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
Description

openEHR-EHR-CLUSTER.symptom_sign.v1.xml

Symptom/Sign
Description

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

Data type

text

Alias
UMLS CUI [1]
C3540840
Description
Description

Narrative description about the reported symptom or sign.

Data type

text

Pattern
Description

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

Data type

text

Effect
Description

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

Data type

text

Modifying factor
Description

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

Data type

text

Factor
Description

Name of the modifying factor.

Data type

text

Severity category
Description

Category representing the overall severity of the symptom or sign.

Data type

text

Alias
UMLS CUI [1]
C0441982
Severity rating
Description

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

Data type

float

Duration
Description

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

Data type

durationDatetime

Alias
UMLS CUI [1]
C0449238
Number of previous episodes
Description

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

Data type

integer

Nil significant
Description

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

Data type

boolean

Episode description
Description

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

Data type

text

Description
Description

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

Data type

text

Description of previous episodes
Description

Narrative description of any or all previous episodes.

Data type

text

Associated symptom/sign
Description

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

Data type

text

Previous episodes
Description

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

Data type

text

Structured body site
Description

Structured body site where the symptom or sign was reported.

Data type

text

Body site
Description

Simple body site where the symptom or sign was reported.

Data type

text

Alias
UMLS CUI [1]
C1515974
Episode onset
Description

The onset for this episode of the symptom or sign.

Data type

datetime

Specific details
Description

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

Data type

text

Factor detail
Description

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

Data type

text

Impact
Description

Description of the impact of this symptom or sign.

Data type

text

Resolution date/time
Description

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

Data type

datetime

Comment
Description

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

Data type

text

Onset type
Description

Description of the onset of the symptom or sign.

Data type

text

Precipitating/resolving factor
Description

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

Data type

text

Factor
Description

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

Data type

text

Time interval
Description

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

Data type

durationDatetime

Alias
UMLS CUI [1]
C0872291
Episodicity
Description

Category of this episode for the identified symptom or sign.

Data type

text

Progression
Description

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

Data type

text

Description
Description

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

Data type

text

First ever?
Description

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

Data type

boolean

Alias
UMLS CUI [1]
C1279901

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)
Data type
Alias
Symptom or Sign
Item
Symptom/Sign
text
C3540840 (UMLS CUI [1])
Description
Item
Description
text
Pattern
Item
Pattern
text
Item
Effect
text
Code List
Effect
CL Item
Relieves (1)
C1301676 (UMLS CUI-1)
CL Item
No effect (2)
C1301751 (UMLS CUI-1)
CL Item
Worsens (3)
C1457868 (UMLS CUI-1)
Modifying factor
Item
Modifying factor
text
Factor
Item
Factor
text
Item
Severity category
text
C0441982 (UMLS CUI [1])
Code List
Severity category
CL Item
Mild (1)
C2945599 (UMLS CUI-1)
CL Item
Moderate (2)
C0205081 (UMLS CUI-1)
CL Item
Severe (3)
C0205082 (UMLS CUI-1)
Severity rating
Item
Severity rating
float
Duration
Item
Duration
durationDatetime
C0449238 (UMLS CUI [1])
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
C1515974 (UMLS CUI [1])
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
durationDatetime
C0872291 (UMLS CUI [1])
Item
Episodicity
text
Code List
Episodicity
CL Item
New (1)
C0205314 (UMLS CUI-1)
CL Item
Ongoing (2)
C0549178 (UMLS CUI-1)
CL Item
Indeterminate (3)
C0205258 (UMLS CUI-1)
Item
Progression
text
Code List
Progression
CL Item
Worsening (1)
C0332271 (UMLS CUI-1)
CL Item
Unchanged (2)
C0442739 (UMLS CUI-1)
CL Item
Improving (3)
C1272745 (UMLS CUI-1)
CL Item
Resolved (4)
C1709863 (UMLS CUI-1)
Description
Item
Description
text
First ever
Item
First ever?
boolean
C1279901 (UMLS CUI [1])