TEMPLATE NT HHIMS ENT Nurse Consultation (5d6acdd5-a3b4-4b6c-8031-5f351723b1f6)

TEMPLATE ID5d6acdd5-a3b4-4b6c-8031-5f351723b1f6
ConceptNT HHIMS ENT Nurse Consultation
DescriptionTo record the details of 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 the details of a consultation by an ENT nurse in the NT Hearing Health Program
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
Language useden
Citeable Identifier1013.26.531
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.encounter.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1], code=at0000, itemType=COMPOSITION, level=0, text=ENT Nurse Consultation, description=Generic encounter or progress note composition., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-EVALUATION.reason_for_encounter.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=1, text=Reason for Contact, description=Identification of administrative reason for intiation of a healthcare encounter., comment=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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Teleotology
  • Surgical Care
  • Consultation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History'], code=at0000, itemType=SECTION, level=1, text=Clinical History, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1], code=at0000, itemType=OBSERVATION, level=2, text=Patient Story/History, description=The subjective observation by an individual about their health and health issues, as told to a clinician or recorded directly by an individual/patient. Commonly referred to by clinicians as 'Clinical History' or 'History of Presenting Complaint'., 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Presenting History, description=Narrative description of the clinical history or story., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge'], code=at0000, itemType=CLUSTER, level=3, text=Reported Ear Discharge, description=A generic cluster heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Nil Significant, description=The person has not had any significant experience of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Clinical Description, description=Description of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Body Site, description=Identification of body site., comment=Coding with a pre-coordinated terminology value set is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Left Ear
  • Right Ear
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  • Year
  • Month
  • Week
  • Day
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0031], code=at0031, itemType=ELEMENT, level=4, text=Number of Occurrences, description=The number of times this symptom has occurred., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0032 and name/value='Appearance'], code=at0032, itemType=ELEMENT, level=4, text=Appearance, description=The character of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Discharge']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0032 and name/value='Odour'], code=at0032, itemType=ELEMENT, level=4, text=Odour, description=The character of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Pain'], code=at0000, itemType=CLUSTER, level=3, text=Reported Ear Pain, description=A generic cluster heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Pain']/items[openEHR-EHR-CLUSTER.symptom-pain.v1]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Nil Significant, description=The person has not had any significant experience of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Pain']/items[openEHR-EHR-CLUSTER.symptom-pain.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Clinical Description, description=Description of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Pain']/items[openEHR-EHR-CLUSTER.symptom-pain.v1]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Body Site, description=Identification of body site., comment=Coding with a pre-coordinated terminology value set is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Left Ear
  • Right Ear
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Ear Pain']/items[openEHR-EHR-CLUSTER.symptom-pain.v1]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Duration, description=The duration of the symptom since onset., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Units:
  • Month
  • Week
  • Day
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  • Year
  • Month
  • Week
  • Day
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=3, text=Character, description=The character of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss'], code=at0000, itemType=CLUSTER, level=3, text=Reported Hearing Loss, description=A generic cluster heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Nil Significant, description=The person has not had any significant experience of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Clinical Description, description=Description of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0151], code=at0151, itemType=ELEMENT, level=4, text=Body Site, description=Identification of body site., comment=Coding with a pre-coordinated terminology value set is preferred, if possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Left Ear
  • Right Ear
  • Both Ears
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Duration, description=The duration of the symptom since onset., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Units:
  • Year
  • Month
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0032], code=at0032, itemType=ELEMENT, level=4, text=Impact, description=The character of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.adhoc_cluster_heading.v1 and name/value='Reported Hearing Loss']/items[openEHR-EHR-CLUSTER.symptom.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Variation, description=The variation of the symptom., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Constant  [The symptom is constantly present.]
  • Intermittent  [The symptom is present at times and not at others.]
  • Fluctuating  [The symptom varys considerably but is almost always present.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.issue.v1], code=at0000, itemType=CLUSTER, level=3, text=Reported Concerns, description=An issue or concern reported by the subject or caregiver., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.issue.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Concern, description=Identification of the issue or concern reported by the subject or caregiver., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Speech Production Concerns
  • Language Concerns
  • Behavioural Concerns
  • Learning Concerns
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Clinical History']/items[openEHR-EHR-OBSERVATION.story.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.issue.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the identified issue., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors'], code=at0000, itemType=SECTION, level=1, text=Risk Factors, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.exposure.v1], code=at0000, itemType=EVALUATION, level=2, text=Exposure, description=Exposure of the subject to a chemical, physical or biological agent within their environment that has caused, or may possibly cause in the future, a negative impact on health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.exposure.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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.exposure.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Agent, description=Identification of the chemical, physical or biological agent to which the subject was exposed., comment=For example: passive smoking or industrial noise., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Passive Smoking
  • Campfire Smoke
  • Noise
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.exposure.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Description, description=Description of the exposure to the identified substance., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.exposure.v1]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Ongoing Exposure, description=Does the subject remain exposed to the substance to a degree that could be regarded as a potential risk to health?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.risk.v1], code=at0000, itemType=EVALUATION, level=2, text=Pregnancy/Early Childhood Risk Factors, description=Record of known risk factors for an identified disease, condition, or other potentially adverse health issue , and/or an evaluation of the likelihood of the subject experiencing it in the future., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.risk.v1]/data[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Risk Factor, description=Known risk factor that may contribute to the evaluation of risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Low Birth weight (<1500gms )
  • Family History of Permanent Childhood Hearing Loss
  • Hyperbilirubinaemia
  • Severe Respiratory Distress (APGAR 0-3, no breathing by 10 mins or hypotonia to 2hrs)
  • Admission to SCBU/NICU for >48 Hours
  • Craniofacial Abnormality
  • Meningitis (Confirmed or Suspected)
  • Intra-uterine or Peri-natal Infection (Syphilis/Toxoplasmosis/Rubella/CMV/Herpes)
  • Fetal Alcohol Syndrome
  • Trauma/Head Injury
  • Abnormalities of Head and Neck, including Atresia
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.infant_feeding.v1], code=at0000, itemType=EVALUATION, level=2, text=Infant Feeding Summary, description=Summary of early infant feeding activity, particularly focused on breast and formula feeding., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.infant_feeding.v1]/data[at0001]/items[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Type, description=The predominant type of feeding for a period of time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Predominantly Formula  [Infant was solely fed on bottled formula, or the proportion of the volume of milk supplied by feeding with bottled formula was significantly greater than by breast feeding.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Risk Factors']/items[openEHR-EHR-EVALUATION.infant_feeding.v1]/data[at0001]/items[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Age Commenced, description=The age of the infant when the selected type of feeding was commenced., comment=If commenced at birth, which will be recorded as 0 days, weeks or months, then this could be captured or displayed in a system as 'Birth'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Units:
  • Year
  • Month
  • Week
  • Day
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary'], code=at0000, itemType=SECTION, level=1, text=Social Summary, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1], code=at0000, itemType=EVALUATION, level=2, text=Social Summary, description=Summary information about social circumstances or experiences that may have a potential impact on an individual's health., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Overview, description=Narrative summary about social circumstances or experiences that may have a potential impact on an individual's health., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.household.v1], code=at0000, itemType=CLUSTER, level=3, text=Household, description=Summary of the people and pets with whom the subject lives., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.household.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the household members., comment=For example: a full detailed description of individuals and relatioships; or 'living with spouse, mother-in-law and 4 dependant children'; or 'living with friends'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.household.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Children Under 5 years, description=Number of children under the age of 5 years in the household., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.housing.v1], code=at0000, itemType=CLUSTER, level=3, text=Housing, description=Summary of the housing or accomodation in which the subject resides., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.housing.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Transient, description=Is the subject moving between multiple home environements?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.housing.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Description, description=Description of the housing or accommodation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.housing.v1]/items[openEHR-EHR-CLUSTER.home_environment.v1], code=at0000, itemType=CLUSTER, level=4, text=Home Environment, description=Details about the home environment of a subject., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.housing.v1]/items[openEHR-EHR-CLUSTER.home_environment.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Working Refrigerator, description=Presence of a working refrigerator in the home., comment=For example: required to store medicines adequately, especially in a remote environment or tropical climate., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.education.v1], code=at0000, itemType=CLUSTER, level=3, text=Education and Training, description=Summary of the educational and training background of the subject., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.education.v1]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Current School Attendance, description=Description of attendance at primary or secondary school., comment=Only applicable for primary and secondary age children. Reference: METeOR - http://meteor.aihw.gov.au/content/index.phtml/itemId/401809, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Enrolled; Attending  [The subject is currently enrolled and attending school regularly.]
  • Enrolled; Not Always Attending  [The subject is currently enrolled and is not attending school regularly.]
  • Enrolled; Not Attending  [The subject is currently enrolled and is not attending school at all.]
  • Enrolled; Waiting to Commence  [The subject is currently enrolled but is waiting to commence.]
  • Home Schooled  [The subject is currently home schooled.]
  • Not Enrolled; Not Home Schooled  [The subject is currently not enrolled and is not home schooled.]
  • Not Applicable  [It is not appropriate for this subject to attend.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Social Summary']/items[openEHR-EHR-EVALUATION.social_summary.v1]/data[at0001]/items[openEHR-EHR-CLUSTER.education.v1]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Current Early Childhood Education Attendance, description=Description of attendance at early childhood education centre., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Enrolled; Attending  [The subject is currently enrolled and attending school regularly.]
  • Enrolled; Not Always Attending  [The subject is currently enrolled and is not attending school regularly.]
  • Enrolled; Not Attending  [The subject is currently enrolled and is not attending school at all.]
  • Enrolled; Waiting to Commence  [The subject is currently enrolled but is waiting to commence.]
  • Not Applicable  [It is not appropriate for this subject to attend.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings'], code=at0000, itemType=SECTION, level=1, text=Ear Examination Findings, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1], code=at0000, itemType=CLUSTER, level=2, text=Pinna, description=Findings observed during the physical examination of each pinna, or the external structure of the ears, and the adjacent periauricular region., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Symmetry?, description=Description of the appearance of symmetry of both ears in comparison to one another., comment=The appearance of symmetry required observation of size, shape and position on the head. If asymmetry is found, further details can be recorded in the 'Clinical Description' data elements for each pinna., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Symmetrical  [The pinnae appear symmetrical - with both pinnae having similar size and shape.]
  • Asymmetrical  [The pinnae appear asymmetrical - with one pinna differing in size and/or shape to the other.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009], code=at0009, itemType=CLUSTER, level=3, text=Per Pinna, description=Physical examination findings of an identified pinna., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Pinna Examined, description=Identification of the pinna examined., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left pinna  [Examination findings for the left pinna.]
  • Right pinna  [Examination findings for the right pinna.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=No Abnormality Detected, description=Statement that no abnormality was detected on examination., comment=Record as True if no abnormality was detected on examination., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Clinical Description, description=Narrative description of the findings observed during a physical examination of a single identified pinna, including size, shape and position., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0015], code=at0015, itemType=CLUSTER, level=4, text=Surgical Scar, description=Findings about surgical scars identified on, or related to the identified pinna., comment=The key intent of these data element is to identify the possible existence of significant middle ear surgery where this has not been previously recorded in the subject. This is a not uncommon occurrence in the remote communities managed by NT Hearing Health., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0015]/items[at0016], code=at0016, itemType=ELEMENT, level=5, text=Site of Scar, description=Identification of the the specific anatomical structure of the pinna or related anatomical region examined., comment=Coding of the System/Stucture with a terminology is desirable, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0015]/items[at0017], code=at0017, itemType=ELEMENT, level=5, text=Scar Description, description=Narrative description of the scar, including likely aetiology and state of healing., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_pinnae.v1]/items[at0009]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Image, description=Digital image or video taken, or a diagram drawn, during the physical examination of the body system or anatomical structure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1], code=at0000, itemType=CLUSTER, level=2, text=Otoscopy, description=Physical examination of the external auditory canal and tympanic membrane by a clinician., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0097], code=at0097, itemType=ELEMENT, level=3, text=Ear Examined, description=Identification of the ear under examination., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left  [The left external auditory canal and tympanic membrane.]
  • Right  [The right external auditory canal and tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0189], code=at0189, itemType=ELEMENT, level=3, text=No Abnormality Detected, description=Statement that no abnormality was detected (NAD) on examination of the external auditory canal and tympanic membrane., comment=Record as True if no abnormality was detected on examination. Specific statements can be included in the 'Clinical Interpretation' data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=3, text=Clinical Description, description=Narrative description of findings observed by a clinician during a physical examination of the external auditory canal and tympanic membrane., comment=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; or increased vascularity of the tympanic membrane., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0106], code=at0106, itemType=ELEMENT, level=3, text=Consistency of Wax, description=Description of the type of wax in the external auditory canal., comment=Presence of hard wax has implications on treatment decisions. Presence of soft wax may be a causative factor in visual occlusion., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Hard  [The wax is hard.]
  • Soft  [The wax is soft.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0109], code=at0109, itemType=ELEMENT, level=3, text=State of Wax, description=Description of the state of the wax observed in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Impacted  [Ear wax is tightly packed in the external auditory canal, such that it may be hard to remove or cause difficulty with hearing.]
  • Not impacted  [Ear wax is not tightly packed in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=View of Tympanic Membrane, description=View of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Full View  [All of the tympanic membrane was visualised.]
  • Partial View  [Part of the tympanic membrane was not clearly visualised, but sufficient to permit a clinical opinion to be formed.]
  • Total Occlusion  [None of the tympanic membrane visualised, such that a clinical opinion of the state of the tympanic membrane could not be formed.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=3, text=Reason for Occlusion of View, description=Description of the reason for occlusion to the view of the tympanic membrane., comment=For example, soft wax or foreign body., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0139], code=at0139, itemType=ELEMENT, level=3, text=Tenderness of Canal, description=Presence of tenderness in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Tenderness is noted in the external auditory canal wall.]
  • Absent  [Tenderness is not noted in the external auditory canal wall.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0132], code=at0132, itemType=ELEMENT, level=3, text=Oedema of Canal, description=Presence of oedema in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Oedema is observed in the external auditory canal wall.]
  • Absent  [Oedema is not observed in the external auditory canal wall.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0124], code=at0124, itemType=ELEMENT, level=3, text=Erythema of Canal, description=Presence of erythema or redness in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [Erythema, or redness, is observed in the wall of the external auditory canal.]
  • Absent  [There is no erythema or redness observed in the wall of the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0143], code=at0143, itemType=ELEMENT, level=3, text=Offensive Odour, description=Presence of any offensive odour originating from the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [An offensive odour is noted as originating from the external auditory canal.]
  • Absent  [No odour is noted as originating from the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0157], code=at0157, itemType=ELEMENT, level=3, text=Discharge Type, description=Type of discharge observed in the external auditory canal or at the tympanic membrane perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Serous  [The discharge appears to consist mostly of clear, watery fluid.]
  • Bloody  [The discharge appears to consist mostly of blood.]
  • Purulent  [The discharge appears to consist mostly of pus.]
  • Mucous  [The discharge appears to consist mostly of a thick, mucoid substance.]
  • Mucopurulent  [The discharge appears to consist of both mucous and pus.]
  • Haemoserous  [The discharge appears to consist of both blood and clear, watery fluid.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0151], code=at0151, itemType=ELEMENT, level=3, text=Discharge Amount, description=Amount of discharge observed in the external auditory canal or at the tympanic membrane perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • None  [No discharge is observed in the external auditory canal.]
  • Scant  [A small amount of discharge is observed in the external auditory canal.]
  • Moderate  [A moderate amount of discharge is observed in the external auditory canal.]
  • Profuse  [A profuse amount of discharge is observed in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0166], code=at0166, itemType=ELEMENT, level=3, text=Ventilation Tube Position, description=Observed position of the ventilation tube (or grommet) in the tympanic membrane or the auditory canal., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • In situ  [The ventilation tube is located in situ in the tympanic membrane.]
  • Partially extruded  [The ventilation tube is partially extruded from it's original position in the tympanic membrane.]
  • Extruded - remains in canal  [The ventilation tube has been extruded from the tympanic membrane but is visualised within the external auditory canal.]
  • Extruded - missing  [The ventilation tube has been extruded from the tympanic membrane and is not visualised anywhere within the external auditory canal.]
  • Unknown  [The position of the ventilation tube cannot be determined because the tympanic membrane is obscured and the ventilation tube is not observed within the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0159], code=at0159, itemType=ELEMENT, level=3, text=Foreign Body, description=Presence of a foreign body in the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A foreign body is present in the external auditory canal.]
  • Absent  [A foreign body is present in the external auditory canal.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0163], code=at0163, itemType=ELEMENT, level=3, text=Location of Foreign Body, description=Location of the foreign body within the external auditory canal., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Outer Canal  [The foreign body is located in the outer part of the external auditory canal.]
  • Deep Canal  [The foreign body is located in the deep, inner part of the external auditory canal.]
  • Middle Ear  [The foreign body is located within the middle ear cavity.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104], code=at0104, itemType=CLUSTER, level=3, text=Tympanic Membrane Details, description=Details about findings on examination of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Membrane Intact?, description=Is the tympanic membrane intact?, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Intact  [The tympanic membrane appears intact.]
  • Perforated  [The tympanic membrane appears perforated.]
  • Indeterminate  [It is not possible to determine if the tympanic membrane is intact or perforated.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0018], code=at0018, itemType=ELEMENT, level=4, text=Appearance, description=Category describing the appearance of the tympanic membrane., comment=In most situations, this data element would only be recorded if the tympanic membrane is intact., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Translucent  [The tympanic membrane appears healthy.]
  • Opaque  [The tympanic membrane appears dull and opaque.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Normal Light Reflex, description=Presence of a normal light reflex noted., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A normal light reflex is visible.]
  • Absent  [A normal light reflex is not visible.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Surface Features, description=Features observed on the surface of the tympanic membrane., comment=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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Blistering present  [Blistering is observed on the surface of the tympanic membrane.]
  • Scarring present  [Scarring is observed on the surface of the tympanic membrane.]
  • Granulation present  [Granulation is observed on the surface of the tympanic membrane.]
  • Thickening present  [Thickening is observed on the surface of the tympanic membrane.]
  • Tympanosclerosis present  [White patches, consistent with tympanosclerosis, are observed on surface of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Colour, description=Description of the overall colour of the tympanic membrane., comment=For example: red, bluish, or yellow., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0035], code=at0035, itemType=ELEMENT, level=4, text=Position of Tympanic Membrane, description=Description of the position of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Bulging  [The tympanic membrane appears to be bulging.]
  • Neutral  [The tympanic membrane is in a normal, neutral position - neither bulging or retracted.]
  • Retracted  [The tympanic membrane appears to be retracted.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0040], code=at0040, itemType=ELEMENT, level=4, text=Description of Retraction, description=Description of retraction of the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0048], code=at0048, itemType=ELEMENT, level=4, text=Fluid Level Presence, description=Presence of a fluid level behind the tympanic membrane., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [A fluid level is observed behind the tympanic membrane.]
  • Absent  [A fluid level is not observed behind the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0051], code=at0051, itemType=ELEMENT, level=4, text=Fluid Level Description, description=Narrative description of the fluid level and other related features observed behind the tympanic membrane., comment=For example, presence of bubbles., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0052 and name/value='Mobility (Valsalva)'], code=at0052, itemType=ELEMENT, level=4, text=Mobility (Valsalva), description=Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy., comment=Occurrences has been set to 0..* to enable multiple methods of observing mobility to be recorded. For example: 'Mobiliy (Pneumatic Otoscopy'; or 'Mobility (Valsalva) with Mobile or Indeterminate as only appropriate value set., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Mobile  [The tympanic membrane shows a crisp inward (medial) movement (approx 1mm) with positive pressure.]
  • Indeterminate  [It is not possible to determine the amount of movement of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0052 and name/value='Mobility (Pneumatic Otoscopy)'], code=at0052, itemType=ELEMENT, level=4, text=Mobility (Pneumatic Otoscopy), description=Description of mobility of the tympanic membrane, usually as determined by pneumatic otoscopy., comment=Occurrences has been set to 0..* to enable multiple methods of observing mobility to be recorded. For example: 'Mobiliy (Pneumatic Otoscopy'; or 'Mobility (Valsalva) with Mobile or Indeterminate as only appropriate value set., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Immobile  [There is minimal or no movement of the tympanic membrane when positive pressure is applied.]
  • Hypomobile  [The tympanic membrane moves with less excursion and in a more sluggish fashion when positive pressure is applied.]
  • Mobile  [The tympanic membrane shows a crisp inward (medial) movement (approx 1mm) with positive pressure.]
  • Hypermobile  [There is exaggerated movement of the tympanic membrane when positive pressure is applied.]
  • Indeterminate  [It is not possible to determine the amount of movement of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062], code=at0062, itemType=CLUSTER, level=4, text=Perforation Details, description=Details about the tympanic membrane perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0065], code=at0065, itemType=ELEMENT, level=5, text=Estimation of Size, description=Estimation of the size of the tympanic membrane perforation, based on anatomical landmarks., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pinhole  [A pinhole perforation is present in the tympanic membrane.]
  • Intermediate  [A perforation is present in the tympanic membrane, that is larger than a pinhole but smaller than a subtotal perforation.]
  • Subtotal  [A subtotal perforation is present in the tympanic membrane: the pars tensa is absent but the perforation does not include the annulus.]
  • Total  [A total perforation is present in the tympanic membrane; the tympanic membrane is essentially absent.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0074], code=at0074, itemType=ELEMENT, level=5, text=Pars Flaccida vs Pars Tensa?, description=Description of the region of the tympanic membrane perforation., comment=To document explicitly whether the perforation is located 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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Pars flaccida  [The tympanic membrane perforation is located in the pars flaccida.]
  • Pars tensa  [The tympanic membrane perforation is located in the pars tensa.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0071], code=at0071, itemType=ELEMENT, level=5, text=Marginal vs Central?, description=Location of the tympanic membrane perforation., comment=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., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Marginal  [The perforation involves the annulus of the tympanic membrane.]
  • Central  [The perforation is not involving the annulus and is bounded on all sides by the remnant of the tympanic membrane.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0104]/items[at0062]/items[at0079], code=at0079, itemType=ELEMENT, level=5, text=Edge, description=Narrative description of the edge of the perforation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0172 and name/value='Pre-cleaning Image/Video'], code=at0172, itemType=ELEMENT, level=3, text=Pre-cleaning Image/Video, description=Image or video taken during the physical examination of the external auditory canal and tympanic membrane., comment=Multiple occurrences allow for pre- and post-cleaning images to be recorded as part of the examination findings., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/data[at0003]/items[openEHR-EHR-CLUSTER.exam_tympanic_membrane.v1]/items[at0172 and name/value='Post-cleaning Image/Video'], code=at0172, itemType=ELEMENT, level=3, text=Post-cleaning Image/Video, description=Image or video taken during the physical examination of the external auditory canal and tympanic membrane., comment=Multiple occurrences allow for pre- and post-cleaning images to be recorded as part of the examination findings., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_MULTIMEDIA, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.exam.v1]/data[at0001]/events[at0002]/state[at0009]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=Confounding Factors, description=Description of any incidental factors that may have contributed to the physical examination findings., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.body_weight.v1], code=at0000, itemType=OBSERVATION, level=2, text=Body Weight, description=Measurement of the body weight of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Ear Examination Findings']/items[openEHR-EHR-OBSERVATION.body_weight.v1]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Weight, description=The weight of the individual., comment=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., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 kg, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions'], code=at0000, itemType=SECTION, level=1, text=Actions, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Ear Cleaning, description=A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1], code=at0000, itemType=CLUSTER, level=3, text=Ear Cleaning Details, description=Details about method for cleaning the external ear canal., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Ear Cleaned, description=Identification of the ear being cleaned., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left Ear  [The left ear was cleaned.]
  • Right Ear  [The right ear was cleaned.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Description, description=Narrative description of the ear cleaning activity., comment=For example, describing any difficulties encountered and/or the nature of the returned fluid., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Method, description=Method used for ear wash., comment=Coding with a terminology is preferred, if possible. For example: ear wash; suction; instrument; or tissue spears., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Dry mopping
  • Curetting
  • Irrigation
  • Suctioning
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Wash Agent, description=Substance used for ear wash., comment=Coding with a terminology is preferred, if possible. For example: water, acetic acid or betadine 5%., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Water
  • 5% aqueous Betadine solution
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Instrument, description=Instrument used to assist cleaning., comment=Coding with a terminology is preferred, if possible. For example Jobson Horne probe, or micro forceps., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Tissue Spear
  • Jobson Horne probe
  • Alligator Forceps
  • Syringe - Tri-stream tip
  • Syringe - Butterfly clip
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[openEHR-EHR-CLUSTER.ear_cleaning.v1]/items[at0007], code=at0007, itemType=ELEMENT, level=4, text=Outcome, description=Description of the outcome of ear cleaning., comment=Coding with a terminology is preferred, if possible. For example: attempted, partially completed or successful removal of ear wax, pus or a foreign body., uncommonOntologyItems=null, occurencesFormal=0..3, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Wax - removed
  • Wax - partially removed
  • Wax - unable to remove
  • Pus - cleared
  • Pus - partially cleared
  • Pus - unable to clear
  • Foreign body - removed
  • Foreign body - partially removed
  • Foreign body - unable to remove
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-SECTION.adhoc.v1], code=at0000, itemType=SECTION, level=2, text=Other Procedures, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=3, text=Procedure, description=A clinical activity carried out for therapeutic, evaluative, investigative, screening or diagnostic purposes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Procedure name, description=The name of the procedure (to be) performed. Coding of the specific procedure with a terminology is preferred, where possible., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Actions']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Description, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion'], code=at0000, itemType=SECTION, level=1, text=Conclusion, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Left Ear Diagnosis']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Nursing Diagnosis, description=Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • ETD
  • OME
  • Persistent OME (>3 months)
  • AOM with Perforation
  • AOM without Perforation
  • Recurrent AOM
  • Resolving AOM
  • CSOM
  • Dry Perforation
  • Dry Perforation (>6 months)
  • Otitis Externa
  • Foreign Body
  • Indeterminate
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v1 and name/value='Right Ear Diagnosis']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Nursing Diagnosis, description=Identification of the problem or diagnosis. Coding of the problem or diagnosis with a terminology is preferred, where possible., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • ETD
  • OME
  • Persistent OME (>3 months)
  • AOM with Perforation
  • AOM without Perforation
  • Recurrent AOM
  • Resolving AOM
  • CSOM
  • Dry Perforation
  • Dry Perforation (>6 months)
  • Otitis Externa
  • Foreign Body
  • Indeterminate
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Conclusion']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Comment, description=An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management'], code=at0000, itemType=SECTION, level=1, text=Management, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered'], code=at0000, itemType=SECTION, level=2, text=Medication Administered, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Medicine, description=The medicine, vaccine or other therapeutic good which was the focus of the action., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Reason, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.amount.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Dose Administered, description=Free text description of the amount which may consist of the quantity and dose unit., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Comment, description=A comment on the action taken., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication_admin.v1], code=at0000, itemType=CLUSTER, level=3, text=Medication administration, description=Information about the future or actual administration of medication., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication_admin.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=4, text=Route, description=The route by which the medication is administered (e.g. oral, sublingual etc)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Administered']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.medication_admin.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Site, description=A description of the site of administration., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Left Ear
  • Right Ear
  • Both Ears
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Ceased'], code=at0000, itemType=SECTION, level=2, text=Medication Ceased, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Ceased']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Medicine, description=The medicine, vaccine or other therapeutic good which was the focus of the action., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Ceased']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Reason, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed'], code=at0000, itemType=SECTION, level=2, text=Medication Dispensed, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=3, text=Medicine, description=The medicine, vaccine or other therapeutic good which was the focus of the action., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=termset: ac0001, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0033], code=at0033, itemType=ELEMENT, level=3, text=Instructions, description=Any instructions given to the subject of care or carer at the time of the action., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Reason, description=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., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[openEHR-EHR-CLUSTER.amount.v1]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Dose Description, description=Free text description of the amount which may consist of the quantity and dose unit., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/description[at0017]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Comment, description=A comment on the action taken., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/protocol[at0030]/items[at0026], code=at0026, itemType=ELEMENT, level=3, text=BatchID, description=Assigned by the manufacturer to identify the manufacturing batch of the item., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/protocol[at0030]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Expiry date, description=The expiry date of the medicine administered as documented by the manufacturer., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Medication Dispensed']/items[openEHR-EHR-ACTION.medication.v1]/protocol[at0030]/items[at0031], code=at0031, itemType=ELEMENT, level=3, text=Dispensed to, description=The name of the person to whom this was dispensed, if not the subject of care., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided'], code=at0000, itemType=SECTION, level=2, text=Health Education Provided, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Topic, description=Topic of health education information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Dry Ear Precautions
  • Hygiene/Spreading of Infection(Hand/Face Washing)
  • Mechanism of Ear Infection
  • Hearing Loss and Implications
  • Medication Administration
  • Medication Storage
  • Medication Compliance
  • Importance of Regular Ear Checks
  • Use of Tissue Spears
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Description, description=Narrative description of the health education information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Method, description=Method by which the health education information was provided., comment=For example, verbal or written. This is not the same as participation. Material can be exchanged between an educator and a subject in various ways during a face-to-face consultation or via teleconference. In specific situations it may be important to document that writtern fact sheets have been physically handed to the subject, for example regarding the risks of vasectomy., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Material Provided, description=Title or identifier of health education information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Link, description=Internet link to the information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/protocol[at0021], code=at0021, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Health Education Provided']/items[openEHR-EHR-ACTION.health_education.v1]/protocol[at0021]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Interpreter Present, description=Was an interpreter present?, comment=Record as True if an Interpreter was present during the health education session., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-ACTION.referral.v1], code=at0000, itemType=ACTION, level=2, text=ENT Teleotology Referral Completed, description=Activity regarding a referral from a clinician, or self-referral by a patient, for the patient to receive a specific service, advice or care from an expert healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-ACTION.referral.v1]/description[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-ACTION.referral.v1]/description[at0001]/items[at0011], code=at0011, itemType=ELEMENT, level=4, text=Referred service, description=Identification of the clinical service to be/being carried out. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Teleotology
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-ACTION.referral.v1]/description[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Description, description=Description of the service provided., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Management']/items[openEHR-EHR-ACTION.referral.v1]/protocol[at0015], code=at0015, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion'], code=at0000, itemType=SECTION, level=1, text=Surgical Discussion, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1], code=at0000, itemType=SECTION, level=2, text=Surgery Education Provided, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Description, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Topic, description=Topic of health education information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Reasons for surgery
  • Risks associated with surgery
  • Prognosis for surgery
  • Post op care instructions following surgery
  • Escort for surgery (space for contact details of proposed escort)
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Method, description=Method by which the health education information was provided., comment=For example, verbal or written. This is not the same as participation. Material can be exchanged between an educator and a subject in various ways during a face-to-face consultation or via teleconference. In specific situations it may be important to document that writtern fact sheets have been physically handed to the subject, for example regarding the risks of vasectomy., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=4, text=Identification, description=Title or identifier of health education information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Link, description=Internet link to the information provided., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/protocol[at0021], code=at0021, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-ACTION.health_education.v1]/protocol[at0021]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Interpreter Present, description=Was an interpreter present?, comment=Record as True if an Interpreter was present during the health education session., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1], code=at0000, itemType=EVALUATION, level=2, text=Family Opinion, description=A narrative summary about a patient, from the perspective of a healthcare provider., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-EVALUATION.clinical_synopsis.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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Surgical Discussion']/items[openEHR-EHR-EVALUATION.clinical_synopsis.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Synopsis, description=An abstract or summary narrative of the assessment, conclusion or evaluation of the clinical findings., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan'], code=at0000, itemType=SECTION, level=1, text=Plan, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-EVALUATION.recommendation.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Recommendation, description=Narrative description of the recommendation., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • No Further Action Required
  • Further Follow-up/Review Required
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-EVALUATION.recommendation.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Rationale, description=Justification for the recommendation., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall'], code=at0000, itemType=SECTION, level=2, text=Primary Health Centre Recall, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Follow-up Requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ear Cleaning
  • Ear Examination
  • Organise ENT Referral
  • Medication Review
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Primary Health Centre Recall']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request'], code=at0000, itemType=SECTION, level=2, text=ENT Teleotology Request, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Clinical Assessment
  • Other
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=3, text=Description of service, description=A detailed narrative description of the service requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Teleotology
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Teleotology Request']/items[openEHR-EHR-INSTRUCTION.request-referral.v1]/protocol[at0008], code=at0008, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up'], code=at0000, itemType=SECTION, level=2, text=ENT Nurse Follow-up, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Clinical Assessment
  • Care Coordination
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='ENT Nurse Follow-up']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review'], code=at0000, itemType=SECTION, level=2, text=Child Hearing Health Coordinator Review, description=A generic heading for contextual renaming within a template., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Clinical Assessment
  • Care Coordination
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-SECTION.adhoc.v1 and name/value='Child Hearing Health Coordinator Review']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1], code=at0000, itemType=INSTRUCTION, level=2, text=Healthcare service request, description=Request for a range of different healthcare services, for example, a referral, lab request, equipment request., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Service requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1], code=at0000.1, itemType=INSTRUCTION, level=2, text=Procedure Request, description=Request for a procedure to be performed., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0121], code=at0121, itemType=ELEMENT, level=3, text=Procedure requested, description=Identification of the service requested. This is often coded with an external terminology., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0135], code=at0135, itemType=ELEMENT, level=3, text=Description of Procedure, description=A detailed narrative description of the service requested., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0064], code=at0064, itemType=ELEMENT, level=3, text=Reason description, description=A narrative description explaining the reason for request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0068], code=at0068, itemType=ELEMENT, level=3, text=Urgency, description=Urgency of the request., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Urgent  [The request is urgent.]
  • Routine  [The request is routine.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0040], code=at0040, itemType=ELEMENT, level=3, text=Date &/or time service required, description=The date and time that the service should be performed or completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1 and name/value='Plan']/items[openEHR-EHR-INSTRUCTION.request-procedure.v1]/activities[at0001]/description[at0009]/items[at0144], code=at0144, itemType=ELEMENT, level=3, text=Latest date service required, description=The latest date that is acceptable for the service to be completed., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null]], templateType=normal]