archetype (adl_version=1.4; uid=9caaeeb6-7da2-4ab8-8af0-b7643e867dbf)
	openEHR-EHR-CLUSTER.problem_qualifier.v2

concept
	[at0000]	-- Problem/Diagnosis qualifier
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Simon Schumacher, Louisa Bode, Natalia Strauch">
				["organisation"] = <"HiGHmed, Medizinische Hochschule Hannover">
				["email"] = <"sschuma9@uni-koeln.de, bode.louisa@mh-hannover.de, Strauch.Natalia@mh-hannover.de">
			>
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			author = <
				["name"] = <"Therese Lindberg">
				["organisation"] = <"Cambio CDS">
				["email"] = <"therese.lindberg@cambio.se">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"John Tore Valand, Silje Ljosland Bakke">
				["organisation"] = <"Helse Bergen HF, Nasjonal IKT HF, Helse Vest IKT AS">
				["email"] = <"silje.ljosland.bakke@helse-vest-ikt.no">
			>
		>
		["ko"] = <
			language = <[ISO_639-1::ko]>
			author = <
				["name"] = <"Seung-Jong Yu">
				["organisation"] = <"InfoClinic Co.,Ltd.">
				["email"] = <"seungjong.yu@gmail.com">
			>
			accreditation = <"M.D.">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			author = <
				["name"] = <"Adriana Kitajima, Debora Farage, Fernanda Maia, Ana Andrade e Clovis Puttini">
				["organisation"] = <"Core Consulting">
				["email"] = <"contato@coreconsulting.com.br">
			>
			accreditation = <"Hospital Alemão Oswaldo Cruz (HAOC)">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			author = <
				["name"] = <"mag. Biljana Prinčič">
				["organisation"] = <"Marand d.o.o., Ljubljana, Slovenija">
				["email"] = <"biljana.princic@marand.si">
			>
		>
		["it"] = <
			language = <[ISO_639-1::it]>
			author = <
				["name"] = <"Francesca Frexia">
				["organisation"] = <"CRS4 - Center for advanced studies, research and development in Sardinia, Pula (Cagliari), Italy">
				["email"] = <"francesca.frexia@crs4.it">
			>
		>
		["zh-cn"] = <
			language = <[ISO_639-1::zh-cn]>
			author = <
				["name"] = <"Lin Zhang">
				["organisation"] = <"Freelancer">
				["email"] = <"linforest@163.com">
			>
		>
		["zh"] = <
			language = <[ISO_639-1::zh]>
			author = <
				["name"] = <"Yexuan Cheng">
				["organisation"] = <"浙江大学">
				["email"] = <"3160100913@zju.edu.cn">
			>
		>
	>
description
	original_author = <
		["name"] = <"Dr Ian McNicoll">
		["organisation"] = <"freshEHR Clinical Informatics, United Kingdom">
		["email"] = <"ian@freshehr.com">
		["date"] = <"2013-05-29">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Zur Darstellung eines klinischen, kontext- oder zeitspezifischen Attributs für ein bestimmtes Problem oder eine bestimmte Diagnose.">
			use = <"Zur Darstellung eines kontext- oder zeitspezifischen Attributs, welches weitere Details liefert, die zum Zeitpunkt der Erfassung, oder im klinischen Kontext in dem das Problem, oder die Diagnose erfasst wurde, relevant ist. Das Attribut könnte zu einer anderen Zeit, oder in einem anderen klinischen Kontext, nicht angemessen sein.

Dieser Archetyp wurde entworfen, um in den SLOT \"Status\" des EVALUATION.problem_diagnosis Archetyps eingefügt zu werden. Die Absicht des EVALUATION.problem_diagnosis Archetyps ist es alle Informationen zu beinhalten, die in allen Kontexten relevant sein könnten. Dieser Archetyp hingegen soll nur Informationen beschreiben, welche vom Verwendungskontext abhängen. 

WICHTIGE ANMERKUNG ZUM IMPLEMENTIEREN DES ARCHETYPS:
-Es ist weder die Absicht, noch wird impliziert, dass irgendein, oder alle Attribute in dem gleichen Kontext, oder in dem gleichen Zeitraum genutzt werden sollten. Im Gegensatz zu dem üblichen Design von Archetypen, wurde dieser Archetyp absichtlich so konzipiert, dass oft genutzte Merkmale an einer Stelle gesammelt werden können. Dies gewährleistet eine einfache Standardisierung eines sonst sehr chaotischen Bereiches der klinischen Praxis. Es ist uns bewusst, dass die Datenelemente in diesem Archetyp viele verschiedene Konzepte, und teilweise auch konkurrierende Konzepte, einschließen. Dies wurde hauptsächlich gemacht um die Notwendigkeit von mehreren, meist nur wenige Elemente beinhaltenden, Attribut-Archetypen zu vermeiden.

-Manche Datenelemente sind unter Umständen widersprüchlich, wenn sie gleichzeitig in demselben Kontext genutzt werden. Zum Beispiel würde die Nutzung eines \"Inaktiven\" Problems, zusammen mit einer \"Andauernden\" Episode keinen Sinn ergeben. Aus diesem Grund sollten diese Status-Attribute mit hoher Sorgfalt genutzt werden. Sie können zwar variabel angewandt werden, aber in dem praktischen Gebrauch kann die Interoperabilität nur gewährleistet werden, wenn die Richtlinien innerhalb der klinischen Gemeinschaft in welcher das Archetyp-Paar \"Problem/Diagnose\" und \"Problem/Diagnose Attribut\" geteilt wird, klar definiert sind.

Für eine vollständige DRG-Codierung sind die DRG-bezogenen Datenelemente dieses Archetyps in Kombination mit Datenelementen anderer Archetypen erforderlich.">
			keywords = <"Problem", "Aktiv", "Inaktiv", "Status", "Episode", "Diagnose", "Attribut", "Merkmal">
			misuse = <"Nicht zur Darstellung einer Differentialdiagnose - nutze den Archetyp EVALUATION.differential_diagnosis für diesen Zweck.

Nicht zur Darstellung der diagnostischen Sicherheit - nutze das Datenelement \"Diagnostische Sicherheit\" innerhalb des EVALUATION.problem/diagnosis Archetyps für diesen Zweck.">
		>
		["sv"] = <
			language = <[ISO_639-1::sv]>
			purpose = <"Att registrera en klinisk kontextspecifik eller tidsspecifik kvalificering för ett specifikt problem eller diagnos.">
			use = <"Används för att registrera en relevant kontextspecifik eller tidsspecifik kvalificering som ger ytterligare detaljer som är relevanta vid registreringstidpunkten eller inom det kliniska sammanhang där ett problem eller en diagnos registreras. Kvalificeringen kanske inte är lämplig vid en annan tidpunkt eller i ett annat kliniskt sammanhang.

Denna arketyp är utformad för att inkluderas i Status SLOT i EVALUATION.problem_diagnosis arketyp. Syftet är att EVALUATION.problem_diagnosis-arketypen ska innehålla all information som gäller i alla sammanhang, i motsats till den här arketypen som endast beskriver information som beror på användningssammanhanget.

VIKTIGA ANMÄRKNINGAR FÖR GENOMFÖRANDE:
- Det är inte avsett eller underförstått att någon eller alla av dessa kvalificeringar ska användas inom samma sammanhang eller tidsperiod. Till skillnad från den vanliga utformningen av arketyper har denna arketyp avsiktligt utformats för att samla ett antal vanliga kvalificeringar på ett ställe i ett försök att försöka göra en enkel standardisering inom ett mycket rörigt område av klinisk praxis. Det erkänns att dataelementen i denna arketyp omfattar många olika, och ibland till och med konkurrerande, begrepp. Detta har huvudsakligen gjorts för att förhindra behovet av flera arketyper av kvalificerare, var och en innehåller endast ett eller två dataelement.
- Vissa av dessa dataelement är potentiellt direkt motstridiga om de används samtidigt inom samma sammanhang, till exempel vore det inte meningsfullt att ha ett \"inaktivt\" problem tillsammans med en episod som är \"pågående\". Därför bör dessa statuskvalificeringar användas med yttersta försiktighet, eftersom de tillämpas på olika sätt i praktiken och interoperabilitet inte kan garanteras om inte riktlinjerna för användning definieras tydligt inom den kliniska gemenskap där arketyperna 'Problem/Diagnos' och 'Problem/Diagnos kvalificering' kan delas.

Full DRG-kodning kräver DRG-relaterade dataelement från denna arketyp i kombination med dataelement från andra arketyper.">
			keywords = <"problem", "aktiva", "inaktiv", "status", "episod", "diagnos">
			misuse = <"Inte utformad för att representera en differentialdiagnos - använd arketypen EVALUATION.differential_diagnosis för detta ändamål.

Inte utformad för att representera diagnostisk säkerhet - använd dataelementet 'Diagnostisk säkerhet' inom EVALUATION.problem_diagnosis-arketypen.">
		>
		["ko"] = <
			language = <[ISO_639-1::ko]>
			purpose = <"특정 문제 또는 진단을 위한 임상 문맥-특징적인 또는 시간-특징적인 한정자(qualifier)를 기록하기 위함.">
			use = <"어떤 문제 또는 진단을 기록하는 경우, 임상 문맥을 기록하는 시점 또는 그 안에서 관계되는 추가적인 상세내용을 제공하는 관련된 문맥-특징적인 또는 시간-특징적인 한정자를 기록하는데 사용. 한정자가 다른 시간이나 임상 문맥에서는 부적당할 수도 있음.

이 아키타입은 EVALUATION.problem_diagnosis archetype 내의 Status SLOT에 포함하도록 설계됨. 의도는 이 아카타입이 사용되는 문맥에 따르는 정보만을 기술하는 것과 반대로 모든 문맥에 적용되는 모든 정보를 포함하는 EVALUATION.problem_diagnosis archetype을 위한 것임.

구현을 위한 중요 사항:
- 이것은 이 한정자 일부 또는 전부가 같은 문맥 또는 같은 시간의 기간 내에 사용되어야 하는 것을 의도하거나 의미하지 않음. 일반적인 아키타입 설계와 다르게, 이 아카타입은 매우 복잡한 임상 실무 영역 내에서 간단히 표준화하기 위한 노력으로 많은 공통 한정자를 한 곳에 수집하기 위해 의도적으로 설계됨. 이 아키타입에 포함된 데이터 엘리먼트는 많은 상이한 그리고 때때로 심지어 경쟁적인 개념을 포괄하는 것으로 인정됨. 이것은 주로 오직 하나 또는 2개의 데이터 엘리먼트를 포함하는 여러 개의 한정자 아키타입을 필요로 하지 않도록 함. 
- 몇몇의 이런 데이터 엘리먼트는 같은 문맥에서 동시에 사용된다면 잠재적으로 직접적으로 충돌하는데, 예를 들어, '진행중'인 어떤 에피소드와 함께 '비활성' 문제를 가지는 것은 이치에 맞지 않음. 이와 같이, 이 상태 한정자는 실무에서 매우 다양하게 적용되는 것처럼 극단적인 진료환경에서 함께 사용되어야 하고, 사용 지침이 'Problem/Diagnosis'와 'Problem/Diagnosis qualifier' archetype 쌍이 공유될 수도 있는 임상 커뮤니티 내에서 명확하게 정의되어야 상호운용성을 보장할 수 있음.

완전한 DRG 코딩은 다른 아키타입의 데이터 엘리먼트와 조합해서 이 아키타입의 DRG와 관련된 데이터 엘리먼트를 요구할 것임.">
			keywords = <"문제", "활성", "비활성", "상태", "에피소드", "진단">
			misuse = <"감별진단을 표현하는데 사용하지 않아야 함 - 이 목적을 위해서는 EVALUATION.differential_diagnosis archetype를 사용해야 함.

진단의 확실성(certainty)를 표현하기 위해 사용하지 않아야 함 - EVALUATION.problem_diagnosis archetype 내의 'Diagnostic certainty' 데이터 엘리먼트를 사용해야 함.">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å registrere en kontekstspesifikk eller tidsspesifikk kvalifikator for et problem eller en diagnose.">
			use = <"Brukes for å registrere en kontekstspesifikk eller tidsspesifikk kvalifikator som gir ytterligere detaljer som er relevante på tidspunktet man registrerer et problem eller en diagnose. Kvalifikatoren er ikke nødvendigvis passende på et annet tidspunkt eller i en annen klinisk sammenheng.

Denne arketypen skal brukes i SLOTet \"Status\" i arketypen EVALUATION.problem_diagnosis (Problem/diagnose). Intensjonen er at EVALUATION.problem_diagnosis-arketypen skal inneholde all informasjonen som gjelder i alle sammenhenger, i motsetning til denne arketypen som skal inneholde informasjonen som avhenger av brukssammenheng.

VIKTIG INFORMASJON FOR IMPLEMENTERING:
- Det er ikke meningen eller implisert at alle disse kvalifikatorene skal brukes i den samme sammenhengen eller det samme tidsperioden. I motsetning til den vanlige måten å lage arketyper på, er denne arketypen laget for å samle flere vanlige kvalifikatorer på ett sted for å forsøksvis oppnå et visst nivå av standardisering innenfor et ganske innfløkt område av klinisk praksis. Det erkjennes at dataelementene i denne arketypen omfatter mange forskjellige, og til dels også konkurrerende, konsepter. Dette ble gjort hovedsakelig for å unngå behov for å ha mange arketyper for kvalifikatorer, der hver av dem kun inneholder ett eller to dataelementer.
- Noen av disse dataelementene er potensielt direkte motstridende dersom de brukes samtidig og i den samme sammenhengen. For eksempel gir det ikke mening å ha et \"inaktivt\" problem innenfor en \"pågående\" episode. Av den grunn bør disse kvalifikatorene brukes med stor omhu, siden de i praksis vil brukes for varierende formål, og interoperabilitet kan ikke garanteres med mindre det er definert klare retningslinjer for bruk innenfor de kliniske omstendighetene der \"Problem/diagnose\"- og \"Problem/diagnose-kvalifikatorer\"-arketypeparet brukes.

Fullstendig DRG-koding vil kreve DRG-relaterte dataelementer fra denne arketypen, i kombinasjon med elementer fra andre arketyper.">
			keywords = <"problem", "aktivt", "inaktivt", "status", "episode", "tilstand", "aktiv", "inaktiv", "remisjon", "kronisk", "akutt">
			misuse = <"Brukes ikke for å representere differensialdiagnoser. Bruk arketypen EVALUATION.differential_diagnosis for dette formålet.

Brukes ikke for å representere diagnostisk sikkerhet. Bruk elementet \"Diagnostisk sikkerhet\" i arketypen EVALUATION.problem_diagnosis.">
		>
		["pt-br"] = <
			language = <[ISO_639-1::pt-br]>
			purpose = <"Para gravar um contexto clínico específico ou qualificador de tempo específico para um problema ou diagnóstico específico.">
			use = <"Use para gravar um qualificador de contexto específico ou tempo específico relevante que forneça detalhes adicionais de ou de e que sejam relevantes no momento do registro de um problema ou diagnóstico, ou dentro do contexto clínico onde é registrado, mas que pode não ser apropriado em outro tempo ou em outro contexto clínico.

Este arquétipo foi projetado para ser incluído no slot Estado no arquétipo EVALUATION.problem_diagnosis archetype. A intenção é que o arquétipo EVALUATION.problem_diagnosis mantenha todas as informações que se aplicam em todos os contextos, em contraste com esse arquétipo que descreve apenas as informações que dependem do contexto de uso.

NOTAS IMPORTANTES PARA IMPLEMENTAÇÃO:
- Não é intencional ou implícito que algum ou todos esses qualificadores devam ser usados dentro do mesmo contexto ou período de tempo. Em contraste com o design usual de arquétipos, esse arquétipo foi deliberadamente projetado para coletar uma série de qualificadores comuns em um único lugar, em um esforço para tentar alguma padronização simples dentro de uma área muito confusa da prática clínica. Reconhece-se que os elementos de dados contidos neste arquétipo abrangem muitos conceitos diferentes e às vezes até concorrentes. Isso foi feito principalmente para evitar a necessidade de vários arquétipos de qualificadores, cada um contendo apenas um ou dois elementos de dados.
- Alguns desses elementos de dados são potencialmente conflitantes se usados simultaneamente dentro do mesmo contexto, por exemplo, não faria sentido ter um problema 'inativo' junto com um Episódio 'em andamento'. Assim, esses qualificadores de status devem ser usados com extremo cuidado, pois são aplicados na prática e a interoperabilidade não pode ser assegurada, a menos que as diretrizes de uso estejam claramente definidas na comunidade clínica na qual o par de arquétipos 'Problema / Diagnóstico' e 'Qualificador do Problema / Diagnóstico' pode ser compartilhado.

A codificação DRG completa vai exigir os elementos de dados DRG deste arquétipo em combinação com elementos de dados de outros arquétipos.">
			keywords = <"problema", "ativo", "inativo", "estado", "episódio", "diagnóstico">
			misuse = <"Não deve ser usado para representar um diagnóstico diferencial - use o arquétipo EVALUATION.differential_diagnosis para este fim.

Não deve ser usado para representar certeza diagnóstica - use elemento de dado \"Certeza de diagnóstico\" no arquétipo EVALUATION.problem_diagnosis.">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record a clinical context-specific or time-specific qualifier for a specified problem or diagnosis.">
			use = <"Use to record a relevant context-specific or time-specific qualifier that provides additional detail which is relevant at the time of recording or within the clinical context where a problem or diagnosis is recorded. The qualifier may not be appropriate at another time or in another clinical context. 

This archetype is designed to be included in Status SLOT in the EVALUATION.problem_diagnosis archetype. The intent is for the EVALUATION.problem_diagnosis archetype to hold all of the information that applies in all contexts, in contrast to this archetype describing only information that depends on the context of use.

IMPORTANT NOTES FOR IMPLEMENTATION: 
- It is not intended or implied that any or all of these qualifiers should be used within the same context or period of time. In contrast to the usual design of archetypes, this archetype has been deliberately designed to collect a number of common qualifiers into one place in an effort to attempt some simple standardisation within a very messy area of clinical practice. It is acknowledged that the data elements contained in this archetype embrace many different, and sometimes even competing, concepts. This has been done mainly to prevent the need for multiple qualifier archetypes, each containing only one or two data elements. 
- Some of these data elements are potentially directly conflicting if used simultaneously within the same context, for example it would not make sense to have an 'inactive' problem together with an Episode that is 'ongoing'. As such, these status qualifiers should be used with extreme care as they are variably applied in practice and interoperability cannot be assured unless usage guidelines are clearly defined within the clinical community in which the 'Problem/Diagnosis' and 'Problem/Diagnosis qualifier' archetype pair may be shared. 

Full DRG coding will require the DRG-related data elements from this archetype in combination with data elements from other archetypes.">
			keywords = <"problem", "active", "inactive", "status", "episode", "diagnosis">
			misuse = <"Not to be used to represent a differential diagnosis - use the archetype EVALUATION.differential_diagnosis for this purpose.

Not to be used to represent diagnostic certainty - use the 'Diagnostic certainty' data element within the EVALUATION.problem_diagnosis archetype.">
			copyright = <"© openEHR Foundation">
		>
		["sl"] = <
			language = <[ISO_639-1::sl]>
			purpose = <"Za zapisovanje različnih statusov, ki se ponavadi uporablja za aplikacijskimi in kliničnimi sporočili, ki so odvisna od definirane vsebine

">
			use = <"Za dodeljevanje pravic EVALUATION.problem_diagnosis.v1 archetype, dodaja informacije za povezovanje. ">
			keywords = <"problem", "aktiven", "ni aktiven">
			misuse = <"It should not be assumed that these qualifiers are safely interoperable unless further definition and alignment is agreed between all sharing parties. A problem which has been defined as 'Inactive' during a hospital admission cannot be assumed to be regarded as 'Inactive' in a primary care setting , where a much longer term perspective is being taken. Similarly terms such as Initial, Interim and Final, whilst helpful to the human observer are unlikely to be precisely enough defined to be safely computable e.g. for decision support. ">
			copyright = <"© openEHR Foundation">
		>
		["it"] = <
			language = <[ISO_639-1::it]>
			purpose = <"Registrare un qualificatore specifico del contesto clinico o temporale per un problema o una diagnosi specifici.">
			use = <"Usato per registrare un qualificatore specifico del contesto o del tempo che fornisca ulteriori dettagli rilevanti al momento della registrazione o nell'ambito del contesto clinico in cui viene registrato un problema o una diagnosi. Il qualificatore potrebbe non essere appropriato in un altro momento o in un altro contesto clinico.

Questo archetipo è progettato per essere incluso in Status SLOT nell'archetipo di EVALUATION.problem_diagnosis. L'intento è che l'archetipo EVALUATION.problem_diagnosis contenga tutte le informazioni che si applicano in tutti i contesti, a differenza di questo archetipo che descrive solo le informazioni che dipendono dal contesto d'uso.

NOTE IMPORTANTI PER L'IMPLEMENTAZIONE:
- Non è inteso o implicito che uno o tutti questi qualificatori debbano essere utilizzati nello stesso contesto o periodo di tempo. In contrasto con il design abituale degli archetipi, questo archetipo è stato deliberatamente progettato per raccogliere una serie di qualificatori comuni in un unico luogo nel tentativo di tentare una semplice standardizzazione all'interno di un'area molto disordinata della pratica clinica. Si riconosce che i dati contenuti in questo archetipo abbracciano molti concetti diversi, e a volte anche in competizione tra loro. Questo è stato fatto principalmente per evitare la necessità di molteplici archetipi di qualificatori, ognuno dei quali contenente solo uno o due data element.
- Alcuni di questi data element sono potenzialmente in conflitto diretto se utilizzati contemporaneamente all'interno dello stesso contesto, ad esempio non avrebbe senso avere un problema \"inattivo\" insieme ad un Episodio \"in corso\". In quanto tali, questi qualificatori di stato dovrebbero essere utilizzati con estrema cautela in quanto sono applicati in modo variabile nella pratica e l'interoperabilità non può essere garantita a meno che le linee guida di utilizzo non siano chiaramente definite all'interno della comunità clinica in cui la coppia di archetipi \"Problema/Diagnosi\" e \"Qualificatore di problema/diagnosi\" possono essere condivisi.

La codifica DRG completa richiederà che i data element relativi al DRG di questo archetipo siano combinati con data element di altri archetipi.">
			keywords = <"problema, attivo, inattivo, stato, episodio, diagnosi", ...>
			misuse = <"Da non utilizzare per rappresentare una diagnosi differenziale - utilizzare a questo scopo l'archetipo EVALUATION.differential_diagnosis.

Da non utilizzare per rappresentare la certezza diagnostica - utilizzare l'elemento di dati \"Certezza diagnostica\" all'interno dell'archetipo EVALUATION.problem_diagnosis.">
		>
		["zh-cn"] = <
			language = <[ISO_639-1::zh-cn]>
			purpose = <"旨在记录针对指定问题或诊断的临床上下文/语境特异性或时间特异性的限定词。">
			use = <"旨在用于记录针对指定问题或诊断的临床上下文/语境特异性或时间特异性的限定词。这些限定词提供录制之时相关/贴合的其他详情，或者是在记录问题或诊断的临床上下文/语境当中相关/贴合的其他详情。对于其他的时间或其他的临床上下文/语境，这种限定词可能并不合适。

本原始型在设计上预定包含在评价型问题/诊断原始型 EVALUATION.problem_diagnosis 的状态槽位 \"Status\" 当中。目的则是让评价型问题/诊断原始型 EVALUATION.problem_diagnosis 能够收纳/保存适用于所有上下文/语境的所有信息，而当前这一原始型则仅仅描述的是那些依赖于相应应用上下文/语境（context of use）的信息。

针对实施工作的重要说明：

- 在此，并未有意规定或暗示在同一上下文/语境或时段当中使用任何或全部这些限定词。与通常的原始型设计相反，在此故意将本原始型设计成为将很多常见的限定词收集在一处，以努力在非常混乱的临床实践领域中尝试一些简单的标准化。众所周知，本原始型之中所收纳的数据元涉及到许多不同的概念，有时甚至是相互竞争/冲突的概念。这样做主要是为了避免需要多个的限定词原始型，不然每个原始型都仅仅会收纳一个或两个数据元。

- 如果在同一上下文/语境当中同时使用其中的一些数据元，它们可能会发生直接的冲突。例如，“无效”问题与“进行中/正在进行”的服务节段（Episode）的并存会讲不通/缺乏合理性。因此，应当极其小心地运用这些状态限定词，因为它们在实践当中的运用变化不定，除非在相应的临床社区内明确定义用法指南，否则无法保证互操作性；在临床社区当中，可能会共享“问题/诊断”与“问题/诊断限定词”原始型对。

完整的 DRG 编码将需要当前原始型之中与 DRG 相关的数据元结合来自其他原始型的数据元。
">
			keywords = <"问题", "诊断", "现行有效", "有效", "无效", "节段", "服务节段">
			misuse = <"并非旨在用于表达鉴别诊断 - 对此，请采用评价型鉴别诊断原始型 EVALUATION.differential_diagnosis。

并非旨在用于表达诊断确定性 - 对此，请采用评价型问题/诊断原始型 EVALUATION.problem_diagnosis 之中的诊断确定性数据元 \"Diagnostic certainty\"。">
		>
		["zh"] = <
			language = <[ISO_639-1::zh]>
			purpose = <"*To record a clinical context-specific or time-specific qualifier for a specified problem or diagnosis.(en)">
			use = <"*Use to record a relevant context-specific or time-specific qualifier that provides additional detail which is relevant at the time of recording or within the clinical context where a problem or diagnosis is recorded. The qualifier may not be appropriate at another time or in another clinical context. 

This archetype is designed to be included in Status SLOT in the EVALUATION.problem_diagnosis archetype. The intent is for the EVALUATION.problem_diagnosis archetype to hold all of the information that applies in all contexts, in contrast to this archetype describing only information that depends on the context of use.

IMPORTANT NOTES FOR IMPLEMENTATION: 
- It is not intended or implied that any or all of these qualifiers should be used within the same context or period of time. In contrast to the usual design of archetypes, this archetype has been deliberately designed to collect a number of common qualifiers into one place in an effort to attempt some simple standardisation within a very messy area of clinical practice. It is acknowledged that the data elements contained in this archetype embrace many different, and sometimes even competing, concepts. This has been done mainly to prevent the need for multiple qualifier archetypes, each containing only one or two data elements. 
- Some of these data elements are potentially directly conflicting if used simultaneously within the same context, for example it would not make sense to have an 'inactive' problem together with an Episode that is 'ongoing'. As such, these status qualifiers should be used with extreme care as they are variably applied in practice and interoperability cannot be assured unless usage guidelines are clearly defined within the clinical community in which the 'Problem/Diagnosis' and 'Problem/Diagnosis qualifier' archetype pair may be shared. 

Full DRG coding will require the DRG-related data elements from this archetype in combination with data elements from other archetypes.(en)">
			keywords = <"*problem(en)", "*active(en)", "*inactive(en)", "*status(en)", "*episode(en)", "*diagnosis(en)">
			misuse = <"*Not to be used to represent a differential diagnosis - use the archetype EVALUATION.differential_diagnosis for this purpose.

Not to be used to represent diagnostic certainty - use the 'Diagnostic certainty' data element within the EVALUATION.problem_diagnosis archetype.(en)">
		>
	>
	lifecycle_state = <"published">
	other_contributors = <"Nadim Anani, Karolinska Institutet, Sweden", "Erling Are Hole, Helse Bergen, Norway", "Vebjørn Arntzen, Oslo University Hospital, Norway", "Koray Atalag, University of Auckland, New Zealand", "Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor)", "Malin Berg, DIPS ASA, Norway", "Lars Bitsch-Larsen, Haukeland University hospital, Norway", "Alexander Davey, HSC NI, United Kingdom", "Aitor Eguzkitza, UPNA (Public University of Navarre) - CHN (Complejo Hospitalario de Navarra), Spain", "Arild Faxvaag, NTNU, Norway", "Shahla Foozonkhah, Iran ministry of health and education, Iran", "Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway", "Bente Gjelsvik, Helse Bergen, Norway", "Heather Grain, Llewelyn Grain Informatics, Australia", "Sam Heard, Ocean Informatics, Australia", "Andreas Hering, Helse Bergen HF, Haukeland universitetssjukehus, Norway", "Anca Heyd, DIPS ASA, Norway", "Hilde Hollås, DIPS AS, Norway", "Evelyn Hovenga, EJSH Consulting, Australia", "Lars Ivar Mehlum, Helse Bergen HF, Norway", "Tom Jarl Jakobsen, Helse Bergen, Norway", "Lars Morgan Karlsen, DIPS ASA, Norway", "Shinji Kobayashi, Kyoto University, Japan", "Sabine Leh, Haukeland University Hospital, Department of Pathology, Norway", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Hugh Leslie, Ocean Informatics, Australia", "Hallvard Lærum, Norwegian Directorate of e-health, Norway", "Chunlan Ma, Ocean Informatics, Australia", "Luis Marco Ruiz, NST, Spain", "Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor)", "Bjørn Næss, DIPS ASA, Norway", "Andrej Orel, Marand d.o.o., Slovenia", "Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil", "Thomas Schopf, University Hospital of North-Norway, Norway", "Anoop Shah, University College London, United Kingdom", "Line Silsand, Universitetssykehuset i Nord-Norge, Norway", "Line Sæle, Nasjonal IKT HF, Norway", "Nyree Taylor, Ocean Informatics, Australia", "Richard Townley-O'Neill, Australian Digital Health Agency, Australia", "Jon Tysdahl, Furst medlab AS, Norway", "Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["current_contact"] = <"Heather Leslie, Atomica Informatics<heather.leslie@atomicainformatics.com>">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"05D1938A66D853F1C88BFB73B3EB3693">
		["build_uid"] = <"4ec9fbd6-944e-483d-87af-f6838b692110">
		["ip_acknowledgements"] = <"This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org.">
		["revision"] = <"2.0.1">
	>

definition
	CLUSTER[at0000] matches {    -- Problem/Diagnosis qualifier
		items cardinality matches {1..*; unordered} matches {
			ELEMENT[at0004] occurrences matches {0..1} matches {    -- Diagnostic status
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0016,    -- Preliminary
							at0017,    -- Working
							at0018,    -- Established
							at0088]    -- Refuted
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0060] occurrences matches {0..1} matches {    -- Current/Past?
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0062,    -- Current
							at0061]    -- Past
						}
					}
				}
			}
			ELEMENT[at0003] occurrences matches {0..1} matches {    -- Active/Inactive?
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0026,    -- Active
							at0027]    -- Inactive
						}
					}
				}
			}
			ELEMENT[at0098] occurrences matches {0..1} matches {    -- Level of control
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0099,    -- Controlled
							at0100,    -- Indeterminate
							at0101]    -- Not controlled
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0102] occurrences matches {0..1} matches {    -- Progression
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0103,    -- Improving
							at0104,    -- Stable
							at0105,    -- Worsening
							at0106]    -- Indeterminate
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0083] occurrences matches {0..1} matches {    -- Resolution phase
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0086,    -- Not resolving
							at0085,    -- Resolving
							at0084,    -- Resolved
							at0087,    -- Indeterminate
							at0097]    -- Relapsed
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0089] occurrences matches {0..1} matches {    -- Remission status
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0090,    -- In remission
							at0092,    -- Not in remission
							at0093]    -- Indeterminate
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0001] occurrences matches {0..1} matches {    -- Episodicity
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0034,    -- New
							at0035,    -- Ongoing
							at0070]    -- Indeterminate
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0107] occurrences matches {0..*} matches {    -- Reason for an ongoing episode
				value matches {
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0071] occurrences matches {0..1} matches {    -- Occurrence
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0095,    -- First occurrence
							at0096]    -- Recurrence
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0077] occurrences matches {0..1} matches {    -- Course label
				value matches {
					DV_TEXT matches {*}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0081,    -- Acute
							at0094,    -- Acute-on-chronic
							at0079]    -- Chronic
						}
					}
				}
			}
			ELEMENT[at0063] occurrences matches {0..*} matches {    -- Diagnostic category
				value matches {
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0064,    -- Principal diagnosis
							at0066,    -- Secondary diagnosis
							at0076]    -- Complication
						}
					}
					DV_TEXT matches {*}
				}
			}
			ELEMENT[at0073] occurrences matches {0..1} matches {    -- Admission diagnosis?
				value matches {
					DV_BOOLEAN matches {
						value matches {true}
					}
					DV_CODED_TEXT matches {
						defining_code matches {
							[local::
							at0108,    -- Yes
							at0109]    -- No
						}
					}
				}
			}
			ELEMENT[at0110] occurrences matches {0..1} matches {    -- Comment
				value matches {
					DV_TEXT matches {*}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Problem/Diagnosis qualifier">
					description = <"Contextual or temporal qualifier for a specified problem or diagnosis.">
				>
				["at0001"] = <
					text = <"Episodicity">
					description = <"Category of this episode for the identified problem/diagnosis.">
					comment = <"For example: 'New' will enable clinicians to distinguish a new, acute episode of otitis media that may have arisen soon after a previous diagnosis, to distinguish it from an unresolved or 'Ongoing' diagnosis of chronic otitis media. Treatment of recurring, new and acute, episodes of a condition may differ significantly from the same condition that is not resolving or responding to treatment. In many situations the clinician will not be able to tell, and so indeterminate may be appropriate.">
				>
				["at0003"] = <
					text = <"Active/Inactive?">
					description = <"Category that supports division of problems and diagnoses into Active or Inactive problem lists.">
					comment = <"The Active/Inactive and Current/Past data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If a Current/Past qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.">
				>
				["at0004"] = <
					text = <"Diagnostic status">
					description = <"Stage or phase of diagnostic process.">
					comment = <"The status is usually determined by a combination of the timing of diagnosis plus level of clinical certainty resulting from diagnostic tests and clinical evidence available. This data element and 'Diagnostic certainty' in EVALUATION.problem_diagnosis are two important axes of the diagnostic process, and valid combinations will need to be presented by software that exposes both data elements, so it is not possible for users to select conflicting combinations. 
Preliminary or working diagnoses are intended to represent the single most likely choice out of all differential diagnosis options.">
				>
				["at0016"] = <
					text = <"Preliminary">
					description = <"The initial diagnosis made, usually associated with a low level of clinical certainty. It may change as test results or advice become available.">
				>
				["at0017"] = <
					text = <"Working">
					description = <"Interim diagnosis, based on a reasonable amount of clinical certainty but pending further test results or clinical advice. It may still change as test results or advice become available.">
				>
				["at0018"] = <
					text = <"Established">
					description = <"Final substantiated diagnosis, based on a high level of clinical certainty, which may include clinical evidence from test results. It is not expected to change.">
				>
				["at0026"] = <
					text = <"Active">
					description = <"The problem or diagnosis is currently active and clinically relevant.">
				>
				["at0027"] = <
					text = <"Inactive">
					description = <"The problem or diagnosis is not completely resolved but is inactive or felt less relevant to the current clinical context.">
				>
				["at0034"] = <
					text = <"New">
					description = <"A new occurrence of either a new or existing problem or diagnosis. A flag for 'First occurrence' can be recorded separately to distinguish the first from other occurrences.">
				>
				["at0035"] = <
					text = <"Ongoing">
					description = <"The issue, problem or diagnosis continues, without new, acute episodes occurring.">
				>
				["at0060"] = <
					text = <"Current/Past?">
					description = <"Category that supports division of problems and diagnoses into Current or Past problem lists.">
					comment = <"The Current/Past and Active/Inactive data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If an Active/Inactive qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.">
				>
				["at0061"] = <
					text = <"Past">
					description = <"An issue which ocurred in the past.">
				>
				["at0062"] = <
					text = <"Current">
					description = <"An issue occuring at present.">
				>
				["at0063"] = <
					text = <"Diagnostic category">
					description = <"Category of the problem or diagnosis within a specified episode of care and/or local care context.">
					comment = <"This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
 In addition, the free text choice permits use of other local value sets, as required.">
				>
				["at0064"] = <
					text = <"Principal diagnosis">
					description = <"The diagnosis determined to be the primary reason for an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment.">
				>
				["at0066"] = <
					text = <"Secondary diagnosis">
					description = <"A problem or diagnosis that occurs at the same time as the primary problem or diagnosis. May also be known as a comorbid condition.">
				>
				["at0070"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if this occurrence of the problem or diagnosis is new or ongoing.">
				>
				["at0071"] = <
					text = <"Occurrence">
					description = <"Category of the occurrence for this problem or diagnosis.">
					comment = <"This data element can be an additional qualifier to the 'New' value in the 'Episodicity' value set, that is a condition such as asthma can have recurring new episodes that have periods of resolution in between. However it can be important to identify the first ever episode of asthma from all of the other episodes.">
				>
				["at0073"] = <
					text = <"Admission diagnosis?">
					description = <"Was the problem or diagnosis present at admission?">
					comment = <"Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries.">
				>
				["at0076"] = <
					text = <"Complication">
					description = <"An unfavorable evolution of a problem or diagnosis.">
				>
				["at0077"] = <
					text = <"Course label">
					description = <"Category reflecting the speed of onset and/or duration and persistence of the problem or diagnosis.">
					comment = <"Definitions of acute vs chronic will differ for each diagnosis.">
				>
				["at0079"] = <
					text = <"Chronic">
					description = <"A problem or diagnosis with persistent or long-lasting effects, or that evolves over time.">
				>
				["at0081"] = <
					text = <"Acute">
					description = <"A problem or diagnosis with a rapid onset, a short course, or both.">
				>
				["at0083"] = <
					text = <"Resolution phase">
					description = <"Phase of healing for an acute problem or diagnosis.">
					comment = <"For example: tracking the progress of resolution of a middle ear infection.">
				>
				["at0084"] = <
					text = <"Resolved">
					description = <"Problem or diagnosis has completed the normal phases of restoration or healing and can be considered resolved.">
				>
				["at0085"] = <
					text = <"Resolving">
					description = <"Problem or diagnosis is progressing satisfactorily through the normal stages of restoration or healing towards resolution.">
				>
				["at0086"] = <
					text = <"Not resolving">
					description = <"Problem or diagnosis is not progressing satisfactorily through the normal stages of restoration or healing towards resolution.">
				>
				["at0087"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine the resolution or healing status of the problem or diagnosis.">
				>
				["at0088"] = <
					text = <"Refuted">
					description = <"The previously recorded diagnosis has been clinically reassessed or disproved with a high level of clinical certainty. This status is used to correct an error in the health record.">
				>
				["at0089"] = <
					text = <"Remission status">
					description = <"Status of the remission of an incurable diagnosis.">
					comment = <"For example: the status of a cancer or haematological diagnosis.">
				>
				["at0090"] = <
					text = <"In remission">
					description = <"No ongoing signs or symptoms of the disease have been identified.">
				>
				["at0092"] = <
					text = <"Not in remission">
					description = <"No diminution of the signs or symptoms of the disease have been identified.">
				>
				["at0093"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if there have been diminution of the signs or symptoms of the disease have been identified.">
				>
				["at0094"] = <
					text = <"Acute-on-chronic">
					description = <"A problem or diagnosis with an acute exacerbation of a chronic condition.">
				>
				["at0095"] = <
					text = <"First occurrence">
					description = <"This is the first ever occurrence of this problem or diagnosis.">
				>
				["at0096"] = <
					text = <"Recurrence">
					description = <"New occurrence of the same problem or diagnosis after a previous episode was resolved.">
				>
				["at0097"] = <
					text = <"Relapsed">
					description = <"Problem or diagnosis has deteriorated after a period of temporary improvement.">
				>
				["at0098"] = <
					text = <"Level of control">
					description = <"Category of the level of control of the problem or diagnosis by the current management.">
				>
				["at0099"] = <
					text = <"Controlled">
					description = <"The problem or diagnosis is controlled by current management.">
				>
				["at0100"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine if the problem or diagnosis is controlled by current management.">
				>
				["at0101"] = <
					text = <"Not controlled">
					description = <"The problem or diagnosis is not controlled by current management.">
				>
				["at0102"] = <
					text = <"Progression">
					description = <"Category of the progression through the course of a chronic problem or diagnosis.">
				>
				["at0103"] = <
					text = <"Improving">
					description = <"The problem or diagnosis is improving.">
				>
				["at0104"] = <
					text = <"Stable">
					description = <"The problem or diagnosis is unchanged.">
				>
				["at0105"] = <
					text = <"Worsening">
					description = <"The problem or diagnosis is worsening.">
				>
				["at0106"] = <
					text = <"Indeterminate">
					description = <"It is not possible to determine the progression of the problem or diagnosis.">
				>
				["at0107"] = <
					text = <"Reason for an ongoing episode">
					description = <"Reason for a problem or diagnosis not resolving as expected.">
					comment = <"For example: incomplete or failed treatment.">
				>
				["at0108"] = <
					text = <"Yes">
					description = <"">
				>
				["at0109"] = <
					text = <"No">
					description = <"">
				>
				["at0110"] = <
					text = <"Comment">
					description = <"Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields.">
				>
			>
		>
		["sl"] = <
			items = <
				["at0000"] = <
					text = <"*Problem/Diagnosis qualifier(en)">
					description = <"*Contextual or temporal qualifier for a specified problem or diagnosis.(en)">
				>
				["at0001"] = <
					text = <"*Episodicity(en)">
					description = <"*Category of this episode for the identified problem/diagnosis.(en)">
					comment = <"*For example: 'New' will enable clinicians to distinguish a new, acute episode of otitis media that may have arisen soon after a previous diagnosis, to distinguish it from an unresolved or 'Ongoing' diagnosis of chronic otitis media. Treatment of recurring, new and acute, episodes of a condition may differ significantly from the same condition that is not resolving or responding to treatment. In many situations the clinician will not be able to tell, and so indeterminate may be appropriate.(en)">
				>
				["at0003"] = <
					text = <"*Active/Inactive?(en)">
					description = <"*Category that supports division of problems and diagnoses into Active or Inactive problem lists.(en)">
					comment = <"*The Active/Inactive and Current/Past data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If a Current/Past qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.(en)">
				>
				["at0004"] = <
					text = <"*Diagnostic status(en)">
					description = <"*Stage or phase of diagnostic process.(en)">
					comment = <"*The status is usually determined by a combination of the timing of diagnosis plus level of clinical certainty resulting from diagnostic tests and clinical evidence available. This data element and 'Diagnostic certainty' in EVALUATION.problem_diagnosis are two important axes of the diagnostic process, and valid combinations will need to be presented by software that exposes both data elements, so it is not possible for users to select conflicting combinations. 
Preliminary or working diagnoses are intended to represent the single most likely choice out of all differential diagnosis options.(en)">
				>
				["at0016"] = <
					text = <"*Preliminary(en)">
					description = <"*The initial diagnosis made, based on limited available clinical evidence. It may change as test results or advice become available.(en)">
				>
				["at0017"] = <
					text = <"*Working(en)">
					description = <"*Interim diagnosis, based on substantiated clinical evidence but pending further test results or clinical advice. It may still change as test results or advice become available.(en)">
				>
				["at0018"] = <
					text = <"*Established(en)">
					description = <"*Final substantiated diagnosis, based on a high level of clinical certainty, which may include clinical evidence from test results. It is not expected to change.(en)">
				>
				["at0026"] = <
					text = <"Aktiven">
					description = <"Problem je trenutno aktiven in klinično relevanten">
				>
				["at0027"] = <
					text = <"Ni aktiven">
					description = <"Problem trenutno ni aktiven">
				>
				["at0034"] = <
					text = <"*New(en)">
					description = <"*A new occurrence of either a new or existing problem or diagnosis. A flag for 'First occurrence' can be recorded separately to distinguish the first from other occurrences.(en)">
				>
				["at0035"] = <
					text = <"*Ongoing(en)">
					description = <"*The issue, problem or diagnosis continues, without new, acute episodes occurring.(en)">
				>
				["at0060"] = <
					text = <"*Current/Past?(en)">
					description = <"*Category that supports division of problems and diagnoses into Current or Past problem lists.(en)">
					comment = <"*The Current/Past and Active/Inactive data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If an Active/Inactive qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.(en)">
				>
				["at0061"] = <
					text = <"*Past(en)">
					description = <"*An issue which ocurred in the past.(en)">
				>
				["at0062"] = <
					text = <"*Current(en)">
					description = <"*An issue occuring at present.(en)">
				>
				["at0063"] = <
					text = <"*Diagnostic category(en)">
					description = <"*Category of the problem or diagnosis within a specified episode of care and/or local care context.(en)">
					comment = <"*This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
In addition, the free text choice permits use of other local value sets, as required.(en)">
				>
				["at0064"] = <
					text = <"*Principal diagnosis(en)">
					description = <"*The diagnosis determined to be chiefly responsible for occasionaing an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment.(en)">
				>
				["at0066"] = <
					text = <"*Secondary diagnosis(en)">
					description = <"*A problem or diagnosis that is occurs at the same time as the primary problem or diagnosis. May also be known as a comorbid condition.(en)">
				>
				["at0070"] = <
					text = <"*Indeterminate(en)">
					description = <"*It is not possible to determine if this occurrence of the problem or diagnosis is new or ongoing.(en)">
				>
				["at0071"] = <
					text = <"*Occurrence (en)">
					description = <"*Category of the occurrence for this problem or diagnosis. (en)">
					comment = <"*This data element can be an additional qualifier to the 'New' value in the 'Episodicity' value set, that is a condition such as asthma can have recurring new episodes that have periods of resolution in between. However it can be important to identify the first ever episode of asthma from all of the other episodes. (en)">
				>
				["at0073"] = <
					text = <"*Admission diagnosis?(en)">
					description = <"*Was the problem or diagnosis present at admission?(en)">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"*Complication(en)">
					description = <"*An unfavorable evolution of a problem or diagnosis.(en)">
				>
				["at0077"] = <
					text = <"*Course label(en)">
					description = <"*Category reflecting the speed of onset and/or duration and persistence of the problem or diagnosis.(en)">
					comment = <"*Definitions of acute vs chronic will differ for each diagnosis.(en)">
				>
				["at0083"] = <
					text = <"*Resolution phase(en)">
					description = <"*Phase of healing for an acute problem or diagnosis.(en)">
					comment = <"*For example: tracking the progress of resolution of a middle ear infection.(en)">
				>
				["at0084"] = <
					text = <"*Resolved(en)">
					description = <"*Problem or diagnosis has completed the normal phases of restoration or healing and can be considered resolved.(en)">
				>
				["at0085"] = <
					text = <"*Resolving(en)">
					description = <"*Problem or diagnosis is progressing satisfactorily through the normal stages of restoration or healing towards resolution.(en)">
				>
				["at0086"] = <
					text = <"*Not resolving(en)">
					description = <"*Problem or diagnosis is not progressing satisfactorily through the normal stages of restoration or healing towards resolution.(en)">
				>
				["at0087"] = <
					text = <"*Indeterminate(en)">
					description = <"*It is not possible to determine the resolution or healing status of the problem or diagnosis.(en)">
				>
				["at0088"] = <
					text = <"*Refuted(en)">
					description = <"*The diagnosis has been clinically reassessed or has been disproved with a high level of clinical certainty.(en)">
				>
				["at0089"] = <
					text = <"*Remission status(en)">
					description = <"*Status of the remission of an incurable diagnosis.(en)">
					comment = <"*For example: the status of a cancer or haematological diagnosis.(en)">
				>
				["at0090"] = <
					text = <"*In complete remission(en)">
					description = <"*No diminution of signs or symptoms of the disease have been identified.(en)">
				>
				["at0092"] = <
					text = <"*Not in remission(en)">
					description = <"*No diminution of the signs or symptoms of the disease have been identified.(en)">
				>
				["at0093"] = <
					text = <"*Indeterminate(en)">
					description = <"*It is not possible to determine if there have been diminution of the signs or symptoms of the disease have been identified.(en)">
				>
				["at0095"] = <
					text = <"*First occurrence (en)">
					description = <"*This is the first ever occurrence of this problem or diagnosis. (en)">
				>
				["at0096"] = <
					text = <"*Recurrence (en)">
					description = <"*New occurrence of the same problem or diagnosis after a previous episode was resolved. (en)">
				>
				["at0097"] = <
					text = <"*Relapsed (en)">
					description = <"*Problem or diagnosis has deteriorated after a period of temporary improvement. (en)">
				>
				["at0098"] = <
					text = <"*Level of control (en)">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"*Controlled (en)">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"*Not controlled (en)">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"*Progression (en)">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"*Improving (en)">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"*Stable (en)">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"*Worsening (en)">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["pt-br"] = <
			items = <
				["at0000"] = <
					text = <"Qualificador do problema /diagnóstico">
					description = <"Qualificador contextual ou temporal para um problema ou diagnóstico específico.">
				>
				["at0001"] = <
					text = <"Episodicidade">
					description = <"Categoria deste episódio para o problema / diagnóstico identificado.">
					comment = <"Por exemplo: \"Novo\" permitirá aos clínicos distinguir um novo episódio agudo de otite média que pode ter surgido logo após um diagnóstico prévio, para distingui-lo de um diagnóstico não resolvido ou \"Em curso\" da otite média crônica. O tratamento de episódios recorrentes, novos e agudos de uma condição pode diferir significativamente da mesma condição que não está resolvendo ou respondendo ao tratamento. Em muitas situações, o clínico não será capaz de dizer e, portanto, indeterminado pode ser apropriado.">
				>
				["at0003"] = <
					text = <"Ativo/Inativo?">
					description = <"Categoria que supporta a divisão de problemas and diagnósticos em listas de problemas Ativos ou Inativos.">
					comment = <"Os elementos de dados Ativo/Inativo e Atual/Passado e têm impacto clínico similar mas com representação semântica ligeiramente diferente. Ambos são usados ativamente em diferentes contextos clínicos, mas geralmente não juntos. Se um qualificador Atual/Passado for registrado, esse elemento de dados provavelmente será redundante. Uma exceção onde uma condição pode ser atual mas inativa é a asma que não está causando sintomas agudos.">
				>
				["at0004"] = <
					text = <"Estado do diagnóstico">
					description = <"Estágio ou fase do processo diagnóstico.">
					comment = <"O estado geralmente é determinado por uma combinação do tempo de diagnóstico mais o nível de certeza clínica resultante de testes diagnósticos e evidências clínicas disponíveis. Este elemento de dados e \"Certeza diagnóstica\" no EVALUATION.problem_diagnosis são dois eixos importantes do processo de diagnóstico e combinações válidas precisarão ser apresentadas pelo software que expõe ambos os elementos de dados, portanto, não é possível para os usuários selecionar combinações conflitantes. Diagnósticos preliminares ou em trabalho destinam-se a representar a escolha mais provável dentre todas as opções de diagnóstico diferencial.">
				>
				["at0016"] = <
					text = <"Preliminar">
					description = <"O diagnóstico inicial feito, geralmente associado a um baixo nível de certeza clínica. Pode mudar à medida que os resultados dos testes ou conselhos estiverem disponíveis.">
				>
				["at0017"] = <
					text = <"Trabalhando">
					description = <"Diagnóstico provisório, com base em numa certeza clínica razoável, mas na pendência de novos resultados de testes ou orientação clínica. Pode ainda mudar à medida que os resultados dos testes ou conselhos estiverem disponíveis.">
				>
				["at0018"] = <
					text = <"Estabelecido">
					description = <"Diagnóstico final fundamentado, baseado em um alto nível de certeza clínica, que pode incluir evidências clínicas dos resultados dos testes. Não é esperado que mude.">
				>
				["at0026"] = <
					text = <"Ativo">
					description = <"O problema ou o diagnóstico está atualmente ativo e clinicamente relevante.">
				>
				["at0027"] = <
					text = <"Inativo">
					description = <"O problema ou diagnóstico não está completamente resolvido, mas está inativo ou é menos relevante no contexto clínico atual.">
				>
				["at0034"] = <
					text = <"Novo">
					description = <"Uma nova ocorrência de um problema ou diagnóstico novo ou existente. Um sinalizador para \"Primeira ocorrência\" pode ser gravado separadamente para distinguir a primeira das outras ocorrências.">
				>
				["at0035"] = <
					text = <"Em curso">
					description = <"A questão, problema ou diagnóstico continua, sem novos episódios agudos ocorrendo.">
				>
				["at0060"] = <
					text = <"Atual/Passado?">
					description = <"Categoria que suporta a divisão de problemas e diagnósticos em listas de problemas Atual ou Passado.">
					comment = <"Os elementos de dados Atual/Passado e Ativo/Inativo têm impacto clínico similar mas com representação semântica ligeiramente diferente. Ambos são usados ativamente em diferentes contextos clínicos, mas geralmente não juntos. Se um qualificador Ativo / Inativo for registrado, esse elemento de dados provavelmente será redundante. Uma exceção onde uma condição pode ser atual mas inativa é a asma que não está causando sintomas agudos.">
				>
				["at0061"] = <
					text = <"Passado">
					description = <"Um problema que ocorreu no passado.">
				>
				["at0062"] = <
					text = <"Atual">
					description = <"Um problema ocorrendo no momento.">
				>
				["at0063"] = <
					text = <"Categoria do diagnóstico">
					description = <"Categoria do problema ou diagnóstico dentro de um episódio específico de cuidado e / ou contexto de cuidados local.">
					comment = <"Esse elemento de dados contém um conjunto de valores comumente usado na categorização de diagnóstico. Em contextos de cuidados episódicos (geralmente cuidados secundários) é comum categorizar / organizar diagnósticos de acordo com a sua relação com o diagnóstico principal a ser abordado durante esse episódio de atenção. Essas categorias também podem ser usadas para fins clínicos de codificação, geração de relatórios e faturamento. Em alguns países, a categoria de diagnóstico pode ser conhecida como DRG.
Além disso, a opção de texto livre permite o uso de outros conjuntos de valores locais, conforme necessário.">
				>
				["at0064"] = <
					text = <"Diagnóstico principal">
					description = <"O diagnóstico específico a ser responsável por desencadear um episódio de cuidado do paciente admitido, um episódio de cuidados domiciliares ou um comparecimento no estabelecimento de cuidados de saúde.">
				>
				["at0066"] = <
					text = <"Diagnóstico secundário">
					description = <"Um problema ou diagnóstico que ocorre ao mesmo tempo que o problema ou diagnóstico principal. Também pode ser conhecido como uma comorbidade.">
				>
				["at0070"] = <
					text = <"Indeterminado">
					description = <"Não é possível determinar se esta ocorrência do problema ou diagnóstico é nova ou está em curso.">
				>
				["at0071"] = <
					text = <"Ocorrência">
					description = <"Categoria da ocorrência para este problema ou diagnóstico.">
					comment = <"Este elemento de dados pode ser um qualificador adicional para o valor \"Novo\" no conjunto de valores de \"Episodicidade\", ou seja, uma condição como a asma pode ter episódios novos recorrentes com períodos de resolução intermediários. No entanto, pode ser importante identificar o primeiro episódio de asma de todos os outros episódios.">
				>
				["at0073"] = <
					text = <"Diagnóstico de admissão?">
					description = <"O problema ou diagnóstico estava presente na admissão?">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"Complicação">
					description = <"Uma evolução desfavorável de um problema ou diagnóstico.">
				>
				["at0077"] = <
					text = <"Classificação do curso">
					description = <"Categoria que reflete a velocidade de início e / ou duração e persistência do problema ou diagnóstico.">
					comment = <"Definições de aguda / crônica serão diferentes para cada diagnóstico.">
				>
				["at0083"] = <
					text = <"Fase de resolução">
					description = <"Fase de cura para um problema agudo ou diagnóstico.">
					comment = <"Por exemplo: monitoramento do progresso da resolução de uma infecção do ouvido médio.">
				>
				["at0084"] = <
					text = <"Resolvido">
					description = <"O problema ou diagnóstico completou as fases normais de reabilitação ou cura e pode ser considerado resolvido.">
				>
				["at0085"] = <
					text = <"Resolvendo">
					description = <"Problema ou diagnóstico está progredindo satisfatoriamente através dos estágios normais de reabilitação ou cura para a resolução.">
				>
				["at0086"] = <
					text = <"Não resolvendo">
					description = <"O problema ou diagnóstico não está progredindo satisfatoriamente pelos estágios normais de reabilitação ou de cura em direção a resolução.">
				>
				["at0087"] = <
					text = <"Indeterminado">
					description = <"Não é possível determinar a resolução ou o estado de cura do problema ou diagnóstico.">
				>
				["at0088"] = <
					text = <"Descartado">
					description = <"O diagnóstico previamente registrado foi clinicamente reavaliado ou refutado com um alto nível de certeza clínica. Este status é usado para corrigir um erro no registro de funcionamento.">
				>
				["at0089"] = <
					text = <"Estado de remissão">
					description = <"Status da remissão de um diagnóstico incurável.">
					comment = <"Por exemplo: o status de um câncer ou diagnóstico hematológico.">
				>
				["at0090"] = <
					text = <"Em remissão">
					description = <"Nenhum sinal ou sintoma da doença em andamento foi identificado.">
				>
				["at0092"] = <
					text = <"Não em remissão">
					description = <"Nenhuma diminuição dos sinais ou sintomas da doença foi identificada.">
				>
				["at0093"] = <
					text = <"Indeterminado">
					description = <"Não é possível determinar se houve diminuição dos sinais ou sintomas da doença identificada.">
				>
				["at0095"] = <
					text = <"Primeira ocorrência">
					description = <"Esta é a primeira ocorrência deste problema ou diagnóstico.">
				>
				["at0096"] = <
					text = <"Recorrência">
					description = <"Nova ocorrência do mesmo problema ou diagnóstico depois que um episódio anterior foi resolvido.">
				>
				["at0097"] = <
					text = <"Recidiva">
					description = <"Problema ou diagnóstico se deteriorou após um período de melhora temporária.">
				>
				["at0098"] = <
					text = <"*Level of control (en)">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"*Controlled (en)">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"*Not controlled (en)">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"*Progression (en)">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"*Improving (en)">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"*Stable (en)">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"*Worsening (en)">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Problem/diagnose-kvalifikator">
					description = <"Kontekst- eller tidsspesifikk kvalifikator for et problem eller en diagnose.">
				>
				["at0001"] = <
					text = <"Episodisitet">
					description = <"Kategorisering av denne episoden av problemet/diagnosen.">
					comment = <"For eksempel: \"Ny\" gjør det mulig for klinikere å holde et nytt og akutt tilfelle av mellomørebetennelse som har oppstått raskt etter en tidligere diagnose adskilt fra en pågående kronisk mellomørebetennelse. Behandling av gjentakende, nye og akutte episoder av en tilstand kan være vesentlig forskjellig fra behandling av den samme tilstanden som ikke bedres eller ikke responderer på behandling. I mange situasjoner vil det ikke være mulig for klinikeren å skille dem fra hverandre, og i disse tilfellene vil \"Ubestemmelig\" være relevant.">
				>
				["at0003"] = <
					text = <"Aktiv/inaktiv?">
					description = <"Kategori som støtter inndeling av problemer og diagnoser i lister over aktive og inaktive problemer.">
					comment = <"Elementene Aktiv/inaktiv og Nåværende/tidligere har lignende klinisk innflytelse, men representerer noe forskjellig betydning. Begge brukes aktivt i forskjellige kliniske sammenhenger, men som regel ikke sammen. Dersom Nåværende/tidligere er registrert, er dette elementet sannsynligvis overflødig. Et unntak der en tilstand kan være både nåværende og inaktivt, er astma som ikke forårsaker akutte symptomer.">
				>
				["at0004"] = <
					text = <"Diagnostisk status">
					description = <"Den diagnostiske prosessens stadium eller fase.">
					comment = <"Statusen bestemmes vanligvis ved å kombinere tidspunkt for diagnosen, og nivå av klinisk sikkerhet. Status er et resultat av diagnostiske undersøkelser, og det tilgjengelige kliniske grunnlaget. Dette dataelementet og \"Diagnostisk sikkerhet\" i arketypen EVALUATION.problem_diagnosis er to viktige akser i den diagnostiske prosessen, og gyldige kombinasjoner må håndteres og vises av programvare som bruker begge elementene. Dette for at det ikke skal være mulig for brukere å velge kombinasjoner som er i konflikt med hverandre. Tentative diagnoser eller arbeidsdiagnoser er ment å representere det mest sannsynlige valget av de mulige differensialdiagnosene.">
				>
				["at0016"] = <
					text = <"Tentativ">
					description = <"En foreløpig diagnose som er en utredningshypotese, og som antas å kunne bli bekreftet ved videre utredning eller observasjon av utvikling. Den kan bli endret etter hvert som undersøkelsesresultater eller annen informasjon blir tilgjengelig.">
				>
				["at0017"] = <
					text = <"Arbeidsdiagnose">
					description = <"Midlertidig diagnose, basert på en rimelig grad av klinisk sikkerhet, men som avventer videre undersøkelsesresultater eller kliniske råd. Den kan fortsatt endres etter hvert som undersøkelsesresultater eller annen informasjon blir tilgjengelig.">
				>
				["at0018"] = <
					text = <"Fastslått">
					description = <"Endelig underbygget diagnose, basert på en høy grad av klinisk sikkerhet, som kan omfatte klinisk evidens fra undersøkelser. Den er ikke forventet å endres.">
				>
				["at0026"] = <
					text = <"Aktiv">
					description = <"Problemet eller diagnosen er aktivt og kliniske relevant ved registreringstidspunktet.">
				>
				["at0027"] = <
					text = <"Inaktiv">
					description = <"Problemet eller diagnosen er ikke fullstendig bedret, men er inaktivt eller mindre relevant for den nåværende kliniske sammenhengen.">
				>
				["at0034"] = <
					text = <"Ny">
					description = <"En ny forekomst av enten et nytt eller et eksisterende problem eller diagnose. Et flagg for \"Første forekomst\" kan registreres separat for å skille den første forekomsten fra påfølgende.">
				>
				["at0035"] = <
					text = <"Pågående">
					description = <"Problemet eller diagnosen er pågående, uten at det har forekommet nye episoder.">
				>
				["at0060"] = <
					text = <"Nåværende/tidligere?">
					description = <"Kategori som støtter oppdeling av problemer og diagnoser i lister over nåværende og tidligere problemer.">
					comment = <"Elementene Nåværende/tidligere og Aktiv/inaktiv har lignende klinisk innflytelse, men representerer noe forskjellig betydning. Begge brukes aktivt i forskjellige kliniske sammenhenger, men som regel ikke sammen. Dersom Aktiv/inaktiv er registrert, er dette elementet sannsynligvis overflødig. Et unntak der en tilstand kan være både nåværende og inaktivt, er astma som ikke forårsaker akutte symptomer.">
				>
				["at0061"] = <
					text = <"Tidligere">
					description = <"Problemet/diagnosen er ikke lenger tilstede ved registreringstidspunktet.">
				>
				["at0062"] = <
					text = <"Nåværende">
					description = <"Problemet/diagnosen er tilstede ved registreringstidspunktet.">
				>
				["at0063"] = <
					text = <"Diagnosisk kategori">
					description = <"Kategorisering av problemet eller diagnosen innenfor en spesifikk kontakt og/eller lokal behandlingssammenheng.">
					comment = <"Dette elementet inneholder et verdisett som er i vanlig bruk innen diagnosekategorisering. I episodiske behandlingssammenhenger (som regel spesialisthelsetjenesten) er det vanlig å kategorisere/organisere diagnoser i henhold til deres forhold til hoveddiagnosen som behandles i den aktuelle kontakten. Disse kategoriene kan også brukes for klinisk koding, rapportering og fakturering. I noen land omtales diagnosekategorien som \"en DRG\". I tillegg gjør muligheten for å legge til annen fri eller kodet tekst at det er mulig å bruke andre lokale verdisett ved behov.">
				>
				["at0064"] = <
					text = <"Hoveddiagnose">
					description = <"Diagnosen som er bestemt å være hovedårsaken til den aktuelle kontakten.">
				>
				["at0066"] = <
					text = <"Bidiagnose">
					description = <"Et problem eller diagnose som opptrer samtidig som hoveddiagnosen. Kan også omtales som en komorbiditet.">
				>
				["at0070"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme hvorvidt denne forekomsten av problemet eller diagnosen er ny eller pågående.">
				>
				["at0071"] = <
					text = <"Forekomst">
					description = <"Kategorisering av forekomsten for dette problemet eller diagnosen.">
					comment = <"Dette dataelementet kan brukes som en ytterligere kvalifikator i tillegg til verdien \"Ny\" i elementet \"Episodisitet\". For eksempel kan en sykdom som astma ha gjentakende episoder med bedre perioder mellom, men det kan likevel være viktig å kunne identifisere den første astmaepisoden fra de påfølgende.">
				>
				["at0073"] = <
					text = <"Tilstede ved innleggelse?">
					description = <"Var problemet eller diagnosen tilstede ved innleggelse?">
					comment = <"Registrer som \"sann\" eller \"Ja\" dersom problemet eller diagnosen var tilstede ved innleggelse. Dette elementet er et krav i forbindelse med DRG i noen land.">
				>
				["at0076"] = <
					text = <"Komplikasjon">
					description = <"En ugunstig utvikling av et problem eller diagnose.">
				>
				["at0077"] = <
					text = <"Forløpsbetegnelse">
					description = <"Kategorisering som betegner debuten og/eller varigheten og vedvarenheten av problemet eller diagnosen.">
					comment = <"Definisjoner av akutt og kronisk vil variere fra diagnose til diagnose.">
				>
				["at0079"] = <
					text = <"Kronisk">
					description = <"Et problem eller diagnose med varige eller langvarige effekter, eller som utvikler seg over tid.">
				>
				["at0081"] = <
					text = <"Akutt">
					description = <"Et problem eller diagnose med en rask inntreden, kortvarig forløp, eller begge.">
				>
				["at0083"] = <
					text = <"Bedringsfase">
					description = <"Fase av bedring eller tilheling for et akutt problem eller diagnose.">
					comment = <"For eksempel for å spore tilhelingen av en mellomørebetennelse.">
				>
				["at0084"] = <
					text = <"Bedret">
					description = <"Problemet eller diagnosen har fullført de vanlige stadiene av bedring eller tilheling, og kan regnes som bedret.">
				>
				["at0085"] = <
					text = <"I bedring">
					description = <"Problemet eller diagnosen utvikler seg i ønsket retning gjennom de vanlige stadiene av bedring, eller under tilheling.">
				>
				["at0086"] = <
					text = <"Ikke i bedring">
					description = <"Problemet eller diagnosen utvikler seg ikke i ønsket retning gjennom de vanlige stadiene av bedring, eller er ikke under tilheling.">
				>
				["at0087"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme problemet eller diagnosens fase av bedring.">
				>
				["at0088"] = <
					text = <"Avkreftet">
					description = <"Diagnosen har blitt klinisk revurdert, eller er motbevist med en høy grad av klinisk sikkerhet. Denne statusen brukes for å korrigere feil i journalen.">
				>
				["at0089"] = <
					text = <"Remisjonsstatus">
					description = <"Remisjonsstatus for en ikke-kurerbar diagnose.">
					comment = <"For eksempel status for kreft eller en hematologisk diagnose.">
				>
				["at0090"] = <
					text = <"I remisjon">
					description = <"Ingen pågående sykdomstegn eller symptomer på sykdommen er identifisert.">
				>
				["at0092"] = <
					text = <"Ikke i remisjon">
					description = <"Ingen reduksjon av sykdomstegn eller symptomer er identifisert.">
				>
				["at0093"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme om sykdomstegnene eller symptomene av sykdommen er reduserte.">
				>
				["at0094"] = <
					text = <"Akutt-på-kronisk">
					description = <"Et problem eller en diagnose med en akutt forverring av en kronisk tilstand.">
				>
				["at0095"] = <
					text = <"Første forekomst">
					description = <"Dette er den første forekomsten av dette problemet eller diagnosen.">
				>
				["at0096"] = <
					text = <"Tilbakefall">
					description = <"Ny forekomst av det samme problemet eller diagnosen etter at en tidligere episode var bedret.">
				>
				["at0097"] = <
					text = <"Residivert">
					description = <"Problemet eller diagnosen har blitt forverret etter en midlertidig forbedret periode.">
				>
				["at0098"] = <
					text = <"Kontrollnivå">
					description = <"Kategorisering av kontrollnivå den nåværende behandlingen har over problemet eller diagnosen.">
				>
				["at0099"] = <
					text = <"Godt kontrollert">
					description = <"Problemet eller diagnosen er godt kontrollert av nåværende behandling.">
				>
				["at0100"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme om nåværende behandling holder problemet eller diagnosen under kontroll.">
				>
				["at0101"] = <
					text = <"Ikke kontrollert">
					description = <"Problemet eller diagnosen er ikke kontrollert av nåværende behandling.">
				>
				["at0102"] = <
					text = <"Progresjon">
					description = <"Kategorisering av progresjonen gjennom forløpet til et kronisk problem eller diagnose.">
				>
				["at0103"] = <
					text = <"I bedring">
					description = <"Problemet eller diagnosen er i bedring.]">
				>
				["at0104"] = <
					text = <"Stabil">
					description = <"Problemet eller diagnosen er uendret.">
				>
				["at0105"] = <
					text = <"I forverring">
					description = <"Problemet eller diagnosen er i forverring.">
				>
				["at0106"] = <
					text = <"Ubestemmelig">
					description = <"Det er ikke mulig å bestemme problemet eller diagnosens progresjon.">
				>
				["at0107"] = <
					text = <"Årsak for en pågående episode">
					description = <"Årsak for at problemet eller diagnosen ikke bedres som forventet.">
					comment = <"For eksempel: ufullstendig eller feilslått behandling.">
				>
				["at0108"] = <
					text = <"Ja">
					description = <"">
				>
				["at0109"] = <
					text = <"Nei">
					description = <"">
				>
				["at0110"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om problem/diagnose-kvalifikatorverdiene som ikke fanges opp i andre felt.">
				>
			>
		>
		["ko"] = <
			items = <
				["at0000"] = <
					text = <"문제/진단 한정자">
					description = <"특정 문제 또는 진단을 위한 문맥 또는 시간적 한정자.">
				>
				["at0001"] = <
					text = <"삽화">
					description = <"확인된 문제/진단에 대한 삽화의 범주.">
					comment = <"예: '새로운'은 임상의가 치료되지 않았거나 진행 중인 만성중이염 진단과 이전 진단 이후 바로 발생한 것일 수 있는 새로운 급성 중이염 삽화를 구별할 수 있도록 함. 재발이면서 새로이 발생한 급성 상태의 삽화에 대한 치료는 치료가 안됐거나 치료에 반응하지 않는 같은 상태와 상당히 다를 것임. 많은 상황에서, 임상의는 구별할 수 없을 것이며 그래서 결정불능이 적절할 수도 있음.">
				>
				["at0003"] = <
					text = <"활성/비활성">
					description = <"문제와 진단을 활성 또는 비활성 문제 목록으로 구분하는 것을 지원하기 위한 범주.">
					comment = <"활성/비활성 그리고 현재/과거 데이터 엘리먼트는 비슷한 임상적 영향을 가지지만 약간 다른 의미를 표현함. 둘 다 상이한 임상 환경에서 활발하게 사용되지만 보통 같이 사용되지는 않음. 현재/과거 한정자가 기록되어 있다면, 이 데이터 엘리먼트는 중복일 가능성이 있음. 상태가 현재일 수는 있지만 비활성인 예외 경우는 급성 증상을 일으키지 않는 천식임.">
				>
				["at0004"] = <
					text = <"진단 상태">
					description = <"진단 과정의 단계.">
					comment = <"이 상태는 보통 진단 검사와 가용한 임상 근거에 따른 임상 확실성 수준에, 진단의 시점을 더하기한 조합에 의해 결정됨. 이EVALUATION.problem_diagnosis 내의 데이터 엘리먼트와 'Diagnostic certainty'는 두 개의 중요한 진단 과정의 축이고, 두 개 모두의 데이터 엘리먼트를 노출하는 소프트웨어에 의해 제공될 수 있는 유효한 조합이 필요하기 때문에, 사용자가 이해관계가 충돌하는 조합을 선택하는 것은 불가능 함.
예비 또는 작업 중인 진단은 모든 감별진단 선택 중에서 하나의 가장 가능성 높은 선택을 나타내고자 하는 것임.">
				>
				["at0016"] = <
					text = <"예비">
					description = <"보통 보통 낮은 수준의 임상적 확실을과 과련된, 초기 진단이 이루어짐. 검사 결과 또는 권고에 따라 변경될 수 있음.">
				>
				["at0017"] = <
					text = <"진행">
					description = <"합리적 수준의 임상적 확실성에 근거하지만, 좀 더 진전된 검사 결과 또는 임상적 권고를 기다리는 임시적인 진단. 이 또한 검사 결과 또는 권고에 따라 변경될 수 있음.">
				>
				["at0018"] = <
					text = <"확립">
					description = <"검사결과에 따른 임상 근거를 포함할 수 있는, 높은 수준의 임상적 확실성에 기반한 최종의 실질적인 진단. 변경될 것으로 기대되지 않음.">
				>
				["at0026"] = <
					text = <"활성">
					description = <"현재 활성화되어 있고 임상적으로 관련된 문제 또는 진단">
				>
				["at0027"] = <
					text = <"비활성">
					description = <"완치된 문제 또는 진단은 아니지만 비활성 상태이거나 현재 임상 상황에 거의 관련성이 없다고 느껴짐.">
				>
				["at0034"] = <
					text = <"새로운">
					description = <"새로 또는 존재하는 문제 또는 진단의 새로운 발생. '처음 발생'을 위한 표시는 다른 발생으로 부터 처음 발생을 구별하기 위해 구분해서 기록될 수 있음.">
				>
				["at0035"] = <
					text = <"진행중">
					description = <"이슈 또는 문제, 진단이 새로운 급성 삽화의 발생없이 진행 중임.">
				>
				["at0060"] = <
					text = <"현재/과거?">
					description = <"문제와 진단을 현재 또는 과거 문제 목록으로 구분하는 것을 지원하기 위한 범주.">
					comment = <"현재/과거 그리고 활성/비활성 데이터 엘리먼트는 비슷한 임상적 영향을 가지지만 약간 다른 의미를 표현함. 둘 다 상이한 임상 환경에서 활발하게 사용되지만 보통 같이 사용되지는 않음. 활성/비활성 한정자가 기록되어 있다면, 이 데이터 엘리먼트는 중복일 가능성이 있음. 상태가 현재일 수는 있지만 비활성인 예외 경우는 급성 증상을 일으키지 않는 천식임.">
				>
				["at0061"] = <
					text = <"과거">
					description = <"과거에 발생했던 이슈.">
				>
				["at0062"] = <
					text = <"현재">
					description = <"현재 발생한 이슈.">
				>
				["at0063"] = <
					text = <"진단 범주">
					description = <"특별한 진료 그리고/또는 로컬 케어 환경의 삽화 내에서의 문제 또는 진단의 범주">
					comment = <"이 데이터 엘리먼트는 진단 범주에서 공통적으로 사용되는 value set을 포함함. 삽화적인 진료환경(보통 이차 진료)에서, 해당 진료삽화 동안 대처해야하는 주진단과의 관계에 따라 범주화/조직화하는 것이 일반적임. 이 범주는 또한 임상 코딩과 리포팅, 청구목적을 위해 사용될 수 있음. 몇몇 국가에서는 진단 범주가 DRG로 알려지기도 함. 
추가로, 자유 텍스트 선택은 요구에 따라 다른 로컬 value set의 사용을 허용함.">
				>
				["at0064"] = <
					text = <"주요 진단">
					description = <"입원 환자 진료의 삽화 또는 요양 진료의 삽화, 의료기관 방문을 야기하는데 주요하게 책임이 있는 것으로 결정된 진단.
">
				>
				["at0066"] = <
					text = <"이차 진단">
					description = <"일차 문제 또는 진단과 동시에 발생한 문제 또는 진단. 동반 상태로 알려질 수도 있음.">
				>
				["at0070"] = <
					text = <"결정불능">
					description = <"문제 또는 진단의 발생이 새로운 것인지 진행 중인 것인지 구별하는 것이 불가능함.">
				>
				["at0071"] = <
					text = <"*Occurrence (en)">
					description = <"*Category of the occurrence for this problem or diagnosis. (en)">
					comment = <"*This data element can be an additional qualifier to the 'New' value in the 'Episodicity' value set, that is a condition such as asthma can have recurring new episodes that have periods of resolution in between. However it can be important to identify the first ever episode of asthma from all of the other episodes. (en)">
				>
				["at0073"] = <
					text = <"입원 진단?">
					description = <"입원시 존재했던 문제 또는 진단인가?">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"합병증">
					description = <"문제 또는 진단의 원치않는 발전.">
				>
				["at0077"] = <
					text = <"경과">
					description = <"문제 또는 진단의 발생의 속도 그리고/또는 기간 그리고 영속성을 반영하는 범주.">
					comment = <"급성 대 만성의 진단은 각 진단에서 따라 다를 것임.">
				>
				["at0083"] = <
					text = <"치료 단계">
					description = <"급성 문제 또는 진단이 치료되는 단계">
					comment = <"예: 중이염의 치료 단계 추적">
				>
				["at0084"] = <
					text = <"완치">
					description = <"문제 또는 진단이 완치가 되는 방향으로 치료되고 있거나 정상 단계로 복귀되는 것을 통해 종료됨.">
				>
				["at0085"] = <
					text = <"치료중">
					description = <"문제 또는 진단이 완치가 되는 방향으로 치료되고 있거나 정상 단계로 복귀되는 것을 통해 만족스럽게 진행중임.">
				>
				["at0086"] = <
					text = <"치료안되고 있음">
					description = <"문제 또는 진단이 완치가 되는 방향으로 치료되고 있다거나 정상 단계로 복귀되는 것처럼 만족스럽게 진행되지 않고 있음.">
				>
				["at0087"] = <
					text = <"결정불능">
					description = <"문제 또는 진단의 완치 또는 치료 상태를 결정할 수 없음.">
				>
				["at0088"] = <
					text = <"반증">
					description = <"이전에 기록된 진단이 임상적으로 재평가되고 높은 수준의 임상적 확실성으로 반증됨. 이 상태는 건강 기록내의 오류를 교정하는데 사용됨.">
				>
				["at0089"] = <
					text = <"관해 상태">
					description = <"불치병 진단의 관해 상태.">
					comment = <"예: 암 또는 혈액학적 진단 상태.">
				>
				["at0090"] = <
					text = <"완전 관해">
					description = <"확인되는 진행 중인 질병의 증상이나 징후가 없음.">
				>
				["at0092"] = <
					text = <"관해 아님">
					description = <"질병의 증상이나 증후의 감소가 확인되지 않음.">
				>
				["at0093"] = <
					text = <"결정불능">
					description = <"질병의 증상이나 증후의 감소가 있는지 결정하는 것이 불가능함.">
				>
				["at0095"] = <
					text = <"*First occurrence (en)">
					description = <"*This is the first ever occurrence of this problem or diagnosis. (en)">
				>
				["at0096"] = <
					text = <"*Recurrence (en)">
					description = <"*New occurrence of the same problem or diagnosis after a previous episode was resolved. (en)">
				>
				["at0097"] = <
					text = <"*Relapsed (en)">
					description = <"*Problem or diagnosis has deteriorated after a period of temporary improvement. (en)">
				>
				["at0098"] = <
					text = <"*Level of control (en)">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"*Controlled (en)">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"*Not controlled (en)">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"*Progression (en)">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"*Improving (en)">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"*Stable (en)">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"*Worsening (en)">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Problem/Diagnose Attribut">
					description = <"Kontextabhängiges oder temporäres Attribut für ein bestimmtes Problem oder eine bestimmte Diagnose.">
				>
				["at0001"] = <
					text = <"Episode">
					description = <"Die Kategorie der Episode für das identifizierte Problem oder die identifizierte Diagnose.">
					comment = <"Zum Beispiel: Die Episode \"Neu\" ermöglicht es Klinikern eine neue akute Episode von Otitis media, welche möglicherweise kurz nach einer früheren Otitis media-Diagnose aufgetreten ist, von einer ungelösten oder \"andauernden\" chronischen Diagnose Otitis media zu unterscheiden. Die Behandlung von wiederkehrenden, neuen und akuten Episoden einer Erkrankung kann sich erheblich von der Behandlung der gleichen Erkrankung, welche noch nicht genesen ist, oder keine Reaktion auf eine bestimmte Behandlung gezeigt hat, unterscheiden. In vielen Fällen kann der Kliniker dies nicht sagen und eine Einteilung der Episode als \"Unbestimmt\" könnte angemessen sein.">
				>
				["at0003"] = <
					text = <"Aktiv / Inaktiv?">
					description = <"Eine Kategorie, die die Aufteilung der Problemlisten von Problemen und Diagnosen in aktiv und inaktiv unterstützt.">
					comment = <"Die Aktiv/Inaktiv und Aktuell/Vergangen Datenelemente haben einen ähnlichen klinischen Einfluss, repräsentieren aber eine etwas andere Semantik. Beide werden aktiv in verschiedenen klinischen Rahmen benutzt, aber normalerweise nicht zusammen. Wenn ein Aktuell/Vergangen Attribut dokumentiert wird, dann ist dieses Datenelement wahrscheinlich redundant. Eine Ausnahme ist ein Zustand der aktuell, aber inaktiv ist. Ein Beispiel dafür ist Asthma, welches keine akuten Symptome auslöst.">
				>
				["at0004"] = <
					text = <"Diagnosestatus">
					description = <"Stadium oder Phase des diagnostischen Prozesses.">
					comment = <"Der Status wird normalerweise durch eine Kombination des Diagnosezeitraums und der klinischen Sicherheit, welche von den diagnostischen Tests und der klinischen Evidenz abhängt, bestimmt. Zusammen mit dem Element \"Diagnostische Sicherheit\" des EVALUATION.problem/diagnosis Archetyps, bildet dieses Datenelement eine wichtige Basis für den diagnostischen Prozess. Es muss sichergestellt werden, dass die Software eine gültige Kombination aus den beiden Datenelemente präsentiert, damit Nutzer keine widersprüchlichen Kombinationen der beiden Datenelementen auswählen können. 
Vorläufige Diagnose oder Diagnose in Bearbeitung soll die wahrscheinlichste Wahl unter allen Möglichkeiten von Differentialdiagnosen darstellen.">
				>
				["at0016"] = <
					text = <"Vorläufig">
					description = <"Die Initialdiagnose, welche normalerweise auf einem geringen Level von klinischer Sicherheit beruht. Sie kann sich ändern, wenn Testergebnisse, Hinweise oder Empfehlungen verfügbar sind.">
				>
				["at0017"] = <
					text = <"In Bearbeitung">
					description = <"Eine vorübergehende Diagnose, bei welcher Testergebnisse und klinische Hinweise oder Empfehlungen noch ausstehen, welche aber bereits auf einer soliden klinischen Sicherheit beruht. Sobald weitere Testresultate und klinische Hinweise oder Empfehlungen zur Verfügung stehen, kann sich die Diagnose noch ändern.">
				>
				["at0018"] = <
					text = <"Festgestellt">
					description = <"Die endgültige Diagnose, welche auf einem hohen Level von klinischer Sicherheit beruht, die klinische Anhaltspunkte von Testergebnissen beinhalten kann. Es ist nicht zu erwarten, dass die Diagnose sich noch ändert.">
				>
				["at0026"] = <
					text = <"Aktiv">
					description = <"Das Problem oder die Diagnose ist derzeit aktiv und klinisch relevant.">
				>
				["at0027"] = <
					text = <"Inaktiv">
					description = <"Das Problem oder die Diagnose ist nicht komplett behoben, ist aber inaktiv oder ist weniger relevant in dem gegenwärtigen klinischen Kontext.">
				>
				["at0034"] = <
					text = <"Neu">
					description = <"Ein neues Auftreten eines neuen oder bereits existierenden Problems oder einer Diagnose. Um das erste Auftreten von anderen Vorkommnissen zu unterscheiden, kann eine Kennzeichnung für das \"Erstes Auftreten\" separat dargestellt werden.">
				>
				["at0035"] = <
					text = <"Andauernd">
					description = <"Das Problem oder die Diagnose setzt sich fort, ohne dass neue oder akute Episoden auftreten.">
				>
				["at0060"] = <
					text = <"Aktuell/Vergangen?">
					description = <"Eine Kategorie, die die Aufteilung der Problemlisten der Probleme und der Diagnosen in aktuell und vergangen unterstützt.">
					comment = <"Die Datenelemente Aktuell/Vergangen und Aktiv/Inaktiv haben ähnliche klinische Auswirkungen, repräsentieren aber eine etwas andere Semantik. Beide werden aktiv in verschiedenen klinischen Rahmen benutzt, aber normalerweise nicht zusammen. Wenn ein Aktiv/Inaktiv-Attribut dokumentiert wird, dann ist dieses Datenelement wahrscheinlich redundant. Eine Ausnahme, bei der eine Erkrankung aktuell, aber inaktiv sein kann, ist Asthma, das keine akuten Symptome verursacht.">
				>
				["at0061"] = <
					text = <"Vergangen">
					description = <"Eine Diagnose, die in der Vergangenheit aufgetreten ist.">
				>
				["at0062"] = <
					text = <"Aktuell">
					description = <"Eine Diagnose, die derzeit besteht.">
				>
				["at0063"] = <
					text = <"Diagnostische Kategorie">
					description = <"Die Kategorie des Problems oder der Diagnose innerhalb eines spezifischen Behandlungszeitraumes und/oder eines lokalen Behandlungskontextes.">
					comment = <"Dieses Datenelement enthält eine Gruppe von Werten, welche üblicherweise in der diagnostischen Kategorisierung benutzt werden. Es ist üblich, dass im episodischen Versorgungskontext (üblicherweise in der Sekundärversorgung) die Diagnosen während der aktuellen Versorgungsepisode nach ihrer Beziehung zur Hauptdiagnose zu kategorisieren/ zu organisieren sind. Diese Kategorien können ebenfalls für die klinische Kodierungs-, Berichts- und Abrechnungszwecke verwendet werden. In manchen Ländern kann die diagnostische Kategorisierung als DRG (diagnosebezogene Fallgruppierungen) bezeichnet werden.
Falls es nötig sein sollte, erlaubt das Freitextfeld die Benutzung von lokalen Werten.">
				>
				["at0064"] = <
					text = <"Hauptdiagnose">
					description = <"Die Diagnose wurde als Hauptgrund für eine Episode der zugewiesenen Patientenversorgung, eine Episode der stationären Pflege oder einen Besuch in der Einrichtung des Gesundheitswesens ermittelt.">
				>
				["at0066"] = <
					text = <"Nebendiagnose">
					description = <"Ein Problem oder eine Diagnose, die zur gleichen Zeit auftritt wie die Hauptdiagnose. Könnte auch als komorbider Zustand bezeichnet werden.">
				>
				["at0070"] = <
					text = <"Unbestimmt">
					description = <"Es ist nicht möglich zu überprüfen, ob die Episode des Problems oder der Diagnose neu oder andauernd ist.">
				>
				["at0071"] = <
					text = <"Auftreten">
					description = <"Die Kategorie des Auftretens des Problems oder der Diagnose.">
					comment = <"Dieses Datenelement kann ein zusätzliches Attribut zu dem Wert \"Neu\" in der Gruppe von Werten bei \"Episoden\" sein. Asthma wäre ein Beispiel für einen Zustand, welcher wiederauftretende neue Episoden hat, welche durch Perioden der Genesung unterbrochen werden. Allerdings kann es wichtig sein, die allererste Episode, in der Asthma aufgetreten ist, von den anderen Episoden zu trennen.">
				>
				["at0073"] = <
					text = <"Aufnahmediagnose?">
					description = <"War das Problem oder die Diagnose bei der Aufnahme vorhanden?">
					comment = <"Tragen Sie als „Wahr“ oder „Ja“ ein, wenn das Problem oder die Diagnose bei der Aufnahme vorhanden war. Dieses Datenelement wird in einigen Ländern von dem DRG-Reporting verlangt.">
				>
				["at0076"] = <
					text = <"Komplikation">
					description = <"Eine ungünstige Entwicklung eines Problems oder einer Diagnose.">
				>
				["at0077"] = <
					text = <"Verlaufsbeschreibung">
					description = <"Die Kategorie, die die Geschwindigkeit des Auftretens und/oder die Dauer sowie das Anhalten des Problems oder der Diagnose beschreibt.">
					comment = <"Die Definition von akut und chronisch wird sich von Diagnose zu Diagnose unterscheiden.">
				>
				["at0079"] = <
					text = <"Chronisch">
					description = <"Ein Problem oder eine Diagnose mit beständigen, lang anhaltenden oder sich im Laufe der Zeit entwickelnden Auswirkungen.">
				>
				["at0081"] = <
					text = <"Akut">
					description = <"Ein Problem oder eine Diagnose mit schnellem Auftreten, einem kurzen Verlauf oder beidem.">
				>
				["at0083"] = <
					text = <"Genesungsphase">
					description = <"Die Phase der Heilung eines akuten Problems oder einer Diagnose.">
					comment = <"Zum Beispiel: Das Verfolgen des Verlaufes der Heilung einer Mittelohrentzündung.">
				>
				["at0084"] = <
					text = <"Genesen">
					description = <"Das Problem oder die Diagnose hat die normalen Phasen der Wiederherstellung oder der Heilung durchlaufen und kann als vollständig genesen angesehen werden.">
				>
				["at0085"] = <
					text = <"Genesung">
					description = <"Das Durchlaufen der normalen Stadien der Wiederherstellung oder Heilung bis zur vollständigen Genesung des Problems oder der Diagnose läuft zufriedenstellend.">
				>
				["at0086"] = <
					text = <"Keine Genesung">
					description = <"Das Durchlaufen der normalen Stadien der Wiederherstellung oder Heilung bis zur vollständigen Genesung des Problems oder der Diagnose läuft nicht zufriedenstellend.">
				>
				["at0087"] = <
					text = <"Unbestimmt">
					description = <"Der Genesungs- oder Heilungsstatus des Problems oder der Diagnose kann nicht bestimmt werden.">
				>
				["at0088"] = <
					text = <"Widerlegt">
					description = <"Die zuvor gestellte Diagnose wurde klinisch neu bewertet oder mit einem hohen Level an klinischer Sicherheit widerlegt. Dieser Status wird zur Korrektur von Fehlern in der Gesundheitsakte benutzt.">
				>
				["at0089"] = <
					text = <"Remissionsstatus">
					description = <"Der Remissionsstatus einer nicht heilbaren Krankheit.">
					comment = <"Zum Beispiel: Der Status von Krebs oder einer hämatologischen Diagnose.">
				>
				["at0090"] = <
					text = <"In Remission">
					description = <"Keine anhaltenden Anzeichen oder Symptome der Krankheit konnten festgestellt werden.">
				>
				["at0092"] = <
					text = <"Nicht in Remission">
					description = <"Keine Minderung der Anzeichen oder der Symptome der Krankheit konnte festgestellt werden.">
				>
				["at0093"] = <
					text = <"Unbestimmt">
					description = <"Es ist nicht möglich zu überprüfen, ob eine Minderung der Anzeichen oder der Symptome der Krankheit festgestellt wurde.">
				>
				["at0094"] = <
					text = <"Akut bei chronisch">
					description = <"Ein Problem oder eine Diagnose mit einem akuten Schub einer chronischen Erkrankung.">
				>
				["at0095"] = <
					text = <"Erstes Auftreten">
					description = <"Dies ist das erste Auftreten dieses Problems oder dieser Diagnose.">
				>
				["at0096"] = <
					text = <"Rezidiv">
					description = <"Das erneute Auftreten des gleichen Problems oder der gleichen Diagnose nach einer vorherigen behobenen Episode.">
				>
				["at0097"] = <
					text = <"Rückfall">
					description = <"Das Problem oder die Diagnose hat sich nach einer vorübergehenden Besserung verschlechtert.">
				>
				["at0098"] = <
					text = <"Kontrollniveau">
					description = <"Kategorie des Kontrollniveaus des Problems oder der Diagnose durch das aktuelle Management.">
				>
				["at0099"] = <
					text = <"Kontrolliert">
					description = <"Das Problem oder die Diagnose wird vom aktuellen Management kontrolliert.">
				>
				["at0100"] = <
					text = <"Unbestimmt">
					description = <"Es ist nicht möglich festzustellen, ob das Problem oder die Diagnose vom derzeitigen Management kontrolliert wird.">
				>
				["at0101"] = <
					text = <"Nicht kontrolliert">
					description = <"Das Problem oder die Diagnose wird nicht vom derzeitigen Management kontrolliert.">
				>
				["at0102"] = <
					text = <"Progression">
					description = <"Kategorie des Verlaufs eines chronischen Problems oder der Diagnose.">
				>
				["at0103"] = <
					text = <"Verbesserung">
					description = <"Das Problem oder die Diagnose verbessert sich.">
				>
				["at0104"] = <
					text = <"Stabil">
					description = <"Das Problem oder die Diagnose ist unverändert.">
				>
				["at0105"] = <
					text = <"Verschlechterung">
					description = <"Das Problem oder die Diagnose verschlechtert sich.">
				>
				["at0106"] = <
					text = <"Unbestimmt">
					description = <"Es ist nicht möglich, den Fortschritt des Problems oder der Diagnose zu bestimmen.">
				>
				["at0107"] = <
					text = <"Grund für eine andauernde Episode.">
					description = <"Grund für ein Problem oder eine Diagnose, die nicht wie erwartet behoben wird.">
					comment = <"Zum Beispiel: unvollständige oder erfolglose Behandlung.">
				>
				["at0108"] = <
					text = <"Ja">
					description = <"">
				>
				["at0109"] = <
					text = <"Nein">
					description = <"">
				>
				["at0110"] = <
					text = <"Kommentar">
					description = <"Zusätzliche Erläuterung zu den Werten des Problem/Diagnose Attributs, die nicht in anderen Feldern erfasst werden.">
				>
			>
		>
		["it"] = <
			items = <
				["at0000"] = <
					text = <"Qualificatore di problema/diagnosi.">
					description = <"Qualificatore di contesto o di tempo per uno specifico problema o una specifica diagnosi.">
				>
				["at0001"] = <
					text = <"Episodicità">
					description = <"Categoria di questo episodio per il problema/diagnosi identificati. ">
					comment = <"Ad esempio: \"Nuovo\" permetterà ai medici di distinguere un nuovo episodio acuto di otite media che può essere sorto subito dopo una diagnosi precedente, per distinguerlo da una diagnosi irrisolta o \"in corso\" di otite media cronica. Il trattamento di episodi ricorrenti, nuovi e acuti di una patologia, può differire significativamente dalla stessa patologia che non si risolve o non risponde al trattamento. In molte situazioni il clinico non sarà in grado di dirlo, e quindi indeterminato può essere appropriato.">
				>
				["at0003"] = <
					text = <"Attivo/Inattivo?">
					description = <"Categoria che supporta la divisione di problemi e diagnosi in elenchi di problemi Attivi o Inattivi.">
					comment = <"I dati Attivo/Inattivo e Corrente/Passato hanno un impatto clinico simile, ma rappresentano una semantica leggermente diversa. Entrambi sono utilizzati attivamente in contesti clinici diversi, ma di solito non insieme. Se viene registrato un qualificatore Corrente/Passato, è probabile che questo dato sia ridondante. Un'eccezione in cui una condizione può essere corrente ma inattiva è l'asma che non causa sintomi acuti.">
				>
				["at0004"] = <
					text = <"Stato diagnostico">
					description = <"Stadio o fase del processo diagnostico.">
					comment = <"Lo stato è solitamente determinato da una combinazione delle tempistiche di diagnosi più il livello di certezza clinica risultante dai test diagnostici e dalle prove cliniche disponibili.
Questo dato e la 'Certezza diagnostica' in EVALUATION.problem_diagnosis sono due assi importanti del processo diagnostico, e combinazioni valide dovranno essere presentate da un software che esponga entrambi i dati, quindi non è possibile per gli utenti selezionare combinazioni contrastanti. 
Le diagnosi preliminari o di lavoro sono destinate a rappresentare la scelta più probabile tra tutte le opzioni di diagnosi differenziale.">
				>
				["at0016"] = <
					text = <"Preliminare">
					description = <"La diagnosi inizialmente fatta, di solito associata ad un basso livello di certezza clinica. Può cambiare man mano che risultati di test o indicazioni diventano disponibili.">
				>
				["at0017"] = <
					text = <"Interim">
					description = <"Diagnosi di lavoro, basata su una ragionevole certezza clinica, ma in attesa di ulteriori risultati di test o di consigli clinici. Può comunque cambiare man mano che i risultati dei test o i indicazioni diventano disponibili.">
				>
				["at0018"] = <
					text = <"Definitiva">
					description = <"Diagnosi definitiva documentata, basata su un alto livello di certezza clinica, che può includere l'evidenza clinica dei risultati dei test. Non ci si aspetta che cambi.">
				>
				["at0026"] = <
					text = <"Attivo">
					description = <"Il problema o la diagnosi sono attualmente attivi e clinicamente rilevanti.">
				>
				["at0027"] = <
					text = <"Inattivo">
					description = <"Il problema o la diagnosi non sono completamente risolti, ma sono inattivi o ritenuti meno rilevanti nel contesto clinico attuale.">
				>
				["at0034"] = <
					text = <"Nuovo">
					description = <"Una nuova insorgenza di un problema o di una diagnosi nuova o già esistente. Un flag per \"Prima occorrenza\" può essere registrato separatamente per distinguere la prima da altre occorrenze.">
				>
				["at0035"] = <
					text = <"In corso">
					description = <"Il fenomeno, il problema o la diagnosi continua, senza che si verifichino nuovi episodi acuti.">
				>
				["at0060"] = <
					text = <"Corrente/Passato?">
					description = <"Categoria che supporta la divisione di problemi e diagnosi in elenchi di problemi Correnti o Passati.">
					comment = <"I dati Corrente/Passato e Attivo/Inattivo hanno hanno un impatto clinico simile, ma rappresentano una semantica leggermente diversa. Entrambi sono utilizzati attivamente in contesti clinici diversi, ma di solito non insieme. Se viene registrato un qualificatore Attivo/Inattivo, è probabile che questo dato sia ridondante. Un'eccezione in cui una condizione può essere corrente ma inattiva è l'asma che non causa sintomi acuti.">
				>
				["at0061"] = <
					text = <"Passato">
					description = <"Un problema che si è verificato in passato.">
				>
				["at0062"] = <
					text = <"Corrente">
					description = <"Un problema che si sta verificando al momento.">
				>
				["at0063"] = <
					text = <"Categoria diagnostica">
					description = <"Categoria del problema o diagnosi all'interno di un episodio specifico di cura e/o contesto di cura locale.">
					comment = <"Questo dato contiene un set di valori comunemente usato nella categorizzazione diagnostica. In contesti di assistenza episodica (comunemente assistenza secondaria) è comune categorizzare/organizzare le diagnosi in base alla loro relazione con la diagnosi principale che viene affrontata durante quell'episodio di assistenza. Queste categorie possono essere utilizzate anche per la codifica clinica, la segnalazione e la fatturazione. In alcuni paesi la categoria diagnostica può essere conosciuta come DRG.
 Inoltre, la scelta del testo libero permette l'uso di altri set di valori locali, come richiesto.">
				>
				["at0064"] = <
					text = <"Diagnosi principale">
					description = <"La diagnosi è stata determinata come responsabile principale di un episodio di ricovero del paziente, di un episodio di assistenza residenziale o di una presenza presso la struttura sanitaria.">
				>
				["at0066"] = <
					text = <"Diagnosi secondaria">
					description = <"Un problema o una diagnosi che si verifica contemporaneamente al problema o alla diagnosi primaria. Può anche essere conosciuta come una condizione di comorbidità.">
				>
				["at0070"] = <
					text = <"Indeterminato">
					description = <"Non è possibile determinare se il problema o la diagnosi sono nuovi o in corso.">
				>
				["at0071"] = <
					text = <"Occorrenza">
					description = <"Categoria di occorrenza per questo problema o diagnosi.">
					comment = <"Questo dato può essere un qualificatore aggiuntivo al valore \"Nuovo\" nel set di valori \"Episodicità\", cioè una condizione come l'asma può avere nuovi episodi ricorrenti che hanno periodi di risoluzione nel mezzo. Tuttavia può essere importante identificare il primo episodio di asma da tutti gli altri episodi.">
				>
				["at0073"] = <
					text = <"Diagnosi di ammissione?">
					description = <"Il problema o la diagnosi erano presenti al momento del ricovero? ">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"Complicazione">
					description = <"Un'evoluzione sfavorevole di un problema o di una diagnosi.">
				>
				["at0077"] = <
					text = <"Decorso">
					description = <"Categoria che riflette la velocità di insorgenza e/o la durata e la persistenza del problema o della diagnosi.">
					comment = <"Le definizioni di acuto e cronico differiscono per ogni diagnosi.">
				>
				["at0083"] = <
					text = <"Fase risolutoria">
					description = <"Fase di guarigione per un problema acuto o una diagnosi. ">
					comment = <"Per esempio: tracking del progresso della risoluzione di un'infezione dell'orecchio medio. ">
				>
				["at0084"] = <
					text = <"Risolto">
					description = <"Il problema o la diagnosi ha completato le normali fasi di recupero o di guarigione e possono essere considerati risolti. ">
				>
				["at0085"] = <
					text = <"In risoluzione">
					description = <"Il problema o la diagnosi sta progredendo in modo soddisfacente attraverso le normali fasi di recupero o di guarigione verso la risoluzione.">
				>
				["at0086"] = <
					text = <"Non in risoluzione">
					description = <"Il problema o la diagnosi non sta progredendo in modo soddisfacente attraverso le normali fasi di recupero o di guarigione verso la risoluzione.">
				>
				["at0087"] = <
					text = <"Indeterminato">
					description = <"Non è possibile determinare la risoluzione o lo stato di guarigione del problema o della diagnosi.">
				>
				["at0088"] = <
					text = <"Confutato">
					description = <"La diagnosi precedentemente registrata è stata clinicamente rivalutata o smentita con un alto livello di certezza clinica. Questo stato viene utilizzato per correggere un errore nella cartella clinica.">
				>
				["at0089"] = <
					text = <"Stato di recesso">
					description = <"Stato di recesso di una diagnosi incurabile.">
					comment = <"Per esempio: lo stato di un cancro o la diagnosi ematologica.">
				>
				["at0090"] = <
					text = <"In recesso">
					description = <"Non sono stati identificati segni o sintomi in corso della malattia.">
				>
				["at0092"] = <
					text = <"Non in recesso">
					description = <"Non è stata identificata alcuna diminuzione dei segni o dei sintomi della malattia.">
				>
				["at0093"] = <
					text = <"Indeterminato">
					description = <"Non è possibile determinare se ci sia stata una diminuzione dei segni o dei sintomi della malattia.">
				>
				["at0095"] = <
					text = <"Prima occorrenza">
					description = <"Questa è la prima occorrenza di questo problema o questa diagnosi.">
				>
				["at0096"] = <
					text = <"Ricorrenza">
					description = <"Nuova comparsa dello stesso problema o diagnosi dopo un episodio precedente è stata risolta.">
				>
				["at0097"] = <
					text = <"Recidiva">
					description = <"Il problema o la diagnosi sono peggiorati dopo un periodo di miglioramento temporaneo.">
				>
				["at0098"] = <
					text = <"*Level of control (en)">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"*Controlled (en)">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"*Not controlled (en)">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"*Progression (en)">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"*Improving (en)">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"*Stable (en)">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"*Worsening (en)">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"*Indeterminate (en)">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["sv"] = <
			items = <
				["at0000"] = <
					text = <"Problem/diagnoskvalificering">
					description = <"Kontextuell eller temporal kvalificering för ett specifikt problem eller diagnos.">
				>
				["at0001"] = <
					text = <"Episodicitet">
					description = <"Kategori av episod för det identifierade problemet/diagnosen.">
					comment = <"Till exempel: \"Nytt\" gör det möjligt för kliniker att skilja en ny, akut episod av mediaotit som kan ha uppstått strax efter en tidigare diagnos, att skilja den från en olöst eller \"Pågående\" diagnos av kronisk mediaotit. Behandling av återkommande, nya och akuta episoder av ett tillstånd kan skilja sig avsevärt från samma tillstånd som inte svarar på behandlingen. I många situationer kommer läkaren inte att kunna fastställa något, och obestämd kan vara lämpligt.">
				>
				["at0003"] = <
					text = <"Aktiv/Inaktiv?">
					description = <"Kategori som stöder uppdelning av problem och diagnoser i aktiva eller inaktiva problemlistor.">
					comment = <"De aktiva/inaktiva och aktuella/tidigare dataelementen har liknande klinisk påverkan men representerar en något annorlunda semantik. Båda används aktivt i olika kliniska miljöer, men vanligtvis inte tillsammans. Om en nuvarande/tidigare kvalificering registreras är det sannolikt att detta dataelement är överflödigt. Ett undantag där ett tillstånd kan vara aktuellt men inaktivt är astma som inte orsakar akuta symtom.">
				>
				["at0004"] = <
					text = <"Diagnosstatus">
					description = <"Stadium eller fas av diagnosprocessen.">
					comment = <"Status bestäms vanligtvis av en kombination av tidpunkten för diagnos plus nivå av klinisk säkerhet som härrör från diagnostiska tester och tillgängliga kliniska bevis. Detta dataelement och 'Diagnostisk säkerhet' i EVALUATION.problem_diagnosis är två viktiga delar i diagnosprocessen, och giltiga kombinationer måste presenteras av programvara som exponerar båda dataelementen, så det är inte möjligt för användare att välja motstridiga kombinationer.
Preliminära eller fungerande diagnoser är avsedda att representera det mest troliga valet av alla alternativ för differentialdiagnoser.">
				>
				["at0016"] = <
					text = <"Preliminära">
					description = <"Den initiala diagnosen, som vanligtvis är förknippad med låg klinisk säkerhet. Det kan förändras när testresultat eller råd blir tillgängliga.">
				>
				["at0017"] = <
					text = <"Arbetssätt">
					description = <"Interimistisk diagnos baserad på en rimlig klinisk säkerhetsnivå men i väntan på ytterligare testresultat eller klinisk rådgivning. Det kan fortfarande ändras när testresultat eller råd blir tillgängliga.">
				>
				["at0018"] = <
					text = <"Fastställd">
					description = <"En slutlig motiverad diagnos, baserad på en hög nivå av klinisk säkerhet, som kan inkludera kliniska bevis från testresultaten. Det förväntas inte förändras.">
				>
				["at0026"] = <
					text = <"Aktiv">
					description = <"Problemet eller diagnosen är för närvarande aktiv och kliniskt relevant.">
				>
				["at0027"] = <
					text = <"Inaktiv">
					description = <"Problemet eller diagnosen har inte helt gått tillbaka men är inaktiv eller känns mindre relevant för det nuvarande kliniska sammanhanget.">
				>
				["at0034"] = <
					text = <"Ny">
					description = <"En ny förekomst av antingen ett nytt eller befintligt problem eller en diagnos. En flagga för \"Första förekomst\" kan spelas in separat för att skilja den första från andra händelser.">
				>
				["at0035"] = <
					text = <"Pågående">
					description = <"Problemet eller diagnosen fortsätter utan att nya, akuta episoder inträffar.">
				>
				["at0060"] = <
					text = <"Nuvarande/förflutna?">
					description = <"Kategori som stöder uppdelning av problem och diagnoser i aktuella eller tidigare problemlistor.">
					comment = <"De aktuella/tidigare och aktiva/inaktiva dataelementen har liknande klinisk påverkan men representerar något annorlunda semantik. Båda används aktivt i olika kliniska miljöer, men vanligtvis inte tillsammans. Om en aktiv/inaktiv kvalificering registreras är det sannolikt att detta dataelement är överflödigt. Ett undantag där ett tillstånd kan vara aktuellt men inaktivt är astma som inte orsakar akuta symtom.">
				>
				["at0061"] = <
					text = <"Tidigare">
					description = <"Ett problem som uppstod tidigare.">
				>
				["at0062"] = <
					text = <"Nuvarande">
					description = <"Ett problem som uppstår för närvarande.">
				>
				["at0063"] = <
					text = <"Diagnostisk kategori">
					description = <"Kategori av problemet eller diagnosen inom en specifik episod av vård och/eller lokal vårdkontext.">
					comment = <"Detta dataelement innehåller en värdeuppsättning som vanligtvis används i diagnostisk kategorisering. I episodiska vårdkontexter (vanligtvis sekundärvård) är det vanligt att kategorisera / organisera diagnoser efter deras förhållande till den huvudsakliga diagnosen som behandlas under den episoden av vården. Dessa kategorier kan också användas för klinisk kodning, rapportering och fakturering. I vissa länder kan den diagnostiska kategorin kallas DRG.
 Dessutom tillåter valet av fritext användning av andra lokala värdesatser, efter behov.">
				>
				["at0064"] = <
					text = <"Huvuddiagnos">
					description = <"Diagnosen fastställdes vara den främsta orsaken till en episod av inlagd patientvård, en episod av vård eller en närvaro på vårdinrättningen.">
				>
				["at0066"] = <
					text = <"Bidiagnos">
					description = <"Ett problem eller en diagnos som inträffar samtidigt som det primära problemet eller diagnosen. Kan också vara känt som komorbida tillstånd.">
				>
				["at0070"] = <
					text = <"Obestämd">
					description = <"Det är inte möjligt att avgöra om denna förekomst av problemet eller diagnosen är ny eller pågående.">
				>
				["at0071"] = <
					text = <"Förekomst">
					description = <"Kategori av förekomsten för detta problem eller diagnos.">
					comment = <"Detta dataelement kan vara en ytterligare kvalificering till \"Ny\"-värdet i \"Episodicitets\" -uppsättningen, det vill säga att astma kan ha återkommande nya episoder som har upplösningsperioder däremellan. Det kan dock vara viktigt att identifiera den första episoden av astma från alla andra episoder.">
				>
				["at0073"] = <
					text = <"Diagnos vid inskrvning?">
					description = <"Var problemet eller diagnosen närvarande vid inskrivning?">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"Komplikation">
					description = <"En ogynnsam utveckling av ett problem eller en diagnos.">
				>
				["at0077"] = <
					text = <"Förloppetikett">
					description = <"Kategori som återspeglar hastigheten på uppkomst och/eller varaktighet och ihållande av problemet eller diagnosen.">
					comment = <"Definitioner av hur akut kontra kronisk skiljer sig åt för varje diagnos.">
				>
				["at0083"] = <
					text = <"Resolutionsfas">
					description = <"Läkningsfas för akut problem eller diagnos.">
					comment = <"Till exempel: följa upplösningen av en mellanörsinfektion.">
				>
				["at0084"] = <
					text = <"Gått tillbaka">
					description = <"Problem eller diagnos har slutfört de normala faserna för återställning eller läkning och kan anses gått tillbaka.">
				>
				["at0085"] = <
					text = <"Resolution">
					description = <"Problem eller diagnos går tillfredsställande genom de normala stadierna av återställning eller läkning mot resolution.">
				>
				["at0086"] = <
					text = <"Ej resolution">
					description = <"Problem eller diagnos går inte tillfredsställande genom de normala stadierna av återställning eller läkning mot resolution.">
				>
				["at0087"] = <
					text = <"Obestämd">
					description = <"Det är inte möjligt att bestämma problemets eller diagnosens lösning eller läkning.">
				>
				["at0088"] = <
					text = <"Motbevisat">
					description = <"Den tidigare registrerade diagnosen har omprövats kliniskt eller motbevisats med hög klinisk säkerhet. Denna status används för att korrigera ett fel i journalen.">
				>
				["at0089"] = <
					text = <"Remission">
					description = <"Status för remission av en obotlig diagnos.">
					comment = <"Till exempel: status för cancer eller hematologisk diagnos.">
				>
				["at0090"] = <
					text = <"I remission">
					description = <"Inga pågående tecken eller symtom på sjukdomen har identifierats.">
				>
				["at0092"] = <
					text = <"Inte i remission">
					description = <"Ingen minskning av tecken eller symtom på sjukdomen har identifierats.">
				>
				["at0093"] = <
					text = <"Obestämd">
					description = <"Det är inte möjligt att avgöra om det har skett en minskning av tecken eller symtom på sjukdomen.">
				>
				["at0095"] = <
					text = <"Första förekomsten">
					description = <"Detta är den första förekomsten av detta problem eller diagnos.">
				>
				["at0096"] = <
					text = <"Upprepning">
					description = <"Ny förekomst av samma problem eller diagnos efter att ett tidigare avsnitt löstes.">
				>
				["at0097"] = <
					text = <"Återfall">
					description = <"Problem eller diagnos har försämrats efter en period av tillfällig förbättring.">
				>
				["at0098"] = <
					text = <"Level of control">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"Controlled">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"Not controlled">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"Progression">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"Improving">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"Stable">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"Worsening">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["zh"] = <
			items = <
				["at0000"] = <
					text = <"*Problem/Diagnosis qualifier(en)">
					description = <"*Contextual or temporal qualifier for a specified problem or diagnosis.(en)">
				>
				["at0001"] = <
					text = <"*Episodicity(en)">
					description = <"*Category of this episode for the identified problem/diagnosis.(en)">
					comment = <"*For example: 'New' will enable clinicians to distinguish a new, acute episode of otitis media that may have arisen soon after a previous diagnosis, to distinguish it from an unresolved or 'Ongoing' diagnosis of chronic otitis media. Treatment of recurring, new and acute, episodes of a condition may differ significantly from the same condition that is not resolving or responding to treatment. In many situations the clinician will not be able to tell, and so indeterminate may be appropriate.(en)">
				>
				["at0003"] = <
					text = <"*Active/Inactive?(en)">
					description = <"*Category that supports division of problems and diagnoses into Active or Inactive problem lists.(en)">
					comment = <"*The Active/Inactive and Current/Past data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If a Current/Past qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.(en)">
				>
				["at0004"] = <
					text = <"诊断状态">
					description = <"诊断流程的阶段">
					comment = <"通常通过组合诊断时间、由诊断检查和可获取的临床证据获得的临床确信度来确定诊断状态。该数据项与 EVALUATION.problem_diagnosis 原型中的诊断确定性是诊断流程的两个重要坐标轴，这两个数据项的有效组合需要由软件系统进行呈现，所以用户不可能选择到冲突的组合。
初步诊断或暂定诊断的意图代表所有不同的诊断选项中最可能的一个。">
				>
				["at0016"] = <
					text = <"*Preliminary(en)">
					description = <"*The initial diagnosis made, usually associated with a low level of clinical certainty. It may change as test results or advice become available.(en)">
				>
				["at0017"] = <
					text = <"*Working(en)">
					description = <"*Interim diagnosis, based on a reasonable amount of clinical certainty but pending further test results or clinical advice. It may still change as test results or advice become available.(en)">
				>
				["at0018"] = <
					text = <"*Established(en)">
					description = <"*Final substantiated diagnosis, based on a high level of clinical certainty, which may include clinical evidence from test results. It is not expected to change.(en)">
				>
				["at0026"] = <
					text = <"*Active(en)">
					description = <"*The problem or diagnosis is currently active and clinically relevant.(en)">
				>
				["at0027"] = <
					text = <"*Inactive(en)">
					description = <"*The problem or diagnosis is not completely resolved but is inactive or felt less relevant to the current clinical context.(en)">
				>
				["at0034"] = <
					text = <"*New(en)">
					description = <"*A new occurrence of either a new or existing problem or diagnosis. A flag for 'First occurrence' can be recorded separately to distinguish the first from other occurrences.(en)">
				>
				["at0035"] = <
					text = <"*Ongoing(en)">
					description = <"*The issue, problem or diagnosis continues, without new, acute episodes occurring.(en)">
				>
				["at0060"] = <
					text = <"*Current/Past?(en)">
					description = <"*Category that supports division of problems and diagnoses into Current or Past problem lists.(en)">
					comment = <"*The Current/Past and Active/Inactive data elements have similar clinical impact but represent slightly different semantics. Both are actively used in different clinical settings, but usually not together. If an Active/Inactive qualifier is recorded, then this data element is likely to be redundant. An exception where a condition can be current but inactive is asthma that is not causing acute symptoms.(en)">
				>
				["at0061"] = <
					text = <"*Past(en)">
					description = <"*An issue which ocurred in the past.(en)">
				>
				["at0062"] = <
					text = <"*Current(en)">
					description = <"*An issue occuring at present.(en)">
				>
				["at0063"] = <
					text = <"*Diagnostic category(en)">
					description = <"*Category of the problem or diagnosis within a specified episode of care and/or local care context.(en)">
					comment = <"*This data element contains a value set commonly used in diagnostic categorisation. In episodic care contexts (commonly secondary care) it is common to categorise/organise diagnoses according to their relationship to the principal diagnosis being addressed during that episode of care. These categories may also be used for clinical coding, reporting and billing purposes. In some countries the diagnostic category may be known as a DRG.
 In addition, the free text choice permits use of other local value sets, as required.(en)">
				>
				["at0064"] = <
					text = <"*Principal diagnosis(en)">
					description = <"*The diagnosis determined to be the primary reason for an episode of admitted patient care, an episode of residential care or an attendance at the health care establishment.(en)">
				>
				["at0066"] = <
					text = <"*Secondary diagnosis(en)">
					description = <"*A problem or diagnosis that occurs at the same time as the primary problem or diagnosis. May also be known as a comorbid condition.(en)">
				>
				["at0070"] = <
					text = <"*Indeterminate(en)">
					description = <"*It is not possible to determine if this occurrence of the problem or diagnosis is new or ongoing.(en)">
				>
				["at0071"] = <
					text = <"*Occurrence(en)">
					description = <"*Category of the occurrence for this problem or diagnosis.(en)">
					comment = <"*This data element can be an additional qualifier to the 'New' value in the 'Episodicity' value set, that is a condition such as asthma can have recurring new episodes that have periods of resolution in between. However it can be important to identify the first ever episode of asthma from all of the other episodes.(en)">
				>
				["at0073"] = <
					text = <"*Admission diagnosis?(en)">
					description = <"*Was the problem or diagnosis present at admission?(en)">
					comment = <"*Record as True or 'Yes' if the problem or diagnosis was present on admission. This data element is a requirement from DRG reporting in some countries. (en)">
				>
				["at0076"] = <
					text = <"*Complication(en)">
					description = <"*An unfavorable evolution of a problem or diagnosis.(en)">
				>
				["at0077"] = <
					text = <"*Course label(en)">
					description = <"*Category reflecting the speed of onset and/or duration and persistence of the problem or diagnosis.(en)">
					comment = <"*Definitions of acute vs chronic will differ for each diagnosis.(en)">
				>
				["at0083"] = <
					text = <"治疗阶段">
					description = <"治疗急性疾病或诊断的阶段。">
					comment = <"例如：跟踪治疗中耳感染的进度。">
				>
				["at0084"] = <
					text = <"*Resolved(en)">
					description = <"*Problem or diagnosis has completed the normal phases of restoration or healing and can be considered resolved.(en)">
				>
				["at0085"] = <
					text = <"*Resolving(en)">
					description = <"*Problem or diagnosis is progressing satisfactorily through the normal stages of restoration or healing towards resolution.(en)">
				>
				["at0086"] = <
					text = <"*Not resolving(en)">
					description = <"*Problem or diagnosis is not progressing satisfactorily through the normal stages of restoration or healing towards resolution.(en)">
				>
				["at0087"] = <
					text = <"不确定">
					description = <"无法确定问题或病情的治疗或解决阶段。">
				>
				["at0088"] = <
					text = <"*Refuted(en)">
					description = <"*The previously recorded diagnosis has been clinically reassessed or disproved with a high level of clinical certainty. This status is used to correct an error in the health record.(en)">
				>
				["at0089"] = <
					text = <"缓解阶段">
					description = <"不治之症的缓解状况。">
					comment = <"比如：肿瘤或血液病的状态。">
				>
				["at0090"] = <
					text = <"*In remission(en)">
					description = <"*No ongoing signs or symptoms of the disease have been identified.(en)">
				>
				["at0092"] = <
					text = <"*Not in remission(en)">
					description = <"*No diminution of the signs or symptoms of the disease have been identified.(en)">
				>
				["at0093"] = <
					text = <"*Indeterminate(en)">
					description = <"*It is not possible to determine if there have been diminution of the signs or symptoms of the disease have been identified.(en)">
				>
				["at0095"] = <
					text = <"*First occurrence(en)">
					description = <"*This is the first ever occurrence of this problem or diagnosis.(en)">
				>
				["at0096"] = <
					text = <"*Recurrence(en)">
					description = <"*New occurrence of the same problem or diagnosis after a previous episode was resolved.(en)">
				>
				["at0097"] = <
					text = <"再次恶化">
					description = <"问题或病情短暂好转后再次恶化。">
				>
				["at0098"] = <
					text = <"Level of control">
					description = <"*Category of the level of control of the problem or diagnosis by the current management. (en)">
				>
				["at0099"] = <
					text = <"Controlled">
					description = <"*The problem or diagnosis is controlled by current management. (en)">
				>
				["at0100"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine if the problem or diagnosis is controlled by current management. (en)">
				>
				["at0101"] = <
					text = <"Not controlled">
					description = <"*The problem or diagnosis is not controlled by current management. (en)">
				>
				["at0102"] = <
					text = <"Progression">
					description = <"*Category of the progression through the course of a chronic problem or diagnosis. (en)">
				>
				["at0103"] = <
					text = <"Improving">
					description = <"*The problem or diagnosis is improving. (en)">
				>
				["at0104"] = <
					text = <"Stable">
					description = <"*The problem or diagnosis is unchanged. (en)">
				>
				["at0105"] = <
					text = <"Worsening">
					description = <"*The problem or diagnosis is worsening. (en)">
				>
				["at0106"] = <
					text = <"Indeterminate">
					description = <"*It is not possible to determine the progression of the problem or diagnosis. (en)">
				>
				["at0107"] = <
					text = <"*Reason for an ongoing episode (en)">
					description = <"*Reason for a problem or diagnosis not resolving as expected. (en)">
					comment = <"*For example: incomplete or failed treatment. (en)">
				>
				["at0108"] = <
					text = <"*Yes (en)">
					description = <"">
				>
				["at0109"] = <
					text = <"*No (en)">
					description = <"">
				>
				["at0110"] = <
					text = <"*Comment (en)">
					description = <"*Additional narrative about the Problem/Diagnosis qualifier values, not captured in other fields. (en)">
				>
				["at0081"] = <
					text = <"*Acute (en)">
					description = <"*A problem or diagnosis with a rapid onset, a short course, or both. (en)">
				>
				["at0094"] = <
					text = <"*Acute-on-chronic (en)">
					description = <"*A problem or diagnosis with an acute exacerbation of a chronic condition. (en)">
				>
				["at0079"] = <
					text = <"*Chronic (en)">
					description = <"*A problem or diagnosis with persistent or long-lasting effects, or that evolves over time. (en)">
				>
			>
		>
		["zh-cn"] = <
			items = <
				["at0000"] = <
					text = <"问题/诊断限定词">
					description = <"针对指定问题/诊断的上下文/语境类限定词（contextual qualifier）或时间类限定词（temporal qualifier）。">
				>
				["at0001"] = <
					text = <"节段特征">
					description = <"所确定的问题/诊断的此次发生发展过程（episode，节段/事件）的类别。又可称为“节段特性”、“发生发展特征/特性”或“发作特征/特性”。">
					comment = <"例如：“新发”将使得临床医生/临床医务人员能够分清可能在某一既往诊断之后不久已经出现的中耳炎（otitis media）的新的急性发作节段/事件/发生发展过程（acute episode），从而将其与慢性中耳炎的未解决或“持续存在之中”的诊断区别开来。某一疾病的复发性、新发性和急性发作节段的治疗可能与“并未在逐渐解决中”或“并无反应”的相同疾病的治疗有着很大不同。在很多情况下，临床医生/临床医务人员会无法做出确切的判断，因此“不明确”可能会是合适的选项。">
				>
				["at0003"] = <
					text = <"现行有效还是无效？">
					description = <"支持将问题和诊断划入“现行有效”还是“无效”问题清单的类别。">
					comment = <"“当前还是既往”（Current/Past ）和“现行有效还是无效”（Active/Inactive）数据元具有相似的临床影响，但二者所表达的语义略有不同。两者在不同的临床场所环境下都有着活跃的运用，但通常并不会一起使用。如果记录了“当前还是既往”限定词，则当数据元可能就会变得多余。关于同一疾病可以为当前疾病但同时又处于无效状态，作为的特例就是，当前并未引发急性症状的哮喘。">
				>
				["at0004"] = <
					text = <"诊断状态">
					description = <"诊断过程的阶段。">
					comment = <"诊断状态的确定通常组合利用的是，诊断时间以及依据诊断检查/试验和可用临床证据所得出的临床确定性水平。本数据元和评价型问题/诊断原始型 EVALUATION.problem_diagnosis 之中的诊断确定性数据元 \"Diagnostic certainty\" 乃是诊断过程的两个重要的维度，而那些会暴露/公开这两个数据元的软件将需要提供合法有效的组合，以便用户不可能选择存在冲突的组合。

初步诊断（preliminary diagnosis）或临时/工作诊断（working diagnosis）旨在表示所有的鉴别诊断选项之中最为可能的单个选项。">
				>
				["at0016"] = <
					text = <"初步">
					description = <"做出的初步诊断，通常与低水平的临床确定性相关。它可能会随着测试结果或建议的获得而改变。">
				>
				["at0017"] = <
					text = <"临时">
					description = <"基于合理水平的临床确定性但还有待进一步的检验/检查结果或临床建议的临时/工作诊断。随着检验/检查结果或临床建议的可用，临时/工作诊断仍可能会发生变化。">
				>
				["at0018"] = <
					text = <"最终">
					description = <"基于高水平的临床确定性（其中可能包括来自检查/检验结果的临床证据）所获得的经过证实的最终诊断。最终诊断预计不会发生变化。">
				>
				["at0026"] = <
					text = <"现行有效">
					description = <"该问题或诊断现行有效且具有临床相关性/贴切性（clinically relevant）。">
				>
				["at0027"] = <
					text = <"无效">
					description = <"该问题或诊断尚未获得完全解决，但目前已属无效或者感觉其与当前的临床上下文/语境不太相关/不太贴合。">
				>
				["at0034"] = <
					text = <"新发">
					description = <"新发或现有问题或诊断的新的一次出现/发生。可以通过单独记录代表“首次出现/发生”的标志，将首次出现/发生与他次的出现/发生区分开来。">
				>
				["at0035"] = <
					text = <"持续存在之中">
					description = <"事项（issue）、问题或诊断持续存在，但并没有出现新的急性发作节段/发生发展过程（episode）。">
				>
				["at0060"] = <
					text = <"当前还是既往？">
					description = <"支持将问题和诊断划入“当前”还是“既往”问题清单的类别。">
					comment = <"“当前还是既往”（Current/Past ）和“现行有效还是无效”（Active/Inactive）数据元具有相似的临床影响，但二者所表达的语义略有不同。两者在不同的临床场所环境下都有着活跃的运用，但通常并不会一起使用。如果记录了“现行有效还是无效”限定词，则当数据元可能就会变得多余。关于同一疾病可以为当前疾病但同时又处于无效状态，作为的特例就是，当前并未引发急性症状的哮喘。">
				>
				["at0061"] = <
					text = <"既往">
					description = <"既往/过去出现过的问题/诊断。">
				>
				["at0062"] = <
					text = <"当前">
					description = <"当前正在发生的问题/诊断。">
				>
				["at0063"] = <
					text = <"诊断类别">
					description = <"该问题或诊断在指定的照护服务节段（episode of care）和/或本地照护服务上下文/语境当中的类别。">
					comment = <"此数据元之中收录了诊断分类时常用的取值集合。在节段性照护服务（episodic care）（通常为二级照护服务/医疗护理服务）的上下文/语境当中，通常会依据诊断与当前照护服务节段期间所处理/设法解决的主要诊断的关系对诊断加以分类/组织。这些类别也可能会用于临床编码、报送/上报和计费的目的。在一些国家/地区，可能会将诊断类别称为 DRG（诊断相关组）。

此外，自由文本型选项还允许根据需要使用其他的本地取值集合。">
				>
				["at0064"] = <
					text = <"主要诊断">
					description = <"被确定为入院患者照护服务、住院照护服务或到医疗保健机构就诊的主要原因的诊断。">
				>
				["at0066"] = <
					text = <"次要诊断">
					description = <"与主要问题或诊断同时出现的问题或诊断。可能又将其称为共病（comorbid condition）。">
				>
				["at0070"] = <
					text = <"不明确">
					description = <"无法确定该问题或诊断的出现/发生（occurrence）究竟属于是新发还是在持续存在之中。">
				>
				["at0071"] = <
					text = <"出现/发生类别">
					description = <"该问题或诊断该次出现/发生的类别">
					comment = <"此数据元可以作为是“节段特征”（Episodicity）取值集合之中的取值“New”（新发）的附加限定词。也就是说，哮喘之类的疾病可以有反复出现的新的发作节段/事件/发生发展过程（episode），而在这些发作节段之间则存在着解决阶段。然而，很重要的一点可能就是，从所有其他的发作节段当中确定出哮喘的首次发作节段。">
				>
				["at0073"] = <
					text = <"是否为入院诊断">
					description = <"是否为入院时所提出/存在的问题或诊断？">
					comment = <"如果是入院时所提出/存在的问题或诊断，则记录为 True 或 “Yes”。在某些国家/地区，此数据元乃是 DRG （诊断相关组）报送的要求。">
				>
				["at0076"] = <
					text = <"并发症">
					description = <"问题或诊断的不利演变。">
				>
				["at0077"] = <
					text = <"进程标签">
					description = <"旨在反映该问题或诊断的肇始速度和/或持续时长和持续性的类别。">
					comment = <"关于急性与慢性的定义会因每种的诊断而异。">
				>
				["at0079"] = <
					text = <"慢性">
					description = <"具有持续或长期影响或者会随时间而发生演变的问题或诊断。">
				>
				["at0081"] = <
					text = <"急性">
					description = <"该问题或诊断肇始（起病）迅速、病程短暂或两者兼而有之。">
				>
				["at0083"] = <
					text = <"解决阶段">
					description = <"急性问题或诊断的愈合阶段。">
					comment = <"例如：跟踪中耳感染解决/消退的进展情况。">
				>
				["at0084"] = <
					text = <"已解决">
					description = <"该问题或诊断已完成恢复或愈合的各个正常阶段，并且可以将其视为已解决的状态。">
				>
				["at0085"] = <
					text = <"逐渐解决中">
					description = <"在迈向解决的各个正常的恢复或愈合阶段当中，该问题或诊断正在令人满意地逐渐取得进展。">
				>
				["at0086"] = <
					text = <"并未在逐渐解决中">
					description = <"在迈向解决的各个正常的恢复或愈合阶段当中，该问题或诊断当前并没有在令人满意地逐渐取得进展。">
				>
				["at0087"] = <
					text = <"不明确">
					description = <"无法确定该问题或诊断的解决或愈合状态。">
				>
				["at0088"] = <
					text = <"已否认">
					description = <"以高度的临床确定性，已经从临床上予以重新评估且证明不成立的，先前所记录的诊断。此状态用于更正健康档案之中的错误。">
				>
				["at0089"] = <
					text = <"缓解状态">
					description = <"无法/不可治愈的诊断的缓解状态。">
					comment = <"例如：癌症或血液学诊断的状态。">
				>
				["at0090"] = <
					text = <"缓解中">
					description = <"尚未发现该疾病（问题/诊断）的持续存在的症状或体征。">
				>
				["at0092"] = <
					text = <"未缓解">
					description = <"尚未发现该疾病（问题/诊断）的症状或体征有任何的减轻。">
				>
				["at0093"] = <
					text = <"不明确">
					description = <"无法确定该疾病（问题/诊断）的症状或体征是否有所减轻。">
				>
				["at0094"] = <
					text = <"慢加急性">
					description = <"该问题或诊断的进程属于是慢性疾病急性加重。">
				>
				["at0095"] = <
					text = <"首次出现/发生">
					description = <"这是该问题或诊断的首次出现/发生。">
				>
				["at0096"] = <
					text = <"复发">
					description = <"该问题或诊断在其上次发作节段得到解决之后新的一次出现/发生。">
				>
				["at0097"] = <
					text = <"已复发">
					description = <"该问题或诊断在一段时间的暂时改善之后发生了恶化。">
				>
				["at0098"] = <
					text = <"控制程度">
					description = <"当前的管理措施对该问题或诊断的控制程度的类别。">
				>
				["at0099"] = <
					text = <"受到控制">
					description = <"该问题或诊断已受到当前管理措施的控制。">
				>
				["at0100"] = <
					text = <"不明确">
					description = <"无法确定该问题或诊断是否受到当前管理措施的控制。">
				>
				["at0101"] = <
					text = <"不受控制">
					description = <"该问题或诊断并未受到当前管理措施的控制。">
				>
				["at0102"] = <
					text = <"进展">
					description = <"在长期/慢性问题或诊断的整个发展进程当中的进展的类别。">
				>
				["at0103"] = <
					text = <"正在改善">
					description = <"该问题或诊断当前正在改善当中。">
				>
				["at0104"] = <
					text = <"稳定">
					description = <"该问题或诊断当前没有变化。">
				>
				["at0105"] = <
					text = <"正在恶化">
					description = <"该问题或诊断当前正在恶化当中。">
				>
				["at0106"] = <
					text = <"不明确">
					description = <"无法确定该问题或诊断的进展类别/进展情况。">
				>
				["at0107"] = <
					text = <"持续存在之中节段的原因">
					description = <"关于该问题或诊断未按预期获得逐渐解决的原因。">
					comment = <"例如：不完整或失败的治疗。">
				>
				["at0108"] = <
					text = <"是">
					description = <"">
				>
				["at0109"] = <
					text = <"否">
					description = <"">
				>
				["at0110"] = <
					text = <"备注">
					description = <"其他字段之中并未采集的，关于问题/诊断限定词取值的其他叙述。">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0001"] = <[SNOMED-CT::288526004]>
				["at0004"] = <[SNOMED-CT::106229004]>
				["at0016"] = <[SNOMED-CT::148006]>
				["at0017"] = <[SNOMED-CT::5558000]>
				["at0060"] = <[SNOMED-CT::410511007]>
				["at0061"] = <[SNOMED-CT::410513005]>
				["at0062"] = <[SNOMED-CT::15240007]>
				["at0077"] = <[SNOMED-CT::288524001]>
				["at0018"] = <[SNOMED-CT::14657009]>
				["at0064"] = <[SNOMED-CT::8319008]>
				["at0066"] = <[SNOMED-CT::85097005]>
			>
		>
	>