ARCHETYPE Exclusion of a symptom or sign (openEHR-EHR-CLUSTER.exclusion_symptom_sign.v0)

ARCHETYPE IDopenEHR-EHR-CLUSTER.exclusion_symptom_sign.v0
ConceptExclusion of a symptom or sign
DescriptionStatement to explicitly record that a symptom or signe was reported as not present.
UseUse to record a positive statement to explicitly record that a symptom or sign was reported as not present. Use to record exlicitly that a symptom or sign was absolutely not present. If this is not absolutely required, consider use of the 'Nil significant' data element within the CLUSTER.symptom_sign archetype. This archetype has been specifically designed to be used in the 'Structured detail' SLOT within the OBSERVATION.story archetype, but can also be used within other OBSERVATION or CLUSTER archetypes, where clinically appropriate.
PurposeTo record a positive statement to explicitly record that a symptom or sign was reported as not present.
References
Copyright© openEHR Foundation
AuthorsNom de l'autor: Heather Leslie
Organització: Ocean Informatics
Correu electrònic: heather.leslie@oceaninformatics.com
Data d'autor original: 2015-06-26
Other Details LanguageNom de l'autor: Heather Leslie
Organització: Ocean Informatics
Correu electrònic: heather.leslie@oceaninformatics.com
Data d'autor original: 2015-06-26
Other Details (Language Independent)
  • Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
  • Custodian Organisation: openEHR Foundation
  • Current Contact: Heather Leslie, Ocean Informatics
  • Original Namespace: org.openehr
  • Original Publisher: openEHR Foundation
  • Custodian Namespace: org.openehr
  • MD5-CAM-1.0.1: 4C7933C02F879864FC54A31737ABEBD3
  • Build Uid: e1d694db-a6eb-48c3-a4d1-f4fef9f65b75
  • Revision: 0.0.1-alpha
Keywordssymptom, absence, exclusion
Lifecyclein_development
UID659df819-b8da-4489-9b7e-0a20074f543c
Language useden
Citeable Identifier1380.146.540
Revision Number0.0.1-alpha
items
Exclusion StatementExclusion Statement: A statement about the exclusion of known symptoms in the health record.
For example: "No significant symptoms".
Excluded SymptomExcluded Symptom: Identification of the specific symptom to which the Exclusion Statement applies.
Coding of the Symptom with a terminology is desirable, where possible.
Elecció de:
  •  Text
  •  Coded Text
Other contributors
Translators
  • Bokmål noruec: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine.