ARCHETYPE Social context screening questionnaire (openEHR-EHR-OBSERVATION.social_context_screening.v1)

Name: Social context screening questionnaire
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.social_context_screening.v1
Concept	Social context screening questionnaire
Description	Series of questions and associated answers used to screen about the social environment and social situation which may impact the health and well-being of the individual, especially to identify potential issues or risks.
Use	Use to create a framework for recording answers to pre-defined screening questions about the social context. Common use cases include, but are not limited to: - Systematic enquiry in any consultation, for example: --- Are you homeless? Yes, No, Unknown --- Do you feel socially isolated? --- Do you feel safe at home/school/work? --- Do you think you are a problem gambler? --- Are any individuals dependent on you? --- Do you need an interpreter when you visit the clinic? The semantics of this archetype are intentionally loose, and querying this archetype would normally only be useful or safe within the context of each specific template. In a template, each data element would usually be renamed to the specific question asked. Where value sets have been proposed for common use cases, these can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case. The EVENT structure from the reference model can be used to specify whether the questions relate to a point in time or over a period of time. Use a separate instance of this archetype to distinguish between a questionnaire recording information about a social context issue that has been present at any time in the past and information about a social context issue within a specified time interval - for example, the difference between "Are you safe at home now?" compared to "Have you experienced any domestic violence in the past 4 weeks?" The source of the information in a questionnaire response may vary in different contexts but can be specifically identified using the 'Information provider' element in the Reference Model. This archetype has been designed to be used as a screening tool or to record simple questionnaire-format data for use in situations such as a disease registry. If the screening process identifies a social context circumstance, issue or concern and it is intended that the details are to be recorded and persisted as part of an ongoing health record, any further specific details about the social context should be recorded using archetypes specific for the clinical purpose.
Misuse	Not to be used to record persistent details about social context-related concepts. Use existing archetypes for this purpose - for example EVALUATION.housing, EVALUATION.education, EVALUATION. occupation, EVALUATION.social_network and other archetypes within the Social context project - https://ckm.openehr.org/ckm/projects/1013.30.39.
Purpose	To create a framework for recording answers to pre-defined screening questions about the social context.
References
Copyright	© openEHR Foundation
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-03-13
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2020-03-13
OtherDetails Language Independent	{licence=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/., custodian_organisation=openEHR Foundation, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=7A9C418DF698E41C35D1C915B88E22B9, build_uid=13668cfe-9283-4492-a7ef-6040921c3b35, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/snomed-ct/get-snomed or info@snomed.org., revision=1.0.1}
Keywords	homelessness, housing, gambling, employment, safety, domestic, violence, dependent, guardian, situation, circumstances, abuse, education, insecurity, inclusion, exclusion, transportation, equity, hardship, unemployment, stress, connection, literacy, wellness, social, sociological, socioeconomic, poverty, hunger, refugee, immigrant, minority
Lifecycle	published
UID	23185f94-2926-4f62-9c6e-e3c36f5e2864
Language used	en
Citeable Identifier	1013.1.4668
Revision Number	1.0.1
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Series of questions and associated answers used to screen about the social environment and social situation which may impact the health and well-being of the individual, especially to identify potential issues or risks., archetypeConceptComment=null, otherContributors=Nuno Abreu, Oporto Hospital Center, Portugal Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor) Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor) Ivar Berge, Oslo Universitetssykehus, Norway SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India Hugo Claudio Briceño García, Catsalut, Spain Stefan Dubois, Dep't of Pathology and Genetics, University Hospitals of Lund and Malmö, Sweden Gunn Elin Blakkisrud, DIPS ASA, Norway Kåre Flø, DIPS ASA, Norway Heather Grain, Llewelyn Grain Informatics, Australia Evelyn Hovenga, EJSH Consulting, Australia Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør) Sølvi Johansen, Oslo Universitetssykehus, Ullevål, Norway Mika Kiviaho, Tietoevry, Finland Lise Kristin Knutsen, Oslo universitetssykehus, Norway Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør) Jörgen Kuylenstierna, eWeave AB, Sweden Jamie LaPaglia, Claim Clarity, United States Liv Laugen, Oslo universitetssykehus, Norway (Nasjonal IKT redaktør) Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør) Svenne Naumann, Finnmarkssykehuset, Norway Mikael Nyström, Cambio Healthcare Systems AB, Sweden Sobath Premaratne, Barts Health NHS Trust, United Kingdom FREDERICO RIBEIRO, Hospital das Clínicas da UFPE, Brazil Marte Rime Bø, Direktoratet for e-helse, Norway Michael Seneviratne, NHS, United Kingdom Andre Smitt-Ingebretsen, Sørlandet sykehus HF, Norway Norwegian Review Summary, Norwegian Public Hospitals, Norway Kanthan Theivendran, NHS, United Kingdom John Tore Valand, Helse Bergen, Norway (openEHR Editor) Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor), originalLanguage=en, translators= Finnish: Norwegian Bokmål: Marit Alice Venheim, John Tore Valand, Vebjørn Arntzen, Liv Laugen, Helse Vest IKT AS, Helse Bergen, Oslo University Hospital, Oslo University Hospital, Norway, marit.alice.venheim@helse-vest-ikt.no, john.tore.valand@helse-bergen.no, varntzen@ous-hf.no, john.tore.valand@helse-vest-ikt.no, liv.laugen@ous-hf.no Italian: , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={state=[], contacts=[], details=[], description=[], content=[], provider=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Screening purpose, description=The context or reason for screening., comment=This data element is intended to provide collection context for the question/answer groups when queried at a later date. It is not expected that this data element will be exposed to the individual, but only stored in data. For example: pre-admission screening or the name of the actual questionnaire., 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]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=CLUSTER, level=4, text=Specific social context, description=Details about a specified social context or issue, or a grouping of these, relevant for the screening purpose., 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]/events[at0002]/data[at0003]/items[at0022]/items[at0004], code=at0004, itemType=ELEMENT, level=5, text=Context, description=Identification of a specific social circumstance, issue or concern relevant for the questionnaire or grouping of such, by name., comment=This element offers a choice between free and coded text. It is anticipated that the list of coded values will grow as requirements are identified. Coding of the 'Context' with a terminology is preferred, where possible - for example, relevant terms within the Social context finding hierarchy in SNOMED CT (SCTID: 108329005). Alternatively as free text, for example 'Social isolation', 'Discrimination', 'Minority stress'., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Text Coded Text at0048::Homeless [The individual does not have a stable place to live.] [SNOMED-CT::32911000 \| Homeless] at0049::Interpreter needed [The individual needs assistance with language translation.] [SNOMED-CT::315594003 \| Interpreter needed] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0005], code=at0005, itemType=ELEMENT, level=5, text=Presence?, description=Has there been experience of the specified 'Context'?, comment=In a template, the data element would usually be renamed to the specific question asked. The proposed value set can be adapted for local use by using the DV_TEXT or the DV_BOOLEAN datatypes choice to match each specific use case., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0023::Yes [SNOMED-CT::373066001 \| Yes] at0024::No [SNOMED-CT::373067005 \| No] at0027::Unknown [SNOMED-CT::261665006 \| Unknown] Text Boolean , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022]/items[at0026], code=at0026, itemType=SLOT, level=5, text=Additional details, description=Additional details or questions about the specific social context., comment=null, 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]/events[at0002]/data[at0003]/items[at0022]/items[at0025], code=at0025, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the specific social context, 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]/events[at0002]/data[at0003]/items[at0044], code=at0044, itemType=SLOT, level=4, text=Additional details, description=Additional structured details or questions about screening for social context items., comment=null, 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]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., 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]], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], context=[], relationships=[], target=[], capabilities=[], items=[], source=[], ism_transition=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, 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], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0007], code=at0007, 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]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0007]/items[at0021], code=at0021, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; 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