All | Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Assessment of the potential and likelihood of Covid-19 infection as determined by identified risk factors., archetypeConceptComment=null, otherContributors=Tomas Alme, DIPS, Norway Nadim Anani, Karolinska Institutet, Sweden Vebjørn Arntzen, Oslo University Hospital, Norway Koray Atalag, University of Auckland, New Zealand Silje Ljosland Bakke, Nasjonal IKT HF, Norway (openEHR Editor) Lars Bitsch-Larsen, Haukeland University hospital, Norway Rong Chen, Cambio Healthcare Systems, Sweden Stephen Chu, Queensland Health, Australia Shahla Foozonkhah, Iran ministry of health and education, Iran Einar Fosse, National Centre for Integrated Care and Telemedicine, Norway Sebastian Garde, Ocean Informatics, Germany Heather Grain, Llewelyn Grain Informatics, Australia Anca Heyd, DIPS ASA, Norway Lars Karlsen, DIPS ASA, Norway Lars Morgan Karlsen, DIPS ASA, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Hallvard Lærum, Norwegian Directorate of e-health, Norway Luis Marco Ruiz, Norwegian Center for Integrated Care and Telemedicine, Norway Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (openEHR Editor) Jussara Rotzsch, UNB, Brazil Norwegian Review Summary, Nasjonal IKT HF, Norway John Tore Valand, Helse Bergen, Norway, originalLanguage=en, translators=- German: Jasmin Buck, Sebastian Garde, University of Heidelberg, Cental Queensland University
- Swedish: Annika Terner, B3 Healthcare Consulting AB, annika.terner@b3.se, .
- Finnish:
- Spanish (Argentina): Alan March, Hospital Universitario Austral, Pilar, Buenos Aires, Argentina, alandmarch@gmail.com
- Norwegian Bokmål:
- Arabic (Syria): Mona Saleh
- Italian: Alessandro Sulis/Francesca Frexia/Cecilia Mascia, CRS4 - Center for advanced studies, research and development in Sardinia, Pula (Cagliari), Italy, alessandro.sulis@crs4.it/francesca.frexia@crs4.it/cecilia.mascia@crs4.it
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[], details=[], provider=[], items=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Last updated, description=The date this health risk assessment was last updated., comment=This data element may be thought redundant if the data is recorded and stored using COMPOSITIONs within a closed clinical system. However if this information is extracted from its original COMPOSITION context, for example, to be included in another document or message then the temporal context is effectively removed. This 'Last updated' data element has been explicitly added to allow the critical temporal data to be kept alongside the clinical data in all circumstances. It is assumed that the clinical system can copy the date from the COMPOSITION to reduce the need for duplication of data entry by the clinician., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0025], code=at0025, itemType=ELEMENT, level=2, text=Assessment method, description=Identification of the algorithm or guideline used to make the assessment of risk., comment=For example: Framingham cardiovascular risk calculator., 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=/protocol[at0010]/items[at0011], code=at0011, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002.1], code=at0002.1, itemType=ELEMENT, level=2, text=Health risk, description=Identification of the potential future disease, condition or health issue for which the risk is being assessed, by name., comment=Coding of 'Health risk' with a terminology is preferred, where possible. Free text should be used only if there is no appropriate terminology available. For example: risk of cardiovascular disease, with risk factors of hypertension and hypercholesterolaemia., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0.1::COVID-19 Risk assessment [Assessment of risk of COVID-19 infection.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016], code=at0016, itemType=CLUSTER, level=2, text=Risk factors, description=Details about each possible risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText= (Cardinality: 1..*, unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0013.1], code=at0013.1, itemType=ELEMENT, level=3, text=Risk factor, description=Identification of the risk factor, by name., comment=For example: hypertension and hypercholesterolaemia, which may be used as part of the overall assessment for cardiovascular disease; or a genetic marker. Coding of
'Risk factor' with a terminology, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0.9::Contact with confirmed Covid-19 case [Contact with confirmed Covid-19 case within 14 days before symptom onset.]
- at0.14::Potential contact exposure based on location [Potential contact exposure based on location.]
- at0.10::Contact with suspected case/ pneumonia case [Contact with suspected case/ pneumonia case within 14 days before symptom onset.]
- at0.13::Contact with severe, unexplained respiratory disease [Contact with severe, unexplained respiratory disease in 10 days before symptom onset.]
- at0.11::Contact with birds in China [Contact with birds in China in 10 days before symptom onset.]
- at0.12::Contact with confirmed human case of Avian flu in China [Contact with confirmed human case of Avian flu in China in 10 days before symptom onset.]
- at0.18::Needs admission for respiratory disease [Does the patient require hospital admission with either clinical or radiological evidence of pneumonia, adult respiratory distress syndrome, or influenza like illness?]
- at0.19::Other household members are ill [The patient is in a house with other household members who are ill]
- at0.20::Household members with travel exposure [Members of the patient's household have travel exposure.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0017.1], code=at0017.1, itemType=ELEMENT, level=3, text=Presence, description=Presence of the risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0018::Present [The risk factor has been identified for this individual.]
- at0019::Absent [The risk factor has not been identified for this individual.]
- at0.15::Unknown [No information is available for this risk factor.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Description, description=Narrative description about the risk factor., 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[at0016]/items[at0029], code=at0029, itemType=ELEMENT, level=3, text=Date identified, description=The date/time that the risk factor was identified., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0028], code=at0028, itemType=ELEMENT, level=3, text=Mitigated, description=The risk factor has been identified as present, but then subsequently been mitigated by treatment or investigation., comment=Record as True if the risk factor has been treated or investigated and risk from this risk factor is considered to be lessened. For example: an infant given gentamicin in neonatal intensive care is regarded as having a risk of permanent hearing loss. If diagnostic testing shows no evidence of hearing loss in the first year of life, the risk of later hearing loss is considered to be much reduced, but still possible. This data element allows clinicians to say that the risk has been mitigated but should still be considered as a possibility in future. In practice, the risk factor could be maintained in the risk assessment in case it might impact the individual's health at a future time, but flagging that its contribution to risk calculation may not be as great as if it had not been previously treated or investigated. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_BOOLEAN, bindings=null, values=Allowed values: {true}, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0012], code=at0012, itemType=ELEMENT, level=3, text=Link to evidence, description=Identification of the path to the archetype or data node for the evidence of risk., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_URI, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0027.1], code=at0027.1, itemType=SLOT, level=3, text=Detail, description=Structured detail about other aspects of the risk factor assessment., comment=For example: Prevalence of the risk factor in family members., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016]/items[at0030], code=at0030, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about the risk factor not captured in other fields., 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[at0003.1], code=at0003.1, itemType=ELEMENT, level=2, text=Risk assessment, description=Evaluation of the health risk., comment=There may be multiple variations on the assessment of risk. The Choice data type allows for recording of the assessment as either free text or value sets (such as low, medium or hig). The proportion data type allows recording of a percentage, a ratio or a fraction. The quantity data type allows recording of a decimal number., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0.16::Low risk [The risk of the a patient having a Covid-19 infection is assessed to be low.]
- at0.17::High risk [The risk of the a patient having a Covid-19 infection is assessed to be high.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0020], code=at0020, itemType=ELEMENT, level=2, text=Assessment type, description=Record of whether the risk assessment is a relative or absolute., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=- at0021::Relative risk [Ratio of probability of a health event or condition occurring compared to a population with similar characteristics eg same age and sex.]
- at0022::Absolute risk [Ratio of probability of a health event or condition occurring compared to the population as a whole.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0023], code=at0023, itemType=ELEMENT, level=2, text=Time period, description=The time period during which the predicted health risk is relevant., comment=That is: the risk of experiencing the identified 'Health risk' in the next <X> years., 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[at0004], code=at0004, itemType=ELEMENT, level=2, text=Rationale, description=Justification for this risk assessment., comment=Details that may be added to this data element may include information about the population subgroups etc against which the determination of risk is assessed., 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[at0015], code=at0015, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the risk assessment not captured in other fields., 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]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0010], code=at0010, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items (Cardinality: 0..*, unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=1..*, subCardinalityText= (Cardinality: 1..*, ordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0024], code=at0024, itemType=ELEMENT, level=2, text=Last updated, description=The date this health risk assessment was last updated., comment=This data element may be thought redundant if the data is recorded and stored using COMPOSITIONs within a closed clinical system. However if this information is extracted from its original COMPOSITION context, for example, to be included in another document or message then the temporal context is effectively removed. This 'Last updated' data element has been explicitly added to allow the critical temporal data to be kept alongside the clinical data in all circumstances. It is assumed that the clinical system can copy the date from the COMPOSITION to reduce the need for duplication of data entry by the clinician., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0010]/items[at0025], code=at0025, itemType=ELEMENT, level=2, text=Assessment method, description=Identification of the algorithm or guideline used to make the assessment of risk., comment=For example: Framingham cardiovascular risk calculator., 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=/protocol[at0010]/items[at0011], code=at0011, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include: All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null] |