|
Patient Data |
|
Concept |
|
Identification |
|
Concept |
|
National Health Care patient ID (country of affiliation) |
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National Health Care patient ID (country of treatment) |
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Other Identifier |
|
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Personal Information |
|
Concept |
|
Full Name |
|
Concept |
|
Given name |
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Family Name/Surname |
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Prefix |
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Suffix |
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Date of Birth |
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Gender |
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Contact Information |
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Concept |
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Address |
|
Concept |
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Street |
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Number of Street |
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City |
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Postal Code |
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State or Province |
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Country |
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Telecom |
|
Concept |
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Telephone No |
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Email |
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Preferred HP to contact |
|
Concept |
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Full Name |
|
Concept |
|
Given Name |
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Family Name/Surname |
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|
Prefix |
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Suffix |
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Telephone No |
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Email |
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Clinical Data |
|
Concept |
|
Alerts |
Id |
epsos-dataelement-197 |
Cardinality |
0 .. *
|
Description |
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Allergy description |
Id |
epsos-dataelement-204 |
Cardinality |
0 .. *
|
Inherited concept |
epsos-dataelement-58 as of 2013ā05ā31 |
Description |
Description of the clinical manifestation of the allergy reaction. Example: Anaphylactic
shock, angioedema (the clinical manifestation also gives information about the severity
of the observed reaction)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Allergy description |
Id |
epsos-dataelement-205 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-68 as of 2013ā05ā31 |
Description |
Description of the clinical manifestation of the allergy reaction. Example: Anaphylactic
shock, angioedema (the clinical manifestation also gives information about the severity
of the observed reaction)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Allergy code |
Id |
epsos-dataelement-206 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-69 as of 2013ā05ā31 |
Description |
The code of the allergy |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-69.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSReactionAllergy (DYNAMIC)
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSAdverseEventType (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Onset Date |
Id |
epsos-dataelement-207 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-70 as of 2013ā05ā31 |
Description |
Date when the allergy started |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Agent description |
Id |
epsos-dataelement-208 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-71 as of 2013ā05ā31 |
Description |
Describes the agent (drug, food, chemical agent, etc) that is responsible for the
adverse reaction
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Agent Code |
Id |
epsos-dataelement-209 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-72 as of 2013ā05ā31 |
Description |
The code of the allergen agent |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-72.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSAllergenNoDrugs (DYNAMIC)
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSWHO-ATC (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
|
|
History of Past Illness |
Id |
epsos-dataelement-192 |
Cardinality |
0 .. *
|
Description |
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Problem/diagnosis Description |
Id |
epsos-dataelement-222 |
Cardinality |
0 .. *
|
Inherited concept |
epsos-dataelement-83 as of 2013ā05ā31 |
Description |
Problems or diagnosis not included under the definition of āCurrent problems or diagnosisā.
Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that
solved the problem and therefore it Ģs a closed problem)
|
Comment |
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Problem/diagnosis Description |
Id |
epsos-dataelement-223 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-84 as of 2013ā05ā31 |
Description |
Problems or diagnosis not included under the definition of āCurrent problems or diagnosisā.
Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that
solved the problem and therefore it Ģs a closed problem)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem/diagnosis Id (Code) |
Id |
epsos-dataelement-224 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-85 as of 2013ā05ā31 |
Description |
Normalized identifier |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-85.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSIllnessesandDisorders (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem Status |
Id |
epsos-dataelement-306 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-305 as of 2013ā11ā28 16:40:53 |
Description |
|
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-305.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSStatusCode (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem Severity |
Id |
epsos-dataelement-302 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-301 as of 2013ā11ā28 |
Description |
|
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-301.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSSeverity (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Onset Time |
Id |
epsos-dataelement-225 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-86 as of 2013ā05ā31 |
Description |
Date of problem onset |
Value Domain |
Type |
date |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
End date |
Id |
epsos-dataelement-226 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-174 as of 2013ā10ā16 14:07:46 |
Description |
Problem resolution date |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Resolution Circumstances |
Id |
epsos-dataelement-227 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-175 as of 2013ā10ā16 14:09:33 |
Description |
Describes the reason by which the problem changed the status from current to inactive
(e.g. surgical procedure, medical treatment, etc). This field includes āfree textā
if the resolution circumstances are not already included in other fields. Example:
It can happen that this field is already included in other like Surgical Procedure,
medical device etc, eg: hepatic cystectomy (this wil be the āResolution Circumstancesā
for the problem āhepatic cystā and will be included in surgical procedures)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
|
Vaccine brand name |
Id |
epsos-dataelement-217 |
Cardinality |
0 .. *
|
Inherited concept |
epsos-dataelement-167 as of 2013ā09ā27 |
Description |
Brand name of the vaccination |
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Vaccine brand name |
Id |
epsos-dataelement-218 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-168 as of 2013ā09ā27 11:27:51 |
Description |
Brand name of the vaccination |
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Vaccine description |
Id |
epsos-dataelement-219 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-171 as of 2013ā09ā27 11:29:50 |
Description |
Description of the vaccine |
Value Domain |
Type |
string |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Vaccine code |
Id |
epsos-dataelement-220 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-170 as of 2013ā09ā27 11:29:18 |
Description |
The code of the vaccine |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-170.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSVaccine (DYNAMIC)
|
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Vaccination date |
Id |
epsos-dataelement-221 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-169 as of 2013ā09ā27 11:28:23 |
Description |
The date the vaccination was done |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
|
Procedure description |
Id |
epsos-dataelement-210 |
Cardinality |
0 .. *
|
Inherited concept |
epsos-dataelement-1 as of 2013ā05ā31 |
Description |
Describes the type of procedure that has been executed as part of the healthcare event. |
Value Domain |
Type |
string |
Example |
Colonoscopy |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Procedure description |
Id |
epsos-dataelement-211 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-3 as of 2013ā05ā31 |
Description |
Describes the type of procedure that has been executed as part of the healthcare event. |
Value Domain |
Type |
string |
Example |
Colonoscopy |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Procedure Id (code) |
Id |
epsos-dataelement-212 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-2 as of 2013ā05ā31 |
Description |
Normalized identifier |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-2.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSProcedures (DYNAMIC)
|
|
Example |
73761001 |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Procedure Date |
Id |
epsos-dataelement-213 |
Cardinality |
0 .. 1
|
Inherited concept |
epsos-dataelement-4 as of 2013ā05ā31 |
Description |
Date when procedure was performed |
Value Domain |
Type |
datetime |
Property |
Timestamp precision |
at least day, month and year |
|
Example |
02/14/2013 |
Used in |
one scenario, inherited 0 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
|
|
Medication |
|
Concept |
|
Prescription |
|
Concept |
|
Prescription identification |
|
|
Medicinal product code |
|
|
Date of issue of prescription |
|
|
Brand name |
|
|
Active ingredient |
|
|
Active ingredient code |
|
|
Strength |
|
|
Medicinal product package size |
|
|
Pharmaceutical dose form |
|
|
Number of packages |
|
|
Number of units per intake |
|
|
Frequency of intakes |
|
|
Duration of treatment |
|
|
Date of onset of treatment |
|
|
Route of administration |
|
|
Instructions to patient |
|
|
Advice to dispenser |
|
|
Prescriber |
|
Concept |
|
Prescriber Profession |
|
|
Prescriber Speciality |
|
|
Timestamp of Prescribing |
|
|
Prescriber Identification |
|
|
Prescriber Full Name |
|
Concept |
|
Given Name |
|
|
Family Name/Surname |
|
|
Prefix |
|
|
Suffix |
|
|
|
Prescriber Telecom |
|
Concept |
|
Telephone No |
|
|
Email |
|
|
|
Prescriber Healthcare Facility |
|
Concept |
|
Identifier |
|
|
Name |
|
|
Healthcare Facility Telecom |
|
Concept |
|
Telephone No |
|
|
Email |
|
|
|
|
Prescriber Credentialing Organization |
|
Concept |
|
Identifier |
|
|
Name |
|
|
|
|
|
|
Problem/Diagnosis |
Id |
epsos-dataelement-83 |
Cardinality |
0 .. *
|
Description |
|
Comment |
|
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..*) in scenario
|
|
Concept |
|
Problem/diagnosis Description |
Id |
epsos-dataelement-84 |
Cardinality |
0 .. 1
|
Description |
Problems or diagnosis not included under the definition of āCurrent problems or diagnosisā.
Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that
solved the problem and therefore it Ģs a closed problem)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem/diagnosis Id (Code) |
Id |
epsos-dataelement-85 |
Cardinality |
0 .. 1
|
Description |
Normalized identifier |
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-85.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSIllnessesandDisorders (DYNAMIC)
|
|
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem Status |
Id |
epsos-dataelement-305 |
Cardinality |
0 .. 1
|
Description |
|
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-305.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSStatusCode (DYNAMIC)
|
|
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Problem Severity |
Id |
epsos-dataelement-301 |
Cardinality |
0 .. 1
|
Description |
|
Value Domain |
Type |
code |
Choice list |
Concept List |
epsos-dataelement-301.0
|
|
Terminology Asscociation: This concept list is represented by Value Set epSOSSeverity (DYNAMIC)
|
|
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Onset Time |
Id |
epsos-dataelement-86 |
Cardinality |
0 .. 1
|
Description |
Date of problem onset |
Value Domain |
Type |
date |
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
End date |
Id |
epsos-dataelement-174 |
Cardinality |
0 .. 1
|
Description |
Problem resolution date |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
Resolution Circumstances |
Id |
epsos-dataelement-175 |
Cardinality |
0 .. 1
|
Description |
Describes the reason by which the problem changed the status from current to inactive
(e.g. surgical procedure, medical treatment, etc). This field includes āfree textā
if the resolution circumstances are not already included in other fields. Example:
It can happen that this field is already included in other like Surgical Procedure,
medical device etc, eg: hepatic cystectomy (this wil be the āResolution Circumstancesā
for the problem āhepatic cystā and will be included in surgical procedures)
|
Value Domain |
Type |
string |
Used in |
one scenario, inherited 2 times |
|
This concept is used in transaction Return PS of country A (0..1) in scenario
|
|
|
|
Physical Findings |
|
Concept |
|
Vital Signs Observations |
|
Concept |
|
Blood Pressure |
|
Concept |
|
Systolic Blood Pressure |
|
|
Diastolic Blood Pressure |
|
|
|
Date when blood pressure was measured |
|
|
|
|
Diagnostic Tests |
|
Concept |
|
Blood Group |
|
Concept |
|
Result of Blood Group |
|
|
Date |
|
|
|
|
Vaccination |
|
Concept |
|
Vaccine brand name |
|
|
Vaccine description |
|
|
Vaccine code |
|
|
Vaccination date |
|
|
|
Allergy |
|
Concept |
|
Allergy description |
|
|
Allergy code |
|
|
Allergy Severity |
|
|
Onset Date |
|
|
Agent description |
|
|
Agent Code |
|
|
|
Pregnancy History |
|
Concept |
|
Expected date of delivery |
|
|
|
Social History |
|
Concept |
|
Social History Observations |
|
Concept |
|
Social History Observations related to: smoke, alcohol and diet |
|
|
Date range of observation |
|
|
|
|
|
|
|