ID

23661

Description

Derived from www.openehr.org Use to record a description about subjective health-related observations or impressions from the point of view of the subject of care. When recorded by a clinician within the context of healthcare provision the story can be used for capturing the clinical history, as reported by the subject themselves, a parent, care-giver or other related party. If recorded by the subject, it can be used as an account of their 'story' of symptoms and health experiences, which might be used to share with healthcare providers or to document within their own personal health record. Use: - to record a simple narrative; and/or - as a container archetype to enable recording of a detailed structured history by inclusion of relevant CLUSTER archetypes within the 'Detail' SLOT. For example: CLUSTER.symptom, CLUSTER.issue or CLUSTER.health_event archetypes can be appropriately used in this SLOT. Use to incorporate the narrative descriptions of clinical history captured from existing or legacy clinical systems into an archetyped format, using the 'Story' text data element.

Link

www.openehr.org

Keywords

  1. 7/10/17 7/10/17 - Martin Dugas
  2. 7/10/17 7/10/17 - Martin Dugas
Uploaded on

July 10, 2017

DOI

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License

Creative Commons BY-SA 3.0

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Story/History (EHR Archetype)

openEHR-EHR-OBSERVATION.story.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.story.v1
    1. openEHR-EHR-OBSERVATION.story.v1
openEHR-EHR-OBSERVATION.story.v1.xml
Description

openEHR-EHR-OBSERVATION.story.v1.xml

Story/History
Description

The subjective clinical history of the subject of care as recorded directly by the subject, or reported to a clinician by the subject or a carer.

Data type

text

Alias
UMLS CUI [1]
C0262926
Story
Description

Narrative description of the story or clinical history for the subject of care.

Data type

text

Alias
UMLS CUI [1]
C0262926
Structured detail
Description

Structured detail about the individual's story or patient's history.

Data type

text

Alias
UMLS CUI [1,1]
C1522508
UMLS CUI [1,2]
C2987324

Similar models

openEHR-EHR-OBSERVATION.story.v1

  1. StudyEvent: openEHR-EHR-OBSERVATION.story.v1
    1. openEHR-EHR-OBSERVATION.story.v1
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Story/History
Item
Story/History
text
C0262926 (UMLS CUI [1])
Story
Item
Story
text
C0262926 (UMLS CUI [1])
Structured detail
Item
Structured detail
text
C1522508 (UMLS CUI [1,1])
C2987324 (UMLS CUI [1,2])

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