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Clinical Concept

Comment

Corresponding archetype concept name

NOTE: <archetype.name> is linked to the actual
latest version of the archetype in CKM

Information Provided

Details of each piece of health education information discussed or provided to patient

Information Provided
<ACTION.health_education >

Social Summary

 

Social Summary
<EVALUATION.social_summary >

Adverse Reaction List

Adverse Reaction list is made up of multiple Adverse Reaction entries

Adverse Reaction
<EVALUATION.adverse_reaction >

Family History List

Family History list is made up of multiple Family History entries

Family History
<EVALUATION.family_history >

- Diagnosis

- Problem/Diagnosis List

- Recent Problem/Diagnosis List

Problem lists, whether current or past are made up of multiple Problem/Diagnosis entries
– the same data pattern will be used in all instances

Problem/Diagnosis
<EVALUATION.problem_diagnosis>

Procedure list

Procedure list is made up of multiple Procedure entries

Procedure
<ACTION.procedure >

Smoking consumption

 

Tobacco use
<OBSERVATION.substance_use-tobacco >

Alcohol consumption

 

Alcohol consumption
<OBSERVATION.substance_use-alcohol >

Obstetric Summary

 

Obstetric summary
<EVALUATION.obstetric_summary >

Pregnancy Summary

An evolving summary of key data about a single pregnancy – either current or past

Pregnancy summary
<EVALUATION.pregnancy_summary >

Examination Findings

 

Examination Findings
<OBSERVATION.exam >
Examination of the uterus
<CLUSTER.exam-uterus >
Examination of the fetus
<CLUSTER.exam-fetus >

- Current Medication List

- Medication administered

List of Medications currently being taken and those administered as part of pregnancy
care use the same Medication actions archetype

Medication action
<ACTION.medication >

Height

 

Height/Length
<OBSERVATION.height >

Weight

 

Body weight
<OBSERVATION.body_weight>

Body Mass Index

 

Body Mass Index
<OBSERVATION.body_mass_index >

Blood Pressure

 

Blood Pressure
<OBSERVATION.blood_pressure >

Fetal Movements

 

Fetal Movements
<OBSERVATION.fetal_movements >

- Urinalysis
- All Pathology test results

The pattern for urinalysis is identical to the pathology test results, and in some cases
will be performed in the lab, so the same pattern will be used

Pathology test result
<OBSERVATION.pathology_test >

Ultrasound results

 

Imaging examination result
<OBSERVATION.imaging_exam >

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