ARCHETYPE Heart failure symptom questionnaire (openEHR-EHR-OBSERVATION.heart_failure_symptom_questionnaire.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.heart_failure_symptom_questionnaire.v1
ConceptHeart failure symptom questionnaire
Descriptionunknown
Purpose
References
Copyright© openEHR Foundation
AuthorsAuthor name: Ian McNicoll
Organisation: Ocean Informatics UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-03
Other Details LanguageAuthor name: Ian McNicoll
Organisation: Ocean Informatics UK
Email: ian.mcnicoll@oceaninformatics.com
Date originally authored: 2012-09-03
Other Details (Language Independent)
  • MD5-CAM-1.0.1: FE62255FD9B42A0B4147571BD31640F7
Keywords
Lifecycle0
Language useden
Citeable Identifier1013.1.1416
events
Any eventAny event: *
data
BreathlessnessBreathlessness: *
Lying flatLying flat: For each type of breathlessness, score each of these between 0 and 9, With 0 meaning no or none, 5 meaning troublesome and 9 being severe.
min: >=0; max: <=9

Slight exertionSlight exertion: *
Moderate exertionModerate exertion: *
Mild exertionMild exertion: *
SymptomsSymptoms: *
Swelling of anklesSwelling of ankles: *
min: >=0; max: <=9

Swelling of legs above anklesSwelling of legs above ankles: *
Chest pain at restChest pain at rest: *
Chest pain on exerciseChest pain on exercise: *
Indigestion or heartburnIndigestion or heartburn: *
Cough and/or wheezeCough and/or wheeze: *
DizzinessDizziness: *
PalpitationsPalpitations: *
Muscle Aches and painsMuscle Aches and pains: *
Other symptomsOther symptoms: *
Quality of lifeQuality of life: *
min: >=1; max: <=9

Personal rating of healthPersonal rating of health: *
min: >=1; max: <=9

Pillows used for sleepingPillows used for sleeping: *
min: >=0; max: <=10

Severe breathlessness at nightSevere breathlessness at night: *
Breathlessness experienced?Breathlessness experienced?: *
  • Episodes of severe breathlessness at night experienced. [*]
  • Episodes of severe breathlessness at night not experienced. [*]
Episodes in past 2 monthsEpisodes in past 2 months: *
min: >=0; max: <=100

BlackoutsBlackouts: *
Blackouts experienced?Blackouts experienced?: *
Episodes in past 2 monthEpisodes in past 2 month: *
FallsFalls: *
Falls experienced?Falls experienced?: *
Episodes in past 2 monthEpisodes in past 2 month: *
Other contributors
Translators