| TEMPLATE ID | Guideline |
|---|---|
| Concept | Guideline |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1013.26.578 |
| Root archetype id | openEHR-EHR-COMPOSITION.report.v1 |
| Clinical Guidelines for Diabetes | Clinical Guidelines for Diabetes: Document to communicate information to others, commonly in response to a request from another party. |
| Other Context | |
| Report ID | Report ID: Identification information about the report. |
| Status | Status: The status of the entire report. Note: This is not the status of any of the report components. |
| Blood Pressure | Blood Pressure: A generic section header. |
| Blood Pressure | Blood Pressure: The local measurement of arterial blood pressure which is a surrogate for arterial. pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm.Annotations
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| Data | Data: History Structural node. |
| any event | any event: Default event. |
| Data | |
| Systolic | Systolic: Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle. 0..1000 mmHg |
| Diastolic | Diastolic: Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle. 0..1000 mmHg |
| Pulse Pressure | Pulse Pressure: The difference between the systolic and diastolic pressure. 0..1000 mmHg |
| State | |
| Position | Position: The position of the subject at the time of measurement.
|
| Confounding factors | Confounding factors: Comment on and record other incidental factors that may be contributing to the blood pressure measurement. For example, level of anxiety or 'white coat syndrome'; pain or fever; changes in atmospheric pressure etc. |
| Sleep status | Sleep status: Sleep status - supports interpretation of 24 hour ambulatory blood pressure records.
|
| Tilt | Tilt: The craniocaudal tilt of the surface on which the person is lying at the time of measurement. -90..90 ° Assumed value: 0 ° |
| Protocol | Protocol: List structure. |
| Cuff size | Cuff size: The size of the cuff used for blood pressure measurement. Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M, Morgenstern BZ. Human blood pressure determination by sphygmomanometry. Circulation 1993;88;2460-2470.
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| Location | Location: Body location where blood pressure is measured. Use 'Location of measurement' to select from common sites. Use 'Specific location' to record more specific details or a site that is not in the common set or to refer to an external terminology. |
| Location of measurement | Location of measurement: Common body sites where blood pressure is recorded.
|
| Specific location | Specific location: Specific details about the body site where blood pressure is recorded. |
| Method | Method: Method of measurement of blood pressure.
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| Diastolic endpoint | Diastolic endpoint: Record which Korotkoff sound is used for determining diastolic pressure using auscultative method.
|
| Glucose Tolerance | Glucose Tolerance: A generic section header. |
| Blood glucose | Blood glucose: The concentration of glucose in the blood.Annotations
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| Data | |
| Any event | Any event: * |
| Data | |
| Test name | Test name: Specific identifier for this lab test. e.g. Full blood count , blood glucose, urine microbiology. May equate to the result name for a single value result. Commonly a coded term e.g from LOINC or SNOMED-CT. |
| Diagnostic service | Diagnostic service: The type of high-level diagnostic service e.g. biochemistry, haematology. |
| Test status | Test status: The status of the lab test as a whole.
|
| Blood glucose | Blood glucose: Concentration of blood glucose in the sample. 0 Units:
|
| Overall interpretation | Overall interpretation: An overall interpretative comment on this test. |
| Multimedia representation | Multimedia representation: Representations of the whole test in mutlimedia e.g image, audio, video. |
| State | |
| Diet | Diet: Description of when the patient has eaten. |
| Intake | Intake: Description of calorific intake.
|
| Duration | Duration: The timing of the specimen in relation to the intake. Units:
|
| Description | Description: Description of the intake. |
| Glucose challenge | Glucose challenge: Information about a glucose challenge if relevant. |
| Dose | Dose: Dose of glucose. >=0 gm |
| Route | Route: The route of administration of the glucose challenge.
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| Timing | Timing: The relationship of the sample to the challenge.
|
| Duration | Duration: The timing of the specimen in relation to the intake. Units:
|
| Insulin challenge | Insulin challenge: * |
| Dose | Dose: Dose of insulin. >=0 U |
| Route | Route: The route of administration of the insulin.
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| Timing | Timing: The relationship of the sample to the challenge.
|
| Duration | Duration: The timing of the specimen in relation to the intake. Units:
|
| Event | Event: An event. |
| Event name | Event name: A name for the event. |
| Timing | Timing: The relationship of the sample to the challenge.
|
| Duration | Duration: The timing of the specimen in relation to the intake. Units:
|
| Protocol | |
| Test identification | Test identification: Unique identifiers used in delivery of the care process. |
| Placer order identifier | Placer order identifier: The ID assigned to the order by the order requester. Equivalent to the NEHTA Requester Order Identifier. |
| Filler order Identifier | Filler order Identifier: The ID assigned to the test order by the order filler, usually by the (LIS) Laboratory Information System. Equivalent to the DICOM Accession Number and NEHTA Laboratory Request Identifier. |
| Laboratory test result identifier | Laboratory test result identifier: The identifier given to the laboratory test result of a pathology investigation. |
| Datetime result issued | Datetime result issued: The date and/or time that the result was issued for the recorded
‘test status’. The date and time related to the results status is useful for version control and cumulative results for the report. |