A genetic condition defined by a clinician: Evaluation
Generated by the Ocean HTML generator: 25/05/2006 Comments to Ocean Informatics Copyright openEHR Foundation © 2006

Concept

Archetype Id

Structure
A genetic condition, or potential condition, as defined by the clinician. Id: openEHR-EHR-EVALUATION.problem-genetic.v1
Reference model: EHR
ADL

Data

Protocol
Data: TREE

Concept


Ordered

Description

Type

Cardinality

Values
Genetic condition (specialisation of: Problem) The index condition describedText
mandatory
1..1		 Free or coded text
Date of manifestation (specialisation of: Date of onset) The date of manifestation of the conditionDate & Time
optional
0..1		 Partial date
yyyy-??-XX
Age at manifestation (specialisation of: Age at onset) The age of manifestation of the genetic conditionQuantity
optional
0..1		 Property = TIME
Units:
   wk, (0..52)
   yr, (0..200)
   day, (0..56)
   mth, (0..36)
Severity The severity of the index conditionOrdinal
optional
0..1		 0, Mild
5, Moderate
10, Severe
Clinical description Description of the clinical aspects of the conditionText
optional
0..1		 Free or coded text
Date clinically recognised Date the problem was recognised by cliniciansDate & Time
optional
0..1		 Date only
yyyy-??-??
Location, Location of the problem in terms of body site.       Cluster (0..*, ordered) optional, repeating
 

Concept

Description

Type

Cardinality

Values
Body site The body site affectedCoded text
optional
0..1		 Terminology
Any term that describes a body site
Location description A free text description of the location - may be in addition to a coded body siteText
optional
0..1		 Free or coded text
Complications, Complications that are attributed to this problem.       Cluster (0..1, ordered) optional
 
Complication, A group of characteristics of the problem complicating the index condition in this archetype.       Cluster (0..*) optional, repeating
 

Concept

Description

Type

Cardinality

Values
Complicating problem Details of the problem as text or coded text or URIText
URI - resource identifier
optional
0..1		 Free or coded text
 
Clinical description Decription of the complicating problemText
optional
0..1		 Free or coded text

Concept


Ordered

Description

Type

Cardinality

Values
Date of resolution The date that the problem resolved or went into remissionDate & Time
optional
0..1		 Date only
yyyy-??-??
Age at resolution The age of the at the resolution of the problemQuantity
optional
0..1		 Property = TIME
Units:
   wk, (0..52)
   yr, (0..200)
   day, (0..56)
   mth, (0..36)
Protocol: TREE
References, Useful information about this condition.       Cluster (0..1) optional
 

Concept

Description

Type

Cardinality

Values
References References to material about this conditionText
optional, repeating
0..*		 Free or coded text
Web links Useful information on the internet about this conditionURI - resource identifier
optional, repeating
0..*		  

Supported by the General Practice Computing Group of Australia through funding from the Commonwealth Department of Health and Ageing