TEMPLATE Investigator diagnosis - JM (Investigator diagnosis - JM)

TEMPLATE IDInvestigator diagnosis - JM
ConceptInvestigator diagnosis - JM
DescriptionNot Specified
PurposeNot Specified
References
Authorsdate: 2023-10-29
Other Details Languagedate: 2023-10-29
Other Details (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: b4d0981406c2856bf25d08062df21900
  • Sem Ver: 5.2.0
  • PARENT:MD5-CAM-1.0.1: 8FE80F3E80C594AAF99D3BA540A53D73
  • Original Language: ISO_639-1::en
Language useden
Citeable Identifier1013.26.927
Root archetype idopenEHR-EHR-SECTION.adhoc.v1
DiagnosisDiagnosis: A generic section header which should be renamed in a template to suit a specific clinical context.
Index disease-related diagnosisIndex disease-related diagnosis: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Diagnosis nameDiagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.
VariantVariant: Specific variant or subtype of the Diagnosis, if relevant.
For example: 'acute motor axonal neuropathy' as a variant of Guillain-Barre Syndrome. Coding of the name of the variant with a terminology is preferred, where possible.
Other diagnosisOther diagnosis: Details about a single identified health condition, injury, disability or any other issue which impacts on the physical, mental and/or social well-being of an individual.
Clear delineation between the scope of a problem versus a diagnosis is not easy to achieve in practice. For the purposes of clinical documentation with this archetype, problem and diagnosis are regarded as a continuum, with increasing levels of detail and supportive evidence usually providing weight towards the label of 'diagnosis'.
Data
Diagnosis nameDiagnosis name: Identification of the problem or diagnosis, by name.
Coding of the name of the problem or diagnosis with a terminology is preferred, where possible.