TEMPLATE Shared Health Summary (32dee8c0-03ad-4d9a-87a7-59074b2167c5)

TEMPLATE ID32dee8c0-03ad-4d9a-87a7-59074b2167c5
ConceptShared Health Summary
DescriptionThis is a template representing Nehta's Shared Health Summary clinical document specification for the purposes of demonstrating the CKM document toolchain.
UseRecord SHS
MisuseActual clinical use
PurposeThis is a template representing Nehta's Shared Health Summary clinical document specification for the purposes of demonstrating the CKM document toolchain.
References
AuthorsOrganisation: Nehta
Other Details LanguageOrganisation: Nehta
OtherDetails Language Independent{Publication Version=Publication Version, Publication ID=Publication ID, MetaDataSet:NEHTA=MetaDataSet:NEHTA}
Language useden
Citeable Identifier1013.26.608
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-COMPOSITION.shared_health_summary.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1], code=at0000, itemType=COMPOSITION, level=0, text=Shared Health Summary, description=A clinical document written by the nominated provider, which contains key pieces of information about an individual’s health status and is useful to a wide range of providers in assessing individuals and delivering care. (PCEHR Concept of Operations document), comment=null, uncommonOntologyItems={detail_docref=structured_documents/NEHTA-16565-Shared_Health_Summary-Structured_Document.xml, dc_id=16565, spec_id=120}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=COMPOSITION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=null, code=null, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Other Context, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/context/other_context[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=DateTime Attested, description=The date (and time if known) that the document author or document authoriser/approver confirms (usually by signature) that a document is complete and genuine., comment=For use in a healthcare setting. The date and time value when the document author determines the document is complete and can be sent by the authoring provider to the document recipients. In an electronic environment, the date and time when the document is last saved by the document authoring application., uncommonOntologyItems={detail_docref=data_elements/NEHTA-20106-DateTime_Attested-Data_Element.xml, dc_id=20106}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1], code=at0000, itemType=SECTION, level=1, text=Adverse Reactions, description=A section that groups together adverse reaction information about the subject of care that is known to the provider/provider facility during a healthcare visit/encountered., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-20113-Adverse_Reactions-Section.xml, dc_id=20113, spec_id=88}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.exclusion-adverse.v1], code=at0000.1, itemType=EVALUATION, level=2, text=Exclusion statement - Adverse Reaction, description=Statements about Adverse Reactions that need to be positively recorded as absent or excluded., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.exclusion-adverse.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.exclusion-adverse.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=4, text=Global Statement, description=Global statements about the exclusion. This can be used to capture any information that is needed to be explicitly recorded as being absent or excluded within the record., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • No known adverse reactions  [No known adverse reactions to any substance.]
  • No known allergic reactions  [No known allergic reactions to any substance.]
  • No known hypersensitivity reactions  [No known hypersensitivity reaction to any substance.]
  • No known intolerances  [*]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5], code=at0000, itemType=EVALUATION, level=2, text=Adverse Reaction, description=A harmful or undesirable effect associated with exposure to any substance or agent, including food, plants, animals, venom from animal stings or a medication at therapeutic or sub-therapeutic doses., comment=null, uncommonOntologyItems={detail_docref=data_groups/NEHTA-15517-Adverse_Reaction-Data_Group.xml, spec_id=9}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5]/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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Substance/Agent, description=Identification of a substance, agent, or a class of substance, that is considered to be responsible for the adverse reaction., comment=It is preferred that this item be coded from the Substance/Agent Values Value Domain. An agent can be a substance such as food, drug or an environmental allergen. Examples: 1. Peanut 2. Penicillin 3. Bee venom 4. Animal protein 5. Latex, uncommonOntologyItems={detail_docref=data_elements/NEHTA-15521-Substance_Agent-Data_Element.xml, coding_preferred=true, value_domain_name=Substance/Agent Values, value_domain_dc_id=15521}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5]/data[at0001]/items[at0009], code=at0009, itemType=CLUSTER, level=4, text=Reaction Event, description=Details about each adverse reaction event., comment=null, uncommonOntologyItems={detail_docref=data_groups/NEHTA-16474-Reaction_Event-Data_Group.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5]/data[at0001]/items[at0009]/items[at0011], code=at0011, itemType=ELEMENT, level=5, text=Manifestation, description=Clinical manifestation of the adverse reaction expressed as a single word, phrase or brief description., comment=It is preferred that this item be coded from the Clinical Manifestation Values Value Domain. The signs, symptoms, severity and/or certainty of the adverse reaction are relevant as it contributes towards the decision as to the immediacy and extent of treatment to be provided, as determined by a healthcare provider. Given that an adverse reaction has occurred, it is important to determine the manifestations of that reaction. Examples: 1. Itchy eyes. 2. Dysphagia. 3. Tinnitus. 4. Nausea. 5. Rash., uncommonOntologyItems={detail_docref=data_elements/NEHTA-15564-Manifestation-Data_Element.xml, coding_preferred=true, value_domain_name=Clinical Manifestation Values, value_domain_dc_id=15564}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.adverse_reactions.v1]/items[openEHR-EHR-EVALUATION.adverse_reaction.v5]/protocol[at0042], code=at0042, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1], code=at0000, itemType=SECTION, level=1, text=Medications, description=Suggested design pattern for including an Medication Order List in a template. Synonyms: medication, exclusion, absence, current, list, comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16146-Medication_Orders-Section.xml, dc_id=16146, spec_id=86}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1], code=at0000.1, itemType=EVALUATION, level=2, text=Exclusion Statement - Medications, description=Statement/s about use of medication that needs to be positively recorded as clinically excluded from the health record ata a specific point in time., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=4, text=Global Statement, description=A statement about exclusion of use of medication in the health record., comment=The statement can support recording that no medications are being taken or that one or more specified medications are not being taken. For example: "Not currently taking any medications"; "Never taken any medications" or "Not currently taking corticosteroids"., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1]/protocol[at0006], code=at0006, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3], code=at0000, itemType=INSTRUCTION, level=2, text=Known Medication, description=Details of a medicine, vaccine or other therapeutic good with instructions for use., comment=null, uncommonOntologyItems={detail_docref=data_groups/NEHTA-16211-Medication_Instruction-Data_Group.xml, spec_id=96}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=INSTRUCTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001], code=at0001, itemType=ACTIVITY, level=3, text=Order, description=Order, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTIVITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001]/description[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001]/description[at0002]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Medicine, description=The medicine, vaccine or other therapeutic good being ordered, administered to or used by the subject of care., comment=It is preferred that this item be coded from the Medicines Terminology Value Domain. This includes medications and medical devices. It includes drugs, appliances, dressings and reagents. Identifies a therapeutic good, which is broadly defined as a good which is represented in any way to be, or is likely to be taken to be, for therapeutic use (unless specifically excluded or included under Section 7 of the Therapeutic Goods Act 1989). Therapeutic use means use in or in connection with: preventing, diagnosing, curing or alleviating a disease, ailment, defect or injury; or influencing, inhibiting or modifying a physiological process; or testing the susceptibility of persons to a disease or ailment; or influencing, controlling or preventing conception; or testing for pregnancy; or replacement or modification of parts of the anatomy. From . The formal definition of a therapeutic good (from the Therapeutic Goods Act 1989) can be found at: . Examples: (Some examples of AMT ConceptID and their AMT Preferred Term are:) 1. 293049011000036110, paracetamol 500 mg + codeine phosphate 30 mg tablet 2. 327004011000036118, paracetamol 500 mg + codeine phosphate 30 mg tablet, 20 3. 234184011000036115, Panadeine Forte tablet: uncoated, 20 tablets 4. 192727011000036112, Panadeine Forte (paracetamol 500 mg + codeine phosphate 30 mg) tablet: uncoated, 1 tablet 5. 278453011000036118, Panadeine Forte tablet: uncoated, 20 tablets, blister pack 6. 315236011000036113, bandage compression 10 cm x 3.5 m bandage: high stretch, 1 bandage 7. 186324011000036116, Eloflex (2480) (bandage compression 10 cm x 3.5 m) bandage: high stretch, 1 bandage 8. 73875011000036101, Je-Vax (Japanese encephalitis virus inactivated vaccine) injection: powder for, vial, uncommonOntologyItems={fsn=Therapeutic Good Identification, detail_docref=data_elements/NEHTA-10194-Therapeutic_Good_Identification-Data_Element.xml, coding_preferred=true, value_domain_name=Medicines Terminology, value_domain_dc_id=16115}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001]/description[at0002]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Directions, description=A complete narrative description of how much, when and how to use the medicine, vaccine or other therapeutic good., comment=It is essential that when the 'Directions' data element is used together with structured information components such as 'Ingredients and Form' and 'Structured Dose' in clinical records or prescriptions, the contents of 'Direction' shall not contradict the contents of these structured information components., uncommonOntologyItems={detail_docref=data_elements/NEHTA-16429-Directions-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001]/description[at0002]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Clinical Indication, description=A reason for ordering the medicine, vaccine or other therapeutic good., comment=The clinical justification (e.g. specific therapeutic effect intended) for this subject of care’s use of the therapeutic good. Examples: 1. Long-term maintenance treatment of bronchospasm and dyspnoea., uncommonOntologyItems={detail_docref=data_elements/NEHTA-10141-Clinical_Indication-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/activities[at0001]/description[at0002]/items[at0035], code=at0035, itemType=ELEMENT, level=5, text=Comment, description=Any additional information that may be needed to ensure the continuity of supply, rationale for current dose and timing, or safe and appropriate use., comment=Examples: 1. Patient requires an administration aid. 2. Portable Pulse Oximeter measurement to be taken by clipping the sensor onto the tip of a finger. 3. Consulted prescriber concerning dose., uncommonOntologyItems={fsn=Medication Instruction Comment, detail_docref=data_elements/NEHTA-16044-Medication_Instruction_Comment-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medication_orders.v1]/items[openEHR-EHR-INSTRUCTION.medication.v3]/protocol[at0031], code=at0031, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1], code=at0000, itemType=SECTION, level=1, text=Past and Current Medical History, description=The current and past medical history of the subject of care, this includes problem/diagnosis and medical or surgical procedures performed., comment=Relevant information regarding clinical/health history, family history about a subject of care, and clinical interventions (procedures) previously performed on a subject of care as reported by the subject and/or identified by the healthcare provider. This includes health and family histories and performed clinical interventions which are assessed to be relevant/important for the ongoing management of a subject's current/active problems or diagnoses., uncommonOntologyItems={detail_docref=sections/NEHTA-16117-Medical_History-Section.xml, dc_id=16117, spec_id=134}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5], code=at0000, itemType=EVALUATION, level=2, text=Problem/Diagnosis, description=Any health care condition which may impact on the physical, mental and/or social well-being of an individual, that may require diagnostic, therapeutic or educational action, and which has been determined by a clinician. A diagnosis is based on scientific evaluation of physical signs, symptoms, history, laboratory tests results, and procedures., comment=An account of relevant identified health related problems as reported by a healthcare provider. This can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing health status as assessed by a healthcare provider., uncommonOntologyItems={detail_docref=data_groups/NEHTA-15530-Problem_Diagnosis-Data_Group.xml, dc_id=15530, spec_id=12}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Problem/Diagnosis, description=Identification of the problem or diagnosis., comment=It is preferred that this item be coded from the Problem/Diagnosis Reference Set Value Domain. This item denotes the name of the condition used by the healthcare provider, after assessment, to describe the health problem or diagnosis experienced by the subject of care., uncommonOntologyItems={fsn=Problem/Diagnosis Identification, detail_docref=data_elements/NEHTA-15514-Problem_Diagnosis_Identification-Data_Element.xml, dc_id=15514, coding_preferred=true, value_domain_name=Problem/Diagnosis Reference Set, value_domain_dc_id=16617}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Date of Onset, description=Estimated or actual date the problem/diagnosis began, in the opinion of the clinician., comment=null, uncommonOntologyItems={detail_docref=data_elements/NEHTA-15507-Date_of_Onset-Data_Element.xml, dc_id=15507}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Date of Resolution/Remission, description=The date or estimated date that the problem/diagnosis resolved or went into remission, as indicated/identified by the clinician., comment=null, uncommonOntologyItems={detail_docref=data_elements/NEHTA-15510-Date_of_Resolution_Remission-Data_Element.xml, dc_id=15510}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/data[at0001]/items[at0069], code=at0069, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the problem or diagnosis not captured in other fields., comment=null, uncommonOntologyItems={fsn=Problem/Diagnosis Comment, detail_docref=data_elements/NEHTA-16545-Problem_Diagnosis_Comment-Data_Element.xml, dc_id=16545}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.problem_diagnosis.v5]/protocol[at0074], code=at0074, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1], code=at0000.1, itemType=EVALUATION, level=2, text=Exclusion of a Problem/Diagnosis, description=Positive statement/s about problems or diagnoses that need to be recorded as clinically excluded from the health record at a specific point in time., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=4, text=Global Statement, description=A statement about exclusion of use of known problems or diagnoses in the health record., comment=For example: "No known significant problems or diagnoses"; or "No evidence of" or "Never diagnosed with" (diabetes)., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-problem_diagnosis.v1]/protocol[at0006], code=at0006, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-ACTION.procedure.v1], code=at0000, itemType=ACTION, level=2, text=Procedure, description=A clinical activity that has been carried out for therapeutic 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-ACTION.procedure.v1]/time, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=3, text=time, description=null, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-ACTION.procedure.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.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., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-ACTION.procedure.v1]/description[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Comments, description=Comments about 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-ACTION.procedure.v1]/protocol[at0053], code=at0053, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-procedure.v1], code=at0000.1, itemType=EVALUATION, level=2, text=Exclusion Statement - Procedures, description=Positive statement/s about procedures that need to be recorded as clinically excluded from the health record at a specific point in time., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-procedure.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-procedure.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=4, text=Global Statement, description=A statement about exclusion of procedures performed in the health record., comment=For example: "No known operations or significant procedures" or "No previous" (appendicectomy)., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.exclusion-procedure.v1]/protocol[at0006], code=at0006, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.medical_history_item.v1], code=at0000, itemType=EVALUATION, level=2, text=Other Medical History Item, description=A medical history entry which cannot be categorised into one of the categories such as Procedure and Problem/Diagnosis., comment=null, uncommonOntologyItems={detail_docref=data_groups/NEHTA-16627-Medical_History_Item-Data_Group.xml, spec_id=135}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.medical_history_item.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.medical_history_item.v1]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Medical History Item Description, description=A description of the problem, diagnosis, intervention or other medical history item., comment=Examples: 1. Hypercholesterolaemia. 2. Left Total Knee Replacement. 3. RLL pneumonia., uncommonOntologyItems={detail_docref=data_elements/NEHTA-16628-Medical_History_Item_Description-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.medical_history_item.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=4, text=Medical History Item Timeinterval, description=The date range during which the item applied or occurred., comment=null, uncommonOntologyItems={detail_docref=data_elements/NEHTA-16629-Medical_History_Item_Timeinterval-Data_Element.xml}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_INTERVAL, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.medical_history.v1]/items[openEHR-EHR-EVALUATION.medical_history_item.v1]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Medical History Item Comment, description=Free text comments providing additional information relevant to the item in question., comment=null, uncommonOntologyItems={detail_docref=data_elements/NEHTA-16630-Medical_History_Item_Comment-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1], code=at0000, itemType=SECTION, level=1, text=Immunisations, description=A section that groups together information about the immunisation history of the subject of care., comment=null, uncommonOntologyItems={detail_docref=sections/NEHTA-16638-Immunisations-Section.xml, dc_id=16638, spec_id=137}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3], code=at0000, itemType=ACTION, level=2, text=Administered Immunisation, description=Details of use, administration, dispensing or other care step relating to a medicine, vaccine or other therapeutic good which may arise from an instruction from a clinician., comment=The specification of each constituent data element is the same whether it is being used in the context of prescribed, dispensed, administered or reviewed. There may be seperate data instances for each of these contexts., uncommonOntologyItems={detail_docref=data_groups/NEHTA-16210-Medication_Action-Data_Group.xml, spec_id=97}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=ACTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3]/time, code=null, itemType=EXPOSED_RM_ATTRIBUTE, level=3, text=time, description=null, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3]/description[at0017], code=at0017, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3]/description[at0017]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Medicine, description=The medicine, vaccine or other therapeutic good which was the focus of the action., comment=It is preferred that this item be coded from the Medicines Terminology Value Domain. This includes medications and medical devices. It includes drugs, appliances, dressings and reagents. Identifies a therapeutic good, which is broadly defined as a good which is represented in any way to be, or is likely to be taken to be, for therapeutic use (unless specifically excluded or included under Section 7 of the Therapeutic Goods Act 1989). Therapeutic use means use in or in connection with: preventing, diagnosing, curing or alleviating a disease, ailment, defect or injury; influencing, inhibiting or modifying a physiological process; testing the susceptibility of persons to a disease or ailment; influencing, controlling or preventing conception; testing for pregnancy; or replacement or modification of parts of the anatomy. From . The formal definition of a therapeutic good (from the Therapeutic Goods Act 1989) can be found at: . Examples: (Some examples of AMT ConceptID and their AMT Preferred Term are:) 1. 293049011000036110, paracetamol 500 mg + codeine phosphate 30 mg tablet 2. 327004011000036118, paracetamol 500 mg + codeine phosphate 30 mg tablet, 20 3. 234184011000036115, Panadeine Forte tablet: uncoated, 20 tablets 4. 192727011000036112, Panadeine Forte (paracetamol 500 mg + codeine phosphate 30 mg) tablet: uncoated, 1 tablet 5. 278453011000036118, Panadeine Forte tablet: uncoated, 20 tablets, blister pack 6. 315236011000036113, bandage compression 10 cm x 3.5 m bandage: high stretch, 1 bandage 7. 186324011000036116, Eloflex (2480) (bandage compression 10 cm x 3.5 m) bandage: high stretch, 1 bandage 8. 73875011000036101, Je-Vax (Japanese encephalitis virus inactivated vaccine) injection: powder for, vial, uncommonOntologyItems={fsn=Therapeutic Good Identification, detail_docref=data_elements/NEHTA-10194-Therapeutic_Good_Identification-Data_Element.xml, coding_preferred=true, value_domain_name=Medicines Terminology, value_domain_dc_id=16115}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3]/description[at0017]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Vaccine Sequence Number, description=The sequence number specific to the action being recorded., comment=Used to specify the sequence number of the dispensing (in prescription with repeats) or medication administration action., uncommonOntologyItems={detail_docref=data_elements/NEHTA-16424-Sequence_Number-Data_Element.xml}, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-ACTION.medication.v3]/protocol[at0030], code=at0030, 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1], code=at0000.1, itemType=EVALUATION, level=2, text=Exclusion Statement - Immunisations, description=Statement/s about use of medication that needs to be positively recorded as clinically excluded from the health record ata a specific point in time., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1]/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=4, text=Global Statement, description=A statement about exclusion of use of medication in the health record., comment=The statement can support recording that no medications are being taken or that one or more specified medications are not being taken. For example: "Not currently taking any medications"; "Never taken any medications" or "Not currently taking corticosteroids"., 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.shared_health_summary.v1]/content[openEHR-EHR-SECTION.immunisations.v1]/items[openEHR-EHR-EVALUATION.exclusion-medication.v1]/protocol[at0006], code=at0006, 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]], templateType=normal]