Modellbiblioteket openEHR Fork
Name
Exclusion of a symptom or sign
Description
Statement to explicitly record that a symptom or signe was reported as not present.
Keywords
symptom
absence
exclusion
Purpose
To record a positive statement to explicitly record that a symptom or sign was reported as not present.
Use
Use to record a positive statement to explicitly record that a symptom or sign was reported as not present.
Use to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype.
This archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.
Use to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype.
This archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.
Archetype Id
openEHR-EHR-CLUSTER.exclusion_symptom_sign.v0
Copyright
© openEHR Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Heather Leslie
Ocean Informatics
Ocean Informatics
Date Originally Authored
To record a positive statement to explicitly record that a symptom or sign was reported as not present.
Language | Details |
---|---|
Norwegian Bokmal |
Lars Bitsch-Larsen
Haukeland University Hospital of Bergen, Norway
|
Name | Card | Type | Description |
---|---|---|---|
Exclusion Statement
|
0..1 | DV_TEXT |
A statement about the exclusion of known symptoms in the health record.
Comment
For example: "No significant symptoms".
|
Excluded Symptom
|
0..1 |
CHOICE OF
DV_TEXT
DV_CODED_TEXT
|
Identification of the specific symptom to which the Exclusion Statement applies.
Comment
Coding of the Symptom with a terminology is desirable, where possible.
Constraint for DV_CODED_TEXT
|
archetype (adl_version=1.4; uid=659df819-b8da-4489-9b7e-0a20074f543c) openEHR-EHR-CLUSTER.exclusion_symptom_sign.v0 concept [at0000] -- Exclusion of a symptom or sign language original_language = <[ISO_639-1::en]> translations = < ["nb"] = < language = <[ISO_639-1::nb]> author = < ["name"] = <"Lars Bitsch-Larsen"> ["organisation"] = <"Haukeland University Hospital of Bergen, Norway"> > accreditation = <"MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine."> > > description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Ocean Informatics"> ["email"] = <"heather.leslie@oceaninformatics.com"> ["date"] = <"2015-06-26"> > details = < ["nb"] = < language = <[ISO_639-1::nb]> purpose = <"Anvendes for registrering av fravær av et spesifikk symptom som definert i \"openEHR-EHR-CLUSTER.symptom.v1 archetype\"."> use = <""> keywords = <"Symptom", "fravær", "eksklusjon"> misuse = <""> copyright = <"© openEHR Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record a positive statement to explicitly record that a symptom or sign was reported as not present."> use = <"Use to record a positive statement to explicitly record that a symptom or sign was reported as not present. Use to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype. This archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate."> keywords = <"symptom, absence, exclusion", ...> misuse = <""> copyright = <"© openEHR Foundation"> > > lifecycle_state = <"in_development"> other_contributors = <> other_details = < ["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/."> ["custodian_organisation"] = <"openEHR Foundation"> ["current_contact"] = <"Heather Leslie, Ocean Informatics<heather.leslie@oceaninformatics.com>"> ["original_namespace"] = <"org.openehr"> ["original_publisher"] = <"openEHR Foundation"> ["custodian_namespace"] = <"org.openehr"> ["MD5-CAM-1.0.1"] = <"4C7933C02F879864FC54A31737ABEBD3"> ["build_uid"] = <"e1d694db-a6eb-48c3-a4d1-f4fef9f65b75"> ["revision"] = <"0.0.1-alpha"> > definition CLUSTER[at0000] matches { -- Exclusion of a symptom or sign items cardinality matches {1..*; unordered} matches { ELEMENT[at0001] occurrences matches {0..1} matches { -- Exclusion Statement value matches { DV_TEXT matches {*} } } ELEMENT[at0002] occurrences matches {0..1} matches { -- Excluded Symptom value matches { DV_TEXT matches {*} DV_CODED_TEXT matches { defining_code matches {[local::]} } } } } } ontology term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Exclusion of a symptom or sign"> description = <"Statement to explicitly record that a symptom or signe was reported as not present."> > ["at0001"] = < text = <"Exclusion Statement"> description = <"A statement about the exclusion of known symptoms in the health record."> comment = <"For example: \"No significant symptoms\"."> > ["at0002"] = < text = <"Excluded Symptom"> description = <"Identification of the specific symptom to which the Exclusion Statement applies."> comment = <"Coding of the Symptom with a terminology is desirable, where possible."> > > > ["nb"] = < items = < ["at0000"] = < text = <"*Exclusion of a symptom or sign(en)"> description = <"*Statement to explicitly record that a symptom or signe was reported as not present.(en)"> > ["at0001"] = < text = <"*Exclusion Statement(en)"> description = <"*A statement about the exclusion of known symptoms in the health record.(en)"> comment = <"*For example: \"No significant symptoms\".(en)"> > ["at0002"] = < text = <"*Excluded Symptom(en)"> description = <"*Identification of the specific symptom to which the Exclusion Statement applies.(en)"> comment = <"*Coding of the Symptom with a terminology is desirable, where possible.(en)"> > > > >