| ARCHETYPE ID | openEHR-EHR-SECTION.patients_background.v0 |
|---|---|
| Concept | Patients background |
| Description | Clinical information needed from a patient to give context to the responsible physician before register him within a specific service. |
| Use | Gather information of interest about a patient that joins a new healthcare process. |
| Purpose | Register clinical information of interest preceding a specific clinical encounter, with the aim to contextualize the healthcare process. |
| References | |
| Copyright | © openEHR Foundation |
| Authors | Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-27 |
| Other Details Language | Author name: Aitor Eguzkitza Organisation: Universidad Pública de Navarra - Complejo Hospitalario de Navarra Email: aitor.eguzkiza@unavarra.es Date originally authored: 2015-06-27 |
| Other Details (Language Independent) |
|
| Keywords | patient, context |
| Lifecycle | in_development |
| UID | 8f23d4eb-4c4d-4064-94ae-b7277f625f33 |
| Language used | en |
| Citeable Identifier | 1013.1.1701 |
| Revision Number | 0.0.1-alpha |
| items | |
| Reason for encounter | Reason for encounter: Record the administrative and/or clinical reason/s for initiation of a healthcare encounter or contact. Include: openEHR-EHR-EVALUATION.reason_ Exclude: All not explicitly included archetypes |
| Clinical synopsis | Clinical synopsis: Narrative summary or overview about a patient, specifically from the perspective of a healthcare provider, and with or without associated interpretations. Include: openEHR-EHR-EVALUATION.clinical_ Exclude: All not explicitly included archetypes |
| Problem/diagnosis | Problem/diagnosis: An issue or obstacle which adversely impacts on the physical, mental and/or social well-being of an individual. The definition of a problem is deliberately kept rather loose and inclusive of a formal biomedical diagnosis so as to capture any real or perceived concerns that may adversely affect an individual's wellbeing to any degree. Include: openEHR-EHR-EVALUATION.problem_ Exclude: All not explicitly included archetypes |
| Story | Story: The clinical history of a person, as told to a clinician or recorded directly by an individual/patient. Include: openEHR-EHR-OBSERVATION.story.v([0-9]+) and specialisations Exclude: All not explicitly included archetypes |
| Diagnostic tests | Diagnostic tests: Review of specific diagnostic tests carried out on the patient, considered of interest to give context to the problem/diagnosis. Include: All not explicitly excluded archetypes |
| Other contributors | José Andonegui, Hospital de Navarra, jose.andonegui.navarro@cfnavarra.es Luis Serrano, Universidad Pública de Navarra (UPNA), lserrano@unavarra.es Jesús D. Trigo, Universidad Pública de Navarra (UPNA), jesusdaniel.trigo@unavarra.es |
| Translators |