openEHR-EHR-CLUSTER.symptom_sign.v1

  1. StudyEvent: openEHR-EHR-CLUSTER.symptom_sign.v1
    1. openEHR-EHR-CLUSTER.symptom_sign.v1
openEHR-EHR-CLUSTER.symptom_sign.v1.xml
Beschrijving

openEHR-EHR-CLUSTER.symptom_sign.v1.xml

Symptom/Sign
Beschrijving

Reported observation of a physical or mental disturbance in an individual.

Datatype

text

Symptom/Sign name
Beschrijving

The name of the reported symptom or sign.

Datatype

text

Description
Beschrijving

Narrative description about the reported symptom or sign.

Datatype

text

Pattern
Beschrijving

Narrative description about the pattern of the symptom or sign during this episode.

Datatype

text

Effect
Beschrijving

Perceived effect of the modifying factor on the symptom or sign.

Datatype

text

Modifying factor
Beschrijving

Detail about how a specific factor effects the identified symptom or sign during this episode.

Datatype

text

Factor
Beschrijving

Name of the modifying factor.

Datatype

text

Severity category
Beschrijving

Category representing the overall severity of the symptom or sign.

Datatype

text

Severity rating
Beschrijving

Numerical rating scale representing the overall severity of the symptom or sign.

Datatype

float

Duration
Beschrijving

The duration of this episode of the symptom or sign since onset.

Datatype

text

Number of previous episodes
Beschrijving

The number of times this symptom or sign has previously occurred.

Datatype

integer

Nil significant
Beschrijving

The identified symptom or sign was reported as not being present to any significant degree.

Datatype

boolean

Episode description
Beschrijving

Narrative description about the course of the symptom or sign during this episode.

Datatype

text

Description
Beschrijving

Narrative description of the effect of the modifying factor on the symptom or sign.

Datatype

text

Description of previous episodes
Beschrijving

Narrative description of any or all previous episodes.

Datatype

text

Associated symptom/sign
Beschrijving

Structured details about any associated symptoms or signs that are concurrent.

Datatype

text

Previous episodes
Beschrijving

Structured details of the symptom or sign during a previous episode.

Datatype

text

Structured body site
Beschrijving

Structured body site where the symptom or sign was reported.

Datatype

text

Body site
Beschrijving

Simple body site where the symptom or sign was reported.

Datatype

text

Episode onset
Beschrijving

The onset for this episode of the symptom or sign.

Datatype

datetime

Specific details
Beschrijving

Specific data elements that are additionally required to record as unique attributes of the identified symptom or sign.

Datatype

text

Factor detail
Beschrijving

Structured detail about the factor associated with the identified symptom or sign.

Datatype

text

Impact
Beschrijving

Description of the impact of this symptom or sign.

Datatype

text

Resolution date/time
Beschrijving

The timing of the cessation of this episode of the symptom or sign.

Datatype

datetime

Comment
Beschrijving

Additional narrative about the symptom or sign not captured in other fields.

Datatype

text

Onset type
Beschrijving

Description of the onset of the symptom or sign.

Datatype

text

Precipitating/resolving factor
Beschrijving

Details about specified factors that are associated with the precipitation or resolution of the symptom or sign.

Datatype

text

Factor
Beschrijving

Name of the health event, symptom, reported sign or other factor.

Datatype

text

Time interval
Beschrijving

The interval of time between the occurrence or onset of the factor and onset/resolution of the symptom or sign.

Datatype

text

Episodicity
Beschrijving

Category of this episode for the identified symptom or sign.

Datatype

text

Progression
Beschrijving

Description progression of the symptom or sign at the time of reporting.

Datatype

text

Description
Beschrijving

Narrative description about the effect of the factor on the identified symptom or sign.

Datatype

text

First ever?
Beschrijving

Is this the first ever occurrence of this symptom or sign?

Datatype

boolean

Similar models

openEHR-EHR-CLUSTER.symptom_sign.v1

  1. StudyEvent: openEHR-EHR-CLUSTER.symptom_sign.v1
    1. openEHR-EHR-CLUSTER.symptom_sign.v1
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Symptom/Sign
Item
Symptom/Sign
text
Symptom/Sign name
Item
Symptom/Sign name
text
Description
Item
Description
text
Pattern
Item
Pattern
text
Item
Effect
text
Code List
Effect
CL Item
Relieves (1)
CL Item
No effect (2)
CL Item
Worsens (3)
Modifying factor
Item
Modifying factor
text
Factor
Item
Factor
text
Item
Severity category
text
Code List
Severity category
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Severity rating
Item
Severity rating
float
Duration
Item
Duration
text
Number of previous episodes
Item
Number of previous episodes
integer
Nil significant
Item
Nil significant
boolean
Episode description
Item
Episode description
text
Description
Item
Description
text
Description of previous episodes
Item
Description of previous episodes
text
Associated symptom/sign
Item
Associated symptom/sign
text
Previous episodes
Item
Previous episodes
text
Structured body site
Item
Structured body site
text
Body site
Item
Body site
text
Episode onset
Item
Episode onset
datetime
Specific details
Item
Specific details
text
Factor detail
Item
Factor detail
text
Impact
Item
Impact
text
Resolution date/time
Item
Resolution date/time
datetime
Comment
Item
Comment
text
Onset type
Item
Onset type
text
Item
Precipitating/resolving factor
text
Code List
Precipitating/resolving factor
CL Item
Precipitating factor (1)
CL Item
Resolving factor (2)
Factor
Item
Factor
text
Time interval
Item
Time interval
text
Item
Episodicity
text
Code List
Episodicity
CL Item
New (1)
CL Item
Ongoing (2)
CL Item
Indeterminate (3)
Item
Progression
text
Code List
Progression
CL Item
Worsening (1)
CL Item
Unchanged (2)
CL Item
Improving (3)
CL Item
Resolved (4)
Description
Item
Description
text
First ever?
Item
First ever?
boolean