openEHR Test IG
1.6.6 - International flag

openEHR Test IG, published by HL7 FHIR Product Director. This guide is not an authorized publication; it is the continuous build for version 1.6.6 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/openehr-test/ and changes regularly. See the Directory of published versions

WebTemplate:

Generated Narrative: WebTemplate

templateId: Diabetes - Annual care review; Language: en

NameCard.DefinitionTypeInputs
.. Diabetes Annual review1..1openEHR-EHR-COMPOSITION.encounter.v1COMPOSITION
... 1..1--EVENT_CONTEXT
.... Start_time1..1--DV_DATE_TIMEDATETIME
.... Setting1..1--DV_CODED_TEXTcode TEXT
value TEXT
... Body mass metrics0..1openEHR-EHR-SECTION.adhoc.v1SECTION
.... Height0..1openEHR-EHR-OBSERVATION.height.v2OBSERVATION
..... Height1..1at0004 LN:8302-2DV_QUANTITYmagnitude DECIMAL
unit CODED_TEXT
cm
[in_i]
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
.... Weight0..1openEHR-EHR-OBSERVATION.body_weight.v2OBSERVATION
..... Weight1..1at0004 LN:29463-7DV_QUANTITYmagnitude DECIMAL
unit CODED_TEXT
kg
[lb_av]
g
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
.... Body mass index0..1openEHR-EHR-OBSERVATION.body_mass_index.v2OBSERVATION
..... Body mass index1..1at0004 SCT:60621009 LN:39156-5DV_QUANTITYmagnitude DECIMAL
unit CODED_TEXT
kg/m2
[lb_av]/[in_i]2
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
... Cardiovascular0..1openEHR-EHR-SECTION.adhoc.v1SECTION
.... Standing BP0..1openEHR-EHR-OBSERVATION.blood_pressure.v2 SCT:364090009OBSERVATION
..... Systolic0..1at0004 SCT:271649006DV_QUANTITYmagnitude DECIMAL: range: >=0.0,<1000.0; precision: 0
unit CODED_TEXT
mm[Hg]
..... Diastolic0..1at0005 SCT:271650006DV_QUANTITYmagnitude DECIMAL: range: >=0.0,<1000.0; precision: 0
unit CODED_TEXT
mm[Hg]
..... Position0..1at0008DV_CODED_TEXTcode CODED_TEXT
Standing
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
.... Pulse rate0..1openEHR-EHR-OBSERVATION.pulse.v2OBSERVATION
..... Rate0..1at0004DV_QUANTITYmagnitude DECIMAL: range: >=0.0,<1000.0; precision: 0
unit CODED_TEXT
/min
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
.... Sitting / lying BP0..1openEHR-EHR-OBSERVATION.blood_pressure.v2 SCT:364090009OBSERVATION
..... Systolic0..1at0004 SCT:271649006DV_QUANTITYmagnitude DECIMAL: range: >=0.0,<1000.0; precision: 0
unit CODED_TEXT
mm[Hg]
..... Diastolic0..1at0005 SCT:271650006DV_QUANTITYmagnitude DECIMAL: range: >=0.0,<1000.0; precision: 0
unit CODED_TEXT
mm[Hg]
..... Position0..1at0008DV_CODED_TEXTcode CODED_TEXT
Sitting
Lying
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
.... Visual acuity0..1openEHR-EHR-OBSERVATION.visual_acuity.v0OBSERVATION
..... Any event0..*at0134POINT_EVENT
...... Result details0..2at0053CLUSTER
....... Eye examined1..1at0007DV_CODED_TEXTcode CODED_TEXT
Left eye
Right eye
....... Notation0..1at0028CLUSTER
........ Metric Snellen0..1at0056 SCT:422673001DV_PROPORTIONnumerator INTEGER: >=1,<=6
denominator INTEGER: >=4,<=60
........ US Snellen0..1at0009 SCT:422673001DV_PROPORTIONnumerator INTEGER: >=3,<=20
denominator INTEGER: >=2,<=200
........ Decimal Snellen0..1at0057 SCT:422673001DV_PROPORTIONnumerator INTEGER: >=0,<=2
denominator INTEGER: >=1,<=1
........ ETDRS Letters0..1at0011DV_COUNTINTEGER: >=1,<=120
........ logMar0..1at0046DV_QUANTITYmagnitude DECIMAL: range: >=-0.5,<=2.0; precision: >=1,<=1
unit CODED_TEXT
1
........ Low Vision Score0..1at0015DV_ORDINALCODED_TEXT
NPL - No perception of light
PL - Perception of light
HM - Hand movement
CF - Count fingers
....... Interpretation0..*at0066 SCT:363983007DV_TEXTTEXT
Partially sighted
Blind
....... No test result0..1at0055DV_BOOLEANBOOLEAN
true
....... Reason for no test result0..1at0140DV_CODED_TEXTcode CODED_TEXT
Absent eyeball
other TEXT
...... Time1..1--DV_DATE_TIMEDATETIME
..... Visual acuity status0..1openEHR-EHR-CLUSTER.visual_acuity_status.v0CLUSTER
...... Registered blind0..1at0001DV_CODED_TEXTcode CODED_TEXT
Yes
No
...... Attends diabetic eye screening0..1at0004DV_CODED_TEXTcode CODED_TEXT
Yes
No
Not required
...... Eye absent0..1at0008DV_CODED_TEXTcode CODED_TEXT
Right eye
Left eye
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
... Urine assessment0..1openEHR-EHR-SECTION.adhoc.v1SECTION
.... Urinalysis0..1openEHR-EHR-OBSERVATION.urinalysis.v1OBSERVATION
..... Glucose0..1at0050DV_ORDINALCODED_TEXT
Negative
Trace
1+
2+
3+
4+
..... Ketones0..1at0037DV_ORDINALCODED_TEXT
Negative
Trace
Small
Moderate
Large
Large+
..... Blood0..1at0032DV_ORDINALCODED_TEXT
Negative
Non-haemolysed Trace
Non-haemolysed Moderate
Haemolysed Trace
1+
2+
3+
..... Protein0..1at0095DV_ORDINALCODED_TEXT
Negative
Trace
1+
2+
3+
4+
..... Nitrite0..1at0043DV_ORDINALCODED_TEXT
Negative
Positive
..... Leukocytes0..1at0068DV_ORDINALCODED_TEXT
Negative
Trace
1+
2+
3+
..... Time1..1--DV_DATE_TIMEDATETIME
..... Language1..1--CODE_PHRASE
..... Encoding1..1--CODE_PHRASE
..... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
... Visual certification UK0..1openEHR-EHR-ADMIN_ENTRY.visual_certification_uk.v0ADMIN_ENTRY
.... Certified impairment0..1at0002DV_CODED_TEXTcode CODED_TEXT
Sight not severely impaired
Sight impaired
Severely sight impaired
.... Date assessed0..1at0006DV_DATE_TIMEDATETIME
.... Language1..1--CODE_PHRASE
.... Encoding1..1--CODE_PHRASE
.... Subject1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT
... 1..1--DV_CODED_TEXTcode CODED_TEXT
event
... Language1..1--CODE_PHRASE
... Territory1..1--CODE_PHRASE
... Composer1..1--PARTY_PROXYid TEXT
id_scheme TEXT
id_namespace TEXT
name TEXT