ISO_639-1 en false 2022-04-29 Marit Alice Venheim Helse Vest IKT AS marit.alice.venheim@helse-vest-ikt.no Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Astrid Askeland, Dips AS, Norway Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Aleocidio Balzanelo, DASA, Brazil Maria Berggren, Region Uppsala, Sweden SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India Diego Bosca, VeraTech for Health, Spain Samanta Dallagnese, Private Office, Brazil Gunn Elin Blakkisrud, DIPS ASA, Norway Kåre Flø, DIPS ASA, Norway Martin Grundberg, Cambio Healthcare Systems, Sweden Evelyn Hovenga, EJSH Consulting, Australia Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør) Ronald Krawec, Alberta Health Services, Canada Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør) Liv Laugen, ​Oslo University Hospital, Norway, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Manisha Mantri, C-DAC, India Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør) Mikael Nyström, Cambio Healthcare Systems AB, Sweden Terje Sagmyr, Helse Vest IKT, Norway Carina Sandell, Region Östergötland, Sweden Andre Smitt-Ingebretsen, Sørlandet sykehus HF, Norway Natalia Strauch, Medizinische Hochschule Hannover, Germany Erik Sundvall, Karolinska Institutet + Karolinska University Hospital, Region Stockholm + Linköping University, Sweden John Tore Valand, Helse Bergen, Norway (openEHR Editor) Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor) Ina Wille, Helse-Vest RHF, Norway published This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/. openEHR Foundation org.openehr openEHR Foundation org.openehr BBA2C8A4A40921B9CD67FB733F13FBBF 3c25aa9c-6d3f-46d2-9b04-d2d9fab2afc9 1.1.0

ISO_639-1 nn *A container for information provided by an individual, to support clear separation of patient generated from clinician-generated health data. (en) *questionnaire, self-report, form, survey, PROM, PREM, PRO, diary, journal (en) *Use as a generic container to record information provided by an individual, to support clear separation of patient-generated from clinician-generated health data. The scope of content for this archetype can be very broad and be inclusive of many contexts. The anticipated scope of content includes, but not limited to: - self-generated responses to questionnaires, including PREMs or PROMs - pain or mood diary - tobacco smoking diary - self-generated health summary for sharing with others - self-monitoring of measurements and observations The anticipated use of this archetype includes, but is not limited to: - submission of a self-reported questionnaire to a clinician in advance of a planned contact - submission of a contact request form - daily measurements within a Personal Health Record - patient-entered data in a shared clinical portal - patient generated records of information from personal or medical devices The main Sections/Content component has been deliberately left unconstrained. This will allow it to be populated with any SECTION or ENTRY archetypes appropriate for the clinical purpose within a template. (en) *Not to be used to represent clinician-generated records. (en) © openEHR Foundation

ISO_639-1 de Ein Container für Informationen, die von einer Person bereitgestellt werden, um patientengenerierten von klinisch generierten Gesundheitsdaten zu unterscheiden. Fragebogen, Selbstauskunft, Selbstbericht, Formular, Bogen, Umfrage, PROM, PREM, PRO, Tagebuch, Diary Zur Verwendung als genirischer Container zur Repräsentation von Informationen, die von einer Person bereitgestellt werden, um patientengenerierten von klinisch generierten Gesundheitsdaten zu unterscheiden. Der inhaltliche Umfang dieses Archetyps kann sehr breit sein und viele Kontexte umfassen. Der erwartete Umfang des Inhalts umfasst, ist aber nicht beschränkt auf: - selbst erstellte Antworten auf Fragebögen, einschließlich PREMs oder PROMs - Schmerz- oder Stimmungstagebuch - Rauchertagebuch - selbst erstellte Gesundheitszusammenfassung zum Teilen mit anderen - Selbstüberwachung von Messungen und Beobachtungen Die erwartete Verwendung dieses Archetyps umfasst, ist aber nicht beschränkt auf: - Abgabe eines selbstbeantworteten Fragebogens an einen Kliniker vor einem geplanten Kontakt - Übermittlung eines Kontaktanfrageformulars - tägliche Messungen innerhalb einer persönlichen Gesundheitsakte - von Patienten eingegebene Daten in einem gemeinsam genutzten klinischen Portal - Patientengenerierte Datensätze von Informationen von persönlichen oder medizinischen Geräten Die Hauptkomponente Sections/Content wurde absichtlich nicht eingeschränkt. Dadurch kann sie mit beliebigen SECTION- oder ENTRY-Archetypen gefüllt werden, die für den klinischen Zweck innerhalb eines Templates geeignet sind. Nicht zur Repräsentation von klinisch generierten Datensätzen verwenden.

ISO_639-1 sv *A container for information provided by an individual, to support clear separation of patient generated from clinician-generated health data. (en) *questionnaire, self-report, form, survey, PROM, PREM, PRO, diary, journal (en) *Use as a generic container to record information provided by an individual, to support clear separation of patient-generated from clinician-generated health data. The scope of content for this archetype can be very broad and be inclusive of many contexts. The anticipated scope of content includes, but not limited to: - self-generated responses to questionnaires, including PREMs or PROMs - pain or mood diary - tobacco smoking diary - self-generated health summary for sharing with others - self-monitoring of measurements and observations The anticipated use of this archetype includes, but is not limited to: - submission of a self-reported questionnaire to a clinician in advance of a planned contact - submission of a contact request form - daily measurements within a Personal Health Record - patient-entered data in a shared clinical portal - patient generated records of information from personal or medical devices The main Sections/Content component has been deliberately left unconstrained. This will allow it to be populated with any SECTION or ENTRY archetypes appropriate for the clinical purpose within a template. (en) Ska inte användas för att representera information genererad av hälso- och sjukvårdspersonal.

ISO_639-1 pt Um contentor para informações fornecidas por um indivíduo, para apoiar uma separação clara dos pacientes gerados a partir de dados de saúde gerados pelo médico. questionário auto-relatório formulário inquérito PROM PREM PRO diário Utilização como contentor genérico para registar informações fornecidas por um indivíduo, para apoiar uma separação clara entre os dados de saúde gerados pelo paciente e os dados de saúde gerados pelo médico. O âmbito do conteúdo deste arquétipo pode ser muito amplo e incluir muitos contextos. O âmbito de conteúdo previsto inclui, mas não se limita a: - respostas auto-geradas a questionários, incluindo PREMs ou PROMs - diário da dor ou do humor - diário de tabagismo - resumo de saúde auto-gerada para partilha com outros - auto-controlo das medições e observações O uso antecipado deste arquétipo inclui, mas não está limitado a - apresentação de um questionário autodeclarado a um clínico antes de um contacto planeado - apresentação de um formulário de pedido de contacto - medições diárias dentro de um Registo de Saúde Pessoal - dados centrados no paciente num portal clínico partilhado - registos de informação gerados pelo paciente a partir de dispositivos pessoais ou médicos A componente principal das Secções/Conteúdo foi deliberadamente deixada sem constrangimentos. Isto permitirá que seja preenchida com qualquer arquétipo de SECÇÃO ou ENTRADA apropriado para o propósito clínico dentro de um modelo. Não deve ser utilizado para representar registos gerados por clínicos.

ISO_639-1 nb En container for informasjon gitt av et individ, for å kunne skille mellom data generert av pasienten og data generert av kliniker. spørreskjema selvrapportert skjema spørreundersøkelse PROM PREM PRO dagbok helseopplysninger Brukes som en container for informasjon gitt av et individ, for å kunne skille mellom data generert av pasienten og data generert av kliniker. Innholdsomfanget for denne arketypen kan være svært bredt og være inkludert i mange kontekster. Det antatte innholdsomfanget inkluderer, men er ikke avgrenset til: - selvgenererte svar på spørreskjemaer, inkludert PREMs eller PROMs - smerte- eller humørdagbok - røykedagbok - selvgenerert helsesammendrag som kan deles med andre - selvmonotorering av målinger og observasjoner Den antatte bruken av denne arketypen inkluderer, men er ikke avgrenset til: - innsending av selvrapporterte spørreskjema til en kliniker i forkant av en planlagt kontakt - innsending av et skjema som kontaktforespørsel - daglige målinger i en personlig helsejournal - pasientens selvregistrerte data i en delt klinisk portal - data registrert av pasienten fra personlig eller medisinsk utstyr Det er ikke satt begrensinger på hovedkomponenten Section/content. Dette gjør at man kan legge til hvilken som helst SECTION eller ENTRY arketype som er som passer til det kliniske formålet i templatet. Skal ikke brukes til å representere data generert av kliniker. © openEHR Foundation

ISO_639-1 en A container for information provided by an individual, to support clear separation of patient generated from clinician-generated health data. questionnaire, self-report, form, survey, PROM, PREM, PRO, diary, journal Use as a generic container to record information provided by an individual, to support clear separation of patient-generated from clinician-generated health data. The scope of content for this archetype can be very broad and be inclusive of many contexts. The anticipated scope of content includes, but not limited to: - self-generated responses to questionnaires, including PREMs or PROMs - pain or mood diary - tobacco smoking diary - self-generated health summary for sharing with others - self-monitoring of measurements and observations The anticipated use of this archetype includes, but is not limited to: - submission of a self-reported questionnaire to a clinician in advance of a planned contact - submission of a contact request form - daily measurements within a Personal Health Record - patient-entered data in a shared clinical portal - patient generated records of information from personal or medical devices The main Sections/Content component has been deliberately left unconstrained. This will allow it to be populated with any SECTION or ENTRY archetypes appropriate for the clinical purpose within a template. Not to be used to represent clinician-generated records. © openEHR Foundation

ISO_639-1 fr Un conteneur pour les informations fournies par un individu, pour bien distinguer entre des données de santé fournies par un patient et celles fournies par un clinicien. questionnaire, auto-déclaration, formulaire, enquête, PROM, PREM, PRO, carnet, journal Ce conteneur est prévu pour enregistrer les informations fournies par un individu, pour bien distinguer entre des données de santé fournies par un patient et celles fournies par un clinicien. Le cadre du contenu de cet archetype peut être très vaste et peut inclure de nombreux contextes. Le cadre prévu pour le contenu inclut (liste non exhaustive) : - questionnaires auto-déclarés, dont des PREMs ou des PROMs - journal de consigne pour les douleurs ou les humeurs - journal de consommation de tabac - résumé de l'état de santé auto-déclaré pour un partage avec autrui - auto-surveillance d'observations et mesures Les usages prévus pour cet archetype incluent (liste non exhaustive) : - soumission d'un questionnaire auto-déclaré à un clinicien en amont d'un contact prévu - soumission d'un formulaire de demande de contact - mesures quotidiennes dans un carnet de santé personnel - données remplis par le patient dans un portail médical partagé - données patient provenant d'appareil personnels ou d'appareil médicaux Les sections/contenus principaux sont volontairement sans contraintes. Cela permet de remplir le contenu avec tout archetype de type SECTION ou ENTRY adapté au besoin clinique d'un template. Ne pas utiliser pour représenter des enregistrements générés par un clinicien.

ISO_639-1 nn ISO_639-1 de Natalia Strauch Medizinische Hochschule Hannover Strauch.Natalia@mh-hannover.de ISO_639-1 sv Erik Sundvall, Marit Alice Venheim Karolinska Institutet + Karolinska University Hospital Region Stockholm + Linköping University, Helse Vest IKT, Karolinska Institutet + Karolinska University Hospital, Region Stockholm + Linköping University erik.sundvall@regionstockholm.se, marit.alice.venheim@helse-vest-ikt.no ISO_639-1 nb Marit Alice Venheim, Vebjørn Arntzen Helse Vest IKT, Oslo University Hospital marit.alice.venheim@helse-vest-ikt.no, varntzen@ous-hf.no ISO_639-1 pt Vanessa Pereira Luxembourg Institute of Health (LIH) vanessapereira@protonmail.com ISO_639-1 fr Michaël Schnell Luxembourg Institute of Health (LIH) michael.schnell@posteo.net 2e025011-e6b5-4424-afb7-e400c343dc5a openEHR-EHR-COMPOSITION.self_reported_data.v1 1.4 at0000 COMPOSITION true true false false 1 1 at0000 category true true false false 1 1 DV_CODED_TEXT true true false false 1 1 defining_code true true false false 1 1 CODE_PHRASE true true false false 1 1 openehr 433 context true true false false 0 1 EVENT_CONTEXT true true false false 1 1 other_context true true false false 0 1 ITEM_TREE true true false false 1 1 at0003 items true true false false 0 1 CLUSTER true false true 0 at0006 archetype_id/value matches {/openEHR-EHR-CLUSTER\.person(-[a-zA-Z0-9_]+)*\.v1/} Boolean 2007 false String archetype_id/value attribute C_STRING openEHR-EHR-CLUSTER\.person(-[a-zA-Z0-9_]+)*\.v1 constraint CLUSTER true false true 0 at0005 archetype_id/value matches {/openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1/} Boolean 2007 false String archetype_id/value attribute C_STRING openEHR-EHR-CLUSTER\.device(-[a-zA-Z0-9_]+)*\.v1 constraint CLUSTER true false true 0 at0004 archetype_id/value matches {/.*/} Boolean 2007 false String archetype_id/value attribute C_STRING .* constraint false false true false true 0 Self-reported data Generic container for information provided by an individual. Coded text Event Context Item tree @ internal @ Extension Additional information required to capture local content or to align with other reference models/formalisms. For example: local information requirements or additional metadata to align with FHIR. Device To capture the device used to report data. Information Source About one or more source types for the information contained in the report. This data element may be used when the Information source is different to the author or composer. For example: 'parent'; or 'carer'. Selvrapporterte data Generisk container for informasjon gitt av et individ. Item tree @ internal @ Tilleggsinformasjon Ytterligere informasjon som er nødvendig for å registrere lokalt innhold/kontekst, eller for å sammenstille med andre referansemodeller/formalismer. For eksempel lokale informasjonsbehov eller ytterligere metadata for å kunne tilpasse til tilsvarende konsepter i FHIR. Utstyr For legge til enheten som brukes til å rapportere data. Informasjonskilde Om en eller flere typer kilde for informasjonen i rapporten. Dette dataelementet kan brukes når informasjonskilden er forskjellig fra forfatteren. For eksempel: "forelder" eller "omsorgsperson". *Self-reported data (en) *Generic container for information provided by an individual. (en) *Coded text (en) *Event Context (en) Item tree @ internal @ *Extension (en) *Additional information required to capture local content or to align with other reference models/formalisms. (en) *For example: local information requirements or additional metadata to align with FHIR. (en) *Device (en) *To capture the device used to report data. (en) *Information Source (en) *About one or more source types for the information contained in the report. (en) *This data element may be used when the Information source is different to the author or composer. For example: 'parent'; or 'carer'. (en) Egenrapporterad data Generell behållare för information som tillhandahålls av en individ. Item tree @ internal @ Tilläggsinformation Plats för tilläggsinformation som krävs för lokala anpassningar eller anpassning till andra referensmodeller eller formella krav. Exempelvis lokala informationskrav eller metadata för anpassning till FHIR-motsvarigheter. *Device (en) *To capture the device used to report data. (en) *Information Source (en) *About one or more source types for the information contained in the report. (en) *This data element may be used when the Information source is different to the author or composer. For example: 'parent'; or 'carer'. (en) Selbstberichtete Daten Generischer Container für Informationen, die von einer Person bereitgestellt werden. Item tree @ internal @ Erweiterung Zusätzliche Informationen zur Erfassung lokaler Inhalte oder Anpassung an andere Referenzmodelle/Formalismen. Zum Beispiel: Lokaler Informationsbedarf oder zusätzliche Metadaten zur Anpassung an FHIR-Ressourcen. Gerät Um das Gerät zu erfassen, das zum Berichten von Daten verwendet wird. Informationsquelle Über eine oder mehrere Arten von Quelle für die im Bericht enthaltenen Informationen. Dieses Datenelement kann verwendet werden, wenn sich die Informationsquelle vom Autor oder Verfasser unterscheidet. Zum Beispiel: "Elternteil" oder „Betreuer“. Données auto-déclarées Conteneur générique pour des informations fournies par un individu. Item tree @ internal @ Extension Informations supplémentaires requises pour la collecte locale du contenu ou pour l'alignement avec d'autres référentiels ou formalismes. Par exemple: exigences locales d'informations ou méta-données supplémentaires pour l'alignement avec FHIR. Appareil Appareil utilisé pour la collecte des données. Source de l'information A propos d'un ou plusieurs types de sources pour les informations contenues dans le rapport. Ces éléments de données peuvent être utilisées lorsque la source d'information est différente de l'auteur ou du rédacteur. Par exemple: 'parent' ou 'soignant'. Dados auto-relatados Contentor genérico para informação fornecida por um indivíduo. Item tree @ internal @ Extensão Informação adicional necessária para captar conteúdos locais ou para alinhar com outros modelos/formalismos de referência. Por exemplo: requisitos de informação local ou metadados adicionais para alinhar com FHIR. Dispositivo Para capturar o dispositivo utilizado para reportar dados. Fonte de informação Sobre um ou mais tipos de fontes para a informação contida no relatório. Este elemento de dados pode ser utilizado quando a fonte de informação é diferente da do autor ou compositor. Por exemplo: 'progenitor'; ou 'cuidador'.