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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) |
|
|
Other Identifier |
|
|
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Personal Information |
|
Concept |
|
Full Name |
|
Concept |
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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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Clinical Data |
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Concept |
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Alerts |
Id |
epsos-dataelement-197 (2013‑10‑24 11:47:59)
|
Cardinality |
0..*
|
Description |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..*) in scenario Patient Summary (PS)
|
|
Concept |
|
Allergy |
Id |
epsos-dataelement-204 (2013‑10‑24 11:49:17)
|
Cardinality |
0..*
|
Concept inherits from |
epsos-dataelement-58 (2013‑05‑31)
|
Description |
Allergies and intolerances |
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..*) in scenario Patient Summary (PS)
|
|
Concept |
|
Allergy description |
Id |
epsos-dataelement-205 (2013‑10‑24 11:49:34)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-68 (2013‑05‑31)
|
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 by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Allergy code |
Id |
epsos-dataelement-206 (2013‑10‑24 11:49:34)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-69 (2013‑05‑31)
|
Description |
The code of the allergy |
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Onset Date |
Id |
epsos-dataelement-207 (2013‑10‑24 11:49:34)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-70 (2013‑05‑31)
|
Description |
Date when the allergy started |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Agent description |
Id |
epsos-dataelement-208 (2013‑10‑24 11:49:34)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-71 (2013‑05‑31)
|
Description |
Describes the agent (drug, food, chemical agent, etc) that is responsible for the
adverse reaction
|
Value Domain |
Type |
string |
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Agent Code |
Id |
epsos-dataelement-209 (2013‑10‑24 11:49:34)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-72 (2013‑05‑31)
|
Description |
The code of the allergen agent |
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
|
|
History of Past Illness |
Id |
epsos-dataelement-192 (2013‑10‑24 11:30:02)
|
Cardinality |
0..*
|
Description |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..*) in scenario Patient Summary (PS)
|
|
Concept |
|
Problem/Diagnosis |
Id |
epsos-dataelement-222 (2013‑10‑24 14:22:16)
|
Cardinality |
0..*
|
Concept inherits from |
epsos-dataelement-83 (2013‑05‑31)
|
Description |
|
Comment |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..*) in scenario Patient Summary (PS)
|
|
Concept |
|
Problem/diagnosis Description |
Id |
epsos-dataelement-223 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-84 (2013‑05‑31)
|
Description |
Problems or diagnosis not included under the definition of ‘Current problems or diagnosis’.
Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that
solved the problem and therefore it ́s a closed problem)
|
Value Domain |
Type |
string |
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem/diagnosis Id (Code) |
Id |
epsos-dataelement-224 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-85 (2013‑05‑31)
|
Description |
Normalized identifier |
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem Status |
Id |
epsos-dataelement-306 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-305 (2013‑11‑28 16:40:53)
|
Description |
|
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem Severity |
Id |
epsos-dataelement-302 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-301 (2013‑11‑28)
|
Description |
|
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Onset Time |
Id |
epsos-dataelement-225 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-86 (2013‑05‑31)
|
Description |
Date of problem onset |
Value Domain |
Type |
date |
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
End date |
Id |
epsos-dataelement-226 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-174 (2013‑10‑16 14:07:46)
|
Description |
Problem resolution date |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Resolution Circumstances |
Id |
epsos-dataelement-227 (2013‑10‑24 14:23:02)
|
Cardinality |
0..1
|
Concept inherits from |
epsos-dataelement-175 (2013‑10‑16 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 ‘free text’
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 ‘Resolution Circumstances’
for the problem ‘hepatic cyst’ and will be included in surgical procedures)
|
Value Domain |
Type |
string |
Used by |
one scenario, inherited 0 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
|
|
Medical Problems |
|
Concept |
|
Disability or function |
|
Concept |
|
Invalidity description |
|
|
Onset time |
|
|
|
|
Medication |
|
Concept |
|
|
Problem/Diagnosis |
Id |
epsos-dataelement-83 (2013‑05‑31)
|
Cardinality |
0..*
|
Description |
|
Comment |
|
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..*) in scenario Patient Summary (PS)
|
|
Concept |
|
Problem/diagnosis Description |
Id |
epsos-dataelement-84 (2013‑05‑31)
|
Cardinality |
0..1
|
Description |
Problems or diagnosis not included under the definition of ‘Current problems or diagnosis’.
Example: hepatic cyst (the patient has been treated with an hepatic cystectomy that
solved the problem and therefore it ́s a closed problem)
|
Value Domain |
Type |
string |
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem/diagnosis Id (Code) |
Id |
epsos-dataelement-85 (2013‑05‑31)
|
Cardinality |
0..1
|
Description |
Normalized identifier |
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem Status |
Id |
epsos-dataelement-305 (2013‑11‑28 16:40:53)
|
Cardinality |
0..1
|
Description |
|
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Problem Severity |
Id |
epsos-dataelement-301 (2013‑11‑28)
|
Cardinality |
0..1
|
Description |
|
Value Domain |
Type |
code |
Choice list |
|
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Onset Time |
Id |
epsos-dataelement-86 (2013‑05‑31)
|
Cardinality |
0..1
|
Description |
Date of problem onset |
Value Domain |
Type |
date |
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
End date |
Id |
epsos-dataelement-174 (2013‑10‑16 14:07:46)
|
Cardinality |
0..1
|
Description |
Problem resolution date |
Value Domain |
Type |
date |
Property |
Timestamp precision |
at least day, month and year |
|
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
Resolution Circumstances |
Id |
epsos-dataelement-175 (2013‑10‑16 14:09:33)
|
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 ‘free text’
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 ‘Resolution Circumstances’
for the problem ‘hepatic cyst’ and will be included in surgical procedures)
|
Value Domain |
Type |
string |
Used by |
one scenario, inherited 2 times |
|
This concept is used in transaction
Return PS of country A
(0..1) in scenario Patient Summary (PS)
|
|
|
|
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 |
|
|
|
|
|