OpenEHR Apperta Mirror
Name
Diagnostic investigation screening questionnaire
Description
Series of questions and associated answers used to screen whether diagnostic investigations, either imaging examinations or laboratory tests, have been carried out.
Comment
The answers may be self-reported.
Keywords
investigation screening questionnaire prevention imaging laboratory pathology blood sample sputum
Purpose
To create a framework for recording answers to pre-defined screening questions about the use of any specified diagnostic investigation or grouping of investigations.
Use
Use to create a framework for recording answers to pre-defined screening questions about the use of any specified diagnostic investigation or grouping of investigations.

Common use cases include, but are not limited to:
- Systematic questioning in any consultation related to patterns of investigation administration, for example:
--- Have you ever had your cholesterol level tested? Yes, No, Unknown.
--- Have you been tested for rubella antibodies? Yes, No, Unknown.
--- Have you ever been screened for sickle cell disease? Yes, No, Unknown.
- When was your last Chest X-ray?
- When was your most recent INR test?

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 this archetype to distinguish between a questionnaire recording information about a medication that has been used at any time in the past and information about a medication used within a specified time interval - for example the difference between "Have you ever had an INR test?" compared to "Have you had an INR test during the last four weeks?".

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 an investigation has been carried out, it is recommended that the clinical system record and persist the specific details about the investigation using a relevant archetype.
Misuse
Not to be used for recording an order for an investigation - use INSTRUCTION.service_request for this purpose.

Not to be used for recording the progress of activities performed as part of an investigation - use ACTION.laboratory_test for this purpose.

Not to be used to record formal diagnostic test results - use the OBSERVATION.laboratory_test_result or OBSERVATION.imaging_examination_result for this purpose.
Archetype Id
openEHR-EHR-OBSERVATION.investigation_screening.v0
Copyright
© openEHR Foundation, Apperta Foundation
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
Original Author
Heather Leslie
Atomica Informatics
Date Originally Authored
2022-10-21
Language Details
German
Natalia Strauch
Medizinische Hochschule Hannover
Norwegian Bokmal
Kanika Kuwelker, John Tore Valand
Helse Vest IKT, Helse Bergen
Name Card Type Description
Screening purpose
0..1 DV_TEXT The context or reason for screening.
Comment
This data element is intended to provide collection context for the question/answer groups when queried at a later date. It is not expected that this data element will be exposed to the individual, but only stored in data. For example: pre-admission screening, the name of the actual questionnaire or screening for previous investigations.
Any tests?
0..*
CHOICE OF
DV_CODED_TEXT
DV_TEXT
DV_BOOLEAN
Is there a history of any investigations related to the screening purpose?
Comment
In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.
Constraint for DV_CODED_TEXT
  • Yes
  • No
  • Unknown
Description
0..1 DV_TEXT Narrative description about the history of administration of any investigations relevant for the screening purpose.
Specific investigation
0..* CLUSTER Details about a specified investigation or grouping of investigations relevant for the screening purpose.
Comment
Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations.
CLUSTER
Test name
1..1 DV_TEXT Name of the imaging examination or laboratory test or grouping.
Comment
For example: 'Urea and electrolytes', or 'HIV screening panel'. Coding of the 'Investigation name' with a terminology is preferred, where possible.
Carried out?
0..1
CHOICE OF
DV_CODED_TEXT
DV_TEXT
DV_BOOLEAN
Is there a history of the investigation being carried out?
Comment
In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.
Constraint for DV_CODED_TEXT
  • Yes
  • No
  • Unknown
Date
0..1
CHOICE OF
DV_DATE_TIME
DV_TEXT
The date and/or time of the most recent test.
Comment
Can be a partial date, for example, only a year.
Result
0..*
CHOICE OF
DV_CODED_TEXT
DV_QUANTITY
DV_TEXT
DV_COUNT
The test result or findings of the screening investigation.
Comment
For example: positive/negative.
Constraint for DV_CODED_TEXT
  • Positive
    [The screening test result was positive.]
  • Negative
    [The screening test result was negative.]
DV_QUANTITY
Additional details
0..* Slot (Cluster) Structured details or questions about the specific investigation or grouping of investigations.
Slot
Slot
Comment
0..1 DV_TEXT
Additional details
0..* Slot (Cluster) Structured details or questions about investigation screening.
Slot
Slot
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=aceb6ad0-81a4-4d7f-a66c-c69ca4550503)
	openEHR-EHR-OBSERVATION.investigation_screening.v0

concept
	[at0000]	-- Diagnostic investigation screening questionnaire
language
	original_language = <[ISO_639-1::en]>
	translations = <
		["de"] = <
			language = <[ISO_639-1::de]>
			author = <
				["name"] = <"Natalia Strauch">
				["organisation"] = <"Medizinische Hochschule Hannover">
				["email"] = <"Strauch.Natalia@mh-hannover.de">
			>
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			author = <
				["name"] = <"Kanika Kuwelker, John Tore Valand">
				["organisation"] = <"Helse Vest IKT, Helse Bergen">
				["email"] = <"kanika.kuwelker@helse-vest-ikt.no, john.tore.valand@helse-vest-ikt.no">
			>
		>
	>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2022-10-21">
	>
	details = <
		["de"] = <
			language = <[ISO_639-1::de]>
			purpose = <"Eine Reihe von Fragen und zugehörigen Antworten, die zum Screening auf eine bestimmten diagnostischen Untersuchung oder Gruppe von Untersuchungen verwendet werden.">
			use = <"Eine Reihe von Fragen und zugehörigen Antworten, die zum Screening auf eine bestimmten diagnostischen Untersuchung oder Gruppe von Untersuchungen verwendet werden.

Häufige Anwendungsfälle umfassen, sind aber nicht beschränkt auf:
- Systematische Befragung in jedem Beratungsgespräch im Zusammenhang mit Struktur zur Verwaltung von Untersuchungen, zum Beispiel:
--- Haben Sie schon einmal Ihren Cholesterinspiegel testen lassen? Ja, Nein, Unbekannt.
--- Wurden Sie auf Röteln-Antikörper getestet? Ja, Nein, Unbekannt.
--- Wurden Sie jemals auf Sichelzellenanämie untersucht? Ja, Nein, Unbekannt.
- Wann war Ihre letzte Röntgenaufnahme des Brustkorbs?
- Wann war Ihr letzter INR-Test?

Die Semantik dieses Archetyps ist absichtlich locker, und die Abfrage dieses Archetyps wäre normalerweise nur im Kontext jedes spezifischen Templates nützlich oder sicher. In einem Template würde normalerweise jedes Datenelement in die spezifische gestellte Frage umbenannt. Wenn für bestimmte Anwendungsfälle Gruppen an Werten vorgesehen sind, können diese für den lokalen Gebrauch auf den jeweiligen Anwendungsfall mit den Datentypen DV_TEXT oder DV_BOOLEAN angepasst werden.

Die EVENT-Struktur des Referenz Modells kann verwendet werden, um weiter zu spezifizieren, ob die Fragen sich auf einen bestimmten Zeitpunkt oder eher eine Zeitspanne beziehen. Eine seperate Instanz dieses Archetyps wird verwendet, um zwischen einer Befragung zu Untersuchungen zu irgendeinem bestimmten Zeitpunkt in der Vergangenheit und Informationen zu Untersuchungen, die in einer bestimmten Zeitspanne benutzt wurden - zum Beispiel der Unterschied zwischen \"Haben Sie jemals einen INR-Test gehabt?\" im Vergleich zu „Wurde bei Ihnen in den letzten vier Wochen ein INR-Test durchgeführt?“.

Die Quelle der Informationen in einer Fragebogenantwort kann in verschiedenen Kontexten variieren, kann jedoch mithilfe des Elements „Information provider“ im Referenzmodell spezifisch identifiziert werden.

Dieser Archetyp wurde entwickelt, um als Screening-Tool oder zur Darstellung einfacher Daten im Fragebogenformat zur Verwendung in Situationen wie einem Krankheitsregister verwendet zu werden. Wenn der Screening-Fragebogen die Durchführung einer Untersuchung identifiziert, wird empfohlen, dass das klinische System die spezifischen Details über die Untersuchung unter Verwendung entsprechenden Archetyps darstellt und beibehält.">
			keywords = <"Untersuchung, Screening, Fragebogen, Prävention, Bildgebung, Labor, Pathologie, Blut, Probe, Sputum", ...>
			misuse = <"Darf nicht verwendet werden, um einen Untersuchungsauftrags darzustellen – verwenden Sie zu diesem Zweck INSTRUCTION.service_request.

Darf nicht verwendet werden, um den Fortschritt von Aktivitäten, die im Rahmen einer Untersuchung durchgeführt werden darzustellen – verwenden Sie ACTION.laboratory_test für diesen Zweck.

Nicht zur Darstellung formaler diagnostischer Testergebnisse verwenden – verwenden Sie zu diesem Zweck OBSERVATION.laboratory_test_result oder OBSERVATION.imaging_examination_result.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["nb"] = <
			language = <[ISO_639-1::nb]>
			purpose = <"For å lage et rammeverk for registrering av svar på forhåndsdefinerte spørsmål om bruk av en spesifisert diagnostisk undersøkelse eller gruppering av undersøkelser.">
			use = <"Bruk for å lage et rammeverk for registrering av svar på forhåndsdefinerte spørsmål om bruk av en spesifisert diagnostisk undersøkelse eller gruppering av undersøkelser.

Vanlige bruksområder inkluderer, men er ikke begrenset til:
- Systematiske spørsmål ved konsultasjoner, for eksempel:
--- Har du noen gang fått testet kolesterolnivået ditt? Ja, Nei, Ukjent.
--- Har du blitt testet for rubella-antistoffer? Ja, Nei, Ukjent.
--- Har du noen gang blitt screenet for sigdcellesykdom? Ja, Nei, Ukjent.
- Når var ditt siste røntgenbilde av thorax?
- Når tok du sist INR-prøve?

Semantikken til denne arketypen er med vilje løs, og å spørre etter denne arketypen vil normalt bare være nyttig eller trygt innenfor konteksten til hver spesifikk mal. I en mal vil hvert dataelement vanligvis bli omdøpt til det spesifikke spørsmålet. Der verdisett har blitt foreslått for vanlige brukstilfeller, kan disse tilpasses for lokal bruk ved å bruke DV_TEXT eller DV_BOOLEAN datatypevalg for å matche hvert enkelt brukstilfelle.

EVENT-strukturen fra arketypens referansemodell kan brukes for å spesifisere om spørsmålene relateres til et tidspunkt eller til et tidsintervall. Bruk egne instanser av denne arketypen for å skille mellom spørsmål om sosialrelaterte emner som gjelder et hvilket som helst tidspunkt eller for et tidsintervall. For eksempel; \"Har du noen gang tatt en INR-prøve?\" sammenlignet med \"Har du tatt en INR-prøve i løpet av de siste fire ukene?\".

Kilden til informasjonen i et spørreskjema kan variere i ulike kontekster, men kan identifiseres spesifikt ved å benytte \"Information provider\" elementet i openEHR referansemodell.

Denne arketypen er laget for å bli brukt i et spørreskjema eller for å registrere enkle strukturerte data til for eksempel et sykdomsregister. Dersom det i spørreskjemaet identifiseres at det er noe i de sosiale forholdene som bør lagres i den elektroniske journalen, utover et øyeblikksbilde, er det tenkt at dette skal lagres i persistente arketyper laget spesielt for klinisk bruk.">
			keywords = <"utredning, kartlegging, spørreskjema, forebygging, bildediagnostikk, laboratorie, patologi, blod, prøve, sputum", ...>
			misuse = <"Skal ikke brukes til å registrere bestilling av diagnostiske tester - bruk ACTION.laboratory_test for dette formålet.

Skal ikke brukes til å registrere fremdriften til aktiviteter utført som en del av utredning - bruk ACTION.laboratory_test for dette formålet.

Skal ikke brukes til å registrere formelle diagnostiske testresultater - bruk OBSERVATION.laboratory_test_result eller OBSERVATION.imaging_examination_result for dette formålet.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To create a framework for recording answers to pre-defined screening questions about the use of any specified diagnostic investigation or grouping of investigations.">
			use = <"Use to create a framework for recording answers to pre-defined screening questions about the use of any specified diagnostic investigation or grouping of investigations.

Common use cases include, but are not limited to:
- Systematic questioning in any consultation related to patterns of investigation administration, for example:
--- Have you ever had your cholesterol level tested? Yes, No, Unknown.
--- Have you been tested for rubella antibodies? Yes, No, Unknown.
--- Have you ever been screened for sickle cell disease? Yes, No, Unknown.
- When was your last Chest X-ray?
- When was your most recent INR test?

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 this archetype to distinguish between a questionnaire recording information about a medication that has been used at any time in the past and information about a medication used within a specified time interval - for example the difference between \"Have you ever had an INR test?\" compared to \"Have you had an INR test during the last four weeks?\".

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 an investigation has been carried out, it is recommended that the clinical system record and persist the specific details about the investigation using a relevant archetype.">
			keywords = <"investigation, screening, questionnaire, prevention, imaging, laboratory, pathology, blood, sample, sputum", ...>
			misuse = <"Not to be used for recording an order for an investigation - use INSTRUCTION.service_request for this purpose.

Not to be used for recording the progress of activities performed as part of an investigation - use ACTION.laboratory_test for this purpose.

Not to be used to record formal diagnostic test results - use the OBSERVATION.laboratory_test_result or OBSERVATION.imaging_examination_result for this purpose.">
			copyright = <"© openEHR Foundation, Apperta Foundation">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)", "Astrid Askeland, Dips AS, Norway", "Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India", "Randi Brendberg, Helse Nord RHF, Norway", "Yexuan Cheng, 浙江大学, China", "Are Edvardsen, SKDE, Helse Nord RHF, Norway", "Alexander Eikrem-Lüthi, Lovisenberg Diakonale Sykehus, Norway", "Kåre Flø, DIPS ASA, Norway", "Grant Forrest, Lunaria Ltd, United Kingdom", "Anca Heyd, DIPS ASA, Norway", "Joost Holslag, Nedap, Netherlands", "Evelyn Hovenga, EJSH Consulting, Australia", "Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway", "Gunnar Jårvik, Helse Vest IKT AS, Norway", "Anjali Kulkarni, Karkinos, India", "Kanika Kuwelker, Helse Vest IKT, Norway", "Jörgen Kuylenstierna, eWeave AB, Sweden", "Liv Laugen, ​Oslo University Hospital, Norway, Norway", "Øygunn Leite Kallevik, Helse Bergen, Norway", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Mikael Nyström, Cambio Healthcare Systems AB, Sweden", "Jussara Rotzsch, Hospital Alemão Oswaldo Cruz, Brazil", "Andre Smitt-Ingebretsen, Sørlandet sykehus HF, Norway", "Natalia Strauch, Medizinische Hochschule Hannover, Germany", "Norwegian Review Summary, Norwegian Public Hospitals, Norway", "John Tore Valand, Helse Bergen, Norway (openEHR Editor)", "Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)", "Ina Wille, Helse-Vest RHF, Norway">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"Apperta UK">
		["original_namespace"] = <"uk.org.clinicalmodels">
		["original_publisher"] = <"Apperta UK">
		["custodian_namespace"] = <"uk.org.clinicalmodels">
		["MD5-CAM-1.0.1"] = <"253D67D92010BEB2F153CC700E4A9575">
		["build_uid"] = <"ad2413ca-895a-4cfc-ae99-2e76dbda9fde">
		["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 {    -- Diagnostic investigation screening questionnaire
		data matches {
			HISTORY[at0022] matches {    -- Event Series
				events cardinality matches {0..*; unordered} matches {
					EVENT[at0023] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0001] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0040] occurrences matches {0..1} matches {    -- Screening purpose
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0027] occurrences matches {0..*} matches {    -- Any tests?
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0028,    -- Yes
													at0029,    -- No
													at0030]    -- Unknown
												}
											}
											DV_TEXT matches {*}
											DV_BOOLEAN matches {*}
										}
									}
									ELEMENT[at0043] occurrences matches {0..1} matches {    -- Description
										value matches {
											DV_TEXT matches {*}
										}
									}
									CLUSTER[at0026] occurrences matches {0..*} matches {    -- Specific investigation
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0021] matches {    -- Test name
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0024] occurrences matches {0..1} matches {    -- Carried out?
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0036,    -- Yes
															at0037,    -- No
															at0039]    -- Unknown
														}
													}
													DV_TEXT matches {*}
													DV_BOOLEAN matches {*}
												}
											}
											ELEMENT[at0003] occurrences matches {0..1} matches {    -- Date
												value matches {
													DV_DATE_TIME matches {*}
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0002] occurrences matches {0..*} matches {    -- Result
												value matches {
													DV_CODED_TEXT matches {
														defining_code matches {
															[local::
															at0044,    -- Positive
															at0045]    -- Negative
														}
													}
													DV_QUANTITY matches {*}
													DV_TEXT matches {*}
													DV_COUNT matches {*}
												}
											}
											allow_archetype CLUSTER[at0041] occurrences matches {0..*} matches {    -- Additional details
												include
													archetype_id/value matches {/.*/}
											}
											ELEMENT[at0025] occurrences matches {0..1} matches {    -- Comment
												value matches {
													DV_TEXT matches {*}
												}
											}
										}
									}
									allow_archetype CLUSTER[at0042] occurrences matches {0..*} matches {    -- Additional details
										include
											archetype_id/value matches {/.*/}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0005] matches {    -- Tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	terminologies_available = <"SNOMED-CT", ...>
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Diagnostic investigation screening questionnaire">
					description = <"Series of questions and associated answers used to screen whether diagnostic investigations, either imaging examinations or laboratory tests, have been carried out.">
					comment = <"The answers may be self-reported.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Result">
					description = <"The test result or findings of the screening investigation.">
					comment = <"For example: positive/negative.">
				>
				["at0003"] = <
					text = <"Date">
					description = <"The date and/or time of the most recent test.">
					comment = <"Can be a partial date, for example, only a year.">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0019"] = <
					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.">
				>
				["at0021"] = <
					text = <"Test name">
					description = <"Name of the imaging examination or laboratory test or grouping.">
					comment = <"For example: 'Urea and electrolytes', or 'HIV screening panel'.
Coding of the 'Investigation name' with a terminology is preferred, where possible.">
				>
				["at0022"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0023"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0024"] = <
					text = <"Carried out?">
					description = <"Is there a history of the investigation being carried out?">
					comment = <"In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.">
				>
				["at0025"] = <
					text = <"Comment">
					description = <"">
				>
				["at0026"] = <
					text = <"Specific investigation">
					description = <"Details about a specified investigation or grouping of investigations relevant for the screening purpose.">
					comment = <"Use separate instances of this CLUSTER to differentiate between specific investigations or groupings of investigations.">
				>
				["at0027"] = <
					text = <"Any tests?">
					description = <"Is there a history of any investigations related to the screening purpose?">
					comment = <"In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case.">
				>
				["at0028"] = <
					text = <"Yes">
					description = <"">
				>
				["at0029"] = <
					text = <"No">
					description = <"">
				>
				["at0030"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0036"] = <
					text = <"Yes">
					description = <"">
				>
				["at0037"] = <
					text = <"No">
					description = <"">
				>
				["at0039"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0040"] = <
					text = <"Screening purpose">
					description = <"The context or reason for screening.">
					comment = <"This data element is intended to provide collection context for the question/answer groups when queried at a later date. It is not expected that this data element will be exposed to the individual, but only stored in data. For example: pre-admission screening, the name of the actual questionnaire or screening for previous investigations.">
				>
				["at0041"] = <
					text = <"Additional details">
					description = <"Structured details or questions about the specific investigation or grouping of investigations.">
				>
				["at0042"] = <
					text = <"Additional details">
					description = <"Structured details or questions about investigation screening.">
				>
				["at0043"] = <
					text = <"Description">
					description = <"Narrative description about the history of administration of any investigations relevant for the screening purpose.">
				>
				["at0044"] = <
					text = <"Positive">
					description = <"The screening test result was positive.">
				>
				["at0045"] = <
					text = <"Negative">
					description = <"The screening test result was negative.">
				>
			>
		>
		["de"] = <
			items = <
				["at0000"] = <
					text = <"Screening-Fragebogen zur diagnostischen Untersuchungen">
					description = <"Reihe von Fragen und zugehörigen Antworten, die verwendet werden, um zu überprüfen, ob diagnostische Untersuchungen, oder bildgebende Untersuchungen, oder Labortests, durchgeführt wurden.">
					comment = <"Die Antworten können selbst berichtet werden.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Ergebnis">
					description = <"Das Testergebnis oder die Ergebnisse der Screening-Untersuchung.">
					comment = <"Zum Beispiel: positiv/negativ.">
				>
				["at0003"] = <
					text = <"Zeitangaben">
					description = <"Das Datum und/oder die Uhrzeit der letzten Untersuchung.">
					comment = <"Kann ein Teildatum sein, zum Beispiel nur ein Jahr.">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Erweiterung">
					description = <"Zusätzliche Informationen zur Erfassung lokaler Inhalte oder Anpassung an andere Referenzmodelle/Formalismen.">
					comment = <"Zum Beispiel: Lokaler Informationsbedarf oder zusätzliche Metadaten zur Anpassung an FHIR-Ressourcen.">
				>
				["at0021"] = <
					text = <"Name der Untersuchung">
					description = <"Name der bildgebenden Untersuchung, oder des Labortests oder der Gruppe von Untersuchungen.">
					comment = <"Zum Beispiel: „Harnstoff und Elektrolyte“ oder „HIV-Screening-Panel“.
Die Codierung des „Name der Untersuchung“ mit einer Terminologie wird nach Möglichkeit bevorzugt.">
				>
				["at0022"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0023"] = <
					text = <"Beliebiges Ereignis">
					description = <"Standardwert, ein undefinierter/s Zeitpunkt oder Intervallereignis, das explizit im Template oder zur Laufzeit der Anwendung definiert werden kann.">
				>
				["at0024"] = <
					text = <"Durchgeführt?">
					description = <"Gibt es eine Vorgeschichte der durchgeführten Untersuchungen?">
					comment = <"In einem Template würde das Datenelement normalerweise in die spezifische gestellte Frage umbenannt. Der vorgeschlagene Wertesatz kann für die lokale Verwendung angepasst werden, indem die Datentypauswahl DV_TEXT oder DV_BOOLEAN verwendet wird, um jedem spezifischen Anwendungsfall zu entsprechen.">
				>
				["at0025"] = <
					text = <"Kommentar">
					description = <"">
				>
				["at0026"] = <
					text = <"Spezifische Untersuchung">
					description = <"Details zu einer bestimmten Untersuchung oder einer Gruppe von Untersuchungen, die für das Screening relevant sind.">
					comment = <"Verwenden Sie separate Instanzen dieses CLUSTERs, um zwischen bestimmten Untersuchung oder einer Gruppe von Untersuchungen zu unterscheiden.">
				>
				["at0027"] = <
					text = <"Irgendwelche Untersuchungen?">
					description = <"Gibt es eine Vorgeschichte von Untersuchungen im Zusammenhang mit dem Screening-Zweck?">
					comment = <"In einem Template würde das Datenelement normalerweise in die spezifische gestellte Frage umbenannt. Der vorgeschlagene Wertesatz kann für die lokale Verwendung angepasst werden, indem die Datentypauswahl DV_TEXT oder DV_BOOLEAN verwendet wird, um jedem spezifischen Anwendungsfall zu entsprechen.">
				>
				["at0028"] = <
					text = <"Ja">
					description = <"">
				>
				["at0029"] = <
					text = <"Nein">
					description = <"">
				>
				["at0030"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0036"] = <
					text = <"Ja">
					description = <"">
				>
				["at0037"] = <
					text = <"Nein">
					description = <"">
				>
				["at0039"] = <
					text = <"Unbekannt">
					description = <"">
				>
				["at0040"] = <
					text = <"Zweck des Screenings">
					description = <"Der Kontext oder Grund für das Screening.">
					comment = <"Dieses Datenelement soll bei einer späteren Abfrage den Erhebungskontext für die Frage/Antwort-Gruppen bereitstellen. Es wird nicht erwartet, dass dieses Datenelement der Person belichtet wird, sondern nur in Daten gespeichert wird. Zum Beispiel: Screening vor der Aufnahme, der Name des eigentlichen Fragebogens oder Screening auf die frühere Untersuchungen.">
				>
				["at0041"] = <
					text = <"Zusätzliche Angaben">
					description = <"Strukturierte Angaben oder Fragen zur konkreten Untersuchung oder Untersuchungsgruppe.">
				>
				["at0042"] = <
					text = <"Zusätzliche Angaben">
					description = <"Strukturierte Angaben oder Fragen zum Screening auf Untersuchungen.">
				>
				["at0043"] = <
					text = <"Beschreibung">
					description = <"Beschreibung über die Geschichte der Durchführung von Untersuchungen, die für das Screening relevant sind.">
				>
				["at0044"] = <
					text = <"Positiv">
					description = <"Das Ergebnis der Untersuchung war positiv.">
				>
				["at0045"] = <
					text = <"Negativ">
					description = <"Das Ergebnis der Untersuchung war negativ.">
				>
			>
		>
		["nb"] = <
			items = <
				["at0000"] = <
					text = <"Kartleggingsspørsmål om diagnostiske undersøkelser">
					description = <"Spørsmål og tilhørende svar som brukes til å kartlegge om det er utført diagnostiske undersøkelser, enten bildeundersøkelser eller laboratorietester.">
					comment = <"Svarene kan være selvrapporterte.">
				>
				["at0001"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Resultat">
					description = <"Undersøkelsesresultatet eller funnene fra screeningundersøkelsen.">
					comment = <"For eksempel: positiv/negativ.">
				>
				["at0003"] = <
					text = <"Dato">
					description = <"Datoen og/eller klokkeslettet for den siste undersøkelsen.">
					comment = <"Kan være en delvis dato, for eksempel bare et år.">
				>
				["at0005"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0019"] = <
					text = <"Tilleggsinformasjon">
					description = <"Ytterligere informasjon som trengs for å kunne registrere lokalt definert innhold eller for å tilpasse til andre referansemodeller/formalismer.">
					comment = <"For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR.">
				>
				["at0021"] = <
					text = <"Undersøkelsesnavn">
					description = <"Navnet på en undersøkelse eller gruppe av undersøkelser.">
					comment = <"For eksempel: \"Urea og elektrolytter\" eller \"HIV screeningpanel\".
Koding av \"Undersøkelsesnavn\" med en terminologi foretrekkes der det er mulig.">
				>
				["at0022"] = <
					text = <"Event Series">
					description = <"@ internal @">
				>
				["at0023"] = <
					text = <"Uspesifikk hendelse">
					description = <"Standard, uspesifisert tidspunkt eller tidsintervall som kan defineres mer eksplisitt i et templat eller i en applikasjon.">
				>
				["at0024"] = <
					text = <"Tidligere undersøkelse?">
					description = <"Er den spesifikke undersøkelsen noen gang blitt gjennomført?">
					comment = <"Navnet på dataelementet kan omformuleres til det spesifikke spørsmålet i et templat eller brukergrensesnitt. Det foreslåtte verdisettet kan tilpasses/endres i det enkelte bruksområde ved å benytte de alternative datatypene DV_TEXT eller DV_BOOLEAN.">
				>
				["at0025"] = <
					text = <"Kommentar">
					description = <"Ytterligere fritekst om den spesifikke undersøkelsen som ikke er omfattet av andre felt.">
				>
				["at0026"] = <
					text = <"Spesifikk undersøkelse">
					description = <"Detaljer om en spesifikk undersøkelse eller gruppe av undersøkelser som er innenfor kartleggingsformålet.">
					comment = <"Bruk separate instanser av denne CLUSTER'en for å skille mellom spesifikke undersøkelser eller grupperinger av undersøkelser.">
				>
				["at0027"] = <
					text = <"Noen tidligere undersøkelser?">
					description = <"Finnes det noen tidligere gjennomførte undersøkelser som er innenfor kartleggingsformålet?">
					comment = <"Navnet på dataelementet kan omformuleres til det spesifikke spørsmålet i et templat eller brukergrensesnitt. Det foreslåtte verdisettet kan tilpasses/endres i det enkelte bruksområde ved å benytte de alternative datatypene DV_TEXT eller DV_BOOLEAN">
				>
				["at0028"] = <
					text = <"Ja">
					description = <"">
				>
				["at0029"] = <
					text = <"Nei">
					description = <"">
				>
				["at0030"] = <
					text = <"Ukjent">
					description = <"">
				>
				["at0036"] = <
					text = <"Ja">
					description = <"">
				>
				["at0037"] = <
					text = <"Nei">
					description = <"">
				>
				["at0039"] = <
					text = <"Ukjent">
					description = <"">
				>
				["at0040"] = <
					text = <"Kartleggingsformål">
					description = <"Konteksten eller årsaken for kartleggingen.">
					comment = <"Dette dataelementet er ment for å sette en kontekst for samlingen av spørsmål/svar til bruk senere for å gjøre spørringer på dataene. Det er ikke forventet at dette dataelementet skal være synlig for en bruker av skjemaet, men kun tilgjengelig i de lagrede dataene. For eksempel: \"Preoperativ screening\" eller navnet på det faktiske spørreskjemaet.">
				>
				["at0041"] = <
					text = <"Ytterligere detaljer">
					description = <"Strukturerte detaljer eller spørsmål om den spesifikke undersøkelsen.">
				>
				["at0042"] = <
					text = <"Ytterligere detaljer">
					description = <"Strukturerte detaljer eller spørsmål om kartleggingen av diagnostiske undersøkelser.">
				>
				["at0043"] = <
					text = <"Beskrivelse">
					description = <"Fritekstbeskrivelse om undersøkelser som er tidligere utført og som er innenfor kartleggingsformålet.">
				>
				["at0044"] = <
					text = <"Positiv">
					description = <"Resultatet av screeningtesten var positivt.">
				>
				["at0045"] = <
					text = <"Negativ">
					description = <"Resultatet av screeningtesten var negativt.">
				>
			>
		>
	>
	term_bindings = <
		["SNOMED-CT"] = <
			items = <
				["at0030"] = <[SNOMED-CT::261665006]>
				["at0028"] = <[SNOMED-CT::373066001]>
				["at0029"] = <[SNOMED-CT::373067005]>
				["at0036"] = <[SNOMED-CT::373066001]>
				["at0037"] = <[SNOMED-CT::373067005]>
				["at0039"] = <[SNOMED-CT::261665006]>
			>
		>
	>