TEMPLATE Anamnese (bf3c50c7-029c-47a2-97a6-eebfab607b48)

TEMPLATE IDbf3c50c7-029c-47a2-97a6-eebfab607b48
ConceptAnamnese
DescriptionDer Anamnesebogen dient dazu, die demografischen Daten und Vorerkrankungen des Patienten zu erfassen.
PurposeDer Anamnesebogen dient dazu, die demografischen Daten und Vorerkrankungen des Patienten zu erfassen.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
KeywordsAnamnese; Krankengeschichte
Language useden
Citeable Identifier1246.169.50
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  • Männlich
  • Weiblich
  • Divers
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  • Familiäre Disposition
  • Keine familiäre Disposition
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  • Kaukasisch
  • Nicht kaukasisch
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  • Schwarze Hautfarbe
  • Keine schwarze Hautfarbe
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  • Dyslipidämie
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  • Dyslipidämie
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  • Dyslipidämie
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  • Diabetes Mellitus
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  • Diabetes Mellitus
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  • Diabetes Mellitus
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  • Arterielle Hypertonie
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  • Arterielle Hypertonie
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  • Arterielle Hypertonie
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  • Never smoked  [Individual has never smoked any type of tobacco.]
  • Current smoker  [Individual is a current smoker of tobacco.]
  • Former smoker  [Individual has previously smoked tobacco but is not a current smoker.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.tobacco_smoking_summary.v0]/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Ex-Raucher seit:, description=The date when the individual last ceased using tobacco of any type., comment=Can be a partial date, for example, only a year. This date could be used by decision support guidance to determine if the individual is at risk of relapse, for example in the first 12 months since quitting., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.tobacco_smoking_summary.v0]/data[at0001]/items[at0074], code=at0074, itemType=ELEMENT, level=4, text=Packungsjahr, description=Estimate of the cumulative amount for all types of tobacco smoked., comment=The definition of a pack can be recorded in the protocol of this archetype using the 'Pack definition' data element., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.tobacco_smoking_summary.v0]/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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.alcohol_use_summary.v0], code=at0000, itemType=EVALUATION, level=2, text=Alcohol use summary, description=Summary or persistent information about the alcohol use habits of an individual., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.alcohol_use_summary.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.alcohol_use_summary.v0]/data[at0001]/items[at0029], code=at0029, itemType=CLUSTER, level=4, text=(Per type), description=Details about consumption of a specified type of alcoholic beverage., comment=The run-time name constraint on this Cluster enables simple templates for each required type to be designed in templates, or the types to be managed exclusively at run-time. The list of names can be extended at run-time if additional types of alcoholic beverages are identified locally., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.alcohol_use_summary.v0]/data[at0001]/items[at0029]/items[at0064], code=at0064, itemType=CLUSTER, level=5, text=Per episode, description=Details about a discrete period of consumption for the specified type of alcoholic beverage., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Rauchverhalten & Alkoholkonsum']/items[openEHR-EHR-EVALUATION.alcohol_use_summary.v0]/data[at0001]/items[at0029]/items[at0064]/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Drinks per Week, description=Estimate of number of alcohol units of the specified type of alcoholic beverage consumed., comment=For example: the number of alcohol units per day or per week. This data element is redundant if a value is recorded for 'Typical use(mass)'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0; >=0
Units:
  • 1/d
  • 1/wk
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  • Ärztlich diagnostizierte Alkoholkrankheit
  • Keine ärztlich diagnostizierte Alkoholkrankheit
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  • Niereninsuffizienz
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  • aktuelle Dialysepflicht
  • keine aktuelle Dialysepflicht
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Severity, description=An assessment of the overall severity of the problem or diagnosis., comment=If severity is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant. Note: more specific grading of severity can be recorded using the Specific details SLOT., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • GFR 90 ml/min oder höher
  • GFR 60 - 89 ml/min
  • GFR 30 - 59 ml/min
  • GFR 15 - 29 ml/min
  • GFR < 15 ml/min oder aktuelle Dialysepflicht
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  • Niereninsuffizienz
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=2, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Niereninsuffizienz
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Niereninsuffizienz']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)'], code=at0000, itemType=SECTION, level=1, text=Kardiale Diagnosen (Anamnese und Vorbefunde), description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit'], code=at0000, itemType=SECTION, level=2, text=Koronare Herzkrankheit, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Koronare Herzkrankheit, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Name des Problems/Diagnose, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Koronare Herzkrankheit
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Koronare Herzkrankheit
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Koronare Herzkrankheit
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Koronare Herzkrankheit']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Hauptursache der Herzinsuffizienz'], code=at0000, itemType=EVALUATION, level=2, text=Hauptursache der Herzinsuffizienz, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Hauptursache der Herzinsuffizienz']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Hauptursache der Herzinsuffizienz']/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Hauptursache der Herzinsuffizienz, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • KHK
  • Hypertonie
  • Primäre Herzklappenerkrankung
  • Angeborener Herzfehler
  • Andere Ursache
  • Kardiomyopathie
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  • Zustand nach Myokarditis
  • Kein Zustand nach Myokarditis
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Zustand nach Myokarditis']/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=4, text=Clinical description, description=Narrative description about the problem or diagnosis., comment=Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • DCM
  • HCM
  • RCM
  • ARVC
  • Amyloidose
  • ethyltoxisch
  • Chemotherapie
  • Andere
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  • Zustand nach Dekompensation
  • Kein Zustand nach Dekompensation
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For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Erstdiagnose Herzinsuffizienz']/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Erstdiagnose Herzinsuffizienz']/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=4, text=Erstdiagnose Herzinsuffizienz, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0 and name/value='Erstdiagnose Herzinsuffizienz']/protocol[at0032], code=at0032, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-OBSERVATION.nyha_heart_failure.v0], code=at0000, itemType=OBSERVATION, level=2, text=New York Heart Association functional classification, description=A simple method of classifying the extent of heart failure, as defined by the New York Heart Association., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-OBSERVATION.nyha_heart_failure.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-OBSERVATION.nyha_heart_failure.v0]/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-OBSERVATION.nyha_heart_failure.v0]/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Kardiale Diagnosen (Anamnese und Vorbefunde)']/items[openEHR-EHR-OBSERVATION.nyha_heart_failure.v0]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Functional capacity, description=Assessment of heart failure based on how a patient with cardiac disease feels during physical activity., comment=Class III and the Class III subtypes, IIIa and IIIb, are intended to be mutually exclusive but are included in this internal code set for completeness. Within a template either the Class III alone or both of the subtypes, IIIa and IIIb, should be set to inactive., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Class I  [No limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).]
  • Class II  [Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in fatigue, palpitation, dyspnea (shortness of breath).]
  • Class III  [Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea.]
  • Class IV  [Unable to carry on any physical activity without discomfort. Symptoms of heart failure at rest. If any physical activity is undertaken, discomfort increases.]
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  • Vorhofflimmern
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  • Vorhofflimmern
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  • Vorhoffflimmern
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  • aktuelle Herzklappenerkrankung
  • frühere Herzklappenerkrankung
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  • aktuelle oder frühere Herzklappenerkrankung
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  • aktuelle oder frühere Herzklappenerkrankung
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  • Interventionelle koronare Revaskularisation
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  • Interventionelle koronare Revaskularisation
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  • Interventionelle koronare Revaskularisation
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  • Periphere Revaskularisation
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  • Periphere Revaskularisation
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  • Periphere Revaskularisation
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  • Koronare Bypass-Operation
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  • Koronare Bypass-Operation
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  • Koronare Bypass-Operation
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  • Sonstige Gefäß-Operation
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  • Sonstige Gefäß-Operation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Sonstige Gefäß-Operation']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Sonstige Gefäß-Operation']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Sonstige Gefäß-Operation']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Sonstige Gefäß-Operation']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Sonstige Gefäß-Operation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Sonstige Gefäß-Operation']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation'], code=at0000, itemType=SECTION, level=2, text=Herzklappen-Operation, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0], code=at0000, itemType=ACTION, level=3, text=Herzklappen-Operation, description=A clinical activity carried out for screening, investigative, diagnostic, curative, therapeutic, evaluative or palliative 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001], code=at0001, 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Procedure name, description=Identification of the procedure by name., comment=Coding of the specific procedure with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Herzklappen-Operation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[at0049], code=at0049, itemType=ELEMENT, level=5, text=Art des letzten Ereignisses, description=Narrative description about the procedure, as appropriate for the pathway step., comment=For example: description about the performance and findings from the the procedure, the aborted attempt or the cancellation of the procedure., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • offen chirugisch
  • katheterbasiert
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Aortenklappe'], code=at0000, itemType=CLUSTER, level=5, text=Aortenklappe, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Aortenklappe']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Aortenklappe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Aortenklappe']/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Art der Prozedur, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nativ
  • Rekonstruktion
  • Mechanische Prothese
  • Bioprothese(offen)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Pulmonalklappe'], code=at0000, itemType=CLUSTER, level=5, text=Pulmonalklappe, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Pulmonalklappe']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Pulmonalklappe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Pulmonalklappe']/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Art der Prozedur, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nativ
  • Rekonstruktion
  • Mechanische Prothese
  • Bioprothese(offen)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Mitralklappe'], code=at0000, itemType=CLUSTER, level=5, text=Mitralklappe, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Mitralklappe']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Mitralklappe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Mitralklappe']/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Art der Prozedur, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nativ
  • Rekonstruktion
  • Mechanische Prothese
  • Bioprothese(offen)
  • Clipping
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Trikuspidalklappe'], code=at0000, itemType=CLUSTER, level=5, text=Trikuspidalklappe, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Trikuspidalklappe']/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Body site name, description=Identification of a single physical site either on, or within, the human body., comment=This data element is the only mandated data point in this archetype and should be used as the primary data point to record an anatomical location with a commonly used name. It is strongly recommended that 'Body site name' be recorded as specifically as is anatomically possible. For example: record 'upper eyelid' rather than recording 'eyelid' with 'upper' as a qualifier; 'fifth rib' rather than 'rib' with a numeric qualifier. Use the other data elements for laterality, aspect, region and anatomical line to provide more detail. This data element should be coded with a terminology capable of triggering decision support, where possible - an appropriate termset for use here could comprise individual concepts or a list of precoordinated terms. Free text should be used only if there is no appropriate terminology available. If body site name is already identified in the parent archetype, then this data element may be redundant. Alternatively, a use case has been identified where the value may be duplicated into this element to support semantic querying using this archetype, rather than the data element within the parent., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Trikuspidalklappe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-ACTION.procedure.v0]/description[at0001]/items[openEHR-EHR-CLUSTER.anatomical_location.v0 and name/value='Trikuspidalklappe']/items[at0023], code=at0023, itemType=ELEMENT, level=6, text=Art der Prozedur, description=Narrative description that can be used to further refine and support the 'Body site name'., comment=For example: adjacent to the vermilion border; a tattoo covers the bottom half of this area., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Nativ
  • Rekonstruktion
  • Mechanische Prothese
  • Bioprothese(offen)
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  • Ersatz
  • Rekonstruktion
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  • Herzklappen-Operation
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Bisherige kardiovaskuläre Interventionen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzklappen-Operation']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Herzklappen-Operation
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  • Schrittmacher oder Defibrillator implantiert
  • kein Schrittmacher oder Defibrillator implantiert
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Implantierter Herzschrittmacher oder Defibrillator']/items[openEHR-EHR-EVALUATION.device_summary.v0 and name/value='Implantierter Herzschrittmacher oder Defibrillator']/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=4, text=Was wurde implantiert?, description=Narrative description about the use of the fitted device type., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Schrittmacher
  • Defibrillator
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  • 1-Kammer-Schrittmacher (z.B. VVI)
  • 2-Kammer-Schrittmacher (z.B.DDD)
  • biventrikulärer Schrittmacher (CRT)
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  • Anderes Device
  • Kein anderes Device
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  • Cardiac Contractility Management
  • Kein Cardiac Contractility Management
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For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • periphere Arterielle Verschlusskrankheit (pAVK)
  • keine periphere Arterielle Verschlusskrankheit (pAVK)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=5, text=Fontaine-Stadium, description=Narrative description about the problem or diagnosis., comment=Use to provide background and context, including evolution, episodes or exacerbations, progress and any other relevant details, about the problem or diagnosis., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • I
  • IIa
  • IIb
  • III
  • IV
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • periphere arterielle Verschlusskrankheit (pAVK)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • periphere Arterielle Verschlusskrankheit (pAVK)
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='periphere Arterielle Verschlusskrankheit (pAVK)']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA'], code=at0000, itemType=SECTION, level=2, text=Schlaganfall/TIA, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Schlaganfall/TIA, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Schlaganfall/TIA
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0012], code=at0012, itemType=ELEMENT, level=5, text=Diagnose, description=Identification of a simple body site for the location of the problem or diagnosis., comment=Coding of the name of the anatomical location with a terminology is preferred, where possible. Use this data element to record precoordinated anatomical locations. If the requirements for recording the anatomical location are determined at run-time by the application or require more complex modelling such as relative locations then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the 'Structured anatomical location' SLOT in this archetype. Occurrences for this data element are unbounded to allow for clinical scenarios such as describing a rash in multiple locations but where all of the other attributes are identical. If the anatomical location is included in the Problem/diagnosis name via precoordinated codes, this data element becomes redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • TIA
  • Schlaganfall
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0077], code=at0077, itemType=ELEMENT, level=5, text=Datum des letzten Schlaganfalls/TIA, description=Estimated or actual date/time that signs or symptoms of the problem/diagnosis were first observed., comment=Data captured/imported as "Age at onset" should be converted to a date using the subject's date of birth., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Schlaganfall/TIA
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Schlaganfall/TIA
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Schlaganfall/TIA']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Chronische Lungenerkrankung'], code=at0000, itemType=SECTION, level=2, text=Chronische Lungenerkrankung, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Chronische Lungenerkrankung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Chronische Lungenerkrankung, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Chronische Lungenerkrankung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Chronische Lungenerkrankung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Name des Problems/der Diagnose, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Chronische Lungenerkrankung
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  • Chronische Lungenerkrankung
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  • Chronische Lungenerkrankung
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  • Primäre pulmonale Hypertonie
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  • Primäre pulmonale Hypertonie
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  • Primäre pulmonale Hypertonie
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  • Depression
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  • Depression
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  • Depression
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Depression']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Krebserkrankung vor mehr als 5 Jahren'], code=at0000, itemType=SECTION, level=2, text=Krebserkrankung vor mehr als 5 Jahren, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Krebserkrankung vor mehr als 5 Jahren']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Krebserkrankung vor mehr als 5 Jahren, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Krebserkrankung vor mehr als 5 Jahren']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Krebserkrankung vor mehr als 5 Jahren']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Krebserkrankung vor mehr als 5 Jahren
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  • Krebserkrankung vor mehr als 5 Jahren
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  • Krebserkrankung vor mehr als 5 Jahren
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  • Krebserkrankung vor weniger als 5 Jahren
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  • Krebserkrankung vor weniger als 5 Jahren
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  • Krebserkrankung vor weniger als 5 Jahren
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Aktuelle Nebendiagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Krebserkrankung vor weniger als 5 Jahren']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe'], code=at0000, itemType=SECTION, level=1, text=Blutdruck nach 5 Minuten Ruhe, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0], code=at0000, itemType=OBSERVATION, level=2, text=Blood Pressure, description=The local measurement of arterial blood pressure which is a surrogate for arterial pressure in the systemic circulation. Most commonly, use of the term 'blood pressure' refers to measurement of brachial artery pressure in the upper arm., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=History Structural node., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001]/events[at0006], code=at0006, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001]/events[at0006]/data[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001]/events[at0006]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Systolic, description=Peak systemic arterial blood pressure - measured in systolic or contraction phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001]/events[at0006]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=6, text=Diastolic, description=Minimum systemic arterial blood pressure - measured in the diastolic or relaxation phase of the heart cycle., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 mm[Hg], extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/data[at0001]/events[at0006]/state[at0007], code=at0007, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Blutdruck nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.blood_pressure.v0]/protocol[at0011], code=at0011, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=List structure., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe'], code=at0000, itemType=SECTION, level=1, text=Herzfrequenz nach 5 Minuten Ruhe, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0], code=at0000, itemType=OBSERVATION, level=2, text=Herzfrequenz, description=Record details about the rate and associated attributes for a pulse or heart beat., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/data[at0002], code=at0002, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/data[at0002]/events[at0003], code=at0003, itemType=EVENT, level=4, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/data[at0002]/events[at0003]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=(Rate), description=The rate, measured in beats per minute., comment=Run-time name constraints have been specified, in order to simplify the renaming of this data element to Pulse Rate or Heart Rate, as required., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=>=0 /min, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/data[at0002]/events[at0003]/state[at0012], code=at0012, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=5, text=State, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Herzfrequenz nach 5 Minuten Ruhe']/items[openEHR-EHR-OBSERVATION.pulse.v0]/protocol[at0010], code=at0010, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen'], code=at0000, itemType=SECTION, level=1, text=Weitere Diagnosen, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe'], code=at0000, itemType=SECTION, level=2, text=Belastungsdyspnoe, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Belastungsdyspnoe, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Belastungsdyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Belastungsdyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Belastungsdyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Belastungsdyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe'], code=at0000, itemType=SECTION, level=2, text=Ruhedyspnoe, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Ruhedyspnoe, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ruhedyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ruhedyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Ruhedyspnoe
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Ruhedyspnoe']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme'], code=at0000, itemType=SECTION, level=2, text=Periphere Ödeme, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Periphere Ödeme, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Periphere Ödeme
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Periphere Ödeme
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Periphere Ödeme
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Periphere Ödeme']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung'], code=at0000, itemType=SECTION, level=2, text=Halsvenenstauung, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Halsvenenstauung, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Halsvenenstauung
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0], code=at0000, itemType=EVALUATION, level=3, text=Exclusion - specific, description=A statement of exclusion of a specific Problem/diagnosis, Family history, Medication, Procedure, Adverse reaction or other clinical item that is either not currently present, or have not been present in the past., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=5, text=Problem/diagnosis, description=The problem or diagnosis to which the 'Exclusion statement' applies. For example: 'Diabetes', 'COPD' or 'Asthma'., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Halsvenenstauung
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.exclusion_specific.v0]/protocol[at0009], code=at0009, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.absence.v0], code=at0000, itemType=EVALUATION, level=3, text=Absence of Information, description=Statement that specified health information is not available for inclusion in the health record or extract at the time of recording., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.absence.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Absence statement, description=Positive statement that no information is available., comment=For example: "No information available about adverse reactions"; No information available about problems or diagnoses"; "No information available about previous procedures performed"; or "No information available about medications used"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Halsvenenstauung
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Halsvenenstauung']/items[openEHR-EHR-EVALUATION.absence.v0]/protocol[at0003], code=at0003, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Pulmonale Rasselgeräusche'], code=at0000, itemType=SECTION, level=2, text=Pulmonale Rasselgeräusche, description=A generic section header which should be renamed in a template to suit a specific clinical context., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Pulmonale Rasselgeräusche']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0], code=at0000, itemType=EVALUATION, level=3, text=Pulmonale Rasselgeräusche, description=Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual., comment=Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'., 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.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Pulmonale Rasselgeräusche']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=4, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.report.v0]/content[openEHR-EHR-SECTION.adhoc.v0 and name/value='Weitere Diagnosen']/items[openEHR-EHR-SECTION.adhoc.v0 and name/value='Pulmonale Rasselgeräusche']/items[openEHR-EHR-EVALUATION.problem_diagnosis.v0]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=5, text=Problem/Diagnosis name, description=Identification of the problem or diagnosis, by name., comment=Coding of the name of the problem or diagnosis with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=
  • Pulmonale Rasselgeräusche
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  • Pulmonale Rasselgeräusche
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  • Pulmonale Rasselgeräusche
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