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Clinical Concept | Comment | Corresponding archetype concept name |
---|---|---|
Information Provided | Details of each piece of health education information discussed or provided to patient | Information Provided |
Social Summary |
| Social Summary |
Adverse Reaction List | Adverse Reaction list is made up of multiple Adverse Reaction entries | Adverse Reaction |
Family History List | Family History list is made up of multiple Family History entries | Family History |
- Diagnosis | Problem lists, whether current or past are made up of multiple Problem/Diagnosis entries | Problem/Diagnosis |
Procedure list | Procedure list is made up of multiple Procedure entries | Procedure |
Smoking consumption |
| Tobacco use |
Alcohol consumption |
| Alcohol consumption |
Obstetric Summary |
| Obstetric summary |
Pregnancy Summary | An evolving summary of key data about a single pregnancy – either current or past | Pregnancy summary |
Examination Findings |
| Examination Findings |
- Current Medication List | List of Medications currently being taken and those administered as part of pregnancy | Medication action |
Height |
| Height/Length |
Weight |
| Body weight |
Body Mass Index |
| Body Mass Index |
Blood Pressure |
| Blood Pressure |
Fetal Movements |
| Fetal Movements |
- Urinalysis | The pattern for urinalysis is identical to the pathology test results, and in some cases | Pathology test result |
Ultrasound results |
| Imaging examination result |
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