ARCHETYPE Diagnosis (openEHR-EHR-EVALUATION.problem-diagnosis.v1)

ARCHETYPE ID	openEHR-EHR-EVALUATION.problem-diagnosis.v1
Concept	Diagnosis
Description	A diagnosis defined by a clinician which is coded in an accepted terminology and may include the stage of the condition and the diagnostic criteria
Use	Used for recording any diagnosis, present or past - so is used for recording past history as well as current diagnoses. Used with changed 'Subject of care' for recording diagnoses in relatives and so for family history.
Misuse	Use 'openEHR-EHR-EVALUATION.problem-diagnosis-histological' for histological diagnoses.
Purpose	For recording medical diagnoses with optional diagnostic criteria and staging. Requires coded entry of diagnosis.
References
Copyright	© openEHR Foundation
Authors	Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 23/04/2006
Other Details Language	Author name: Sam Heard Organisation: Ocean Informatics Email: sam.heard@oceaninformatics.com Date originally authored: 23/04/2006
OtherDetails Language Independent	{references=, MD5-CAM-1.0.1=25DE4AB34DEAEC07427F236A035F33B2}
Keywords	past, history, family, history, condition
Lifecycle	Rejected
Language used	en
Citeable Identifier	1013.1.168
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[path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Date clinically recognised, description=Date the problem was recognised by clinicians, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=Partial Date, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0037], code=at0037, itemType=ELEMENT, level=2, text=Age when clinically recognised, description=The age when this problem was clinically recognised, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0011], code=at0011, itemType=CLUSTER, 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code=at0013, itemType=ELEMENT, level=3, text=Location description, description=A free text description of the location - may be in addition to a coded body site, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0014], code=at0014, itemType=CLUSTER, level=2, text=Aetiology, description=Agents or Factors known to have been of aetiological significance, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0014]/items[at0015], code=at0015, 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