TEMPLATE AiR_Adverse_Reaction_Record_v0.7.2 (AiR_Adverse_Reaction_Record_v0.7.2)

TEMPLATE IDAiR_Adverse_Reaction_Record_v0.7.2
ConceptAiR_Adverse_Reaction_Record_v0.7.2
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2024-06-14
Other Details Languagedate: 2024-06-14
OtherDetails Language Independent{PARENT:MD5-CAM-1.0.1=327A8885F97587660404644C3C6053B6, original_language=ISO_639-1::en, MD5-CAM-1.0.1=8698a11848a5abe7b059045fd2dc35fb, sem_ver=0.7.2}
Language usedca
Citeable Identifier1380.167.173
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extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.detalls_notificacio_farmacovigilancia.v0]/items[at0003], code=at0003, itemType=ELEMENT, level=3, text=Notificat a Farmacovigilància?, description=Indica si s'ha notificat la reacció adversa a Farmacovigilància (Targeta Groga)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.detalls_notificacio_farmacovigilancia.v0]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Nº Notificació, description=Número de notificació de la reacció adversa a Farmacovigilància (Targeta Groga)., comment=El número de notificació és generat pel sistema Targeta Groga., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_IDENTIFIER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/context/other_context[at0001]/items[openEHR-EHR-CLUSTER.detalls_notificacio_farmacovigilancia.v0]/items[at0002], code=at0002, itemType=ELEMENT, level=3, text=Data notificació, description=Data de notificació de la reacció adversa a Farmacovigilància (Targeta Groga)., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1], code=at0000, itemType=SECTION, level=1, text=Patient details, 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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.age_assertion.v1], code=at0000, itemType=OBSERVATION, level=2, text=Age assertion, description=A statement about the age of an individual at a point in time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.age_assertion.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.age_assertion.v1]/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=4, text=Point in time event, description=Default, unspecified point in time event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.age_assertion.v1]/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.age_assertion.v1]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Chronological age, description=The age of an individual at the event time, calculated from date of birth., comment=In most use cases the DV_DURATION data type is used to record the Chronological age. The DV_INTERVAL_DURATION is used for recording a structured age interval in cases where there's uncertainty about the individual's exact age. The DV_QUANTITY data type is used for recording a decimal age in years or mean Julian years (365.25 days). The DV_TEXT data type is used for recording a textual representation of the individual's age, or age category often found in questionnaires. For example: 'P3M2W', '0,2884615384615385 a_j', '3 months 2 weeks' or '31-40 years' or 'Teenager'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=>=P0D
Unitats:
  • Year
  • Month
  • Week
  • Day
  • Hour
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.body_weight.v2], code=at0000, itemType=OBSERVATION, level=2, text=Body weight, description=Measurement of the body weight of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.body_weight.v2]/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.body_weight.v2]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.body_weight.v2]/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.body_weight.v2]/data[at0002]/events[at0003]/data[at0001]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Weight, description=The weight of the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatòria, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000; 0..1000000
Unitats:
  • kg
  • g
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.height.v2], code=at0000, itemType=OBSERVATION, level=2, text=Height/Length, description=Height, or body length, is measured from crown of head to sole of foot., comment=Height is measured with the individual in a standing position and body length in a recumbent position., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=OBSERVATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.height.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.height.v2]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.height.v2]/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-OBSERVATION.height.v2]/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=6, text=Height/Length, description=The length of the body from crown of head to sole of foot., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatòria, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=0..1000 cm, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.gender.v1], code=at0000, itemType=EVALUATION, level=2, text=Gender, description=Details about the gender of an individual., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.gender.v1]/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.encounter.v1]/content[openEHR-EHR-SECTION.adhoc.v1]/items[openEHR-EHR-EVALUATION.gender.v1]/data[at0002]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=Administrative gender, description=The gender of an individual used for administrative purposes., comment=This element is what most systems today describes as 'Sex' or 'Gender'. For example 'Male', 'Female', 'Other'. This aligns with HL7 FHIR 'Person.gender'. Coding with a terminology is recommended, where possible., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0], code=at0000, itemType=SECTION, level=1, text=Adverse reaction details, description=Framework for consistent modelling of content within a template for an Adverse reaction list., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=SECTION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2], code=at0000, itemType=EVALUATION, level=2, text=Adverse reaction risk, description=Clinical assessment of the propensity for an individual to experience a harmful or undesirable physiological response if exposed, or re-exposed, to a substance., comment=Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings., uncommonOntologyItems={source=openEHR,FHIR}, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=3, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=4, text=Substance, description=Identification of a substance, or substance class, that is considered to put the individual at risk of an adverse reaction event., comment=Both an individual substance and a substance class are valid entries in 'Substance'. A substance may be a compound of simpler substances, for example a medicinal product. It is strongly recommended that the 'Substance' is coded with a terminology capable of triggering decision support, where possible. For example: Snomed CT, DM+D, RxNorm, NDFRT, ATC, New Zealand Universal List of Medicines and Australian Medicines Terminology. Free text entry should only be used if there is no appropriate terminology available., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Obligatòria, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0130], code=at0130, itemType=ELEMENT, level=4, text=Status, description=Status about whether the adverse reaction risk statement is active or inactive., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Active 
  • Inactive 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0063], code=at0063, itemType=ELEMENT, level=4, text=Verification status, description=Assertion about the certainty of the propensity, or potential future risk, of the identified 'Substance' to cause a reaction., comment=Decision support would typically raise alerts for 'Unconfirmed' and 'Confirmed', and ignore a 'Refuted' reaction. Clinical systems may choose not to display Adverse reaction entries with a 'Refuted' status in the Adverse Reaction List. However, 'Refuted' may be useful for reconciliation of the adverse reaction list or when communicating between systems. Some implementations may choose to make this field mandatory. The free text data type will allow for local variation by enabling other value sets to be applied to this data element in a template - in this situation it is recommended that values should be coded using a terminology., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Unconfirmed 
  • Confirmed 
  • Refuted 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0101], code=at0101, itemType=ELEMENT, level=4, text=Criticality, description=An indication of the potential for critical system organ damage or life threatening consequence., comment=This can be regarded as a predictive judgement of a 'worst case scenario'. In most contexts 'Low' would be regarded as the default value., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminologia: local_terms
  •  
  •  
  •  
  • Lleu 
  • Moderat 
  • Moderat greu 
  • Greu 
  • Molt greu 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0120], code=at0120, itemType=ELEMENT, level=4, text=Category, description=Category of the identified 'Substance'., comment=This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the Substance where coding systems are used, and is effectively redundant in that situation., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminologia: local_terms
  •  
  •  
  •  
  • Al·lèrgia medicamentosa 
  • Al·lèrgia alimentària 
  • Al·lèrgia a vacuna 
  • Al·lèrgia a altres sustancies 
  • Reacció adversa medicamentosa 
  • Reacció adversa a vacuna 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0117], code=at0117, itemType=ELEMENT, level=4, text=Onset of last reaction, description=The date and/or time of the onset of the last known occurrence of a reaction event., comment=For example: the actual date and/or time of onset; the interval of time during which the onset occurred; the age of the individual at the time of the onset; or the duration of time since the onset occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0133], code=at0133, itemType=ELEMENT, level=4, text=Onset of first reaction, description=The onset of the first known occurrence of a reaction event., comment=For example: the actual date and/or time of onset; the interval of time during which the onset occurred; the age of the individual at the time of the onset; or the duration of time since the onset occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0058], code=at0058, itemType=ELEMENT, level=4, text=Reaction mechanism, description=Identification of the underlying physiological mechanism for the adverse reaction., comment=Immune-mediated responses have been traditionally regarded as an indicator for escalation of significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune are actually non-immune and still carry life threatening risk. Immunological testing may provide supporting evidence for the mechanism and causative substance , but no tests are 100% sensitive or specific for a sensitivity. It is acknowledged that most clinicians will NOT be able to distinguish the mechanism of any specific reaction. However this data element is included because many legacy systems have captured this attribute., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Coded Text
    • Immune mediated 
    • Non-immune mediated 
    • Indeterminate 
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1], code=at0000, itemType=CLUSTER, level=4, text=Adverse reaction event, description=Information about a specific adverse reaction event caused by exposure to a specific substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=5, text=Specific substance, description=The substance considered to be responsible for the specific adverse reaction event., comment=For example: 'Amoxycillin'. Only an individual substance is a valid entry in 'Specific substance'. A substance may be a compound of simpler substances, for example a medicinal product. If the 'Substance' recorded in the archetype in which this archetype is nested is an individual substance and not a substance class, then it may be duplicated in this data element, or this element may be redundant. It is strongly recommended that 'Specific substance' be coded with a terminology, for example: RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, ICD-10, UNI, ATC or CPT., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[at0006], code=at0006, itemType=ELEMENT, level=5, text=Manifestation, description=Clinical symptoms and/or signs that are observed or associated with the adverse reaction., comment=Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash. 'No reaction' may be appropriate where a previous reaction has been noted but the reaction did not re-occur after further exposure. It is preferable that 'Manifestation' should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Obligatòria, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=Severity of reaction, description=Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations., comment=It is acknowledged that this assessment is very subjective. There may be some some specific practice domains where objective scales have been applied. Objective scales can be included in this model using the 'Reaction details' Cluster., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminologia: local_terms
  •  
  •  
  •  
  • Lleu 
  • Moderat 
  • Moderat greu 
  • Greu 
  • Molt greu 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.problem_qualifier.v2], code=at0000, itemType=CLUSTER, level=5, text=Problem/Diagnosis qualifier, description=Contextual or temporal qualifier for a specified problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.problem_qualifier.v2]/items[at0102], code=at0102, itemType=ELEMENT, level=6, text=Progression, description=Category of the progression through the course of a chronic problem or diagnosis., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= Terminologia: local_terms
  •  
  •  
  •  
  •  
  • Recuperat 
  • En recuperació 
  • No recuperat 
  • Recuperat amb seqüeles 
  • Mortal 
  • Desconegut 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[at0015], code=at0015, itemType=ELEMENT, level=5, text=Initial exposure, description=The date and/or time of the first exposure to the Substance for this Reaction Event., comment=Exposure can be more complicated by more than one exposure events leading to a reaction. Further details about the nature of the exposure can be provided by use of additional archetypes in the 'Exposure details' SLOT or as text in the 'Exposure description'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.medication.v2], code=at0000, itemType=CLUSTER, level=5, text=Medication details, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0132], code=at0132, itemType=ELEMENT, level=6, text=Name, description=The name of the medication or medication component., comment=For example: 'Zinacef 750 mg powder' or 'cefuroxim'. This item should be coded if possible, using for example, RxNorm, DM+D, Australian Medicines Terminology or FEST. Usage of this element will vary according to context of use. This element may be omitted where the name of the medication is recorded in the parent INSTRUCTION or ACTION archetype, and this archetype is only used to record that the form must be or was 'liquid'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0150], code=at0150, itemType=ELEMENT, level=6, text=Batch ID, description=The identifier assigned to the production batch by the manufacturer during production., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Identifier
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.medication.v2], code=at0000, itemType=CLUSTER, level=6, text=Component details, description=Details about a medication or component of a medication, including strength, form and details of any specific constituents., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.medication.v2]/items[openEHR-EHR-CLUSTER.medication.v2]/items[at0132], code=at0132, itemType=ELEMENT, level=7, text=Component name, description=The name of the medication or medication component., comment=For example: 'Zinacef 750 mg powder' or 'cefuroxim'. This item should be coded if possible, using for example, RxNorm, DM+D, Australian Medicines Terminology or FEST. Usage of this element will vary according to context of use. This element may be omitted where the name of the medication is recorded in the parent INSTRUCTION or ACTION archetype, and this archetype is only used to record that the form must be or was 'liquid'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.dosage.v2], code=at0000, itemType=CLUSTER, level=5, text=Dosage, description=The combination of a medication amount and administration timing for a single day, in the context of a medication order or medication management., comment=For example: '2 tablets at 6pm' or '20 mg three times per day'. Please note: this cluster allows multiple occurrences to enable representation of a complete set of dose patterns for a single dose direction., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[at0144], code=at0144, itemType=ELEMENT, level=6, text=Dose, description=The amount of medication administered at one time., comment=For example: 1 mg, 1.5 ml, 0.125 g; or 1-2 ml, 12.5-20.5 mg., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_QUANTITY, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1], code=at0000, itemType=CLUSTER, level=6, text=Timing - daily, description=Structured information about the intended timing of a therapeutic or diagnostic activity within any 24 hour period., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.dosage.v2]/items[openEHR-EHR-CLUSTER.timing_daily.v1]/items[at0014], code=at0014, itemType=ELEMENT, level=7, text=Interval, description=The time interval or minimum and maximum range of an interval between each scheduled activity., comment=For example: "Every 4 hours" or "Every 4 to 6 hours"., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=PT0H..PT24H
Unitats:
  • Hour
  • Minute
  • Second
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0], code=at0000, itemType=CLUSTER, level=5, text=Detalls administració, description=Detalls de l'administració del medicament., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0001], code=at0001, itemType=ELEMENT, level=6, text=Via administració, description=La via d'administració per la qual l'element va ser, o ha de ser, administrat al pacient., comment=Comentari: Per exemple: 'oral' o 'tòpic'. Es preferible codificar la via amb una terminologia, si és possible. Es poden especificar múltiples vies potencials., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1], code=at0000, itemType=CLUSTER, level=6, text=Anatomical location, description=A physical site on or within the human body., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0001], code=at0001, itemType=ELEMENT, level=7, 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=Obligatòria, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[openEHR-EHR-CLUSTER.anatomical_location.v1]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=Laterality, description=The side of the body on which the identified body site is located., comment=If the identified body site has no laterality, this data element should not have a value. If the 'Body site name' data element uses pre-coordinated terms that include laterality, then this data element is redundant., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Left 
  • Right 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0011], code=at0011, itemType=ELEMENT, level=6, text=Data inici tractament, description=La data en què es va administrar el medicament per primera vegada., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0012], code=at0012, itemType=ELEMENT, level=6, text=Data fi tractament, description=La data en què es va administrar el medicament per última vegada., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0014], code=at0014, itemType=CLUSTER, level=6, text=Seqüència administració, description=Detalls sobre una administració específica del medicament., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0014]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=Número seqüència administració, description=El número de seqüència específic per a l'administració específica que s'està registrant., comment=Per exemple: Número de seqüència de la vacuna., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.administration_details.v0]/items[at0014]/items[at0010], code=at0010, itemType=ELEMENT, level=7, text=Data administració, description=Data i hora en què es va realitzar l'acció d'administració., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0], code=at0000, itemType=CLUSTER, level=5, text=Detalls addicionals Reacció Adversa, description=Clúster per la inclusió d'informació clínica suplementària sobre una reacció adversa a medicaments que és necessària per a la notificació a farmacovigilància., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0001], code=at0001, itemType=CLUSTER, level=6, text=Atenció requerida, description=Indiqueu si la reacció adversa observada va requerir algun tipus d'atenció mèdica i especifiqueu el tipus d'atenció rebuda., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=7, text=La Reacció Adversa Medicamentosa ha requerit atenció mèdica?, description=Indiqueu si la reacció adversa observada va requerir algun tipus d'atenció mèdica., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Sí 
  • No 
  • Desconegut 
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=7, text=Atenció requerida, description=Indiqueu el tipus d'atenció mèdica rebuda., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007], code=at0007, itemType=CLUSTER, level=6, text=Tractament requerit, description=Indiqueu si la reacció adversa observada va requerir algun tipus de tractament i especifiqueu el tipus de tractament rebut., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0008], code=at0008, itemType=ELEMENT, level=7, text=La Reacció Adversa Medicamentosa ha requerit tractament?, description=Indiqueu si la reacció adversa observada va requerir algun tipus de tractament., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0009], code=at0009, itemType=ELEMENT, level=7, text=Tractament requerit, description=Indiqueu el tipus de tractament rebut., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010], code=at0010, itemType=CLUSTER, level=7, text=Detalls tractament farmacològic, description=Aquest clúster ha d'incloure informació complementària sobre el tractament farmacològic associat amb la reacció adversa i requerida per a la notificació en farmacovigilància., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0011], code=at0011, itemType=ELEMENT, level=8, text=Motiu de prescripció/vacunació, description=Proporcioneu informació detallada sobre la raó específica per prescriure el medicament o administrar la vacuna., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0012], code=at0012, itemType=ELEMENT, level=8, text=Agent causal és una vacuna?, description=Indica si la reacció adversa va ser causada per una vacuna. Especifica si l'agent causal de la reacció adversa és una vacuna., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0013], code=at0013, itemType=ELEMENT, level=8, text=Pla de medicació, description=Proporcioneu una descripció detallada del pla de medicació del pacient en format de text pla., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0019], code=at0019, itemType=ELEMENT, level=8, text=Medical treatment - Actions taken, description=Proporcioneu una descripció detallada de les accions preses en resposta a la reacció adversa., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0023], code=at0023, itemType=CLUSTER, level=8, text=Reacció adversa causada per associació de principis actius, description=Proporcioneu informació essencial sobre els principis actius que es troben associats a una reacció adversa medicamentosa., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0023]/items[at0018], code=at0018, itemType=ELEMENT, level=9, text=Reacció adversa causada per una associació de principis actius?, description=Determina si la reacció adversa observada és un resultat de la combinació o interacció dels principis actius del medicament., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0023]/items[at0026], code=at0026, itemType=ELEMENT, level=9, text=Descripció associacó, description=Proporcioneu una narració o un resum que detalli la naturalesa i el context de l'associació de principis actius., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0007]/items[at0010]/items[at0023]/items[at0024], code=at0024, itemType=ELEMENT, level=9, text=Composition UIDs - Associació de principis actius, description=Indica els identificadors únics (UIDs) per a les composicions vinculades a l'associació de principis actius. Cada UID de composició correspon a uns principis actius específics vinculats dins de l'associació., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Opcional, repetint, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Identifier
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0014], code=at0014, itemType=CLUSTER, level=6, text=Mort del pacient, description=Indiqueu si el pacient ha mort i proporcioneu detalls rellevants sobre la mort., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=7, text=Data de la mort, description=Proporcioneu la data precisa i, si està disponible, l'hora exacta de la mort del pacient., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0014]/items[at0016], code=at0016, itemType=ELEMENT, level=7, text=Autòpsia?, description=Indiqueu si es va realitzar una autòpsia., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0017], code=at0017, itemType=ELEMENT, level=6, text=Nivell de certesa - Detalls addicionals, description=Proporcioneu informació addicional per a determinar la certesa o la causalitat de la reacció adversa., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[openEHR-EHR-CLUSTER.adverse_reaction_event.v1]/items[openEHR-EHR-CLUSTER.detalls_addicionals_reaccio_adversa.v0]/items[at0020], code=at0020, itemType=ELEMENT, level=6, text=Observacions, description=Proporcioneu qualsevol observació rellevant relacionada amb la reacció adversa que pugui ajudar en el procés de notificació a farmacovigilància., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-COMPOSITION.encounter.v1]/content[openEHR-EHR-SECTION.adverse_reaction_list.v0]/items[openEHR-EHR-EVALUATION.adverse_reaction_risk.v2]/data[at0001]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the propensity for the adverse reaction, not captured in other fields., comment=For example: including reason for flagging a 'Criticality' of 'High risk'; and instructions related to future exposure or administration of the Substance, such as administration within an Intensive Care Unit or under corticosteroid cover., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]