| Concept |
Card/Conf |
Id |
 |
Patient Data |
|
1 .. 1 Mandatory |
epsos-dataelement-5
|
| Information about the patient |
|
|
|
|
 |
|
Identification |
|
1 .. 1 Mandatory |
epsos-dataelement-6
|
| Country ID, unique for the patient in that country. Example: ID for United Kingdom
patient
|
|
|
|
|
 |
|
|
National Health Care patient ID (country of affiliation) |
|
1 .. 1 Mandatory |
epsos-dataelement-7
|
| Country ID from the country of origin, unique for the patient in that country. Example:
ID for United Kingdom patient
|
|
|
|
|
|
|
|
National Health Care patient ID (country of treatment) |
|
Not present |
epsos-dataelement-234
|
| Country ID given in the country of treatment, unique for the patient in that country.
Identifier that identifies that patient within the country B eHealth Infrastructure.
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-235
|
| Other identifiers than the national health care patient IDs from either the country
of affiliation or the country of treatment
|
|
|
|
|
|
|
Personal Information |
|
1 .. 1 Mandatory |
epsos-dataelement-8
|
| Personal information about the patient |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-9
|
| The full name of the patient |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-12
|
| The Name of the patient (Example: John). This field can contain more than one element |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-13
|
| This field can containe more than one element. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-263
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-264
|
|
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-10
|
| The date of birth of the patient. This field may contain only the year if day and
month are not available
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-11
|
| It must contained a recognized valid value for this field. |
|
|
|
|
|
|
Contact Information |
|
0 .. * |
epsos-dataelement-26
|
| Contact information of the patient, including information of the contacts of the patient. |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-27
|
| Address of the patient |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-51
|
| Name of street where the patient lives |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-52
|
| House number where the patient lives |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-55
|
| City where the patient lives |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-53
|
| Postal code where the patient lives |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-56
|
| State or province where the patient lives |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-54
|
| Country where the patient lives |
|
|
|
|
|
|
1 .. * Required |
epsos-dataelement-300
|
| Telecommunication addresses of the patient |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-28
|
| Telephone number of the patient |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-29
|
| Email address of the patient |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-30
|
| Preferred Health Professional to contact. A foreign HP may need a contact (HP/legal
organization) who knows the patient
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-46
|
| Name of the HP/name of the legal organization. If it is an HP, the structure of the
name will be the same as described in ‘Full name’ (Given name, family name/surname)
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-47
|
| The Name of the HP (Example: John). This field can contain more than one element |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-48
|
| This field can contain more than one element. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-265
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-266
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-41
|
| Telephone number of the HP/name of the legal organization |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-43
|
| Email address of the HP/name of the legal organization |
|
|
|
|
|
|
|
Legal Organization to contact |
|
0 .. 1 |
epsos-dataelement-31
|
| Legal organization to contact about patient. A foreign HP may need a contact (HP/legal
organization) who knows the patient
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-33
|
| Name of the organization |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-49
|
| Telephone number of the organization |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-50
|
| Email address of the organization |
|
|
|
|
|
|
|
Contact Person/legal guardian |
|
0 .. * |
epsos-dataelement-34
|
| Contact or guardian of the patient |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-35
|
| The role of the person: contact person or legal guardian |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-36
|
| Full name of the contact person or guardian |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-37
|
| The Name of the person (Example: John). This field can contain more than one element |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-38
|
| This field can contain more than one element. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-267
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-268
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-39
|
| Telephone number of the person |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-40
|
| Email address of the person |
|
|
|
|
|
|
Insurance Information |
|
0 .. 1 |
epsos-dataelement-14
|
| Information about the insurance of the patient |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-15
|
| European Health Insurance Code (EHIC) number of the patient |
|
|
|
|
|
Clinical Data |
|
0 .. * |
epsos-dataelement-16
|
| Clinical information of the patient |
|
|
|
|
|
|
Alerts |
|
0 .. * |
epsos-dataelement-197
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-204
|
| 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)
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-205
|
| 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)
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-206
|
| The code of the allergy |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-207
|
| Date when the allergy started |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-208
|
| Describes the agent (drug, food, chemical agent, etc) that is responsible for the
adverse reaction
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-209
|
| The code of the allergen agent |
|
|
|
|
|
|
|
Medical Alert Information |
|
0 .. * |
epsos-dataelement-214
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-216
|
| The code of the health care alert |
|
|
|
|
|
|
|
|
Health Care Alert description |
|
0 .. 1 |
epsos-dataelement-215
|
| Medical Alert Information: any other clinical information that is imperative to know
so that the life or health of the patient does not come under threat
|
|
|
|
|
|
|
History of Past Illness |
|
0 .. * |
epsos-dataelement-192
|
|
|
|
|
|
|
|
|
Problem/diagnosis Description |
|
0 .. * |
epsos-dataelement-222
|
| 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)
|
|
|
|
|
|
|
|
|
Problem/diagnosis Description |
|
0 .. 1 |
epsos-dataelement-223
|
| 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)
|
|
|
|
|
|
|
|
|
Problem/diagnosis Id (Code) |
|
0 .. 1 |
epsos-dataelement-224
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-306
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-302
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-225
|
| Date of problem onset |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-226
|
| Problem resolution date |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-227
|
| 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)
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-217
|
| Brand name of the vaccination |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-218
|
| Brand name of the vaccination |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-219
|
| Description of the vaccine |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-220
|
| The code of the vaccine |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-221
|
| The date the vaccination was done |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-210
|
| Describes the type of procedure that has been executed as part of the healthcare event. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-211
|
| Describes the type of procedure that has been executed as part of the healthcare event. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-212
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-213
|
| Date when procedure was performed |
|
|
|
|
|
|
Medical Problems |
|
0 .. * |
epsos-dataelement-82
|
|
|
|
|
|
|
|
|
Problem/diagnosis Description |
|
0 .. * |
epsos-dataelement-228
|
| 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)
|
|
|
|
|
|
|
|
|
Problem/diagnosis Description |
|
0 .. 1 |
epsos-dataelement-229
|
| 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)
|
|
|
|
|
|
|
|
|
Problem/diagnosis Id (Code) |
|
0 .. 1 |
epsos-dataelement-230
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-307
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-303
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-231
|
| Date of problem onset |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-232
|
| Problem resolution date |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-233
|
| 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)
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-188
|
| Describes the type of procedure that has been executed as part of the healthcare event. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-189
|
| Describes the type of procedure that has been executed as part of the healthcare event. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-190
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-191
|
| Date when procedure was performed |
|
|
|
|
|
|
|
Medical Devices and Implants |
|
0 .. * |
epsos-dataelement-87
|
|
|
|
|
|
|
|
|
|
Medical Devices and Implants Description |
|
0 .. 1 |
epsos-dataelement-88
|
| Describes the patient's implanted and external medical devices and equipment that
their health status depends on. Includes devices as cardiac pacemakers, implantable
defribillator, prothesis, feromagnetic bone implants etc that are important to be
known by HP.
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-89
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-90
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-128
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-129
|
| Therapeutic treatment that does not include drugs (diet, physical excersize constraints
etc)
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-130
|
| normalized identifier, concept code |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-131
|
| Date of treatment onset |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-95
|
|
|
|
|
|
|
|
|
|
Recommendations Description |
|
0 .. 1 |
epsos-dataelement-96
|
| Therapeutic recommendations that do not include drugs (diet, physical exercise constraints,
etc.)
|
|
|
|
|
|
|
|
|
Recommendations Id (code) |
|
0 .. 1 |
epsos-dataelement-97
|
| Normalized identifier |
|
|
|
|
|
|
0 .. * |
epsos-dataelement-98
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-99
|
| Need of the patient to be continuously assisted by third parties. Invalidity status
may influence decisions about how to administer treatments
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-132
|
| Date of invalidity onset |
|
|
|
|
|
|
Medication |
|
0 .. 1 |
epsos-dataelement-101
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-102
|
|
|
|
|
|
|
|
|
|
Prescription identification |
|
1 .. 1 Mandatory |
epsos-dataelement-134
|
| Unique identification of the prescription |
|
|
|
|
|
|
0 .. 1 Required |
epsos-dataelement-135
|
| Code that identifies the medicinal product description |
|
|
|
|
|
|
|
|
Date of issue of prescription |
|
1 .. 1 Mandatory |
epsos-dataelement-136
|
| Date when medicine has been prescribed |
|
|
|
|
|
|
1 .. 1 Required |
epsos-dataelement-137
|
| Original brand name of the medicine (in the language of the country in which the prescription
was made)
|
|
|
|
|
|
|
1 .. * Required |
epsos-dataelement-103
|
| Substance that alone or in combination with one or more other ingredients produces
the intended activity of a medicinal product.
|
|
|
|
|
|
|
1 .. * Mandatory |
epsos-dataelement-104
|
| Code that identifies the Active ingredient |
|
|
|
|
|
|
1 .. * Mandatory |
epsos-dataelement-105
|
| The content of the active ingredient expressed quantitatively per dosage unit, per
unit of volume or per unit of weight, according to the pharmaceutical dose form. Example:
500 mg per tablet
|
|
|
|
|
|
|
|
|
Medicinal product package size |
|
1 .. 1 Required |
epsos-dataelement-138
|
| The size of the package prescribed |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-106
|
| It is the form in which a pharmaceutical product is presented in the medicinal product
package (e.g. tablets, syrup)
|
|
|
|
|
|
|
1 .. 1 Required |
epsos-dataelement-139
|
| Number of boxes that have been prescribed |
|
|
|
|
|
|
|
|
Number of units per intake |
|
1 .. 1 Required |
epsos-dataelement-107
|
| The number of units per intake that the patient is taking (e.g. 1 tablet) |
|
|
|
|
|
|
1 .. * Required |
epsos-dataelement-108
|
| Frequency of intakes (per hours/day/month/ week..). Example: each 24 hours |
|
|
|
|
|
|
1 .. 1 Required |
epsos-dataelement-109
|
|
|
|
|
|
|
|
|
|
Date of onset of treatment |
|
1 .. 1 Required |
epsos-dataelement-110
|
| Date when patient needs to start taking the medicine prescribed |
|
|
|
|
|
|
0 .. 1 Required |
epsos-dataelement-140
|
| Indicates the part of the body through or into which, or the way in which, the medicinal
product is intended to be introduced. In some cases a medicinal product can be intended
for more than one route and/or method of administration.NOTE FOR GUIDANCE ON DATA
ELEMENTS AND STANDARDS FOR DRUG DICTIONARIES(EMEA/CHMP/ICH/168535/2005)
|
|
|
|
|
|
|
0 .. 1 Required |
epsos-dataelement-141
|
| The prescriber might give to the patient instructions; They must be presented in the
original language.
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-142
|
| The prescriber might give instructions to the dispenser. The information will be in
the original language as automatic translation is not secure enough. To avoid legal
and ethical issues to the dispenser, it should be wise to implement an option that
allows the dispenser to decide, knowing that this data is available, whether he wants
to consult it or not.
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-236
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-237
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-238
|
| Some countries need the specialty of the prescriber for the epSOS ePrescription to
be seen as valid. In the epSOS phase 1 ePrescription data set, this element is not
basic (minimum), therefore not always filled in. The proposal is to define the specialty
of the prescriber as a basic element, so it should be filled in, if available. As
it could be that this information is not available in every country, null values should
be allowed.
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-239
|
| Date/time the medication was prescribed |
|
|
|
|
|
|
|
|
|
Prescriber Identification |
|
0 .. 1 |
epsos-dataelement-240
|
| Unique identification of the prescriber |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-241
|
| The full name of the Health Professional |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-242
|
| The Name of the Prescriber (Example: John). This field can contain more than one element |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-243
|
| This field can contain more than one element. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-269
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-270
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-282
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-280
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-281
|
|
|
|
|
|
|
|
|
|
|
Prescriber Healthcare Facility |
|
0 .. 1 |
epsos-dataelement-244
|
| Information about the healthcare facility where the health professional works |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-245
|
| Unique identification of the healthcare facility |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-246
|
| Name of the healthcare facility |
|
|
|
|
|
|
|
|
|
|
Healthcare Facility Telecom |
|
0 .. * |
epsos-dataelement-283
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-278
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-279
|
|
|
|
|
|
|
|
|
|
|
Prescriber Credentialing Organization |
|
0 .. * |
epsos-dataelement-290
|
| The organization which provided the credentialing for the prescriber |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-291
|
| Unique identification of the organization which provided the credentialing for the
prescriber
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-292
|
| The name of the organization which provided the credentialing for the prescriber |
|
|
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|
|
Surgical Procedure |
|
0 .. * |
epsos-dataelement-1
|
|
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|
|
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|
0 .. 1 |
epsos-dataelement-3
|
| Describes the type of procedure that has been executed as part of the healthcare event. |
|
|
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|
|
0 .. 1 |
epsos-dataelement-2
|
| Normalized identifier |
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|
|
|
|
0 .. 1 |
epsos-dataelement-4
|
| Date when procedure was performed |
|
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|
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|
Problem/Diagnosis |
|
0 .. * |
epsos-dataelement-83
|
|
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|
|
Problem/diagnosis Description |
|
0 .. 1 |
epsos-dataelement-84
|
| 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)
|
|
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|
Problem/diagnosis Id (Code) |
|
0 .. 1 |
epsos-dataelement-85
|
| Normalized identifier |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-305
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-301
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-86
|
| Date of problem onset |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-174
|
| Problem resolution date |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-175
|
| 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)
|
|
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|
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|
Physical Findings |
|
0 .. * |
epsos-dataelement-117
|
|
|
|
|
|
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|
0 .. * |
epsos-dataelement-118
|
|
|
|
|
|
|
|
0 .. * |
epsos-dataelement-119
|
| One value of blood pressure which includes: systolic Blood Pressure and Diastolic
Blood pressure
|
|
|
|
|
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|
0 .. 1 |
epsos-dataelement-120
|
|
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|
|
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|
0 .. 1 |
epsos-dataelement-121
|
|
|
|
|
|
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|
|
|
Date when blood pressure was measured |
|
0 .. 1 |
epsos-dataelement-122
|
| Date when blood pressure was measured |
|
|
|
|
|
|
Diagnostic Tests |
|
0 .. * |
epsos-dataelement-123
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-124
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-125
|
| Result from the blood group test made to the patient |
|
|
|
|
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|
0 .. 1 |
epsos-dataelement-126
|
| Date in which the blood group test was done. This field may contain only the year
if day and month are not available. Eg: 01/01/2009
|
|
|
|
|
|
|
Vaccination |
|
0 .. * |
epsos-dataelement-167
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-168
|
| Brand name of the vaccination |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-171
|
| Description of the vaccine |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-170
|
| The code of the vaccine |
|
|
|
|
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|
0 .. 1 |
epsos-dataelement-169
|
| The date the vaccination was done |
|
|
|
|
|
|
Allergy |
|
0 .. * |
epsos-dataelement-58
|
| Allergies and intolerances |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-68
|
| 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)
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-69
|
| The code of the allergy |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-304
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-70
|
| Date when the allergy started |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-71
|
| Describes the agent (drug, food, chemical agent, etc) that is responsible for the
adverse reaction
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-72
|
| The code of the allergen agent |
|
|
|
|
|
|
Pregnancy History |
|
0 .. * |
epsos-dataelement-115
|
|
|
|
|
|
|
|
|
Expected date of delivery |
|
0 .. 1 |
epsos-dataelement-116
|
| Date in which the woman is due to give birth. Year, day and month are required. |
|
|
|
|
|
|
Social History |
|
0 .. * |
epsos-dataelement-111
|
|
|
|
|
|
|
|
|
Social History Observations |
|
0 .. * |
epsos-dataelement-112
|
|
|
|
|
|
|
|
|
|
Social History Observations related to: smoke, alcohol and diet |
|
0 .. 1 |
epsos-dataelement-113
|
|
|
|
|
|
|
|
|
|
Date range of observation |
|
0 .. 1 |
epsos-dataelement-114
|
|
|
|
|
|
|
Document Data |
|
1 .. 1 Mandatory |
epsos-dataelement-62
|
| Information about the document itself |
|
|
|
|
|
|
Identification |
|
1 .. 1 Mandatory |
epsos-dataelement-176
|
| Identification of the document |
|
|
|
|
|
|
Type |
|
1 .. 1 Mandatory |
epsos-dataelement-296
|
| Type of the document |
|
|
|
|
|
|
Confidentiality |
|
0 .. 1 Required |
epsos-dataelement-297
|
| Confidentiality of the document as a whole |
|
|
|
|
|
|
Language |
|
1 .. 1 Mandatory |
epsos-dataelement-298
|
| The principal language of the documentThe language code SHALL be in the form nn-CC.
The nn portion SHALL be an ISO-639-1 language code in lower case derived by the Value
Set epSOSLanguage. The CC portion SHALL be an ISO-3166 country code in upper case
derived by the value Set epSOSCountry
|
|
|
|
|
|
|
Country A |
|
1 .. 1 Mandatory |
epsos-dataelement-63
|
| Name of country A |
|
|
|
|
|
|
Topicality |
|
1 .. 1 Mandatory |
epsos-dataelement-64
|
|
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-65
|
| Date on which the document was generated |
|
|
|
|
|
|
Author |
|
0 .. 1 |
epsos-dataelement-67
|
| To highlight if the data is collected manually by an HP or is collected automatically
from different sources (eg: hospital doctor repository, GPs...etc) through predetermined
clinical rules.
|
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-22
|
| Unique identification of the Health Professional. |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-19
|
| The full name of the Health Professional |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-20
|
| The Name of the HP (Example: John). This field can contain more than one element |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-21
|
| This field can contain more than one element. |
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-273
|
|
|
|
|
|
|
|
0 .. 1 |
epsos-dataelement-274
|
|
|
|
|
|
|
|
|
Author Healthcare Facility |
|
0 .. 1 |
epsos-dataelement-23
|
| Information about the healthcare facility where the health professional works |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-25
|
| Unique identification of the healthcare facility |
|
|
|
|
|
|
1 .. 1 Mandatory |
epsos-dataelement-24
|
| Name of the healthcare facility |
|
|
|
|
