TEMPLATE Health risk assessment (d4d259b9-f4c3-417d-a4ca-d3ce23817b0a)

TEMPLATE IDd4d259b9-f4c3-417d-a4ca-d3ce23817b0a
ConceptHealth risk assessment
DescriptionTo record an assessment of health risk, including risk related to affected ratios in families.
PurposeTo record an assessment of health risk, including risk related to affected ratios in families.
References
OtherDetails Language Independent{MetaDataSet:Sample Set =MetaDataSet:Sample Set }
Language useden
Citeable Identifier1013.26.56
AllOperationalTemplate [rootArchetypeId=openEHR-EHR-EVALUATION.health_risk.v1, otherContributors=null, tshis=[ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1], code=at0000, itemType=EVALUATION, level=0, text=Health risk assessment, description=Assessment of the potential and likelihood of future adverse health effects as determined by identified risk factors., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVALUATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001], code=at0001, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Data, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0002], code=at0002, 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_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[at0013], code=at0013, 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_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Presence, description=Presence of the risk factor., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Present  [The risk factor has been identified for this subject.]
  • Indeterminate  [The risk factor has been identified or eliminated for this subject.]
  • Absent  [The risk factor has not been identified for this subject.]
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  • First degree relative  [50% genetic share with the subject - for example, parent, sibling or child.]
  • Second degree relative  [25% genetic share with the subject - for example, grandparent, aunt, uncle, niece, nephew, grandchildren. and half siblings.]
  • Third degree relative  [12.5% genetic share with the subject - for example, great grandparent, great aunt, great uncle, first cousin, children of nieces and nephews, and great grandchildren.]
  • Genetic family  [All genetically-related family members.]
  • Non-genetic family  [All non-genetic family members.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0051], code=at0051, itemType=ELEMENT, level=5, text=Family line, description=Identification of the maternal or paternal family line in the relationship., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Maternal line  [Related through the subject's mother.]
  • Paternal line  [Related through the subject's father.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0033], code=at0033, itemType=ELEMENT, level=5, text=Biological sex, description=The biological sex of the family member/s., comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Male  [Family member who is biologically male.]
  • Female  [Family member who is biologically female.]
  • Indeterminate/Intersex/Unspecified  [Family member who either has the biological attributes of both sexes or lacks some of the biological attributes considered necessary to be defined as one or the other sex.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0034], code=at0034, itemType=ELEMENT, level=5, text=Number affected, description=The number of family members known to be affected., comment=Effectively this number is the numerator for the 'Affected ratio'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0016]/items[openEHR-EHR-CLUSTER.family_prevalence.v1]/items[at0031]/items[at0054], code=at0054, itemType=ELEMENT, level=5, text=Total number, description=The number of eligible family members., comment=This is the number of family members that may be affected AND fit selected relationship, family line and sex criteria. Effectively this number is the denominator for the 'Affected ratio'., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=>=1, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Risk assessment, description=Evaluation of the likelihood that the subject will be affected by the disease, condition or health issue in the future., 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, value sets, or a proportion such as a percentage or fraction or any other ratio., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=
  •  Text
  •  Proportion
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Relative risk  [Ratio of probability of a health event or condition occurring compared to a population with similar characteristics eg same age and sex.]
  • Absolute risk  [Ratio of probability of a health event or condition occurring compared to the population as a whole.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/data[at0001]/items[at0023], code=at0023, itemType=ELEMENT, level=2, text=Relevant timeframe, description=The future timeframe in which the predicted health risk applies., comment=That is: the risk of experiencing the identified 'Health risk' in the next <X> years., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/protocol[at0010], code=at0010, itemType=UNSUPPORTEDTOPLEVELATTRIBUTE, level=1, text=Protocol, description=, comment=null, uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=UNSUPPORTEDTOPLEVELATTRIBUTE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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 risk data is extracted from its original COMPOSITION context. for example, to be included in a discharge summary or message then the temporal context is effectively removed if the archetype is used within another COMPOSITION. 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 clincian., uncommonOntologyItems=null, occurencesFormal=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=[openEHR-EHR-EVALUATION.health_risk.v1]/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=null, occurencesText=null, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], templateType=normal]