Archetype : openEHR-EHR-OBSERVATION.device_screening

Modellbiblioteket openEHR Fork

Name

Medical device screening questionnaire

Description

Series of questions and associated answers used to screen for the presence of implanted medical devices or use of assistive aids.

Comment

The answers may be self-reported.

Keywords

device implant

Purpose

To create a framework for recording answers to pre-defined screening questions about the presence of implanted medical devices or use of assistive devices.

Use

Use to create a framework for recording answers to pre-defined screening questions about the presence of implanted devices or use of assistive aids.

Common use cases include, but are not limited to:
- Screening for implanted devices before an MRI test.
- Checklist questions about whether the individual uses any assistive devices on admission to hospital.

The initial question about any medical device use is focused on implanted devices due to the clinical safety implications, especially when undergoing imaging examinations.

Examples of implanted medical devices include, but are not limited to:
- cochlear implant;
- pacemaker;
- aneurysm clips;
- joint replacement;
- heart valve;
- coronary stent;
- bone fixation device eg screws or plates;
- deep brain stimulator; or
- intraocular lens.

Examples of assistive aids include, but are not limited to:
- wheelchair;
- walking stick;
- hearing aid;
- reading glasses;
- prosthetic limb;
- braille reader;
- speech generating device; or
- medication organiser or dispenser.

The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.

The EVENT structure from the reference model can be used to specify whether the questions relate to a point in time or over a period of time. Use a separate instance of the EVENT structure to distinguish between a questions related to different timeframes, such as 'ever', 'now' and in a specified interval of time - for example, the difference between "Have you ever used a hearing aid?", "Do you currently use a hearing aid?" and "Have you used a hearing aid in the past year?"

The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model.

This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening questionnaire identifies the presence or usage of a medical device, it is recommended that the clinical system record and persist the specific details about the device using EVALUATION.device_summary.

Misuse

Not to be used to record answers to pre-defined screening questions about surgical/operative procedures when a medical device was implanted. Use the OBSERVATION.procedure_screening for this purpose.

Not to be used to record answers to pre-defined screening questions about medications that have been implanted. Use the OBSERVATION.medication_screening for this purpose.

Archetype Id

openEHR-EHR-OBSERVATION.device_screening.v0

Licencing

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/.

Original Author

Silje Ljosland Bakke
Helse Vest IKT AS

Date Originally Authored

To create a framework for recording answers to pre-defined screening questions about the presence of implanted medical devices or use of assistive devices.

Language	Details
German	Natalia Strauch, Nina Schewe Medizinische Hochschule Hannover
Norwegian Bokmal	Marit Alice Venheim, Silje Ljosland Bakke, John Tore Valand Helse Vest IKT, Helse Vest IKT AS, Helse Bergen

Name	Card	Type	Description
Screening purpose	0..1	DV_TEXT	The reason for overall screening. Comment For example: screening prior to a Magnetic Resonance Imaging examination.
Any implanted medical device?	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	Presence of any implanted devices. Constraint for DV_CODED_TEXT Yes No Unknown Unsure
Implanted device screening	0..*	CLUSTER	Screening details about the presence of a specific implanted medical device. Comment For example: cochlear implant; pacemaker; joint replacement; heart valve; coronary stent; bone fixation device eg screws or plates; deep brain stimulator; intraocular lens; or contraceptive device. CLUSTER
Device name	1..1	DV_TEXT	Name of the implanted medical device or device type being screened.
Presence?	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT DV_BOOLEAN	Presence of the implanted device. Constraint for DV_CODED_TEXT Yes [The specific device is present or being used.] No [The specific device is not present or being used.] Unknown [It is not known whether the device is present or absent.] Unsure
Description	0..1	DV_TEXT	Narrative description about the implanted device.
Timing	0..1	CHOICE OF DV_TEXT DV_DATE_TIME DV_INTERVAL<DV_DATE_TIME> DV_INTERVAL<DV_DURATION> DV_DURATION	Indication of timing related to the implanted device. Comment The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when a medical device was implanted. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the dates when the implant was inserted or removed; the interval of time during which the implant was inserted; the implant duration; the age of the individual at the time the implant was inserted; or the duration of time since it was inserted or removed. A partial date is valid, using the DV_DATE_TIME data type, to record only a year. DV_DATE_TIME DV_INTERVAL<DV_DATE_TIME> DV_INTERVAL<DV_DURATION> DV_DURATION
Screening details	0..*	Slot (Cluster)	Additional details or questions about the implanted device. Slot Slot
Comment	0..1	DV_TEXT	Additional narrative about the implanted device, not captured in other fields.
Assistive aid screening	0..*	CLUSTER	Screening details about the use of a specific assistive medical device. Comment For example: wheelchair; walking stick; hearing aid; reading glasses; prosthetic limb; braille reader; speech generating device or medication organiser. CLUSTER
Aid name	1..1	DV_TEXT	Name of the medical device or device type being screened.
Presence?	0..1	CHOICE OF DV_CODED_TEXT DV_TEXT	Usage of the assistive aid. Constraint for DV_CODED_TEXT Yes [The specific device is present or being used.] No [The specific device is not present or being used.] Unknown [It is not known whether the device is present or absent.] Unsure
Description	0..1	DV_TEXT	Narrative description about the assistive aid.
Screening details	0..*	Slot (Cluster)	Additional details or questions about the assistive aid. Slot Slot
Comment	0..1	DV_TEXT	Additional narrative about the assistive aid, not captured in other fields.

Name	Card	Type	Description
Extension	0..*	Slot (Cluster)	Additional information required to extend the model with local content or to align with other reference models or formalisms. Comment For example: local information requirements; or additional metadata to align with FHIR. Slot Slot

archetype (adl_version=1.4; uid=282caf50-ac9d-4be4-a24d-134afc00336a)
	openEHR-EHR-OBSERVATION.device_screening.v0

concept
	[at0000]	-- Medical device screening questionnaire
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Natalia Strauch, Nina Schewe">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"Strauch.Natalia@mh-hannover.de, schewe.nina@mh-hannover.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Marit Alice Venheim, Silje Ljosland Bakke, John Tore Valand">
				["organisation"] = <"Helse Vest IKT, Helse Vest IKT AS, Helse Bergen">
				["email"] = <"marit.alice.venheim@helse-vest-ikt.no, silje.ljosland.bakke@helse-vest-ikt.no, john.tore.valand@helse-bergen.no, john.tore.valand@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Silje Ljosland Bakke">
		["organisation"] = <"Helse Vest IKT AS">
		["email"] = <"silje.ljosland.bakke@helse-vest-ikt.no">
		["date"] = <"2021-11-15">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"*To create a framework for recording answers to pre-defined screening questions about the presence of implanted medical devices or use of assistive devices. (en)">
			use = <"*Use to create a framework for recording answers to pre-defined screening questions about the presence of implanted devices or use of assistive aids.

Common use cases include, but are not limited to:
- Screening for implanted devices before an MRI test.
- Checklist questions about whether the individual uses any assistive devices on admission to hospital.

The initial question about any medical device use is focused on implanted devices due to the clinical safety implications, especially when undergoing imaging examinations.

Examples of implanted medical devices include, but are not limited to:
- cochlear implant; 
- pacemaker; 
- aneurysm clips;
- joint replacement; 
- heart valve; 
- coronary stent; 
- bone fixation device eg screws or plates; 
- deep brain stimulator; or
- intraocular lens.

Examples of assistive aids include, but are not limited to:
- wheelchair; 
- walking stick; 
- hearing aid; 
- reading glasses; 
- prosthetic limb; 
- braille reader; 
- speech generating device; or 
- medication organiser or dispenser.

The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.

The EVENT structure from the reference model can be used to specify whether the questions relate to a point in time or over a period of time. Use a separate instance of the EVENT structure to distinguish between a questions related to different timeframes, such as 'ever', 'now' and in a specified interval of time - for example, the difference between \"Have you ever used a hearing aid?\", \"Do you currently use a hearing aid?\" and \"Have you used a hearing aid in the past year?\"

The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model.

This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening questionnaire identifies the presence or usage of a medical device, it is recommended that the clinical system record and persist the specific details about the device using EVALUATION.device_summary. (en)">
			keywords = <"*device, implant (en)", ...>
			misuse = <"*Not to be used to record answers to pre-defined screening questions about surgical/operative procedures when a medical device was implanted. Use the OBSERVATION.procedure_screening for this purpose.

Not to be used to record answers to pre-defined screening questions about medications that have been implanted. Use the OBSERVATION.medication_screening for this purpose. (en)">
			copyright = <"© openEHR Foundation">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"*To create a framework for recording answers to pre-defined screening questions about the presence of implanted medical devices or use of assistive devices. (en)">
			use = <"*Use to create a framework for recording answers to pre-defined screening questions about the presence of implanted devices or use of assistive aids.

Common use cases include, but are not limited to:
- Screening for implanted devices before an MRI test.
- Checklist questions about whether the individual uses any assistive devices on admission to hospital.

The initial question about any medical device use is focused on implanted devices due to the clinical safety implications, especially when undergoing imaging examinations.

Examples of implanted medical devices include, but are not limited to:
- cochlear implant; 
- pacemaker; 
- aneurysm clips;
- joint replacement; 
- heart valve; 
- coronary stent; 
- bone fixation device eg screws or plates; 
- deep brain stimulator; or
- intraocular lens.

Examples of assistive aids include, but are not limited to:
- wheelchair; 
- walking stick; 
- hearing aid; 
- reading glasses; 
- prosthetic limb; 
- braille reader; 
- speech generating device; or 
- medication organiser or dispenser.

The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.

The EVENT structure from the reference model can be used to specify whether the questions relate to a point in time or over a period of time. Use a separate instance of the EVENT structure to distinguish between a questions related to different timeframes, such as 'ever', 'now' and in a specified interval of time - for example, the difference between \"Have you ever used a hearing aid?\", \"Do you currently use a hearing aid?\" and \"Have you used a hearing aid in the past year?\"

The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model.

This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening questionnaire identifies the presence or usage of a medical device, it is recommended that the clinical system record and persist the specific details about the device using EVALUATION.device_summary. (en)">
			keywords = <"*device, implant (en)", ...>
			misuse = <"*Not to be used to record answers to pre-defined screening questions about surgical/operative procedures when a medical device was implanted. Use the OBSERVATION.procedure_screening for this purpose.

Not to be used to record answers to pre-defined screening questions about medications that have been implanted. Use the OBSERVATION.medication_screening for this purpose. (en)">
			copyright = <"© openEHR Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To create a framework for recording answers to pre-defined screening questions about the presence of implanted medical devices or use of assistive devices.">
			use = <"Use to create a framework for recording answers to pre-defined screening questions about the presence of implanted devices or use of assistive aids.

Common use cases include, but are not limited to:
- Screening for implanted devices before an MRI test.
- Checklist questions about whether the individual uses any assistive devices on admission to hospital.

The initial question about any medical device use is focused on implanted devices due to the clinical safety implications, especially when undergoing imaging examinations.

Examples of implanted medical devices include, but are not limited to:
- cochlear implant; 
- pacemaker; 
- aneurysm clips;
- joint replacement; 
- heart valve; 
- coronary stent; 
- bone fixation device eg screws or plates; 
- deep brain stimulator; or
- intraocular lens.

Examples of assistive aids include, but are not limited to:
- wheelchair; 
- walking stick; 
- hearing aid; 
- reading glasses; 
- prosthetic limb; 
- braille reader; 
- speech generating device; or 
- medication organiser or dispenser.

The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.

The EVENT structure from the reference model can be used to specify whether the questions relate to a point in time or over a period of time. Use a separate instance of the EVENT structure to distinguish between a questions related to different timeframes, such as 'ever', 'now' and in a specified interval of time - for example, the difference between \"Have you ever used a hearing aid?\", \"Do you currently use a hearing aid?\" and \"Have you used a hearing aid in the past year?\"

The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model.

This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening questionnaire identifies the presence or usage of a medical device, it is recommended that the clinical system record and persist the specific details about the device using EVALUATION.device_summary.">
			keywords = <"device, implant", ...>
			misuse = <"Not to be used to record answers to pre-defined screening questions about surgical/operative procedures when a medical device was implanted. Use the OBSERVATION.procedure_screening for this purpose.

Not to be used to record answers to pre-defined screening questions about medications that have been implanted. Use the OBSERVATION.medication_screening for this purpose.">
			copyright = <"© openEHR Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "Ian McNicoll, freshEHR Clinical Informatics, UK", "Heather Leslie, Atomica Informatics, Australia (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">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"358CB76FA7D691502B95FCB9719EDF1B">
		["build_uid"] = <"85d8a8d2-5521-4790-bc14-f2f3ecf9298d">
		["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 https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org.">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Medical device screening questionnaire
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {0..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0034] occurrences matches {0..1} matches {    -- Screening purpose
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0028] occurrences matches {0..1} matches {    -- Any implanted medical device?
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0031,    -- Yes
													at0032,    -- No
													at0033,    -- Unknown
													at0051]    -- Unsure
												}
											}
											DV_TEXT matches {*}
										}
									}
									CLUSTER[at0022] occurrences matches {0..*} matches {    -- Implanted device screening
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0004] matches {    -- Device name
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0005] occurrences matches {0..1} matches {    -- Presence?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0023,    -- Yes
															at0024,    -- No
															at0027,    -- Unknown
															at0052]    -- Unsure
														}
													}
													DV_TEXT matches {*}
													DV_BOOLEAN matches {*}
												}
											}
											ELEMENT[at0040] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0050] occurrences matches {0..1} matches {    -- Timing
												value matches {
													DV_TEXT matches {*}
													DV_DATE_TIME matches {*}
													DV_INTERVAL<DV_DATE_TIME> matches {*}
													DV_INTERVAL<DV_DURATION> matches {*}
													DV_DURATION matches {*}
												}
											}
											allow_archetype CLUSTER[at0039] occurrences matches {0..*} matches {    -- Screening details
												include
													archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
											}
											ELEMENT[at0025] occurrences matches {0..1} matches {    -- Comment
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									CLUSTER[at0041] occurrences matches {0..*} matches {    -- Assistive aid screening
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0042] matches {    -- Aid name
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0043] occurrences matches {0..1} matches {    -- Presence?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0044,    -- Yes
															at0045,    -- No
															at0046,    -- Unknown
															at0053]    -- Unsure
														}
													}
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0047] occurrences matches {0..1} matches {    -- Description
												value matches {
													DV_TEXT matches {*}
												}
											}
											allow_archetype CLUSTER[at0048] occurrences matches {0..*} matches {    -- Screening details
												include
													archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/}
											}
											ELEMENT[at0049] occurrences matches {0..1} matches {    -- Comment
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0007] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0021] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Medical device screening questionnaire">
					description = <"Series of questions and associated answers used to screen for the presence of implanted medical devices or use of assistive aids.">
					comment = <"The answers may be self-reported.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Device name">
					description = <"Name of the implanted medical device or device type being screened.">
				>
				["at0005"] = <
					text = <"Presence?">
					description = <"Presence of the implanted device.">
				>
				["at0007"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0021"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
				["at0022"] = <
					text = <"Implanted device screening">
					description = <"Screening details about the presence of a specific implanted medical device.">
					comment = <"For example: cochlear implant; pacemaker; joint replacement; heart valve; coronary stent; bone fixation device eg screws or plates; deep brain stimulator; intraocular lens; or contraceptive device.">
				>
				["at0023"] = <
					text = <"Yes">
					description = <"The specific device is present or being used.">
				>
				["at0024"] = <
					text = <"No">
					description = <"The specific device is not present or being used.">
				>
				["at0025"] = <
					text = <"Comment">
					description = <"Additional narrative about the implanted device, not captured in other fields.">
				>
				["at0027"] = <
					text = <"Unknown">
					description = <"It is not known whether the device is present or absent.">
				>
				["at0028"] = <
					text = <"Any implanted medical device?">
					description = <"Presence of any implanted devices.">
				>
				["at0031"] = <
					text = <"Yes">
					description = <"">
				>
				["at0032"] = <
					text = <"No">
					description = <"">
				>
				["at0033"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0034"] = <
					text = <"Screening purpose">
					description = <"The reason for overall screening.">
					comment = <"For example: screening prior to a Magnetic Resonance Imaging examination.">
				>
				["at0039"] = <
					text = <"Screening details">
					description = <"Additional details or questions about the implanted device.">
				>
				["at0040"] = <
					text = <"Description">
					description = <"Narrative description about the implanted device.">
				>
				["at0041"] = <
					text = <"Assistive aid screening">
					description = <"Screening details about the use of a specific assistive medical device.">
					comment = <"For example: wheelchair; walking stick; hearing aid; reading glasses; prosthetic limb; braille reader; speech generating device or medication organiser.">
				>
				["at0042"] = <
					text = <"Aid name">
					description = <"Name of the medical device or device type being screened.">
				>
				["at0043"] = <
					text = <"Presence?">
					description = <"Usage of the assistive aid.">
				>
				["at0044"] = <
					text = <"Yes">
					description = <"The specific device is present or being used.">
				>
				["at0045"] = <
					text = <"No">
					description = <"The specific device is not present or being used.">
				>
				["at0046"] = <
					text = <"Unknown">
					description = <"It is not known whether the device is present or absent.">
				>
				["at0047"] = <
					text = <"Description">
					description = <"Narrative description about the assistive aid.">
				>
				["at0048"] = <
					text = <"Screening details">
					description = <"Additional details or questions about the assistive aid.">
				>
				["at0049"] = <
					text = <"Comment">
					description = <"Additional narrative about the assistive aid, not captured in other fields.">
				>
				["at0050"] = <
					text = <"Timing">
					description = <"Indication of timing related to the implanted device.">
					comment = <"The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when a medical device was implanted. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the dates when the implant was inserted or removed; the interval of time during which the implant was inserted; the implant duration; the age of the individual at the time the implant was inserted; or the duration of time since it was inserted or removed. A partial date is valid, using the DV_DATE_TIME data type, to record only a year.">
				>
				["at0051"] = <
					text = <"Unsure">
					description = <"">
				>
				["at0052"] = <
					text = <"Unsure">
					description = <"">
				>
				["at0053"] = <
					text = <"Unsure">
					description = <"">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"*Medical device screening questionnaire (en)">
					description = <"*Series of questions and associated answers used to screen for the presence of implanted medical devices or use of assistive aids. (en)">
					comment = <"*The answers may be self-reported. (en)">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Uspesifisert hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"*Device name (en)">
					description = <"*Name of the implanted medical device or device type being screened. (en)">
				>
				["at0005"] = <
					text = <"Tilstede?">
					description = <"*Presence of the implanted device. (en)">
				>
				["at0007"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0021"] = <
					text = <"Tilleggsinformasjon">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
				["at0022"] = <
					text = <"*Implanted device screening (en)">
					description = <"*Screening details about the presence of a specific implanted medical device. (en)">
					comment = <"*For example: cochlear implant; pacemaker; joint replacement; heart valve; coronary stent; bone fixation device eg screws or plates; deep brain stimulator; intraocular lens; or contraceptive device. (en)">
				>
				["at0023"] = <
					text = <"Ja">
					description = <"*The specific device is present or being used. (en)">
				>
				["at0024"] = <
					text = <"Nei">
					description = <"*The specific device is not present or being used. (en)">
				>
				["at0025"] = <
					text = <"Kommentar">
					description = <"*Additional narrative about the implanted device, not captured in other fields. (en)">
				>
				["at0027"] = <
					text = <"Ukjent">
					description = <"*It is not known whether the device is present or absent. (en)">
				>
				["at0028"] = <
					text = <"*Any implanted medical device? (en)">
					description = <"*Presence of any implanted devices. (en)">
				>
				["at0031"] = <
					text = <"Ja">
					description = <"">
				>
				["at0032"] = <
					text = <"Nei">
					description = <"">
				>
				["at0033"] = <
					text = <"Ukjent">
					description = <"">
				>
				["at0034"] = <
					text = <"Registreringsformål">
					description = <"Årsaken til registreringen.">
					comment = <"*For example: screening prior to a Magnetic Resonance Imaging examination. (en)">
				>
				["at0039"] = <
					text = <"Screening detaljer">
					description = <"*Additional details or questions about the implanted device. (en)">
				>
				["at0040"] = <
					text = <"*Description (en)">
					description = <"*Narrative description about the implanted device. (en)">
				>
				["at0041"] = <
					text = <"*Assistive aid screening (en)">
					description = <"*Screening details about the use of a specific assistive medical device. (en)">
					comment = <"*For example: wheelchair; walking stick; hearing aid; reading glasses; prosthetic limb; braille reader; speech generating device or medication organiser. (en)">
				>
				["at0042"] = <
					text = <"*Aid name (en)">
					description = <"*Name of the medical device or device type being screened. (en)">
				>
				["at0043"] = <
					text = <"Tilstede?">
					description = <"*Usage of the assistive aid. (en)">
				>
				["at0044"] = <
					text = <"Ja">
					description = <"*The specific device is present or being used. (en)">
				>
				["at0045"] = <
					text = <"Nei">
					description = <"*The specific device is not present or being used. (en)">
				>
				["at0046"] = <
					text = <"Ukjent">
					description = <"*It is not known whether the device is present or absent. (en)">
				>
				["at0047"] = <
					text = <"*Description (en)">
					description = <"*Narrative description about the assistive aid. (en)">
				>
				["at0048"] = <
					text = <"Screening detaljer">
					description = <"*Additional details or questions about the assistive aid. (en)">
				>
				["at0049"] = <
					text = <"Kommentar">
					description = <"*Additional narrative about the assistive aid, not captured in other fields. (en)">
				>
				["at0050"] = <
					text = <"*Timing (en)">
					description = <"*Indication of timing related to the implanted device. (en)">
					comment = <"*The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when a medical device was implanted. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the dates when the implant was inserted or removed; the interval of time during which the implant was inserted; the implant duration; the age of the individual at the time the implant was inserted; or the duration of time since it was inserted or removed. A partial date is valid, using the DV_DATE_TIME data type, to record only a year. (en)">
				>
				["at0051"] = <
					text = <"Usikker">
					description = <"">
				>
				["at0052"] = <
					text = <"Usikker">
					description = <"">
				>
				["at0053"] = <
					text = <"Usikker">
					description = <"">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"*Medical device screening questionnaire (en)">
					description = <"*Series of questions and associated answers used to screen for the presence of implanted medical devices or use of assistive aids. (en)">
					comment = <"*The answers may be self-reported. (en)">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Beliebiges Ereignis">
					description = <"Standardwert, ein undefinierter/s Zeitpunkt oder Intervallereignis, das explizit im Template oder zur Laufzeit der Anwendung definiert werden kann.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Gerätename">
					description = <"*Name of the implanted medical device or device type being screened. (en)">
				>
				["at0005"] = <
					text = <"Vorhanden?">
					description = <"*Presence of the implanted device. (en)">
				>
				["at0007"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0021"] = <
					text = <"Erweiterung">
					description = <"*Additional information required to extend the model with local content or to align with other reference models or formalisms. (en)">
					comment = <"*For example: local information requirements; or additional metadata to align with FHIR. (en)">
				>
				["at0022"] = <
					text = <"*Implanted device screening (en)">
					description = <"*Screening details about the presence of a specific implanted medical device. (en)">
					comment = <"*For example: cochlear implant; pacemaker; joint replacement; heart valve; coronary stent; bone fixation device eg screws or plates; deep brain stimulator; intraocular lens; or contraceptive device. (en)">
				>
				["at0023"] = <
					text = <"Ja">
					description = <"Das betreffende Gerät ist vorhanden oder wird verwendet.">
				>
				["at0024"] = <
					text = <"Nein">
					description = <"Das betreffende Gerät ist nicht vorhanden oder wird nicht verwendet.">
				>
				["at0025"] = <
					text = <"Kommentar">
					description = <"*Additional narrative about the implanted device, not captured in other fields. (en)">
				>
				["at0027"] = <
					text = <"Unbekannt">
					description = <"Es ist nicht bekannt, ob das Gerät vorhanden ist.">
				>
				["at0028"] = <
					text = <"*Any implanted medical device? (en)">
					description = <"*Presence of any implanted devices. (en)">
				>
				["at0031"] = <
					text = <"Ja">
					description = <"">
				>
				["at0032"] = <
					text = <"Nein">
					description = <"">
				>
				["at0033"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0034"] = <
					text = <"Zweck des Screenings">
					description = <"Der Grund für das gesamte Screening.">
					comment = <"*For example: screening prior to a Magnetic Resonance Imaging examination. (en)">
				>
				["at0039"] = <
					text = <"Details zum Screening">
					description = <"*Additional details or questions about the implanted device. (en)">
				>
				["at0040"] = <
					text = <"*Description (en)">
					description = <"*Narrative description about the implanted device. (en)">
				>
				["at0041"] = <
					text = <"*Assistive aid screening (en)">
					description = <"*Screening details about the use of a specific assistive medical device. (en)">
					comment = <"*For example: wheelchair; walking stick; hearing aid; reading glasses; prosthetic limb; braille reader; speech generating device or medication organiser. (en)">
				>
				["at0042"] = <
					text = <"*Aid name (en)">
					description = <"*Name of the medical device or device type being screened. (en)">
				>
				["at0043"] = <
					text = <"Vorhanden?">
					description = <"*Usage of the assistive aid. (en)">
				>
				["at0044"] = <
					text = <"Ja">
					description = <"Das betreffende Gerät ist vorhanden oder wird verwendet.">
				>
				["at0045"] = <
					text = <"Nein">
					description = <"Das betreffende Gerät ist nicht vorhanden oder wird nicht verwendet.">
				>
				["at0046"] = <
					text = <"Unbekannt">
					description = <"Es ist nicht bekannt, ob das Gerät vorhanden ist.">
				>
				["at0047"] = <
					text = <"*Description (en)">
					description = <"*Narrative description about the assistive aid. (en)">
				>
				["at0048"] = <
					text = <"Details zum Screening">
					description = <"*Additional details or questions about the assistive aid. (en)">
				>
				["at0049"] = <
					text = <"Kommentar">
					description = <"*Additional narrative about the assistive aid, not captured in other fields. (en)">
				>
				["at0050"] = <
					text = <"*Timing (en)">
					description = <"*Indication of timing related to the implanted device. (en)">
					comment = <"*The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when a medical device was implanted. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the dates when the implant was inserted or removed; the interval of time during which the implant was inserted; the implant duration; the age of the individual at the time the implant was inserted; or the duration of time since it was inserted or removed. A partial date is valid, using the DV_DATE_TIME data type, to record only a year. (en)">
				>
				["at0051"] = <
					text = <"*Unsure (en)">
					description = <"">
				>
				["at0052"] = <
					text = <"*Unsure (en)">
					description = <"">
				>
				["at0053"] = <
					text = <"*Unsure (en)">
					description = <"">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0023"] = <[SNOMED-CT::373066001]>
				["at0024"] = <[SNOMED-CT::373067005]>
				["at0031"] = <[SNOMED-CT::373066001]>
				["at0032"] = <[SNOMED-CT::373067005]>
				["at0027"] = <[SNOMED-CT::261665006]>
				["at0033"] = <[SNOMED-CT::261665006]>
				["at0044"] = <[SNOMED-CT::373066001]>
				["at0045"] = <[SNOMED-CT::373067005]>
				["at0046"] = <[SNOMED-CT::261665006]>
			>
		>
	>