TEMPLATE Hearing Health Program Nurse Consultation (Hearing Health Program Nurse Consultation)

TEMPLATE IDHearing Health Program Nurse Consultation
ConceptHearing Health Program Nurse Consultation
DescriptionTo record a consultation by an ENT nurse in the NT Hearing Health Program
UseUse to record the details of a nursing consultation for the purposes of nursing assessment, sharing of details with remote ENT specialists via teleotology and pre-operative assessment.
PurposeTo record a consultation by an ENT nurse in the NT Hearing Health Program
References
Other Details (Language Independent)
  • MetaDataSet:Sample Set : Template metadata sample set
Language useden
Citeable Identifier1013.26.502
Root archetype idopenEHR-EHR-COMPOSITION.encounter.v1
ENT Nurse ConsultationENT Nurse Consultation: Generic encounter or progress note composition.
Reason for EncounterReason for Encounter: The administrative and/or clinical reason/s for initiation of a healthcare encounter or other service.
Reason for ContactReason for Contact: Identification of administrative reason for intiation of a healthcare encounter.
For example, a clinical consultation, emergency consultation, pre-employment medical, routine antenatal visit, women's health check, pre-operative assessment, or annual medical check-up. Coding of the 'Reason for Contact' with a terminology is desirable, where possible.
  • Pre-surgical Assessment
  • Post-surgical Assessment
  • Teleotology

Annotations

  • Notes.Authors Note: May be used to trigger the full template presented - ie based on role plus the reason for attendance for consultation
  • Notes.Example: Post-op check etc
  • Notes.Needs A Value Set: Yes
Clinical HistoryClinical History: A generic heading for contextual renaming within a template.
Presenting HistoryPresenting History: Narrative description of the clinical history or story.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
DurationDuration: The duration of the symptom since onset.
Units:
  • Year
  • Month
  • Week
  • Day
Number of OccurrencesNumber of Occurrences: The number of times this symptom has occurred.
Description of DischargeDescription of Discharge: The character of the symptom.
Reported Right Ear DischargeReported Right Ear Discharge: A subjective observation by an individual about departure from normal function and which may indicate the presence of disease or abnormality. Either self-recorded or recorded on the behalf of a patient by a clinician.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
SeveritySeverity: The severity of the symptom.
  • 1: Trivial 
  • 2: Mild 
  • 5: Moderate 
  • 8: Severe 
  • 9: Very severe 
Current IntensityCurrent Intensity: Measures of the intensity of the symptom at this time.
DegreeDegree: The degree the symptom is bothering the patient.
  • 0: Not present 
  • 1: Trivial 
  • 2: Mild 
  • 5: Moderate 
  • 8: Severe 
  • 9: Very severe 
Visual Analogue ScoreVisual Analogue Score: A score from 0 (not present) to 10 (as bad as it could be).
0..10
DegreeDegree: The intensity of the symptom expressed as a proportion.
  • Ratio
DurationDuration: The duration of the symptom since onset.
Number of OccurrencesNumber of Occurrences: The number of times this symptom has occurred.
CharacterCharacter: The character of the symptom.
VariationVariation: The variation of the symptom.
  • Constant 
  • Intermittent 
  • Fluctuating 
Previous EpisodesPrevious Episodes: Details about previous episodes.
Any Previous EpisodesAny Previous Episodes: Have there been any previous episodes of this symptom.
Previous EpisodePrevious Episode: Details about a specific episode.
Date / time of previous episodeDate / time of previous episode: Date/time of previous episode.
DetailsDetails: Details of previous symptoms and comparison to this episode.
ComparisonComparison: How the previous episode compares with this one.
Number of Previous EpisodesNumber of Previous Episodes: Number of previous episodes.
>=0
CourseCourse: Features of the course of the symptom.
Onset TypeOnset Type: The nature of the onset of the symptom.
  • Gradual 
  • Rapid 
  • Sudden 
Onset DescriptionOnset Description: Activity or situation at and details of onset.
Time of Maximum IntensityTime of Maximum Intensity: The time (and/or date) of maximum intensity of the symptom.
ProgressionProgression: The progress of the symptom relative to the past.
  • Improving 
  • Decreasing 
  • Stable 
  • Increasing 
  • Worsening 
  • Has resolved 
CessationCessation: The nature of the cessation of the symptom.
  • Gradual 
  • Rapid 
  • Sudden 
Precipitating factorsPrecipitating factors: Factors that trigger or bring on the symptom.
Precipitating FactorPrecipitating Factor: An event or activity that brings on or triggers the symptom.
ModificationModification: Factors that change the level of intensity of the symptom.
Modifying FactorModifying Factor: Information about a specific factor that changes the symptom.
FactorFactor: An event or activity that modifies the symptom.
ChangeChange: An event or activity that makes the symptom worse.
  • -3: Relieved completely 
  • -2: Made better 
  • -1: Somewhat improved 
  • 0: No change 
  • 1: Somewhat worse 
  • 2: Made worse 
  • 3: Much worse 
DetailsDetails: Details of the effect.
Features not presentFeatures not present: Anticipated features which are not present.
Absent featureAbsent feature: A feature that is not present.
Reported Hearing LossReported Hearing Loss: A subjective observation by an individual about departure from normal function and which may indicate the presence of disease or abnormality. Either self-recorded or recorded on the behalf of a patient by a clinician.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
DurationDuration: The duration of the symptom since onset.
Units:
  • Year
  • Month
Reported Left Ear PainReported Left Ear Pain: A subjective observation by an individual about pain experienced. Either self-recorded or recorded on the behalf of a patient by a clinician.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
DurationDuration: The duration of the symptom since onset.
Units:
  • Month
  • Week
  • Day
Precipitating factorsPrecipitating factors: Factors that trigger or bring on the symptom.
Precipitating FactorPrecipitating Factor: An event or activity that brings on or triggers the symptom.
Reported Right Ear PainReported Right Ear Pain: A subjective observation by an individual about pain experienced. Either self-recorded or recorded on the behalf of a patient by a clinician.
Nil SignificantNil Significant: The person has not had any significant experience of the symptom.
Clinical DescriptionClinical Description: Description of the symptom.
SeveritySeverity: The severity of the symptom.
  • 1: Trivial 
  • 2: Mild 
  • 5: Moderate 
  • 8: Severe 
  • 9: Very severe 
Current IntensityCurrent Intensity: Measures of the intensity of the symptom at this time.
DegreeDegree: The degree the symptom is bothering the patient.
  • 0: Not present 
  • 1: Trivial 
  • 2: Mild 
  • 5: Moderate 
  • 8: Severe 
  • 9: Very severe 
Pain ScorePain Score: A score from 0 (not present) to 10 (as bad as it could be).
0..10
DegreeDegree: The intensity of the symptom expressed as a proportion.
  • Ratio
DurationDuration: The duration of the symptom since onset.
Number of OccurrencesNumber of Occurrences: The number of times this symptom has occurred.
CharacterCharacter: The character of the symptom.
VariationVariation: The variation of the symptom.
  • Constant 
  • Intermittent 
  • Fluctuating 
Previous EpisodesPrevious Episodes: Details about previous episodes.
Any Previous EpisodesAny Previous Episodes: Have there been any previous episodes of this symptom.
Previous EpisodePrevious Episode: Details about a specific episode.
Date / time of previous episodeDate / time of previous episode: Date/time of previous episode.
DetailsDetails: Details of previous symptoms and comparison to this episode.
ComparisonComparison: How the previous episode compares with this one.
Number of Previous EpisodesNumber of Previous Episodes: Number of previous episodes.
>=0
CourseCourse: Features of the course of the symptom.
Onset TypeOnset Type: The nature of the onset of the symptom.
  • Gradual 
  • Rapid 
  • Sudden 
Onset DescriptionOnset Description: Activity or situation at and details of onset.
Time of Maximum IntensityTime of Maximum Intensity: The time (and/or date) of maximum intensity of the symptom.
ProgressionProgression: The progress of the symptom relative to the past.
  • Improving 
  • Decreasing 
  • Stable 
  • Increasing 
  • Worsening 
  • Has resolved 
CessationCessation: The nature of the cessation of the symptom.
  • Gradual 
  • Rapid 
  • Sudden 
Precipitating factorsPrecipitating factors: Factors that trigger or bring on the symptom.
Precipitating FactorPrecipitating Factor: An event or activity that brings on or triggers the symptom.
ModificationModification: Factors that change the level of intensity of the symptom.
Modifying FactorModifying Factor: Information about a specific factor that changes the symptom.
FactorFactor: An event or activity that modifies the symptom.
ChangeChange: An event or activity that makes the symptom worse.
  • -3: Relieved completely 
  • -2: Made better 
  • -1: Somewhat improved 
  • 0: No change 
  • 1: Somewhat worse 
  • 2: Made worse 
  • 3: Much worse 
DetailsDetails: Details of the effect.
Features not presentFeatures not present: Anticipated features which are not present.
Absent featureAbsent feature: A feature that is not present.
Associated ProblemsAssociated Problems: A generic heading for contextual renaming within a template.
Other ProblemOther Problem: Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible.
  • Speech Problems
  • Language Delay
  • Poor School Progress
  • Skin Problems
Clinical descriptionClinical description: Narrative description or comments about clinical aspects of the problem/diagnosis.
Social SummarySocial Summary: Summary information about social circumstances or experiences that may have a potential impact on an individual's health.
Data
DescriptionDescription: Narrative summary about social circumstances or experiences that may have a potential impact on an individual's health.
May be used to record a narrative summary of the complete social circumstances or experiences or key aspects of the social summary, which will be supported by additioanl structured data. Details of specific structured findings can be included using CLUSTER archetypes in the 'Social Summary Detail' slot.
Actions before OtoscopyActions before Otoscopy: A generic heading for contextual renaming within a template.
Ear CleaningEar Cleaning: A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes.
Procedure nameProcedure name: The name of the procedure (to be) performed. Coding of the specific procedure with a terminology is preferred, where possible.
Default value: Ear Cleaned
DescriptionDescription: Narrative description about the activity or care pathway step for the identified procedure, for example description about the performance and findings from the the procedure, the failed attempt or the cancellation of the procedure.
Ear Cleaning DetailsEar Cleaning Details: Details about method for cleaning the external ear canal.
Ear CleanedEar Cleaned: Identification of the ear being cleaned.
  • Left Ear 
  • Right Ear 
DescriptionDescription: Narrative description of the ear cleaning activity.
For example, describing any difficulties encountered and/or the nature of the returned fluid.
MethodMethod: Method used for ear wash.
Coding with a terminology is preferred, if possible. For example: ear wash; suction; instrument; or tissue spears.
  • Dry mopping
  • Curetting
  • Irrigation
  • Suctioning
Wash AgentWash Agent: Substance used for ear wash.
Coding with a terminology is preferred, if possible. For example: water, acetic acid or betadine 5%.
  • Water
  • Betadine
InstrumentInstrument: Instrument used to assist cleaning.
Coding with a terminology is preferred, if possible. For example Jobson Horne probe, or micro forceps.
  • Tissue Spear
  • Jobson Horne probe
  • Alligator Forceps
  • Syringe
OutcomeOutcome: Description of the outcome of ear cleaning.
Coding with a terminology is preferred, if possible. For example: attempted, partially completed or successful removal of ear wax, pus or a foreign body.
Post-cleaning MultimediaPost-cleaning Multimedia: Multimedia image or diagram recorded at the conclusion of cleaning of the external auditory canal.
Pre-cleaning images or diagrams can be included as part of the examination of CLUSTER.exam_tympanic_membrane archetype.
Image of auditory canal/TMImage of auditory canal/TM: Multimedia representation of the procedure undertaken, for example, a link to a video of the procedure performed or a drawing of the wound/surgery etc.
ProcedureProcedure: A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes.
Description
Procedure nameProcedure name: The name of the procedure (to be) performed. Coding of the specific procedure with a terminology is preferred, where possible.
DescriptionDescription: Narrative description about the activity or care pathway step for the identified procedure, for example description about the performance and findings from the the procedure, the failed attempt or the cancellation of the procedure.
CommentComment: Additional narrative about the activity or care pathway step not captured in other fields.
Examination FindingsExamination Findings: A generic heading for contextual renaming within a template.
Ear Examination FindingsEar Examination Findings: Findings observed during the physical examination of a subject.
Examination of External Auditory Canal and Tympanic MembraneExamination of External Auditory Canal and Tympanic Membrane: Physical examination of the external auditory canal and tympanic membrane by a clinician.
Ear ExaminedEar Examined: Identification of the ear under examination.
  • Left 
  • Right 
Clinical DescriptionClinical Description: Narrative description of findings observed by a clinician during a physical examination of the external auditory canal and tympanic membrane.
Use this data element to provide additional, narrative description of any data elements related to the external auditory canal and tympanic membrane examination as a whole, that are not represented by structured values. For example, the relative size and surface of the auditory canal; increased vascularity of the tympanic membrane; presence of abnormalities not captured in specific structured data elements, such as presence of canal stenosis, exostoses, mastoid bowl/cavity or tumours.
Consistency of WaxConsistency of Wax: Description of the type of wax in the external auditory canal.
Presence of hard wax has implications on treatment decisions. Presence of soft wax may be a causative factor in visual occlusion.
  • Hard 
  • Soft 
State of WaxState of Wax: Description of the state of the wax observed in the external auditory canal.
  • Impacted 
  • Not impacted 
View of Tympanic MembraneView of Tympanic Membrane: View of the tympanic membrane.
  • Full view 
  • Partial occlusion 
  • Total occlusion 
Reason for Occlusion of ViewReason for Occlusion of View: Description of the reason for occlusion to the view of the tympanic membrane.
For example, soft wax or foreign body.
Tenderness of CanalTenderness of Canal: Presence of tenderness in the external auditory canal.
  • Present 
  • Absent 
Oedema of CanalOedema of Canal: Presence of oedema in the external auditory canal.
  • Present 
  • Absent 
Erythema of CanalErythema of Canal: Presence of erythema or redness in the external auditory canal.
  • Present 
  • Absent 
Offensive OdourOffensive Odour: Presence of any offensive odour originating from the external auditory canal.
  • Present 
  • Absent 
Discharge TypeDischarge Type: Type of discharge observed in the external auditory canal or at the tympanic membrane perforation.
  • Serous 
  • Bloody 
  • Purulent 
  • Mucous 
  • Mucopurulent 
  • Haemoserous 
Discharge AmountDischarge Amount: Amount of discharge observed in the external auditory canal or at the tympanic membrane perforation.
  • None 
  • Scant 
  • Moderate 
  • Profuse 
Ventilation Tube PositionVentilation Tube Position: Observed position of the ventilation tube (or grommet) in the tympanic membrane or the auditory canal.
There is value in identifying the presence of ventilation tubes in all examinations. There is no value in recording the absence of ventilation tubes if they have never been inserted. Note, however, that it is useful to record the extrusion of ventilation tubes if there is a known history of previous ventilation tube insertion.
  • In situ 
  • Partially extruded 
  • Extruded - remains in canal 
  • Extruded - missing 
  • Unknown 
Abnormal FeaturesAbnormal Features: Details about abnormal features noted during the examination of the external auditory canal.
PolypsPolyps: Presence of polyp/polyps in the external auditory canal.
  • Present 
  • Absent 
Fungal SporesFungal Spores: Presence of fungal spores in the external auditory canal.
  • Present 
  • Absent 
Foreign BodyForeign Body: Presence of a foreign body in the external auditory canal.
  • Present 
  • Absent 
Location of Foreign BodyLocation of Foreign Body: Location of the foreign body within the external auditory canal.
  • Outer canal 
  • Deep canal 
Tympanic Membrane DetailsTympanic Membrane Details: Details about findings on examination of the tympanic membrane.
Membrane Intact?Membrane Intact?: Is the tympanic membrane intact?
  • Intact 
  • Perforated 
  • Indeterminate 
AppearanceAppearance: Category describing the appearance of the tympanic membrane.
In most situations, this data element would only be recorded if the tympanic membrane is intact.
  • Translucent 
  • Opaque 
Normal Light ReflexNormal Light Reflex: Presence of a normal light reflex noted.
In most situations, this data element would only be recorded if the tympanic membrane is intact. A 'normal' light reflex may be described as : a complete, bright triangular area of reflected light seen in the anteroinferior portion of the tympanic membrane.
  • Present 
  • Absent 
Surface FeaturesSurface Features: Features observed on the surface of the tympanic membrane.
Data element has multiple occurrences to enable multiple selections, if required. In most situations, this data element would only be recorded if the tympanic membrane is intact.
  • Blistering present 
  • Scarring present 
  • Granulation present 
  • Thickening present 
  • Tympanosclerosis present 
ColourColour: Description of the overall colour of the tympanic membrane.
For example: red, bluish, or yellow.
Position of Tympanic MembranePosition of Tympanic Membrane: Description of the position of the tympanic membrane.
  • Bulging 
  • Neutral 
  • Retracted 
Description of RetractionDescription of Retraction: Description of retraction of the tympanic membrane.
Fluid Level PresenceFluid Level Presence: Presence of a fluid level behind the tympanic membrane.
  • Present 
  • Absent 
Fluid Level DescriptionFluid Level Description: Narrative description of the fluid level and other related features observed behind the tympanic membrane.
For example, presence of bubbles.
MobilityMobility: Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy.
  • Immobile 
  • Hypomobile 
  • Mobile 
  • Hypermobile 
Perforation DetailsPerforation Details: Details about the tympanic membrane perforation.
Estimation of SizeEstimation of Size: Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks.
Many clinicians record perforations between the well defined 'pinhole' and 'subtotal' perforations using a variety of terms with inconsistent usage and definitions, such as small, medium and large. 'Intermediate' has been proposed as a means to minimise inter-clinician variability for documenting the size of all perforations falling between the 'pinhole' and 'subtotal' definitions. If more detail is required, then measurement of the perforation should be recorded.
  • Pinhole 
  • Intermediate 
  • Subtotal 
  • Total 
RegionRegion: Description of the region of the tympanic membrane perforation.
To document if the perforation is in the Pars flaccida and may be potentially unsafe. If 'Total' or 'Subtotal' is selected in 'Estimation of Size' data element then this data element becomes redundant. Coding with a terminology is preferred, if possible.
  • Pars flaccida 
  • Pars tensa 
Marginal?Marginal?: Location of the tympanic membrane perforation.
To document explicitly whether the perforation is located marginally, and therefore might be clinically unsafe. If 'Total' is selected in 'Estimation of Size' data element then this data element becomes redundant.
  • Central 
  • Marginal 
Anterior?Anterior?: Is an anterior perforation present?
To document the presence of perf in the anterior portions of the pars tensa can be more difficult to manage. If 'Total' or 'Subtotal' is selected in 'Estimation of Size' data element then this data element becomes redundant.
  • Present 
  • Absent 
EdgeEdge: Narrative description of the edge of the perforation.
ImageImage: Multimedia image taken during the physical examination of the external auditory canal and tympanic membrane.
Clinical InterpretationClinical Interpretation: Single word, phrase or brief description representing a summary of the examination findings.
Coding with a terminology is preferred, if possible. For example, normal examination or chronic otitis media.
CommentsComments: Additional narrative about the physical examination findings of the external auditory canal and tympanic membrane, not captured in other fields.
Examination - PinnaeExamination - Pinnae: Findings observed during the physical examination of each pinna, or the external structure of the ears, and the adjacent periauricular region.
Symmetry?Symmetry?: Description of the symmetry of both ears in comparison to one another.
  • Symmetrical 
  • Asymmetrical 
Per PinnaPer Pinna: Physical examination findings of an identified pinna.
Pinna ExaminedPinna Examined: Identification of the pinna examined.
  • Left pinna 
  • Right pinna 
Clinical DescriptionClinical Description: Narrative description of the findings observed during a physical examination of a single identified pinna, including size, shape and position.
May be used to record a narrative summary of the complete clinical examination of the body system or anatomical strucutre or key aspects of physical examination findings, which will be further supported by the additional structured data, using CLUSTER archetypes in the 'Examination Detail' slot. This data element may be used to capture legacy data that is not available in a structured format.
Post-auricular ScarPost-auricular Scar: Presence of post-auricular surgical scar observed.
Image RepresentationImage Representation: Digital image or video taken, or a diagram drawn, during the physical examination of the body system or anatomical structure.
Clinical InterpretationClinical Interpretation: Single word, phrase or brief description represents the clinical meaning and significance of the physical examination findings.
Coding with a terminology is preferred, if possible. For example, normal examination or a specific physical finding.
Confounding FactorsConfounding Factors: Description of any incidental factors that may have contributed to the physical examination findings.
Body WeightBody Weight: Measurement of the body weight of an individual.
Any eventAny event: Any event.
Data
WeightWeight: The weight of the individual.
While recorded as kilogram or pounds, weights can be displayed in systems as grams or as pounds and ounces, as required. Upper limits are set to validate entires based on orders of magnitude eg prevent accidental entry of an extra digit, not to represent possible upper limits of weight.
0..1000; 0..2000
Units:
  • kg
  • lb
CommentComment: Comment about the measurement of weight.
State
State of DressState of Dress: Description of the state of dress of the person at the time of weighing.
  • Lightly clothed/underwear 
  • Naked 
  • Fully clothed, including shoes 
  • Nappy/diaper 
Assumed value: Lightly clothed/underwear
Pregnant?Pregnant?: Is the woman pregnant at time of measurement?
Assumed value: false
Confounding FactorsConfounding Factors: Record any issues or factors that may impact on the measurement of body weight eg timing in menstrual cycle, timing of recent bowel motion or noting of amputation.
Protocol
Weight Estimation FormulaWeight Estimation Formula: Formula used to calculate the estimated weight.
For example, formula for estimating fetal weight from ultrasound findings.
Body Height/LengthBody Height/Length: Body height, or length, is measured from crown of head to sole of foot. Body height is measured with the individual in a standing position and body length in a recumbent position.
Data
Any eventAny event: Any timed measurement of body height or length.
Data
Height/LengthHeight/Length: The length of the body from crown of head to sole of foot.
0..1000; 0..250
Units:
  • cm
  • in
CommentComment: Comment about the measurement of body height/length.
State
PositionPosition: Position of individual when measured.
  • Standing 
  • Lying 
Assumed value: Standing
Confounding factorsConfounding factors: Record any issues or factors that may impact on the measurement of body height or length.
For example, uncooperative child making the actual measurement difficult.
Presumptive DiagnosisPresumptive Diagnosis: A generic heading for contextual renaming within a template.
Problem/DiagnosisProblem/Diagnosis: Any health care condition which may impact on the physical, mental and/or social well-being of an individual, that may require diagnostic, therapeutic or educational action, and which has been determined by a clinician. A diagnosis is based on scientific evaluation of physical signs, symptoms, history, laboratory tests results, and procedures.
Data
Problem/DiagnosisProblem/Diagnosis: Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible.
  • AOM
  • AOM with Perforation
  • CSOM (active discharge)
  • CSOM (inactive dry perforation)
  • OME
  • Foreign Body
  • Unsure
Differential diagnosesDifferential diagnoses: A set of 1 or more diagnoses considered as reasonable but as yet hypothetical causes of the patients signs and symptoms Set of one or more interim diagnoses that could account for a patient's history, examination findings, measurements and results. In practice, the intent is that as further evidence is gathered differential diagnoses will be eliminated one by one until one diagnosis becomes most likely.
Data
DifferentialDifferential: A group of diagnoses or explanation and likelihoods being considered.
DiagnosisDiagnosis: Identification of diagnosis. It is desirable that this should be coded where possible.
LikelihoodLikelihood: The likelihood of this diagnosis being present.
  • Suspected 
  • Likely 
RationaleRationale: Rationale for this diagnosis being included as a differential.
CommentComment: Comment on the whole set of differential diagnoses.
Protocol
ReferenceReference: Any literary references supporting the diagnoses.
ManagementManagement: A generic heading for contextual renaming within a template.
Health educationHealth education: Information provided to the patient in any format.
Description
TopicTopic: Topic of information to be provided.
  • Dry Ear Precautions
  • ???
DescriptionDescription: Description of the information provided.
Medication actionMedication action: Details of use, administration, dispensing or other care step relating to a medicine, vaccine or other therapeutic good which may arise from an instruction from a clinician.
Description
MedicineMedicine: The medicine, vaccine or other therapeutic good which was the focus of the action.
Value set: ac0001
InstructionsInstructions: Any instructions given to the subject of care or carer at the time of the action.
ReasonReason: The reason(s) the specific action or step was carried out. Note: This is not the reason for the medication instruction, rather the specific reason e.g. for administration or for ceasing the medication.
CommentComment: A comment on the action taken.
Sequence numberSequence number: The sequence number specific to the action being recorded.
Brand substitutedBrand substituted: A different brand of the same medicine, vaccine or other therapeutic good was substituted for the one nominated in the order.
Protocol
BatchIDBatchID: Assigned by the manufacturer to identify the manufacturing batch of the item.
Expiry dateExpiry date: The expiry date of the medicine administered as documented by the manufacturer.
Dispensed toDispensed to: The name of the person to whom this was dispensed, if not the subject of care.
Number of times dispensedNumber of times dispensed: The number of times this order has been dispensed. The sum of this number minus one and the remaining repeats provides the number of repeats on the original order.
Remaining repeatsRemaining repeats: The number of times the medicine, vaccine or other therapeutic good may still be dispensed without re-issue of a prescription or order. Note: This is the information required by the subject of care and prescriber.
>=0
Claim categoryClaim category: The category of reimbursement or subsidy sought for the item.
Informed ConsentInformed Consent: Record of status and details of informed consent from a patient (or patient's agent) for a proposed procedure, trial or other healthcare-related activity (including treatments and investigations), based upon a clear appreciation and understanding of the facts, implications, and possible future consequences by the patient or patient's agent.
Description
Procedure/Trial/ActivityProcedure/Trial/Activity: Identification of the procedure, clinical trial or healthcare-related activity (including correct side/correct site, where appropriate) against which the consent status and details are recorded.
Procedure/Trial/Activity DescriptionProcedure/Trial/Activity Description: Narrative description of the procedure, clinical trial or healthcare-related activity.
IntentIntent: Description of the intent of the procedure, clinical trial or healthcare-related activity.
Consent DescriptionConsent Description: Narrative description of the informed consent required or recorded prior to performing the proposed procedure, clinical trial or healthcare-related activity.
Form of ConsentForm of Consent: Form of the consent sought or provided.
  • Written 
  • Verbal 
ReasonReason: Reason that the care pathway step for the identified procedure, clinical trial or healthcare-related activity was carried out.
For example, the reason for 'consent refused' or 'consent withdrawn'.
Start DateStart Date: Date, and optional time, when validity of the informed consent becomes active.
End DateEnd Date: Date, and optional time, when validity of the informed consent ceased.
CaveatCaveat: Details of any qualifications or exemptions to the informed consent.
Evidence of ConsentEvidence of Consent: Evidence of consent status.
For example, audio of consent being requested or image of written consent obtained.
Protocol
Consent Document UsedConsent Document Used: Identification of the consent form or document used.
Review DateReview Date: Date when consent status is due for review.
Patient InformationPatient Information: Details about Patient Information made available to the subject or subject's agent.
NameName: Identification of the information made available.
For example, the name of the form.
DescriptionDescription: Narrative description of the patient information made available.
Multimedia RepresentationMultimedia Representation: Digital representation of the Patient Information made available.
PlanPlan: A generic heading for contextual renaming within a template.
Referral requestReferral request: Request for provision of a specified service by another healthcare provider or organisation.
RequestRequest: Current Activity.
Description
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
  • ENT Specialist
  • Primary Care
  • Audiologist
  • ENT Outpatients
Description of serviceDescription of service: A detailed narrative description of the service requested.
Reason for requestReason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
IntentIntent: Stated intent of the request by the referrer.
UrgencyUrgency: Urgency of the request.
  • Emergency 
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Supplementary information to followSupplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results.
Supplementary information expectedSupplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results.
Protocol
Requestor IdentifierRequestor Identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier.
Receiver identifierReceiver identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
Request statusRequest status: The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information.
DurationDuration: Length of time the referral is valid.
DurationDuration: Duration for which the referral is valid.
IndefiniteIndefinite: If true, referral is for an indefinite period of time.
Medication instructionMedication instruction: Details of a medicine, vaccine or other therapeutic good with instructions for use.
OrderOrder: The instructions for a particular medicine, vaccine or other therapeutic good including dose and timing.
Description
MedicineMedicine: The medicine, vaccine or other therapeutic good being ordered, administered to or used by the subject of care. This item should be coded if possible.
DirectionsDirections: A complete narrative description of how much, when and how to use the medicine, vaccine or other therapeutic good.
Dose descriptionDose description: The amount and units of the medicine, vaccine or other therapeutic good to be used or administered at one time.
TimingTiming: Details of the timing of the use or administration of the medicine, vaccine or other therapeutic good.
Timing descriptionTiming description: The timing of the doses, which may include frequency and details such as relationship to food.
PRNPRN: The timing is dependent within limits on the subject of care's condition or symptoms (e.g. 4hrly p.r.n. means the medicine can be taken as frequently as every four hours if necessary). "Pro re nata" in latin means as circumstances arise.
Start criterionStart criterion: A condition which, when met, requires the start of administration or use.
Start dateStart date: The date and optional time to begin using the medicine, vaccine or other therapeutic good.
Stop criterionStop criterion: A condition which, when met, requires the cessation of administration or use.
Stop dateStop date: The date and optional time to stop using the medicine, vaccine or other therapeutic good.
Duration of treatmentDuration of treatment: The length of time for which the medicine, vaccine or other therapeutic good should be used or administered (from the initial dose to the final dose).
Number of administrationsNumber of administrations: The total number of doses of the medicine, vaccine or other therapeutic good that are to be used or administered (from the initial dose to the final dose).
Long-termLong-term: It is anticipated that the medicine, vaccine or therapeutic good will be re-prescribed or re-dispensed over a period of time.
Additional instructionAdditional instruction: An additional statement on how to use the medicine, vaccine or other therapeutic good.
Clinical IndicationClinical Indication: A reason for ordering the medicine, vaccine or other therapeutic good.
CommentComment: Any additional information that may be needed to ensure the continuity of supply, rationale for current dose and timing, or safe and appropriate use.
DispensingDispensing: Information for the dispenser.
Number of repeatsNumber of repeats: The number of times the expressed quantity of medicine, vaccine or other therapeutic good may be refilled or redispensed without a new prescription.
>=0
Minimum interval between repeatsMinimum interval between repeats: The minimum time between repeat dispensing of the medicine, vaccine or therapeutic good. Note: This is specified by the ordering clinician for a specific reason such as safety or best practice.
Brand substitution permittedBrand substitution permitted: Indicates whether or not the substitution of a prescribed medicine with a different brand name of the same medicine, vaccine or other therapeutic good, which has been determined as bioequivalent, is allowed when the medication is dispensed/supplied.
Dispensing instructionsDispensing instructions: Additional instructions to the person dispensing the medicine, vaccine or other therapeutic good.
Protocol
Indication for authorised useIndication for authorised use: The specific indication for use that is required by an authorising agency to achieve subsidy for or access to the medicine, vaccine or other therapeutic good. This could be a national medication scheme, insurance company or other funding agency.
Medication Instruction IdMedication Instruction Id: An identifier used in an external system and associated with this medication instruction.
Concession benefitConcession benefit: Indicates the category of subsidy appropriate to the item being prescribed.
Followup requestFollowup request: Request for a range of different healthcare services, for example, a referral, lab request, equipment request.
RequestRequest: Current Activity.
timingtiming:

Annotations

  • Notes.Authors Note: Value Set: "3 months"; or "6 months"; or "12 months" from the time of recording.
Description
Service requestedService requested: Identification of the service requested. This is often coded with an external terminology.
Description of serviceDescription of service: A detailed narrative description of the service requested.
Reason for requestReason for request: A short description of the reason for the request. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
IntentIntent: Stated intent of the request by the referrer.
UrgencyUrgency: Urgency of the request.
  • Emergency 
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Supplementary information to followSupplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results.
Supplementary information expectedSupplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results.
Protocol
Requestor IdentifierRequestor Identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier.
Receiver identifierReceiver identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
Request statusRequest status: The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information.
Procedure requestProcedure request: Request for a procedure to be performed.
RequestRequest: Current Activity.
Description
Procedure requestedProcedure requested: Identification of the service requested. This is often coded with an external terminology.
Type of procedureType of procedure: Description about the type of procedure.
Description of ProcedureDescription of Procedure: A detailed narrative description of the service requested.
Reason for requestReason for request: A short description of the reason for the request or indication. This is often coded with an external terminology.
Reason descriptionReason description: A narrative description explaining the reason for request.
ObjectiveObjective: Details about specific objective or goal to be achieved by procedure.
IntentIntent: Intended impact on underlying health condition or issue eg preventive, curative, palliative, adjunct, adjuvant or supportive.
UrgencyUrgency: Urgency of the request.
  • Emergency 
  • Urgent 
  • Routine 
Date &/or time service requiredDate &/or time service required: The date and time that the service should be performed or completed.
Latest date service requiredLatest date service required: The latest date that is acceptable for the service to be completed.
Supplementary information to followSupplementary information to follow: True indicates that additional information has been identified and will be forwarded when available eg incomplete pathology test results.
Supplementary information expectedSupplementary information expected: Details of the nature of supplementary information that is to follow e.g name of laboratory results.
Protocol
Requestor IdentifierRequestor Identifier: The local ID assigned to the order by the healthcare provider or organisation requesting the service. This is also referred to as Placer Order Identifier.
Receiver identifierReceiver identifier: The ID assigned to the order by the healthcare provider or organisation receiving the request for service. This is also referred to as Filler Order Identifier.
Request statusRequest status: The status of the request for service as indicated by the requester. Status is used to denote whether this is the initial request, or a follow-up request to change or provide supplementary information.
Clinical SynopsisClinical Synopsis: A narrative summary about a patient, from the perspective of a healthcare provider.
Data
SynopsisSynopsis: An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings.