| TEMPLATE ID | Investigator diagnosis - JM |
|---|---|
| Concept | Investigator diagnosis - JM |
| Description | Not Specified |
| Purpose | Not Specified |
| References | |
| Authors | date: 2023-10-29 |
| Other Details Language | date: 2023-10-29 |
| Other Details (Language Independent) |
|
| Language used | en |
| Citeable Identifier | 1013.26.927 |
| Root archetype id | openEHR-EHR-SECTION.adhoc.v1 |
| Diagnosis | Diagnosis: A generic section header which should be renamed in a template to suit a specific clinical context. |
| Index disease-related diagnosis | Index 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 name | Diagnosis 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. |
| Variant | Variant: 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 diagnosis | Other 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 name | Diagnosis 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. |