, description=The name of the analyte result., comment=The value for this element is normally supplied in a specialisation, in a template or at run-time to reflect the actual analyte. For example: 'Serum sodium', 'Haemoglobin'. Coding with an external terminology is strongly recommended, such as LOINC, NPU, SNOMED CT, or local lab terminologies., uncommonOntologyItems={fhir_mapping=Observation.code, hl7v2_mapping=OBX.3}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • PaCO2
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.laboratory_test_analyte.v1 and name/value='Arterieller Kohlendioxidpartialdruck']/items[at0001], code=at0001, itemType=ELEMENT, level=7, text=Analyte result, description=The value of the analyte result., comment=For example '7.3 mmol/l', 'Raised'. The 'Any' data type will need to be constrained to an appropriate data type in a specialisation, a template or at run-time to reflect the actual analyte result. The Quantity data type has reference model attributes that include flags for normal/abnormal, reference ranges and approximations - see https://specifications.openehr.org/releases/RM/latest/data_types.html#_dv_quantity_class for more details., uncommonOntologyItems={fhir_mapping=Observation.value[x], hl7v2_mapping=OBX.2, OBX.5, OBX.6, OBX.7, OBX.8}, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • < 30 mmHg (<4)
  • 30 - 38 mmHg (4 - 5.06)
  • 39 - 45 mmHg (5.07 - 5.99)
  • 46 - 55 mmHg (6 - 7.33)
  • > 55 mmHg (>7.33)
  • not done
  • unknown
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/data[at0001]/events[at0002]/state[at0112], code=at0112, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, 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.vital_signs.v0]/items[openEHR-EHR-OBSERVATION.laboratory_test_result.v1]/protocol[at0004], code=at0004, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics'], code=at0000, itemType=SECTION, level=1, text=Further diagnostics, 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='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1], code=at0000, itemType=OBSERVATION, level=2, text=Glasgow Coma Scale (GCS), description=Fifteen point scale used to assess impairment of consciousness in response to defined stimuli., comment=More correctly known as the Modified Glasgow coma scale., 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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.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='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.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='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/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.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=ELEMENT, level=6, text=Best eye response (E), description=Best response of eyes to test stimulus., comment=Most commonly, the score for eye response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot physically open their eyes due to other injuries, then the "Not Applicable" null flavour should be recorded., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: None  [No eye opening at any time, no interfering factor. For example: eyes closed by local swelling.]
  • 2: To pressure  [Eyes opening after finger tip stimulus.]
  • 3: To sound  [Eyes opening after spoken or shouted request. Not to be confused with wakening of a sleeping person.]
  • 4: Spontaneous  [Eyes open before stimulus.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0007], code=at0007, itemType=ELEMENT, level=6, text=Best verbal response (V), description=Best verbal response to test stimulus., comment=Most commonly, the score for verbal response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care is intubated, then the "Not Applicable" null flavour should be recorded., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: None  [No audible response, no interfering factor. For example: intubation; profound deafness.]
  • 2: Sounds  [Only moans/groans.]
  • 3: Words  [Intelligible single words.]
  • 4: Confused  [Not orientated but communicates coherently.]
  • 5: Orientated  [Correctly gives name, place and date.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0008], code=at0008, itemType=ELEMENT, level=6, text=Best motor response (M), description=Best motor response to test stimulus., comment=Most commonly, the score for motor response will be selected from one of the ordinal values, however if a response cannot be tested, for example if the subject of care cannot move their limbs due to injury or paralysis, then the "Not Applicable" null flavour should be recorded., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_ORDINAL, bindings=null, values=
  • 1: None  [No movement in arms/legs, no interfering factor. For example: paralysed.]
  • 2: Extension  [Decerebrate extension of arms and/or legs in response to stimuli. For example: extends arm at elbow.]
  • 3: Abnormal flexion  [Slow, decorticate flexion of arms and/or legs. For example: bends arm at elbow, but features predominantly abnormal.]
  • 4: Normal flexion  [Rapid flexion in response to stimuli but features predominantly normal. For example: flexion of wrist when supra-orbital pressure applied; pulls part of body away when nailbed pinched.]
  • 5: Localising  [Purposeful flexion towards painful stimuli. For example: brings hand above the clavicle when supra-orbital pressure is applied.]
  • 6: Obeys commands  [Follows verbal request for movement.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Further diagnostics']/items[openEHR-EHR-OBSERVATION.glasgow_coma_scale.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=6, text=Total score, description=The sum of the ordinal scores recorded for each of the three component responses., comment=The Total Score may be derived as the sum of the three response data elements and, if so, should be validated by the clinical information system against the individual scores entered by the clinician to ensure there is no conflict or inconsistency. 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  • 1: < 400  [PaO2/FiO2 ratio is < 400 mmHg and ≥ 300 mmHg.]
  • 2: < 300  [300 [PaO2/FiO2 ratio is < 300 mmHg and ≥ 200 mmHg.]
  • 3: < 200 and artificial respiration  [PaO2/FiO2 ratio with artificial respiration is < 200 mmHg and ≥ 100 mmHg.]
  • 4: < 100 and artificial respiration  [PaO2/FiO2 ratio with artificial respiration is < 100 mmHg.]
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  • 1: 13-14  [Glasgow Coma Score.]
  • 2: 10-12  [Glasgow Coma Score.]
  • 3: 6-9  [Glasgow Coma Score.]
  • 4: <6  [Glasgow Coma Score.]
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  • 1: MAP < 70 mmHg  [The mean arterial blood pressure (MAP) is less than 70mmHg without the use of vasopressors.]
  • 2: Dopamine ≤ 5 µg/kg/min or Dobutamine (regardless of dosage)  [Use of vasopressors dopamine of the dosage ≤ 5 µg/kg/min or dobutamine.]
  • 3: Dopamine > 5 µg/kg/min or adrenaline ≤ 0,1 µg/kg/min oder noradrenaline ≤ 0,1 µg/kg/min  [Use of vasopressors dopamine > 5 µg/kg/min or adrenalin ≤ 0.1 µg/kg/min or noradrenalin ≤ 0.1 µg/kg/min.]
  • 4: Dopamine > 15 µg/kg/min oder adrenaline > 0,1 µg/kg/min or noradrenaline > 0,1 µg/kg/min  [Use of vasopressors dopamine > 15 µg/kg/min or adrenalin > 0.1 µg/kg/min or noradrenalin > 0.1 µg/kg/min.]
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  • 1: 1,2 -1,9 mg/dl  [The bilirubin value is between 1.2 and 1.9 mg/dl.]
  • 2: 2,0 - 5,9 mg/dl  [The bilirubin value is between 2.0 and 5.9 mg/dl.]
  • 3: 6,0 - 11,9 mg/dl  [The bilirubin value is between 6.0 and 11.9 mg/dl.]
  • 4: >12,0 mg/dl  [The bilirubin value is over 12.0 mg/dl.]
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  • 1: < 150  [Thrombocytes × 103/µl.]
  • 2: < 100  [Thrombocytes × 103/µl.]
  • 3: < 50  [Thrombocytes × 103/µl.]
  • 4: < 20  [Thrombocytes × 103/µl.]
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  • 1: 1,2 - 1,9 mg/dl  [The creatinine value is between 1.2 and 1.9.]
  • 2: 2,0 - 3,4 mg/dl  [The creatinine value is between 2.0 and 3.4.]
  • 3: 3,5 - 4,9 mg/dl  [The creatinine value is between 3.5 and 4.9.]
  • 4: > 5 mg/dl  [The creatinine level is over 5 mg/dl.]
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  • Performed/carried out  [Procedure/s were performed.]
  • Not performed/carried out  [Procedure/s were not performed.]
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  • Air trapping
  • Areas of consolidation
  • Bronchitits
  • Crazy caving pattern
  • Ground glass opacities
  • Interlobular septal thickening
  • Nodulary lesions
  • Pleural effusion
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  • Normal CT
  • Not done
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