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<span style="display:inline-block;">0.1.0 - draft
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<li><a href='toc.html'><b>Table of Contents</b></a></li><li><a href='artifacts.html'><b>Artifacts Summary</b></a></li><li><b>ONC Observation Codes</b></li>
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<p id="publish-box">Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the <a href='https://clinyqai.github.io/open-nursing-core-ig/history.html'>Directory of published versions</a></p>
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<a href="CodeSystem-onc-observation-codes.html">Narrative Content</a>
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<li>
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<a href="CodeSystem-onc-observation-codes.xml.html">XML</a>
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<li class="active">
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<a href="#">JSON</a>
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<a href="CodeSystem-onc-observation-codes.ttl.html">TTL</a>
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<a name="root"> </a>
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<h2 id="root">: ONC Observation Codes - JSON Representation</h2>
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<td colspan="2">
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Draft
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as of 2026-01-01
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</td>
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</tr>
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</table>
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<p><a href="CodeSystem-onc-observation-codes.json" no-download="true">Raw json</a> | <a href="CodeSystem-onc-observation-codes.json" download>Download</a></p>
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<pre class="json" data-fhir="generated" style="white-space: pre; text-wrap: nowrap; width: auto;"><code style="white-space: pre; text-wrap: nowrap;">{
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"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem">resourceType</a>" : "CodeSystem",
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"<a href="http://hl7.org/fhir/R4/resource.html#CodeSystem.id">id</a>" : "onc-observation-codes",
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"<a href="http://hl7.org/fhir/R4/domainresource.html#CodeSystem.text">text</a>" : {
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"<a href="http://hl7.org/fhir/R4/datatypes.html#Narrative#Narrative.status">status</a>" : "generated",
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"<a href="http://hl7.org/fhir/R4/datatypes.html#Narrative#Narrative.div">div</a>" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem onc-observation-codes</b></p><a name=\"onc-observation-codes\"> </a><a name=\"hconc-observation-codes\"> </a><p>This code system <code>https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">mst-score<a name=\"onc-observation-codes-mst-score\"> </a></td><td>Monk Skin Tone Score</td><td>Assessment of skin tone using the Monk Skin Tone Scale</td></tr><tr><td style=\"white-space:nowrap\">waterlow-score<a name=\"onc-observation-codes-waterlow-score\"> </a></td><td>Waterlow Score</td><td>Total score for Waterlow pressure ulcer risk assessment</td></tr><tr><td style=\"white-space:nowrap\">must-score<a name=\"onc-observation-codes-must-score\"> </a></td><td>MUST Score</td><td>Malnutrition Universal Screening Tool total score</td></tr><tr><td style=\"white-space:nowrap\">must-bmi-score<a name=\"onc-observation-codes-must-bmi-score\"> </a></td><td>MUST BMI Score</td><td>Malnutrition Universal Screening Tool BMI score</td></tr><tr><td style=\"white-space:nowrap\">must-weight-loss-score<a name=\"onc-observation-codes-must-weight-loss-score\"> </a></td><td>MUST Weight Loss Score</td><td>Malnutrition Universal Screening Tool weight loss score</td></tr><tr><td style=\"white-space:nowrap\">must-acute-disease-score<a name=\"onc-observation-codes-must-acute-disease-score\"> </a></td><td>MUST Acute Disease Score</td><td>Malnutrition Universal Screening Tool acute disease effect score</td></tr><tr><td style=\"white-space:nowrap\">braden-total-score<a name=\"onc-observation-codes-braden-total-score\"> </a></td><td>Braden Total Score</td><td>Braden scale total score</td></tr><tr><td style=\"white-space:nowrap\">braden-sensory<a name=\"onc-observation-codes-braden-sensory\"> </a></td><td>Braden Sensory Perception</td><td>Sensory perception Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-moisture<a name=\"onc-observation-codes-braden-moisture\"> </a></td><td>Braden Moisture</td><td>Moisture Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-activity<a name=\"onc-observation-codes-braden-activity\"> </a></td><td>Braden Activity</td><td>Activity Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-mobility<a name=\"onc-observation-codes-braden-mobility\"> </a></td><td>Braden Mobility</td><td>Mobility Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-nutrition<a name=\"onc-observation-codes-braden-nutrition\"> </a></td><td>Braden Nutrition</td><td>Nutrition Braden scale</td></tr><tr><td style=\"white-space:nowrap\">braden-friction<a name=\"onc-observation-codes-braden-friction\"> </a></td><td>Braden Friction/Shear</td><td>Friction and shear Braden scale</td></tr><tr><td style=\"white-space:nowrap\">barthel-score<a name=\"onc-observation-codes-barthel-score\"> </a></td><td>Barthel Index Score</td><td>Total score for Barthel Index assessment</td></tr><tr><td style=\"white-space:nowrap\">news2-score<a name=\"onc-observation-codes-news2-score\"> </a></td><td>NEWS2 Score</td><td>National Early Warning Score 2 Total Score</td></tr><tr><td style=\"white-space:nowrap\">news2-subscore<a name=\"onc-observation-codes-news2-subscore\"> </a></td><td>NEWS2 Sub-score</td><td>Sub-score for NEWS2 parameter</td></tr><tr><td style=\"white-space:nowrap\">wound-stage<a name=\"onc-observation-codes-wound-stage\"> </a></td><td>Wound Stage</td><td>Stage of the wound</td></tr><tr><td style=\"white-space:nowrap\">stage-1<a name=\"onc-observation-codes-stage-1\"> </a></td><td>Stage 1</td><td>Stage 1 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-2<a name=\"onc-observation-codes-stage-2\"> </a></td><td>Stage 2</td><td>Stage 2 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-3<a name=\"onc-observation-codes-stage-3\"> </a></td><td>Stage 3</td><td>Stage 3 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">stage-4<a name=\"onc-observation-codes-stage-4\"> </a></td><td>Stage 4</td><td>Stage 4 pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">unstageable<a name=\"onc-observation-codes-unstageable\"> </a></td><td>Unstageable</td><td>Unstageable pressure ulcer</td></tr><tr><td style=\"white-space:nowrap\">deep-tissue<a name=\"onc-observation-codes-deep-tissue\"> </a></td><td>Deep Tissue Injury</td><td>Deep tissue injury</td></tr><tr><td style=\"white-space:nowrap\">risk-falls<a name=\"onc-observation-codes-risk-falls\"> </a></td><td>Risk of Falls</td><td>Risk of falls diagnosis</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-1<a name=\"onc-observation-codes-fitzpatrick-1\"> </a></td><td>Type I</td><td>Pale white; always burns, never tans</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-2<a name=\"onc-observation-codes-fitzpatrick-2\"> </a></td><td>Type II</td><td>White; usually burns, tans with difficulty</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-3<a name=\"onc-observation-codes-fitzpatrick-3\"> </a></td><td>Type III</td><td>Cream white; sometimes mild burn, gradually tans</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-4<a name=\"onc-observation-codes-fitzpatrick-4\"> </a></td><td>Type IV</td><td>Moderate brown; rarely burns, tans with ease</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-5<a name=\"onc-observation-codes-fitzpatrick-5\"> </a></td><td>Type V</td><td>Dark brown; very rarely burns, tans very easily</td></tr><tr><td style=\"white-space:nowrap\">fitzpatrick-6<a name=\"onc-observation-codes-fitzpatrick-6\"> </a></td><td>Type VI</td><td>Deeply pigmented dark brown to black; never burns, tans very easily</td></tr><tr><td style=\"white-space:nowrap\">what-matters<a name=\"onc-observation-codes-what-matters\"> </a></td><td>What Matters to Me</td><td>Patient-identified priorities and non-clinical goals</td></tr><tr><td style=\"white-space:nowrap\">patient-story<a name=\"onc-observation-codes-patient-story\"> </a></td><td>Patient Story</td><td>Narrative summary of patient background, preferences, and autobiography</td></tr><tr><td style=\"white-space:nowrap\">relational-engagement<a name=\"onc-observation-codes-relational-engagement\"> </a></td><td>Relational Engagement Score</td><td>Assessment of the quality of nurse-patient engagement (1-5)</td></tr><tr><td style=\"white-space:nowrap\">cfs-score<a name=\"onc-observation-codes-cfs-score\"> </a></td><td>Clinical Frailty Scale Score</td><td>Total score for Rockwood Clinical Frailty Scale</td></tr><tr><td style=\"white-space:nowrap\">cfs-1<a name=\"onc-observation-codes-cfs-1\"> </a></td><td>Very Fit</td><td>Robus, active, energetic and motivated</td></tr><tr><td style=\"white-space:nowrap\">cfs-2<a name=\"onc-observation-codes-cfs-2\"> </a></td><td>Well</td><td>No active disease symptoms but less fit than category 1</td></tr><tr><td style=\"white-space:nowrap\">cfs-3<a name=\"onc-observation-codes-cfs-3\"> </a></td><td>Managing Well</td><td>Medical problems are well controlled, but not regularly active</td></tr><tr><td style=\"white-space:nowrap\">cfs-4<a name=\"onc-observation-codes-cfs-4\"> </a></td><td>Vulnerable</td><td>Not dependent for daily help, but symptoms limit activities</td></tr><tr><td style=\"white-space:nowrap\">cfs-5<a name=\"onc-observation-codes-cfs-5\"> </a></td><td>Mildly Frail</td><td>Need help with high order IADLs (finances, transportation, heavy housework)</td></tr><tr><td style=\"white-space:nowrap\">cfs-6<a name=\"onc-observation-codes-cfs-6\"> </a></td><td>Moderately Frail</td><td>Need help with all outside activities and some housekeeping</td></tr><tr><td style=\"white-space:nowrap\">cfs-7<a name=\"onc-observation-codes-cfs-7\"> </a></td><td>Severely Frail</td><td>Completely dependent for personal care</td></tr><tr><td style=\"white-space:nowrap\">cfs-8<a name=\"onc-observation-codes-cfs-8\"> </a></td><td>Very Severely Frail</td><td>Completely dependent, approaching end of life</td></tr><tr><td style=\"white-space:nowrap\">cfs-9<a name=\"onc-observation-codes-cfs-9\"> </a></td><td>Terminally Ill</td><td>Approaching the end of life (life expectancy &lt;6 months)</td></tr><tr><td style=\"white-space:nowrap\">4at-score<a name=\"onc-observation-codes-4at-score\"> </a></td><td>4AT Delirium Score</td><td>Total score for 4AT assessment</td></tr><tr><td style=\"white-space:nowrap\">4at-alertness<a name=\"onc-observation-codes-4at-alertness\"> </a></td><td>Alertness</td><td>4AT Item 1: Alertness</td></tr><tr><td style=\"white-space:nowrap\">4at-amt4<a name=\"onc-observation-codes-4at-amt4\"> </a></td><td>AMT4 Score</td><td>4AT Item 2: Abbreviated Mental Test 4</td></tr><tr><td style=\"white-space:nowrap\">4at-attention<a name=\"onc-observation-codes-4at-attention\"> </a></td><td>Attention</td><td>4AT Item 3: Attention (Months Backwards)</td></tr><tr><td style=\"white-space:nowrap\">4at-acute-change<a name=\"onc-observation-codes-4at-acute-change\"> </a></td><td>Acute Change</td><td>4AT Item 4: Acute Change or Fluctuating Course</td></tr><tr><td style=\"white-space:nowrap\">reasonable-adjustment<a name=\"onc-observation-codes-reasonable-adjustment\"> </a></td><td>Reasonable Adjustment</td><td>Requirement for adjustment to care delivery (Equality Act)</td></tr><tr><td style=\"white-space:nowrap\">mca-assessment<a name=\"onc-observation-codes-mca-assessment\"> </a></td><td>Mental Capacity Assessment</td><td>Assessment of capacity to make a specific decision</td></tr><tr><td style=\"white-space:nowrap\">capacity-present<a name=\"onc-observation-codes-capacity-present\"> </a></td><td>Capacity Present</td><td>Patient has capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">capacity-absent<a name=\"onc-observation-codes-capacity-absent\"> </a></td><td>Capacity Absent</td><td>Patient lacks capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">best-interest<a name=\"onc-observation-codes-best-interest\"> </a></td><td>Best Interest Decision</td><td>Decision made in patient's best interest</td></tr><tr><td style=\"white-space:nowrap\">bristol-score<a name=\"onc-observation-codes-bristol-score\"> </a></td><td>Bristol Stool Score</td><td>Bristol Stool Form Scale Score (1-7)</td></tr><tr><td style=\"white-space:nowrap\">bristol-1<a name=\"onc-observation-codes-bristol-1\"> </a></td><td>Type 1</td><td>Separate hard lumps, like nuts (hard to pass)</td></tr><tr><td style=\"white-space:nowrap\">bristol-2<a name=\"onc-observation-codes-bristol-2\"> </a></td><td>Type 2</td><td>Sausage-shaped but lumpy</td></tr><tr><td style=\"white-space:nowrap\">bristol-3<a name=\"onc-observation-codes-bristol-3\"> </a></td><td>Type 3</td><td>Like a sausage but with cracks on its surface</td></tr><tr><td style=\"white-space:nowrap\">bristol-4<a name=\"onc-observation-codes-bristol-4\"> </a></td><td>Type 4</td><td>Like a sausage or snake, smooth and soft</td></tr><tr><td style=\"white-space:nowrap\">bristol-5<a name=\"onc-observation-codes-bristol-5\"> </a></td><td>Type 5</td><td>Soft blobs with clear-cut edges (passed easily)</td></tr><tr><td style=\"white-space:nowrap\">bristol-6<a name=\"onc-observation-codes-bristol-6\"> </a></td><td>Type 6</td><td>Fluffy pieces with ragged edges, a mushy stool</td></tr><tr><td style=\"white-space:nowrap\">bristol-7<a name=\"onc-observation-codes-bristol-7\"> </a></td><td>Type 7</td><td>Watery, no solid pieces. Entirely liquid</td></tr><tr><td style=\"white-space:nowrap\">abbey-score<a name=\"onc-observation-codes-abbey-score\"> </a></td><td>Abbey Pain Scale Score</td><td>Total Abbey Pain Scale Score (0-100+ but usually 0-18+)</td></tr><tr><td style=\"white-space:nowrap\">abbey-vocalization<a name=\"onc-observation-codes-abbey-vocalization\"> </a></td><td>Vocalization</td><td>Whimpering, groaning, crying</td></tr><tr><td style=\"white-space:nowrap\">abbey-facial-expression<a name=\"onc-observation-codes-abbey-facial-expression\"> </a></td><td>Facial Expression</td><td>Looking tense, frowning, grimacing, looking frightened</td></tr><tr><td style=\"white-space:nowrap\">abbey-body-language<a name=\"onc-observation-codes-abbey-body-language\"> </a></td><td>Body Language</td><td>Fidgeting, rocking, guarding part of body, withdrawn</td></tr><tr><td style=\"white-space:nowrap\">abbey-behavioral-change<a name=\"onc-observation-codes-abbey-behavioral-change\"> </a></td><td>Behavioral Change</td><td>Increased confusion, refusing to eat, alteration in usual pattern</td></tr><tr><td style=\"white-space:nowrap\">abbey-psychological-change<a name=\"onc-observation-codes-abbey-psychological-change\"> </a></td><td>Psychological Change</td><td>Temperature, pulse, blood pressure changes, perspiration, pallor</td></tr><tr><td style=\"white-space:nowrap\">abbey-physical-changes<a name=\"onc-observation-codes-abbey-physical-changes\"> </a></td><td>Physical Changes</td><td>Skin tears, pressure areas, arthritis, contractures, previous injuries</td></tr><tr><td style=\"white-space:nowrap\">fluid-input-total<a name=\"onc-observation-codes-fluid-input-total\"> </a></td><td>Total Fluid Input</td><td>Total fluid input over specified period (e.g. 24h)</td></tr><tr><td style=\"white-space:nowrap\">fluid-output-total<a name=\"onc-observation-codes-fluid-output-total\"> </a></td><td>Total Fluid Output</td><td>Total fluid output over specified period (e.g. 24h)</td></tr><tr><td style=\"white-space:nowrap\">fluid-balance<a name=\"onc-observation-codes-fluid-balance\"> </a></td><td>Fluid Balance</td><td>Total Input minus Total Output</td></tr><tr><td style=\"white-space:nowrap\">urine-output<a name=\"onc-observation-codes-urine-output\"> </a></td><td>Urine Output</td><td>Volume of urine passed</td></tr><tr><td style=\"white-space:nowrap\">abc-chart<a name=\"onc-observation-codes-abc-chart\"> </a></td><td>ABC Chart</td><td>Antecedent-Behaviour-Consequence Chart for PBS</td></tr><tr><td style=\"white-space:nowrap\">abc-antecedent<a name=\"onc-observation-codes-abc-antecedent\"> </a></td><td>Antecedent</td><td>What happened immediately before the behaviour (triggers)</td></tr><tr><td style=\"white-space:nowrap\">abc-behaviour<a name=\"onc-observation-codes-abc-behaviour\"> </a></td><td>Behaviour</td><td>Description of the behaviour itself (observable actions)</td></tr><tr><td style=\"white-space:nowrap\">abc-consequence<a name=\"onc-observation-codes-abc-consequence\"> </a></td><td>Consequence</td><td>What happened immediately after (response/outcome)</td></tr><tr><td style=\"white-space:nowrap\">abc-function<a name=\"onc-observation-codes-abc-function\"> </a></td><td>Function of Behaviour</td><td>Hypothesized function (e.g. Sensory, Escape, Attention, Tangible)</td></tr><tr><td style=\"white-space:nowrap\">abc-duration<a name=\"onc-observation-codes-abc-duration\"> </a></td><td>Duration</td><td>Duration of the episode</td></tr><tr><td style=\"white-space:nowrap\">abc-intensity<a name=\"onc-observation-codes-abc-intensity\"> </a></td><td>Intensity</td><td>Intensity of the behaviour (1-10)</td></tr><tr><td style=\"white-space:nowrap\">oral-health-score<a name=\"onc-observation-codes-oral-health-score\"> </a></td><td>Oral Health Score</td><td>Total Oral Health Assessment Score</td></tr><tr><td style=\"white-space:nowrap\">oral-lips<a name=\"onc-observation-codes-oral-lips\"> </a></td><td>Lips</td><td>Condition of lips (Pink/Moist vs Dry/Cracked)</td></tr><tr><td style=\"white-space:nowrap\">oral-tongue<a name=\"onc-observation-codes-oral-tongue\"> </a></td><td>Tongue</td><td>Condition of tongue (Pink/Moist vs Coated/Red)</td></tr><tr><td style=\"white-space:nowrap\">oral-gums<a name=\"onc-observation-codes-oral-gums\"> </a></td><td>Gums</td><td>Condition of gums (Pink/Firm vs Bleeding/Receding)</td></tr><tr><td style=\"white-space:nowrap\">oral-teeth<a name=\"onc-observation-codes-oral-teeth\"> </a></td><td>Teeth/Dentures</td><td>Condition of teeth or dentures (Clean/Intact vs Decayed/Broken/Loose)</td></tr><tr><td style=\"white-space:nowrap\">oral-saliva<a name=\"onc-observation-codes-oral-saliva\"> </a></td><td>Saliva</td><td>Saliva quality (Moist/Watery vs Thick/Sticky/Absent)</td></tr><tr><td style=\"white-space:nowrap\">seizure-record<a name=\"onc-observation-codes-seizure-record\"> </a></td><td>Seizure Record</td><td>Record of a seizure event</td></tr><tr><td style=\"white-space:nowrap\">seizure-type<a name=\"onc-observation-codes-seizure-type\"> </a></td><td>Seizure Type</td><td>Type of seizure (Tonic-Clonic, Absence, Focal, etc)</td></tr><tr><td style=\"white-space:nowrap\">seizure-duration<a name=\"onc-observation-codes-seizure-duration\"> </a></td><td>Seizure Duration</td><td>Duration of the active seizure phase</td></tr><tr><td style=\"white-space:nowrap\">seizure-recovery<a name=\"onc-observation-codes-seizure-recovery\"> </a></td><td>Recovery Phase</td><td>Duration/Description of post-ictal recovery</td></tr><tr><td style=\"white-space:nowrap\">seizure-trigger<a name=\"onc-observation-codes-seizure-trigger\"> </a></td><td>Trigger</td><td>Suspected trigger for the seizure</td></tr><tr><td style=\"white-space:nowrap\">sleep-record<a name=\"onc-observation-codes-sleep-record\"> </a></td><td>Sleep Record</td><td>Record of a sleep period</td></tr><tr><td style=\"white-space:nowrap\">sleep-quality<a name=\"onc-observation-codes-sleep-quality\"> </a></td><td>Sleep Quality</td><td>Subjective or observed quality of sleep</td></tr><tr><td style=\"white-space:nowrap\">sleep-hours<a name=\"onc-observation-codes-sleep-hours\"> </a></td><td>Hours Slept</td><td>Total hours of sleep achieved</td></tr><tr><td style=\"white-space:nowrap\">sleep-disturbances<a name=\"onc-observation-codes-sleep-disturbances\"> </a></td><td>Disturbances</td><td>Number or description of distinct awakenings</td></tr><tr><td style=\"white-space:nowrap\">urinalysis-panel<a name=\"onc-observation-codes-urinalysis-panel\"> </a></td><td>Urinalysis Panel</td><td>Urine Dipstick Test Panel</td></tr><tr><td style=\"white-space:nowrap\">ua-leukocytes<a name=\"onc-observation-codes-ua-leukocytes\"> </a></td><td>Leukocytes</td><td>Leukocytes (WBCs) in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-nitrites<a name=\"onc-observation-codes-ua-nitrites\"> </a></td><td>Nitrites</td><td>Nitrites in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-protein<a name=\"onc-observation-codes-ua-protein\"> </a></td><td>Protein</td><td>Protein in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-blood<a name=\"onc-observation-codes-ua-blood\"> </a></td><td>Blood</td><td>Blood (Hemoglobin) in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-glucose<a name=\"onc-observation-codes-ua-glucose\"> </a></td><td>Glucose</td><td>Glucose in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-ketones<a name=\"onc-observation-codes-ua-ketones\"> </a></td><td>Ketones</td><td>Ketones in urine</td></tr><tr><td style=\"white-space:nowrap\">ua-ph<a name=\"onc-observation-codes-ua-ph\"> </a></td><td>pH</td><td>Urine pH Level</td></tr><tr><td style=\"white-space:nowrap\">ua-sg<a name=\"onc-observation-codes-ua-sg\"> </a></td><td>Specific Gravity</td><td>Urine Specific Gravity</td></tr><tr><td style=\"white-space:nowrap\">mca-present<a name=\"onc-observation-codes-mca-present\"> </a></td><td>Capacity Present</td><td>Patient has capacity for this decision</td></tr><tr><td style=\"white-space:nowrap\">4at-change-no<a name=\"onc-observation-codes-4at-change-no\"> </a></td><td>No Acute Change</td><td>No indication of acute change or fluctuating course</td></tr><tr><td style=\"white-space:nowrap\">4at-amt4-1error<a name=\"onc-observation-codes-4at-amt4-1error\"> </a></td><td>1 Error</td><td>1 error in AMT4 test</td></tr><tr><td style=\"white-space:nowrap\">4at-attention-gt7<a name=\"onc-observation-codes-4at-attention-gt7\"> </a></td><td>Months Backwards &lt; 7 months</td><td>Less than 7 months correctly recited backwards</td></tr><tr><td style=\"white-space:nowrap\">4at-alert-normal<a name=\"onc-observation-codes-4at-alert-normal\"> </a></td><td>Normal Alertness</td><td>Patient is fully alert</td></tr></table></div>"
|
|
|
},
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.url">url</a>" : "https://clinyqai.github.io/open-nursing-core-ig/CodeSystem/onc-observation-codes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.version">version</a>" : "0.1.0",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.name">name</a>" : "ONCObservationCodes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.title">title</a>" : "ONC Observation Codes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.status">status</a>" : "draft",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.date">date</a>" : "2026-01-01T13:37:23+00:00",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.description">description</a>" : "Custom observation codes for Open Nursing Core",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.content">content</a>" : "complete",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.count">count</a>" : 108,
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept">concept</a>" : [
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "mst-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Monk Skin Tone Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Assessment of skin tone using the Monk Skin Tone Scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "waterlow-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Waterlow Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total score for Waterlow pressure ulcer risk assessment"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "must-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "MUST Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Malnutrition Universal Screening Tool total score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "must-bmi-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "MUST BMI Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Malnutrition Universal Screening Tool BMI score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "must-weight-loss-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "MUST Weight Loss Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Malnutrition Universal Screening Tool weight loss score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "must-acute-disease-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "MUST Acute Disease Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Malnutrition Universal Screening Tool acute disease effect score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-total-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Total Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Braden scale total score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-sensory",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Sensory Perception",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Sensory perception Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-moisture",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Moisture",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Moisture Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-activity",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Activity",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Activity Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-mobility",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Mobility",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Mobility Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-nutrition",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Nutrition",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Nutrition Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "braden-friction",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Braden Friction/Shear",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Friction and shear Braden scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "barthel-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Barthel Index Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total score for Barthel Index assessment"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "news2-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "NEWS2 Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "National Early Warning Score 2 Total Score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "news2-subscore",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "NEWS2 Sub-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Sub-score for NEWS2 parameter"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "wound-stage",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Wound Stage",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Stage of the wound"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "stage-1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Stage 1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Stage 1 pressure ulcer"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "stage-2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Stage 2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Stage 2 pressure ulcer"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "stage-3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Stage 3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Stage 3 pressure ulcer"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "stage-4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Stage 4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Stage 4 pressure ulcer"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "unstageable",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Unstageable",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Unstageable pressure ulcer"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "deep-tissue",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Deep Tissue Injury",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Deep tissue injury"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "risk-falls",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Risk of Falls",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Risk of falls diagnosis"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type I",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Pale white; always burns, never tans"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type II",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "White; usually burns, tans with difficulty"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type III",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Cream white; sometimes mild burn, gradually tans"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type IV",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Moderate brown; rarely burns, tans with ease"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-5",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type V",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Dark brown; very rarely burns, tans very easily"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fitzpatrick-6",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type VI",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Deeply pigmented dark brown to black; never burns, tans very easily"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "what-matters",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "What Matters to Me",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Patient-identified priorities and non-clinical goals"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "patient-story",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Patient Story",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Narrative summary of patient background, preferences, and autobiography"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "relational-engagement",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Relational Engagement Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Assessment of the quality of nurse-patient engagement (1-5)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Clinical Frailty Scale Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total score for Rockwood Clinical Frailty Scale"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Very Fit",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Robus, active, energetic and motivated"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Well",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "No active disease symptoms but less fit than category 1"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Managing Well",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Medical problems are well controlled, but not regularly active"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Vulnerable",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Not dependent for daily help, but symptoms limit activities"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-5",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Mildly Frail",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Need help with high order IADLs (finances, transportation, heavy housework)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-6",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Moderately Frail",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Need help with all outside activities and some housekeeping"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-7",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Severely Frail",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Completely dependent for personal care"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-8",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Very Severely Frail",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Completely dependent, approaching end of life"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "cfs-9",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Terminally Ill",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Approaching the end of life (life expectancy <6 months)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "4AT Delirium Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total score for 4AT assessment"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-alertness",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Alertness",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "4AT Item 1: Alertness"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-amt4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "AMT4 Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "4AT Item 2: Abbreviated Mental Test 4"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-attention",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Attention",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "4AT Item 3: Attention (Months Backwards)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-acute-change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Acute Change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "4AT Item 4: Acute Change or Fluctuating Course"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "reasonable-adjustment",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Reasonable Adjustment",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Requirement for adjustment to care delivery (Equality Act)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "mca-assessment",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Mental Capacity Assessment",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Assessment of capacity to make a specific decision"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "capacity-present",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Capacity Present",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Patient has capacity for this decision"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "capacity-absent",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Capacity Absent",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Patient lacks capacity for this decision"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "best-interest",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Best Interest Decision",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Decision made in patient's best interest"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Bristol Stool Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Bristol Stool Form Scale Score (1-7)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 1",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Separate hard lumps, like nuts (hard to pass)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 2",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Sausage-shaped but lumpy"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 3",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Like a sausage but with cracks on its surface"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 4",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Like a sausage or snake, smooth and soft"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-5",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 5",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Soft blobs with clear-cut edges (passed easily)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-6",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 6",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Fluffy pieces with ragged edges, a mushy stool"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "bristol-7",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Type 7",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Watery, no solid pieces. Entirely liquid"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Abbey Pain Scale Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total Abbey Pain Scale Score (0-100+ but usually 0-18+)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-vocalization",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Vocalization",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Whimpering, groaning, crying"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-facial-expression",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Facial Expression",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Looking tense, frowning, grimacing, looking frightened"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-body-language",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Body Language",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Fidgeting, rocking, guarding part of body, withdrawn"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-behavioral-change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Behavioral Change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Increased confusion, refusing to eat, alteration in usual pattern"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-psychological-change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Psychological Change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Temperature, pulse, blood pressure changes, perspiration, pallor"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abbey-physical-changes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Physical Changes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Skin tears, pressure areas, arthritis, contractures, previous injuries"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fluid-input-total",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Total Fluid Input",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total fluid input over specified period (e.g. 24h)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fluid-output-total",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Total Fluid Output",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total fluid output over specified period (e.g. 24h)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "fluid-balance",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Fluid Balance",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total Input minus Total Output"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "urine-output",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Urine Output",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Volume of urine passed"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-chart",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "ABC Chart",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Antecedent-Behaviour-Consequence Chart for PBS"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-antecedent",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Antecedent",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "What happened immediately before the behaviour (triggers)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-behaviour",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Behaviour",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Description of the behaviour itself (observable actions)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-consequence",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Consequence",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "What happened immediately after (response/outcome)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-function",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Function of Behaviour",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Hypothesized function (e.g. Sensory, Escape, Attention, Tangible)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-duration",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Duration",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Duration of the episode"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "abc-intensity",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Intensity",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Intensity of the behaviour (1-10)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-health-score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Oral Health Score",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total Oral Health Assessment Score"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-lips",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Lips",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Condition of lips (Pink/Moist vs Dry/Cracked)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-tongue",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Tongue",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Condition of tongue (Pink/Moist vs Coated/Red)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-gums",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Gums",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Condition of gums (Pink/Firm vs Bleeding/Receding)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-teeth",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Teeth/Dentures",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Condition of teeth or dentures (Clean/Intact vs Decayed/Broken/Loose)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "oral-saliva",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Saliva",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Saliva quality (Moist/Watery vs Thick/Sticky/Absent)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "seizure-record",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Seizure Record",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Record of a seizure event"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "seizure-type",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Seizure Type",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Type of seizure (Tonic-Clonic, Absence, Focal, etc)"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "seizure-duration",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Seizure Duration",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Duration of the active seizure phase"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "seizure-recovery",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Recovery Phase",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Duration/Description of post-ictal recovery"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "seizure-trigger",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Trigger",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Suspected trigger for the seizure"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "sleep-record",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Sleep Record",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Record of a sleep period"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "sleep-quality",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Sleep Quality",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Subjective or observed quality of sleep"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "sleep-hours",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Hours Slept",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Total hours of sleep achieved"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "sleep-disturbances",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Disturbances",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Number or description of distinct awakenings"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "urinalysis-panel",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Urinalysis Panel",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Urine Dipstick Test Panel"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-leukocytes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Leukocytes",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Leukocytes (WBCs) in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-nitrites",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Nitrites",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Nitrites in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-protein",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Protein",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Protein in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-blood",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Blood",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Blood (Hemoglobin) in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-glucose",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Glucose",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Glucose in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-ketones",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Ketones",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Ketones in urine"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-ph",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "pH",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Urine pH Level"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "ua-sg",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Specific Gravity",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Urine Specific Gravity"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "mca-present",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Capacity Present",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Patient has capacity for this decision"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-change-no",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "No Acute Change",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "No indication of acute change or fluctuating course"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-amt4-1error",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "1 Error",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "1 error in AMT4 test"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-attention-gt7",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Months Backwards < 7 months",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Less than 7 months correctly recited backwards"
|
|
|
},
|
|
|
{
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.code">code</a>" : "4at-alert-normal",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.display">display</a>" : "Normal Alertness",
|
|
|
"<a href="http://hl7.org/fhir/R4/codesystem.html#CodeSystem.concept.definition">definition</a>" : "Patient is fully alert"
|
|
|
}
|
|
|
]
|
|
|
}</code></pre>
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</div>
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</div>
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</div>
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</div>
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IG © 2025+ <a style="color:var(--footer-hyperlink-text-color)" href=""></a>. Package onc.ig#0.1.0 based on <a style="color: var(--footer-hyperlink-text-color)" href="http://hl7.org/fhir/R4/">FHIR 4.0.1</a>. Generated <span title="Thu, Jan 1, 2026 13:37+0000">2026-01-01</span>
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<br/>
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<span style="color: var(--footer-highlight-text-color)">
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Links: <a style="color: var(--footer-hyperlink-text-color)" href="toc.html">Table of Contents</a> |
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<a style="color: var(--footer-hyperlink-text-color)" href="qa.html">QA Report</a>
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