| ARCHETYPE ID | openEHR-EHR-SECTION.problem_list.v0 |
|---|---|
| Concept | Problem List |
| Description | Suggested design pattern for including a Problem List in a template. |
| Use | This list can be utilised as a source of up-to-date problem list data for exchange or as the basis for decision support. This list can be comprised of three types of archetype:
In order for this list to be accurate and safe to use as the basis for decision support activities and for exchange, this Problem List should ideally be curated by a clinician responsible for the health record, rather than managed automatically by the clinical system through business rules alone. |
| Purpose | To demonstrate a design pattern for representation of a Problem List suitable for use with both episodic and longitudinal recording of problems. |
| References | Derived from: Problem List (composition), draft archetype, National eHealth Transition Authority [Internet]. NEHTA Clinical Knowledge Manager. Authored: 19 Feb 2013. Available at: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1235 (accessed Feb 27, 2012). |
| Copyright | © Nasjonal IKT HF |
| Authors | Forfatternavn: Heather Leslie Organisasjon: Ocean Informatics E-post: heather.leslie@oceaninformatics.com Opprinnelig skrevet dato: 2010-07-03 |
| Other Details Language | Forfatternavn: Heather Leslie Organisasjon: Ocean Informatics E-post: heather.leslie@oceaninformatics.com Opprinnelig skrevet dato: 2010-07-03 |
| Other Details (Language Independent) |
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| Keywords | problem, diagnosis, exclusion, absence, known, list |
| Lifecycle | in_development |
| UID | 6e584222-912f-417c-a11b-73e0eaa9c467 |
| Language used | en |
| Citeable Identifier | 1078.36.695 |
| Revision Number | 0.0.1-alpha |
| items | |
| Problems or Diagnoses | Problems or Diagnoses: Details about identified problems or diagnoses. Inkluder: openEHR-EHR-EVALUATION.problem_ |
| Procedures | Procedures: Details about identified procedures that have been performed. Inkluder: openEHR-EHR-ACTION.procedure.v1 og spesialiseringer |
| Exclusion Statements | Exclusion Statements: Positive statement about the known exclusion of known problems or diagnoses and procedures performed. For example: "No significant problems or diagnoses" or No history of significant operations or procedures". Inkluder: openEHR-EHR-EVALUATION.exclusion-problem_ openEHR-EHR-EVALUATION.exclusion-procedure.v1 og spesialiseringer |
| Absent Information | Absent Information: Positive statement that no information is available about identification of problems or diagnoses, nor procedures performed. For example: "No information available concerning procedures". Inkluder: openEHR-EHR-EVALUATION.absence.v1 og spesialiseringer |
| Other contributors | Ian McNicoll, Ocean Informatics Heath Frankel, Ocean Informatics |
| Translators |