ARCHETYPE Family history screening questionnaire (openEHR-EHR-OBSERVATION.family_history_screening_questionnaire.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.family_history_screening_questionnaire.v0
ConceptFamily history screening questionnaire
DescriptionSeries of questions and associated answers used to screen for health-related problems found in genetic and non-genetic family members.
UseUse to create a framework for recording answers to pre-defined screening questions about health-related problems found in both genetic and non-genetic family members. The intended scope of this archetype is deliberately kept loose to include the broadest range of problems or issues that might be found within families. It specifically includes known problems and diagnoses, identified biological markers, plus any relevant psychosocial factors and environmental factors. Templates for specific use cases may be constrained to relationships with genetic family members if required. Common use cases include, but are not limited to: - Systematic questioning in any consultation, for example: --- Is there a history of heart disease in the family? --- Is there a history of mental health problems in the family? --- Is there a history of addiction in the family? --- Did your mother have diabetes? - Specific questioning related to chronic disease management or preventive health. 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 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 significant health-related problem the family at any time in the past and information about a significant health-related problem the family in a specified time interval - for example the difference between "Have any family members COVID now?" compared to "Have any family members had COVID 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 questionnaire identifies the presence of a health concern in a family member, it is recommended that the clinical system record the specific details using the EVALUATION.family_history archetype.
MisuseNot to be used to record details about the presence or absence of a significant health-related problem, outside of a screening context. Use EVALUATION.family_history or EVALUATION.exclusion_specific for these purposes. Not to be used to record details about a specific health-related problem. Use EVALUATION.problem_diagnosis for this purpose. Not to be used to record a Family Pedigree chart of health problems/diagnoses. Use the EVALUATION.family_history archetype for this purpose.
PurposeTo create a framework for recording answers to pre-defined screening questions about health-related problems found in both genetic and non-genetic family members.
References
Copyright© openEHR Foundation
AuthorsAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT AS
Email: marit.alice.venheim@helse-vest-ikt-no
Date originally authored: 2020-08-20
Other Details LanguageAuthor name: Marit Alice Venheim
Organisation: Helse Vest IKT AS
Email: marit.alice.venheim@helse-vest-ikt-no
Date originally authored: 2020-08-20
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=2E9FB7246FDA4A8145B83CFCF45B2530, build_uid=37897795-a736-4c6d-94a0-0882a93ca404, 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=0.0.1-alpha}
Keywordsfamily, history, health, condition, problem, diagnosis, family history, relative, biological, relationship, background, genetic
Lifecyclein_development
UID6abb0932-9f6d-492b-bca8-419f7f7dddd4
Language useden
Citeable Identifier1013.1.5152
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Series of questions and associated answers used to screen for health-related problems found in genetic and non-genetic family members., archetypeConceptComment=The answers may be self-reported., otherContributors=Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Hugo Claudio Briceño García, Catsalut, Spain
Clara Calleja Vega, CatSalut. Servei Català de la Salut., Spain
Christian Chevalley, ADOC, Thailand
Giovanni Delussu, crs4, Italy
Mona Didriksen, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Manuela Domingo, hospital general universitario dr. balmis, Spain
Rosane Gotardo, Systema Ltda., Brazil
Heather Grain, Llewelyn Grain Informatics, Australia
Atle Hansen, Universitetssykehuset Nord-Norge, Norway
Evelyn Hovenga, EJSH Consulting, Australia
June Marie Nepstad Knappskog, Helse Nord IKT AS, Norway (openEHR Editor), Norway
Martin Koch, Servei Català de la Salut, Spain
Ronald Krawec, Alberta Health Services, Canada
Lise Kristin Knutsen, Oslo universitetssykehus, Norway
Anjali Kulkarni, Karkinos, India
Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Jörgen Kuylenstierna, eWeave AB, Sweden
Eli Larsen, UNN, Norway
Liv Laugen, ​Oslo University Hospital, Norway, Norway (openEHR Editor)
Darin Leonhardt, PLRI für medizinische Informatik/ Medizinische Hochschule, Germany
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Ruth Lochan, Akademiska Sjukhuset Uppsala, Sweden
Michael Lutz, BITsoft, Germany
June Marie Knappskog, Helse Nord IKT AS, Norway (Nasjonal IKT redaktør), Norway
Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Arunakiry Natarajan, medondo, Germany
Svenne Naumann, Finnmarkssykehuset, Norway
Olha Nikolaieva, University Hospital Basel, Switzerland
Terje Nordberg, Helse Bergen, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Marlene Pérez Colman, Digital Health and Care Wales, United Kingdom
Terje Sagmyr, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Andre Smitt-Ingebretsen, Sørlandet sykehus HF, Norway
John Tore Valand, Helse Vest IKT, Norway (openEHR Editor)
Wouter Zanen, Eurotranplant, Netherlands, originalLanguage=en, translators=
  • German: Henning Schmidt, Darin Leonhardt, Medizinische Hochschule Hannover, PLRI für medizinische Informatik/ Medizinische Hochschule, hschmidt@n-z-a.de, leonhardt.darin@mh-hannover.de
  • Norwegian Bokmål: Silje Ljosland Bakke, Marit Alice Venheim, John Tore Valand, Liv Laugen, Vebjørn Arntzen, Helse Vest IKT AS, Helse Bergen, ​Oslo University Hospital, Norway, silje.ljosland.bakke@helse-vest-ikt.no, marit.alice.venheim@helse-vest-ikt.no, john.tore.valand@helse-bergen.no, john.tore.valand@helse-vest-ikt.no, liv.laugen@ous-hf.no, varntzen@ous-hf.no
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={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]], content=[], identities=[], description=[], relationships=[], target=[], ism_transition=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, 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[at0038], code=at0038, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the history of any problem or diagnosis in the family., 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[at0042], code=at0042, itemType=CLUSTER, level=4, text=Problem or diagnosis in the family, description=Details about a specific problem or diagnosis or grouping of problems or diagnoses in the family., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0042]/items[at0043], code=at0043, itemType=ELEMENT, level=5, text=Problem/diagnosis name, description=Identification of a problem or diagnosis, or grouping of problems or diagnoses in the family., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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[at0042]/items[at0044], code=at0044, itemType=ELEMENT, level=5, text=Presence?, description=Is there a history of a problem or diagnosis, or grouping of problems or diagnoses in the family?, 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. In cases where an individual is adopted and no information is available, it is recommended to record 'Unknown'. For example: Does any in your family have diabetes?, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009], code=at0009, itemType=CLUSTER, level=4, text=Specific relationship, description=Details about a specific problem or diagnosis in identified family member(s)., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009]/items[at0018], code=at0018, itemType=ELEMENT, level=5, text=Relationship, description=The relationship of the family member to the individual., comment=For example: First degree relative, mother, step-father, maternal grandmother, or paternal uncle. Coding of the relationship with a terminology is preferred, where possible and including specification of maternal and paternal as required., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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[at0009]/items[at0035], code=at0035, itemType=ELEMENT, level=5, text=Problem/diagnosis name, description=Identification of a problem or diagnosis, or grouping of problems or diagnoses in the family., comment=Coding of the 'Problem/diagnosis name' with a terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, 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[at0009]/items[at0010], code=at0010, itemType=ELEMENT, level=5, text=Presence?, description=Is there a history of a problem or diagnosis in the family or in family members?, 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. In cases where an individual is adopted and no information is available, it is recommended to record 'Unknown'. For example: Does your father have diabetes?, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009]/items[at0049], code=at0049, itemType=ELEMENT, level=5, text=Timing, description=Indication of timing related to the problem or diagnosis., comment=The 'Timing' data element has deliberately been loosely modelled to support the myriad of ways that it can be used in questionnaires to capture when an issue, problem or diagnosis occured. The specific and intended semantics can be further clarified in a template. For example: the actual date and/or time; the start and stop time for when the issue, problem or diagnosis occured; the interval of time during which the issue, problem or diagnosis occured; the duration of the issue, problem or diagnosis; the age of the individual at the time of the issue, problem or diagnosis; or the duration of time since it occurred. A partial date is valid, using the DV_DATE_TIME data type, to record only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date/Time
  •  Interval of Date/Time

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0009]/items[at0036], code=at0036, itemType=SLOT, level=5, text=Additional details, description=Structured details or questions about the specific problem or diagnosis., 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[at0009]/items[at0028], code=at0028, itemType=ELEMENT, level=5, text=Comment, description=Additional narrative about the specific problem, diagnosis or family member, 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[at0039], code=at0039, itemType=SLOT, level=4, text=Additional details, description=Structured details or questions about screening for significant problems or diagnoses in family members., 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]], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0029], code=at0029, 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., 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]], source=[], capabilities=[], contacts=[], provider=[], details=[], items=[], credentials=[], state=[], activities=[], other_participations=[], context=[]}, 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, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0021], code=at0021, 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, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0029], code=at0029, 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., 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]