ID

23660

Description

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.

Mots-clés

  1. 10/07/2017 10/07/2017 - Martin Dugas
  2. 10/07/2017 10/07/2017 - Martin Dugas
Téléchargé le

10 juillet 2017

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0

Modèle Commentaires :

Ici, vous pouvez faire des commentaires sur le modèle. À partir des bulles de texte, vous pouvez laisser des commentaires spécifiques sur les groupes Item et les Item.

Groupe Item commentaires pour :

Item commentaires pour :

Vous devez être connecté pour pouvoir télécharger des formulaires. Veuillez vous connecter ou s’inscrire gratuitement.

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.

Type de données

text

Event Series
Description

@ internal @

Type de données

text

Any event
Description

Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.

Type de données

text

Tree
Description

@ internal @

Type de données

text

Story
Description

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

Type de données

text

Structured detail
Description

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

Type de données

text

Tree
Description

@ internal @

Type de données

text

Extension
Description

Additional information required to capture local content or to align with other reference models/formalisms.

Type de données

text

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)
Type de données
Alias
Story/History
Item
Story/History
text
Event Series
Item
Event Series
text
Any event
Item
Any event
text
Tree
Item
Tree
text
Story
Item
Story
text
Structured detail
Item
Structured detail
text
Tree
Item
Tree
text
Extension
Item
Extension
text

Utilisez ce formulaire pour les retours, les questions et les améliorations suggérées.

Les champs marqués d’un * sont obligatoires.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial