OpenEHR Apperta Mirror
Name
Condition screening questionnaire
Description
An individual- or self-reported questionnaire screening for conditions, including problems, diagnoses and pregnancy.
Purpose
To record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy.
Use
Use to record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy.
Common use cases include, but are not limited to:
- Systematic questioning in any consultation; or
- Specific questioning related to infectious disease surveillance.
Common use cases include, but are not limited to:
- Systematic questioning in any consultation; or
- Specific questioning related to infectious disease surveillance.
Misuse
Not to be used to record details about a specific condition as part of a typical clinical consultation. Use EVALUATION.problem_diagnosis for this purpose.
Archetype Id
openEHR-EHR-OBSERVATION.condition_screening.v0
Copyright
© Apperta Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
Original Author
Heather Leslie
Atomica Informatics
Atomica Informatics
Date Originally Authored
2020-03-13
Language | Details |
---|---|
Norwegian Bokmal |
Name | Card | Type | Description |
---|---|---|---|
Screening purpose
|
0..1 | DV_TEXT |
The reason for overall screening.
Comment
For example: pre-operative screening.
|
Presence of any conditions?
|
0..1 | DV_CODED_TEXT |
Presence of any relevant conditions.
Constraint for DV_CODED_TEXT
|
|
0..* | CLUSTER |
Grouping of data elements related to screening for a single condition.
CLUSTER
|
Condition name
|
1..1 | DV_TEXT |
Name of the condition being screened.
|
Presence?
|
0..1 | DV_CODED_TEXT |
Presence of the condition.
Constraint for DV_CODED_TEXT
|
Onset
|
0..1 | DV_DATE_TIME |
The date/time when the condition was first noticed by the individual or diagnosed by a clinician.
Comment
Partial dates are allowed.
|
Comment
|
0..1 | DV_TEXT |
Additional narrative about the specific condition, not captured in other fields.
|
Pregnancy gestation
|
0..1 |
CHOICE OF
DV_DURATION
DV_CODED_TEXT
|
The date/time when any conditions were first noticed.
Comment
Partial dates are allowed.
DV_DURATION
Constraint for DV_CODED_TEXT
|
Additional details
|
0..* | Slot (Cluster) |
Additional structured details related to condition screening.
Slot
Slot
|
Comment
|
0..1 | DV_TEXT |
Additional narrative about the conditions, not captured in other fields.
|
Name | Card | Type | Description |
---|---|---|---|
Extension
|
0..* | Slot (Cluster) |
Additional information required to capture local content or to align with other reference models/formalisms.
Comment
For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.
Slot
Slot
|
archetype (adl_version=1.4; uid=39d55839-4fb9-493a-bb0c-17478cf1903f) openEHR-EHR-OBSERVATION.condition_screening.v0 concept [at0000] -- Condition screening questionnaire language original_language = <[ISO_639-1::en]> translations = < ["nb"] = < language = <[ISO_639-1::nb]> author = < > > > description original_author = < ["name"] = <"Heather Leslie"> ["organisation"] = <"Atomica Informatics"> ["email"] = <"heather.leslie@atomicainformatics.com"> ["date"] = <"2020-03-13"> > details = < ["nb"] = < language = <[ISO_639-1::nb]> purpose = <"*To record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy.(en)"> use = <"*Use to record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy. Common use cases include, but are not limited to: - Systematic questioning in any consultation; or - Specific questioning related to infectious disease surveillance.(en)"> misuse = <"*Not to be used to record details about a specific condition as part of a typical clinical consultation. Use EVALUATION.problem_diagnosis for this purpose.(en)"> copyright = <"© Apperta Foundation"> > ["en"] = < language = <[ISO_639-1::en]> purpose = <"To record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy."> use = <"Use to record the responses to an individual- or self-reported questionnaire screening for conditions, including pregnancy. Common use cases include, but are not limited to: - Systematic questioning in any consultation; or - Specific questioning related to infectious disease surveillance."> misuse = <"Not to be used to record details about a specific condition as part of a typical clinical consultation. Use EVALUATION.problem_diagnosis for this purpose."> copyright = <"© Apperta 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 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/."> ["custodian_organisation"] = <"Apperta UK"> ["original_namespace"] = <"uk.org.clinicalmodels"> ["original_publisher"] = <"Apperta UK"> ["custodian_namespace"] = <"uk.org.clinicalmodels"> ["MD5-CAM-1.0.1"] = <"AA14DED8BD27EC29A61AD73F44C380F1"> ["build_uid"] = <"6d3625eb-b19e-4fbc-9c3f-83197a286818"> ["revision"] = <"0.0.1-alpha"> > definition OBSERVATION[at0000] matches { -- Condition 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 { -- Presence of any conditions? value matches { DV_CODED_TEXT matches { defining_code matches { [local:: at0031, -- Present at0032, -- Absent at0033] -- Indeterminate } } } } CLUSTER[at0022] occurrences matches {0..*} matches { -- Specific condition items cardinality matches {1..*; unordered} matches { ELEMENT[at0004] matches { -- Condition 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, -- Present at0024, -- Absent at0027] -- Indeterminate } } } } ELEMENT[at0006] occurrences matches {0..1} matches { -- Onset value matches { DV_DATE_TIME matches {*} } } ELEMENT[at0035] occurrences matches {0..1} matches { -- Comment value matches { DV_TEXT matches {*} } } } } ELEMENT[at0029] occurrences matches {0..1} matches { -- Pregnancy gestation value matches { DV_DURATION matches {*} DV_CODED_TEXT matches { defining_code matches { [local:: at0036, -- First trimester at0037, -- Second trimester at0038] -- Third trimester } } } } allow_archetype CLUSTER[at0026] occurrences matches {0..*} matches { -- Additional details include archetype_id/value matches {/.*/} } ELEMENT[at0025] 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 term_definitions = < ["en"] = < items = < ["at0000"] = < text = <"Condition screening questionnaire"> description = <"An individual- or self-reported questionnaire screening for conditions, including problems, diagnoses and pregnancy."> > ["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 = <"Condition name"> description = <"Name of the condition being screened."> > ["at0005"] = < text = <"Presence?"> description = <"Presence of the condition."> > ["at0006"] = < text = <"Onset"> description = <"The date/time when the condition was first noticed by the individual or diagnosed by a clinician."> comment = <"Partial dates are allowed."> > ["at0007"] = < text = <"Item tree"> description = <"@ internal @"> > ["at0021"] = < text = <"Extension"> description = <"Additional information required to capture local content or to align with other reference models/formalisms."> comment = <"For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents."> > ["at0022"] = < text = <"Specific condition"> description = <"Grouping of data elements related to screening for a single condition."> > ["at0023"] = < text = <"Present"> description = <"The specific condition is present."> > ["at0024"] = < text = <"Absent"> description = <"The specific condition is not present."> > ["at0025"] = < text = <"Comment"> description = <"Additional narrative about the conditions, not captured in other fields."> > ["at0026"] = < text = <"Additional details"> description = <"Additional structured details related to condition screening."> > ["at0027"] = < text = <"Indeterminate"> description = <"It is not possible to know if the condition is present or absent."> > ["at0028"] = < text = <"Presence of any conditions?"> description = <"Presence of any relevant conditions."> > ["at0029"] = < text = <"Pregnancy gestation"> description = <"The date/time when any conditions were first noticed."> comment = <"Partial dates are allowed."> > ["at0031"] = < text = <"Present"> description = <"Conditions are present."> > ["at0032"] = < text = <"Absent"> description = <"Conditions are not present."> > ["at0033"] = < text = <"Indeterminate"> description = <"It is not possible to know if any conditions are present or absent."> > ["at0034"] = < text = <"Screening purpose"> description = <"The reason for overall screening."> comment = <"For example: pre-operative screening."> > ["at0035"] = < text = <"Comment"> description = <"Additional narrative about the specific condition, not captured in other fields."> > ["at0036"] = < text = <"First trimester"> description = <"Between first day of last period and the end of week 12."> > ["at0037"] = < text = <"Second trimester"> description = <"Between week 13 and week 28."> > ["at0038"] = < text = <"Third trimester"> description = <"After week 28."> > > > ["nb"] = < items = < ["at0000"] = < text = <"Spørreskjema for screening av tilstander"> description = <"*An individual- or self-reported questionnaire screening for conditions, including problems, diagnoses and pregnancy.(en)"> > ["at0001"] = < text = <"History"> description = <"@ internal @"> > ["at0002"] = < text = <"Uspesifikk hendelse"> description = <"*Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.(en)"> > ["at0003"] = < text = <"Tree"> description = <"@ internal @"> > ["at0004"] = < text = <"Navn på tilstand"> description = <"*Name of the condition being screened.(en)"> > ["at0005"] = < text = <"Tilstede?"> description = <"*Presence of the condition.(en)"> > ["at0006"] = < text = <"Debut"> description = <"*The date/time when the condition was first noticed by the individual or diagnosed by a clinician.(en)"> comment = <"*Partial dates are allowed.(en)"> > ["at0007"] = < text = <"Item tree"> description = <"@ internal @"> > ["at0021"] = < text = <"Tilleggsinformasjon"> description = <"*Additional information required to capture local content or to align with other reference models/formalisms.(en)"> comment = <"*For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents.(en)"> > ["at0022"] = < text = <"Spesifikk tilstand"> description = <"*Grouping of data elements related to screening for a single condition.(en)"> > ["at0023"] = < text = <"Tilstede"> description = <"*The specific condition is present.(en)"> > ["at0024"] = < text = <"Fraværende"> description = <"*The specific condition is not present.(en)"> > ["at0025"] = < text = <"Kommentar"> description = <"*Additional narrative about the conditions, not captured in other fields.(en)"> > ["at0026"] = < text = <"Ytterligere detaljer"> description = <"*Additional structured details related to condition screening.(en)"> > ["at0027"] = < text = <"Ubestemmelig"> description = <"*It is not possible to know if the condition is present or absent.(en)"> > ["at0028"] = < text = <"Er det noen tilstander tilstede?"> description = <"*Presence of any relevant conditions.(en)"> > ["at0029"] = < text = <"Tidspunkt i svangerskap"> description = <"*The date/time when any conditions were first noticed.(en)"> comment = <"*Partial dates are allowed.(en)"> > ["at0031"] = < text = <"Tilstede"> description = <"*Conditions are present.(en)"> > ["at0032"] = < text = <"Fraværende"> description = <"*Conditions are not present.(en)"> > ["at0033"] = < text = <"Ubestemmelig"> description = <"*It is not possible to know if any conditions are present or absent.(en)"> > ["at0034"] = < text = <"Formål med screeningen"> description = <"*The reason for overall screening.(en)"> comment = <"*For example: pre-operative screening.(en)"> > ["at0035"] = < text = <"Kommentar"> description = <"*Additional narrative about the specific condition, not captured in other fields.(en)"> > ["at0036"] = < text = <"*First trimester(en)"> description = <"*Between first day of last period and the end of week 12.(en)"> > ["at0037"] = < text = <"*Second trimester(en)"> description = <"*Between week 13 and week 28.(en)"> > ["at0038"] = < text = <"*Third trimester(en)"> description = <"*After week 28.(en)"> > > > >